Madagascar: HIS Indicators

Madagascar

As of October 2018, we had located 24 of the 30 indicators for Madagascar. Please see the table below for more details on each indicator.

Indicators

National health strategy

Health sector M&E plan

HIS strategic plan

Country has set of core health indicators

Population census within the last 10 years**

Availability of national health surveys

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

Country has national statistics office

National health statistics report (annual)**

Country has website for health statistics with latest data available

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

PRISM assessment conducted in any regions/districts

 

Percentage of facilities represented in HMIS information

Measles coverage reported to WHO/UNICEF

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

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

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

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

 

RHIS data collection forms allow for disaggregation by gender

At least one national health account completed in last 5 years**

 

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

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

 e-health strategy

Completeness of disease surveillance reporting

**          Outdated

The table below presents more information on each indicator. Indicators 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 (2015–2019)

http://bit.ly/2wbt6S0  

Plan de Développement du Secteur Santé 2015–2019

2. Health sector M&E plan

Current (2015–2019)

http://bit.ly/2wbt6S0

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 (2018–2022)

https://bit.ly/2tyQjxn

Plan Strategique de Renforcement du Système d'Information Sanitaire 2018–2022 de Madagascar

5. Country has set of core health indicators

Yes (2015–2019)

http://bit.ly/2wbt6S0

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

http://bit.ly/2vGLZ3a

 

9. Population census within the last 10 years

No (1993)

http://bit.ly/2gup3wX

 

10. Availability of national health surveys 

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

http://bit.ly/2aPaTA8

http://bit.ly/2wlPZVm

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

Yes

http://instat.mg

 

14. National health statistics report (annual)

Not current (2016)

In-country contact

Annuaire des Statistiques du Secteur Santé de Madagascar 2016

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

Yes, updated and has recent health report

http://bit.ly/2bkJGtc

 

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

Current (2017)

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

(2018) 93% (3456/3715)

In-country contact

The reported percentage of facilities consists hospitals, health centers and accredited private facilities.

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= N/A

http://bit.ly/2enm9Gk

See page 8 of WHO and UNICEF estimates of immunization coverage: 2017 revision

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

Current (2018)

1,243 (including hospitals, health centers and accredited private facilities)

In-country contact

 

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

Yes

In-country contact

This was developed and validated in June 2017.

25. RHIS data collection forms allow for disaggregation by gender

Yes

In-country contact

 

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

Not available (2010)

In-country contact

 

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

Available

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

Available

In-country contact

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

Available on the electronic monthly report and the statistical annual report.

29. e-health strategy

Available

In-country contact

Cyber-sante strategy was developed.

30. Completeness of disease surveillance reporting

Current (2017) 55.4%

In-country contact

The sentinel surveillance data measures this indicator.