Many developing countries have adopted electronic health management information systems to support management of health service delivery. However, use of health information from HMIS is often challenged. Previous research point out that is essential that health information is not only collected, but also analyzed and disseminated to relevant stakeholders for decision making - a process also referred to as a culture of information use or information behavior. This study explores how health information is currently managed in Malawi and Burkina Faso. Through a comparison of the current practices and the role of technology, the study confirms that information behavior is about more than technology in itself. Both countries have a rather strong and well-organized culture of information use, but only parts of it is supported by the current technology. Changes to the technology at hand and organizational roles that could improve the current information culture are discussed as well.