Madagascar: HIS Indicators


MEASURE Evaluation is compiling the country profiles on this section for 30 HIS indicators. As of August 2017, MEASURE Evaluation had located the following indicators for Madagascar. Indicators definitions can be found here:

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 (2015–2019)   

Plan de Développement du Secteur Santé 2015–2019

2. Health sector M&E plan

Current (2015–2019)

The M&E plan is included in the National Health Strategy plan, "Plan de Développement du Secteur Santé 2015–2019."

3. HIS policy

Not available

In-country contact


4. HIS strategic plan

Current (2013–2017)

Plan Strategique de Renforcement du Système d'Information Sanitaire 2013–2017

5. Country has set of core health indicators

Yes (2015–2019)

Indicators can be found inside the current national health strategy plan on pages 118–121, table 5.

6. National HIS coordinating body

Not available

In-country contact

The HIS coordinating body is in the process of being established.

7. Country has master facility list

Not available

In-country contact

The MFL is in the process of being finalized. The Health Statistics and Demography Unit of the Directorate of Planning and Evaluation has developed a list of health facilities (both public and private) with a set of district boundaries, but it does not yet include each facility unique ID.

8. Conducted HMN assessment

Not completed



9. Population census within the last 10 years

No (1993)


10. Availability of national health surveys 

MICS4 (2012), MICS2 (2000), and DHS (2008–2009)

MICS4 was completed only in South of Madagascar. Data and reports can be found on the links provided.

11. Completeness of vital registration (births and deaths)

Not available

In-country contact


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

Yes, at regional, central, and district levels  

In-country contact

The electronic system, GESIS, is installed at the regional, central, and district levels.

13. Country has national statistics office



14. National health statistics report (annual)

Not current (2014)

Annuaire des Statistiques du Secteur Santé de Madagascar 2014

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

Yes, updated and has recent health report


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

Current (2015)

In-country contact

DQAs were conducted alongside the 2015 PRISM assessment and included reproductive health, immunization, morbidity, and malaria indicators.

In June 2017, the QA plan and DQR tools were developed and validated. 

17. PRISM assessment conducted in any regions/districts

Conducted (2015)

In-country contact


18. Percentage of facilities represented in HMIS information

(2014) Percentage listed by the types of health facilities and by regions

Can be found inside the expired national health statistic report on page 13, table 1.

“Taux de couvertures des rapports mensuels d’activités des formations sanitaires de Madagascar par regions”

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

Not available

In-country contact

The use of routine and non-routine data for setting targets for the year and for monitoring key indicators is not yet implemented for evidence-based decision-making.

20. Measles coverage reported to WHO/UNICEF

WHO/UNICEF estimate= 58; Official government estimate= 97

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

Not current (2014), by regions

Can be found inside the expired National Health Statistic Report on Page 46, table 28 (for district health facilities) and page 74, table 56 (for regional health facilities).

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

Yes (2017)

In-country contact

Norms and procedures document was developed June 2017.

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

Available (2017)

In-country contact

HIS Norms and Procedures developed and validated June 2017.

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


In-country contact

This was eveloped and validated in June 2017.

25.RHIS data collection forms allow for disaggregation by gender


In-country contact


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

Not available (2007)

Les Comptes Nationaux de la Santé  2007 Rapport Final

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


In-country contact

GRH developed 2 years ago (2015)

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


In-country contact

CHANEL database was developed to measure and track medicines and commodities.

29. e-health strategy


In-country contact

Cyber-sante strategy was developed.

30. Completeness of disease surveillance reporting


In-country contact

The sentinel surveillance data measures this indicator.