Dominican Republic: HIS Indicators

Dominican Republic.jpg

MEASURE Evaluation is compiling the country profiles on this site for 30 HIS indicators. As of August 2017, we had located the following indicators for the Dominican Republic. Indicator definitions can be found here: http://www.measureevaluation.org/his-strengthening-resource-center/health-information-systems-his-country-profile-indicators.

Please check back in this Resource Center as we continue to expand the indicators of HIS strengthening, or click here to provide comments and suggestions. 

Indicators

Status

Source

Title/Notes

1. National health strategy

Not current (2015)

http://bit.ly/2oNekjN  

Plan Decenal de Salud 2006-2015

2. Health sector M&E plan

Not available

In-country contact

 

3. HIS policy

Not current (2006)

http://bit.ly/2nLyHcK

Ley N° 42 - 01 General de Salud, que crea el Sistema de Información General en Salud and Decreto N° 249-06 que aprueba el Reglamento del Sistema de Información General en Salud

4. HIS strategic plan

Not available

In-country contact

 

5. Country has set of core health indicators

Yes (2015)

http://bit.ly/2o6melM

Indicatores Basicos de Salud- Republica Dominicana 2015

6. National HIS coordinating body

Established, activity unknown

http://bit.ly/2nLyHcK

Decreto N° 249-06 que aprueba el Reglamento del Sistema de Información General en Salud

The article No. 8 establishes the conformation of an inter-institutional network and the members

7. Country has master facility list

Established and is updated (2016)

http://bit.ly/2padGcR

http://www.msp.gob.do/cs03

Listado General de Establecimientos Habilitados, 28-06-2016

8. Conducted HMN assessment

Not completed

http://bit.ly/2aOh7Sh

 

9. Population census within the last 10 years

Yes (2010)

http://bit.ly/2biOJXD

IX Censo Nacional de Población y Vivienda

10. Availability of national health surveys 

MICS5 (2014) and DHS (2013)

http://mics.unicef.org/surveys

http://bit.ly/2aEuplN

Data and reports can be found on links provided.

11. Completeness of vital registration (births and deaths)

Incomplete – live births and deaths are less than 90%

http://bit.ly/2aP7FN4

 

12. Country has electronic system for aggregating routine facility and/or community service data

Yes, Sistema de Gestion Clinica (SGC) for Primary Health Care

In-country contact

Guía operativa de gestión del componente basado en resultados en los centros de atención primaria

13. Country has national statistics office

Yes

http://www.one.gob.do

Oficina Nacional de Estadisticas (ONE)

14. National health statistics report (annual)

Current (2015)

http://bit.ly/2o6melM

Indicatores Básicos de Salud 2015

15. Country has website for health statistics with latest data available

Yes, updated but has no recent health report

http://www.msp.gob.do/

 

Institutional Website of Ministerio de Salud Pública

16. DQA conducted on prioritized indicators aligned with most recent health sector strategy

Available

http://bit.ly/2ogYxsT

 

Only with intentional search and reclassification of maternal deaths

Regarding maternal mortality, where the data is revalidated with the clinical file and the informants are evaluated

17. PRISM assessment conducted in any regions/districts

Conducted (2008–2009)

http://bit.ly/2aZIEO0

See page 13, Table 1

18. Percentage of facilities represented in HMIS information

Available

http://bit.ly/2o5YI8w  

Anuario estadístico de salud 2012. DIGEPI: Semana epidemiológica 52

The document indicates the centers that reported in general and per month See: Early warning performance indicators according to provinces and health areas, 2016

19. Proportion (facility, district, national) offices using data for setting targets and monitoring

Available

 

http://bit.ly/2ogQwUO

Memoria institucional del MSP

Monthly reports from SRS and SNS Head Office, DPS.

The document summarizes the data collected for the goals, objectives, and monitoring of the MSP decentralized offices.

