Nepal: HIS Indicators

Nepal

MEASURE Evaluation is compiling the country profiles on this section of the website for 30 HIS indicators. As of August 2017, we had located the following indicators for Nepal. 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

Yes (2015–2020)

http://bit.ly/2gGzLAS

Nepal Health Sector Strategy 2015 - 2020

2. Health Sector M&E plan

Yes (2016–2021)

http://bit.ly/2eXWxAt

Nepal Health Sector Strategy Implementation Plan 2016- 2021

3. HIS policy

Unknown

 

 

4. HIS strategic plan

Not current (2002–2006)

http://bit.ly/2bm0USF

Health Sector Information System National Strategy

5. Country has set of core health indicators

Not current (2013)

Document provided by in-country contact.

Health Management Information System [HMIS] Indicators, 2070

6. National HIS coordinating body

Established, activity unknown

http://bit.ly/2bm0USF

HIS strategic plan discussed the establishment of a committee (page 13) but activity is unknown.

7. Country has master facility list

Available (partial)

In-country contact

The Department of Health Services (DoHS), Health Management Information System (HMIS) Unit maintains record of all facilities. This is used for DHIS 2 platform for routine reporting. However, the detail list with unique ID for private facilities across the country is not fully updated.

8. Conducted HMN assessment

Not completed

 

 

9. Population census within the last 10 years

Yes (2011)

http://bit.ly/2biOJXD

 

10. Availability of national health surveys 

MICS5 (2014) 

DHS (2011)

LSMS (2010)

http://bit.ly/2aPaTA8

http://bit.ly/2b9to1s

http://bit.ly/2biVhp2

Data and reports can be found on the following links provided.

11. Completeness of vital registration (births and deaths)

11.4% live births and 4.5% deaths. Source is not civil registration but considered reliable by UN Stats.

http://bit.ly/2aP7FN4

Both data were collected in 2011.

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

Yes, sub-nationally

https://www.dhis2.org/deployments

Currently in  the pilot stage or early phase in roll-out.

13. Country has national statistics office

Yes

http://www.cbs.gov.np

 

14. National health statistics report (annual)

Yes (2017)

http://bit.ly/2gzXdf7

Annual Report Department of Health Services 2072/73 (2015/2016)

 

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

Yes, updated and has recent health reports

http://www.mohp.gov.np

 

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

Yes (partially)

In-country contact

There are cases of program specific DQA exercise being done by Immunization and HIV and most recently by IMCI program.  MOH has recently developed a routine DQA (customized using MEASURE Evaluation tool) and piloted in few districts. However, a systematic DQA for prioritized indicators are not yet aligned with strategy cycle and are yet to be institutionalized.

17. PRISM assessment conducted in any regions/districts

Not conducted

http://bit.ly/2aZIEO0

 

18. Percentage of facilities represented in HMIS information

(2017) 89% public hospitals, 100% primary health care centers, 99% health posts, 92% PHC – ORC clinics, 88% of EPI clinics, 80% of private health facilities

http://bit.ly/2gzXdf7

Can be found inside the current Annual Health Report on page 20 under “Trend of Health Service Coverage Fact Sheet.”

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

Unknown

In-country contact

HMIS Unit at DoHS does exercise on Annual Health Targets Setting and Estimates, calculated using census data projections and past year trends of services with certain adjustments. They are then used by all district health offices and health facilities for monthly monitoring and performance evaluation. These calculations are on done in spreadsheet and sent to districts via email. Recently an effort is made to make this available on DHIS 2 platform for users. 

20. Measles coverage reported to WHO/UNICEF

WHO/UNICEF estimate = 83; Official government estimate = 83

http://bit.ly/2bbmj4A

See page 8 of “WHO and UNICEF estimates of immunization coverage: 2016 revision.”

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

Available (2017)

 

 

http://bit.ly/2gzXdf7

The current Annual Health Report (Annex 4, page 418) has information for institutional delivery at the regional and national level. It is presented as a percentage of expected deliveries. At the national level, it slightly decreased to 55% from 57% the previous year.

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

Available (partially)

In-country contact

Nepal Health Services Act, 4th amendment 2013 mandates health workers from public facilities report the required indicators.

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

Available (2013)

http://bit.ly/2xlHqLt

HMIS Recording and Reporting Forms 2070, (2013)

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

Available (partially)

In-country contact

HMIS user manual 2014 provides how to check data for quality.

Integrated monitoring checklist (a type of internal data audit practice) provides detail about what and how to check.

Data review meetings are held at the facility and district level. The reporting timeline is standard. Data reporting from facility is mostly manual but it is entered into DHIS2 software database at district level. It also allows checking accuracy and completeness of data. Feedback system is inbuilt but yet to be practiced better. 

25.RHIS data collection forms allow for disaggregation by gender

Available

In-country contact

Nepal’s HMIS data are disaggregated by gender, caste/ethnicity category, age, and geography. All tools are standardized to capture demographic variables across the program and services in similar ways. 

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

Yes

Document provided by in-country contact

National Health Accounts for period 2009-2012 has been done. The NHA for 2013-16 is underway. The report is expected to be released by December 2017.

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

Yes (partially)

In-country contact

Public sector health facility database is available and updated. Private sector, especially hospitals, clinics are also listed but incomplete.

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

Yes (partially)

In-country contact

Report: http://bit.ly/2hpsj9F

Data available from Logistics Management Information System (LMIS) for public sector and some private sector facilities.

http://dohslmd.gov.np/

“Nepal Health Facility Survey 2015- Final Report” provides information about availability of tracer medicines and commodities by types of facilities .

29. e-health strategy

Yes (2017)

Document provided by in-country contact

National eHealth Strategy 2017

30. Completeness of disease surveillance reporting

Yes (partially)

In-country contact

EWARS is used by Epidemiology and Disease Control Division of DoHS to collect and disseminate information related to notifiable disease surveillance. http://edcd.gov.np/mediacenter.html

HIV surveillance is done regularly by National Center for AIDS and STD Control (NCASC) www.ncasc.gov.np