Pakistan (Khyber Pakhtunkhwa): HIS Indicators

Pakistan_Khyber Pakhtunkhwa Province.jpg

Pakistan has gone through devolution of its services-related public sectors, including the health sector, with the 18th amendment to its constitution effective June 28, 2011. The Federal Ministry of Health (MoH) has been dissolved and now the overall responsibility for health services policy direction and planning has been devolved to the provinces. Government responsibility for health aid coordination is now under the Ministry of Inter-Provincial Coordination.

As of May 2018, we had located 19 of the 30 indicators for Khyber Pakhtunkhwa, Pakistan. Please see the table below for more details on each indicator.

Indicators

National health strategy

Country has set of core health indicators

Country has master facility list

Population census within the last 10 years**

Availability of national health surveys

Completeness of vital registration (births and deaths)

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

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

Measles coverage reported to WHO/UNICEF

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

At least one national health account completed in last 5 years

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

Completeness of disease surveillance reporting†

 

 

**          Outdated
†            Available but percentage unknown

The table below presents more information on each indicator. 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 (2010–2017)

http://bit.ly/2aZzgwO

Kyber Pakhtunkhwa Health Sector Strategy 2010–2017

2. Health sector M&E plan

Unknown

 

 

3. HIS policy

Not available

In-country contact

The Health Sector Strategy mentions need for M&E, but it does not present HIS policy, strategy or plans for the future.

4. HIS strategic plan

 

Not available

In-country contact

There is no specific strategic plan at the moment. The 'Management Information System Framework' developed by USAID in August 2014 provides a plan for making HIS dashboards.

Link to 'Management Information System Framework' at http://bit.ly/2da4JQh

5. Country has set of core health indicators

Current (2010–2017)

http://bit.ly/2aZzgwO

Found on pages 54–64 of the current National Health Strategy Plan (2010–2017)

Link worked when created but, as of May 2018, it would not work.

6. National HIS coordinating body

Not available

In-country contact

 

7. Country has master facility list

Established and undated

http://bit.ly/2b4iAnc  

Link

Link worked when created but, as of May 2018, it would not work.

8. Conducted HMN assessment

Not completed

http://bit.ly/2vGLZ3a  

Country is not listed at link

9. Population census within the last 10 years

No (1998)

http://bit.ly/2gup3wX

Census conducted in Pakistan as a whole.

10. Availability of national health surveys 

MICS5 (2016) and DHS (2012–2013)

http://mics.unicef.org
/surveys

http://bit.ly/2w0g2xZ

MICS5 for Khyber Pakhtunkhwa province is in survey design phase (2016). DHS is for Pakistan as a whole.

11. Completeness of vital registration (births and deaths)

Incomplete – 23.5% for live births and 6.3% for deaths

http://bit.ly/2ezvzyi

Source is not civil registration but it is classified as reliable by UN Stats and it is for Pakistan as a whole.

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

Yes

https://www.dhis2.org
/deployments

http://www.dhiskp.
gov.pk

Country is not listed on DHIS 2 link provided, but we found Khyber Pakhtunkhwa DHIS link on the MOH site.

13. Country has national statistics office

Yes

http://www.pbs.gov.pk

The province doesn’t have a separate statistics office. Link is for national statistics office.

14. National health statistics report (annual)

Not current (2014)

http://bit.ly/2daEhSs

Annual Report 2014

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

Yes, updated, and has recent health data.

http://www.healthkp.gov.pk

 

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

Yes

In-country contact

DQAs are conducted periodically.

17. PRISM assessment conducted in any regions/districts

Conducted (2004)

http://bit.ly/2eJlTSp

PRISM assessment conducted in Pakistan as a whole.

18. Percentage of facilities represented in HMIS information

Almost 100%

http://www.dhiskp.
gov.pk/

Almost 100% of the public-sector facilities are reporting on the monthly online DHIS.

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

Available

In-country contact

Target setting is a part of DHIS, but it is not monitored.

20. Measles coverage reported to WHO/UNICEF

WHO/UNICEF estimate = 61; Official government estimate = 83

http://bit.ly/2xKzJvA

See page 12 for measles coverage information is for Pakistan as a whole

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

Not current (2015) by district

http://bit.ly/2aPixIE

A report was found on MOH site with information on health statistics. Institutional deliveries are available by district and aggregated by types of hospitals on page 19 of 3rd Quarter Report 2015

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

Unknown

 

 

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

Unknown

 

 

 

 

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

Unknown

 

 

25.RHIS data collection forms allow for disaggregation by gender

Unknown

 

 

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

Available (2013–2014)

http://bit.ly/2xKISUT

Pakistan National Health Accounts 2013 – 2014

(contains health account for Khyber Pakhtunkhwa)

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

Unknown

 

 

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

Not current (2012)

http://bit.ly/2ezPz3N

http://bit.ly/2ezj9Xv

Can be found on pages 22-41 of the Health Facility Assessment – Khyber Pakhtunkhwa Provincial Report

Second Source is only on essential medicines, and can be found on pages 48-51 of the Independent Monitoring Unit (Health) 1st Quarter Report 2016

29. e-health strategy

Not available

http://bit.ly/2yjbwMF

Can be found indicated on page 1 section 1 of the WHO eHealth country profile for Pakistan

30. Completeness of disease surveillance reporting

Unknown

http://bit.ly/2eEQO5G

Weekly Epidemiological Bulletin, Week 48 (23-29 November)

Page 3 gives information on how many health facilities in the district reported but does not indicate the percentage completeness.