20. Measles coverage reported to WHO/UNICEF

WHO/UNICEF estimate = 85; Official government estimate = 85

http://bit.ly/2blIJfV  

See page 8.

21. Number of institutional deliveries available by district, and published within 12 months of preceding year

Available

http://bit.ly/2nmoUOI  

Indicadores de salud del sector public

It was validated with the DASIS that only the institutional ones are computed in the statistics of the public network. The data of institutional births as a proportion of the total is obtained from ENDESA.

22. Existence of policies, laws, and regulations mandating public and private health facilities/ providers to report indicators determined by the national HIS

Yes

http://bit.ly/2x9v4pp

http://bit.ly/2vMBshJ

Decree No. 309-07 establishes a Regulation of the National Epidemiological Surveillance System (SINAVE), a document that orders public and private establishments to provide epidemiological data when required.

Also, there are complementary ministerial resolutions, which establish mandatory diseases for SINAVE.

23. Availability of standards/guidelines for RHIS data collection, reporting, and analysis

Yes (Partially- available for some programs), not available online

In-country contact

The standards are scattered because they depend on the organizational unit that collects the information. There are manuals for collecting and disseminating vital statistics. However, this does not mean that they are the only ones, since this requires an uprising with the areas that are producing statistics in the ministry.

Manual de procedimientos para la captación, recolección, procesamiento y difusión información de nacimientos (2006)

SESPAS: Procedimientos e instrumentos para la gestion de informacion de defunciones (2007)

24.Presence of procedures to verify the quality of data (accuracy, completeness, timeliness) reported

Yes

In-country contact

http://bit.ly/2vIM7uB

In the weekly reports of epidemiological surveillance, at the end of the document, indicators of performance of the early warning system are presented. They present the quantities of reporting units by province and health area, the proportion reported, and the proportion reported on time.

25.RHIS data collection forms allow for disaggregation by gender

Yes

 

In-country contact

http://bit.ly/2vMvBZQ

The EPI-II form includes the data processed in the SINAVE modules and allows the disaggregation of events reported by gender.

26. At least one national health account completed in last 5 years

Yes (2015)

Document provided by in-country contact

http://bit.ly/2wXGeJQ

http://bit.ly/2yueQnZ

http://bit.ly/2wLbCiS

   

The MSP generates Health Accounts figures, which are used to feed the WHO portal and the Social Indicators System of the Dominican Republic (SISDOM). As WHO and OECD are pushing for a new methodological standard, the Health Accounts System (SCS) 2011, the country focused on a homogeneous series of the period 2004-2015. Study will be published soon. In addition, exercises for the Measurement of Spending on AIDS (MEGAS) have been developed. The last one was published in 2014.

Serie homogénea del gasto sanitario para el período 2004 – 2014, aplicando el SCS 2011

Compendio estadístico de Cuentas Nacionales de Salud 2004 - 2015

27. National database with health workers by district and main cadres updated within last 2 years

Not available

In-country contact

In the last two years, this type of database has not been available. Nonetheless, eventual triangulations of payrolls for health personnel are carried out for budgeting purposes.

28. Annual data on availability of tracer medicines and commodities in public

and private health facilities

Available (2015)

In-country contact

http://bit.ly/2hispDG

The Unique System of Medicines and Supplies (SUGEMI) performs this type of survey periodically for the first level of care, which has been reflected in newsletters. The last ones (published) are from the year 2015

29. e-health strategy

Yes (Partially)

In-country contact

http://bit.ly/2vMBOoz

http://bit.ly/2x9vYCj

http://bit.ly/2iIF0R3

Country has regional eSalud implementation documents and public health policy but no national eHealth strategy.

30. Completeness of disease surveillance reporting

Yes

In-country contact

http://bit.ly/2vIM7uB

In the weekly reports of epidemiological surveillance, at the end of the document, indicators of performance of the early warning system are presented. They present the quantities of reporting units by province and health area, the proportion reported, and the proportion reported on time.