Lesotho

Lesotho

MEASURE Evaluation is compiling the country profiles on this site for 21 HIS indicators. As of April 2017 we had located the following indicators for Lesotho. 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

Current (2012–2017)

http://bit.ly/2aKfZw3

Health Sector Strategic Plan 2012/13-2016/17

2. Health sector M&E plan

Not current (2008–2013)

In-country contact

Varied. There is a health sector M&E plan presented by the Millennium Challenge Corporation, the Government of Lesotho, and Millennium Account Lesotho.

3. HIS policy

Not current (2003)

In-country contact

An updated HMIS Policy and Standard Operating Procedures was expected at the end of 2014.

4. HIS strategic plan

Current (2013–2017)

http://bit.ly/2o6lrBj

Health Management Information System Strategic Plan 2013–2017

5. Country has set of core health indicators

Yes (2013–2017)

http://bit.ly/2aKfZw3

Found on pages 51–53 of current national health strategy plan (2013–2017)

6. National HIS coordinating body

Established, and not active

http://bit.ly/2o6lrBj

 

There is a coordinating body between the Lesotho Bureau of Statistics and the MOHSW. However, the body is not functional due to lack of coordination. The MOHSW has an internal Strategic Information Technical Working Group.

7. Country has master facility list

Established and is not updated (2003)

http://bit.ly/2b05V2e

According to the Health Planning & Statistics Department

8. Conducted HMN assessment

Completed (2007)

http://bit.ly/2b1WktX

Lesotho Health Information System: Review and Assessment

9. Population census within the last 10 years

Yes (2006)

http://bit.ly/2biOJXD

 

10. Availability of national health surveys 

MICS2 (2010)

DHS (2014)

http://mics.unicef.org/surveys

http://bit.ly/2aEK04S

Data and reports can be found following the links.

11. Completeness of vital registration (births and deaths)

Incomplete –

live births and deaths are less than 90%

http://bit.ly/2aP7FN4

The vital registration of births and deaths is guided by the 1973 Registration of Births and Death Act. While the information content in the vital statistics forms is adequate and reporting is mandatory, the use of the vital registration is voluntary. Registration of birth is influenced by enrolment in school, and deaths registration is influenced by insurance claims. Where the two services are not required, the system is never used.

For example, assessment of the deaths forms suggests registered cause of deaths is often not the actual cause of death. Thus, the completeness of vital registration in Lesotho is compromised because the act is outdated and is not enforced.   

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

Yes, nationally

In-country contact

Lesotho uses hybrid of e-health management information system with a mix of integrated and vertical systems. DHIS 2 is used for routine data.

13. Country has national statistics office

Yes

http://www.bos.gov.ls/

 

14. National health statistics report (annual)

Not current (2014)

In-country contact

 

Annual Joint Review Report 2013/14

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

Yes, updated but has no recent health data

http://www.health.gov.ls/

 

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

No

In-country contact

The last DQA was conducted in 2012.

17. PRISM assessment conducted in any regions/districts

Not conducted

http://bit.ly/2aZIEO0

Country not listed.

18. Percentage of facilities represented in HMIS information

Not available

In-country contact

Varies with the system being used.

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

Unknown

 

 

20. Measles coverage reported to WHO/UNICEF

WHO/UNICEF estimate = 90; Official government estimate = 66

http://bit.ly/2b1Wv8I

See page 9.

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

 Not available )

In-country contact

The Statistics Bureau reported that the last number of institutional deliveries report in Lesotho was published in 2009/2010.