Pakistan (Sindh): HIS Indicators

Pakistan_Sindh Province.jpg

MEASURE Evaluation is compiling the country profiles on this site for 30 HIS indicators. 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 August 2017, MEASURE Evaluation had located the following indicators for Sindh, Pakistan. Indicator 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 (2012–2020)

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


Not available

In-country contact

There is not a specific strategic plan at the moment. However, the Operational Plan mentions setting up 'Performance Monitoring Dashboards' as one of its key strategic objectives.

5. Country has set of core health indicators

Current (2012–2020)

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

6. National HIS coordinating body

Not available

In-country contact


The Director General Health Services of Sindh is currently the coordinating body for the M&E system. Currently, other ministries and departments are not involved in this coordination.

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


9. Population census within the last 10 years

No (1998)

Census conducted in Pakistan as a whole.

10. Availability of national health surveys 

MICS5 (2014) and DHS (2012–2013)

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

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


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

13. Country has national statistics office



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

14. National health statistics report (annual)

Not available

In-country contact


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

Yes, updated but has no health data



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


In-country contact

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

17. PRISM assessment conducted in any regions/districts

Conducted (2004)

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

Not available

In-country contact

District level action plans and target setting of facilities are being developed to use the online M&E dashboard and to track key performance indicators.

20. Measles coverage reported to WHO/UNICEF

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

See page 12. 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

Yes, by districts

In-country contact

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




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

Available (2013 – 2014)

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




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

Not current (2012)

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

29. e-health strategy

Not available

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

30. Completeness of disease surveillance reporting


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.