Pakistan (Sindh): HIS Indicators

Pakistan_Sindh 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 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 October 2018, we had located 22 of the 30 indicators for Sindh, Pakistan. Please see the table below for more details on each indicator.

Indicators

National health strategy

Health sector M&E plan

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

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 ††

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 †

HIS strategic plan

National HIS coordinating body

National health statistics report (annual)

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

 

 

**          Outdated
†            Available but percentage unknown
††          Available, but last update 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 (2012–2020)

http://bit.ly/2x64yxP

Sindh Health Sector Strategy 2012–2020

2. Health sector M&E plan

Yes (2012-2020)

 

There is no separate plan, but there is an M&E framework inside the Health Sector Strategy (pages 84-108).

3. HIS policy

Not available

In-country contact

The HSS mentions the need for information systems, but a dedicated HIS policy is not in place.

4. HIS strategic plan

 

Available

In-country contact

There is a HIS strategic plan for the province.

5. Country has set of core health indicators

Current (2012–2020)

http://bit.ly/2x64yxP

Found on pages 84-85 of current national health strategy plan (2012–2020).

6. National HIS coordinating body

Available

In-country contact

 

Ministry of Health Services, Regulations and Coordination has formulated HIS technical committee represented by all the provinces and regions of Pakistan.

7. Country has master facility list

Available but not online

In-country contact

The MFL of public sector facilities is available. Data is reported through the DHIS from all primary and secondary care facilities. District head quarter hospitals (DHQHs) also report through the DHIS. Currently, tertiary level facilities are not part of the DHIS.

8. Conducted HMN assessment

Not completed

http://bit.ly/2vGLZ3a

 

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 (2014) and DHS (2012–2013)

http://mics.unicef.org
/surveys

http://bit.ly/2w0g2xZ

MICS5 for Sindh province was conducted in 2014, but MICS1 was conducted in Pakistan as a whole in 1995. 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 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://nhsrc.sindhealth.pk/#

Country not listed on DHIS 2 link provided, but we located a link to Pakistan DHIS dashboards.

13. Country has national statistics office

Yes

http://www.pbs.gov.pk

http://sindhbos.gov.pk
/health/

Found national statistics office for both Pakistan as a whole and Sindh.

14. National health statistics report (annual)

Available

In-country contact

 The DHIS system is online. Monthly, quarterly and annual reports are generated for all levels.

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

Yes, updated but has no health data

http://sindhhealth.gov.pk

 

 

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

Yes

In-country contact

DQAs are conducted during supervisory visits using LQAS and other techniques.

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% for public sector

In-country contact

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, but percentage unknown

In-country contact

Key performance indicators are tracked using the online M&E Dashboard. The information is being used in the development of the district level action plans and setting targets for the facilities. 

20. Measles coverage reported to WHO/UNICEF

WHO/UNICEF estimate = 76; Official government estimate = 76

http://bit.ly/2xKzJvA  

 

See page 12 of WHO and UNICEF estimates of immunization coverage: 2017 revisionMeasles coverage information is for Pakistan as a whole.

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

Yes, by districts

In-country contact

http://bit.ly/2daFKZa

Yes, available by districts through online DHIS and MNCH dashboards. They are also published in the yearly performance reports of the DOH.

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 Sindh)

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/2eFqcBv

Can be found on pages 22-42 of the Health Facility Assessment – Sindh Provincial Report

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.