Lesotho: HIS Indicators


MEASURE Evaluation is compiling the country profiles on this site for 30 HIS indicators. As of February 2018, 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. 





1. National health strategy

Current (2012–2017)


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 were expected at the end of 2014.

4. HIS strategic plan

Current (2013–2017)



Health Management Information System Strategic Plan 2013–2017

5. Country has set of core health indicators

Yes (2013–2017)


Found on pages 51–53 of current National Health Strategy Plan (2013–2017)

6. National HIS coordinating body

Established, and not active

In-country contact


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)

 In-country contact

According to Health Planning & Statistics Department.

8. Conducted HMN assessment

Completed (2007)


Lesotho Health Information System:Review and Assessment

9. Population census within the last 10 years

Yes (2006)



10. Availability of national health surveys 

MICS2 (2010)

DHS (2014)



Data and reports can be found following the links (DHS).

11. Completeness of vital registration (births and deaths)

Incomplete, live births and deaths are less than 90%


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 death 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. (Link)

13. Country has national statistics office




14. National health statistics report (annual)

Not current (2008)


Annual Joint Review Report 2007/08 FY

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

Yes, updated and has no recent health report




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


In-country contact

The last DQA was conducted in 2012.

17. PRISM assessment conducted in any regions/districts

Not conducted



Country not listed at link.

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




20. Measles coverage reported to WHO/UNICEF

WHO/UNICEF estimate = 90; Official government estimate = 60


See page 10 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

Not available

In-country contact

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

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




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




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




25.RHIS data collection forms allow for disaggregation by gender




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

Not conducted (2010)


Can be found on page 33 of the Lesotho Health Systems Assessment 2010 document under section 4.1.1 Resource Flows in Lesotho (last paragraph on the page). According to the document, Lesotho has never conducted a National Health Accounts estimation.

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




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




29. e-health strategy

Not available


This is not yet developed. Can be found on page 2 of the Global eHealth Activities Highlights 2013-2015 document under the “Regional Office for Arica (AFRO)” update. According to the document, the national eHealth strategy is being developed.

30. Completeness of disease surveillance reporting