South Africa: HIS Indicators

South Africa

MEASURE Evaluation is compiling the country profiles on this section of the website for 30 HIS indicators. As of February 2018, we had located the following indicators for South Africa. 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 (2015–2020)

Strategic Plan 2015–2020

2. Health sector M&E plan

Current (2017), but not online

In-country contact

M&E framework in place – national indicator data set reviewed and implemented April 2017. Aligned to the National health strategy, and the Medium Term Strategic Framework which leads to achieving objectives of National Development Plan 2030

3. HIS policy

Not current (2011)

In-country contact

District Health Management Information Systems (DHMIS) Policy

4. HIS strategic plan

Available but not online

In-country contact


5. Country has set of core health indicators

Yes (2015–2020)

Indicators can be found inside the current national health strategy. Indicators are separated for each health program:

  • Maternal and child health indicators (page 19)
  • HIV indicators (pages 37–38)
  • Primary health care services indicators (pages 42–44)
  • Hospital, tertiary services, workforce indicators (pages 47–48)
  • Health regulations and compliance management indicators (pages 51)

6. National HIS coordinating body

Established, activity unknown

In-country contact

The National Health Information Systems of South Africa Committee

7. Country has master facility list

Not available

In-country contact

There is a list of health facilities within the DHIS. However, the unique facility identifiers have not yet been implemented.

8. Conducted HMN assessment

Completed (2009)


9. Population census within the last 10 years

Yes (2011)


10. Availability of national health surveys 

DHS (2003) LSMS (1993)

Data and reports can be found on the links provided (DHS and World Bank).

DHS (2016) is ongoing.

11. Completeness of vital registration (births and deaths)

Incomplete – live births and deaths less than 90%

Both data were collected in 2014 (link).

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

Yes, sub-nationally


DHIS 2 adoption by programs or partial national roll-out

13. Country has national statistics office



14. National health statistics report (annual)

Current (2015–2016)

Annual Report 2015/16

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

Yes, updated and has recent health reports


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

Available but not online

In-country contact

DQAs are conducted annually in June/July by the Auditor General of South Africa.

17. PRISM assessment conducted in any regions/districts

Yes (2006)

OBAT only (2013)

See page 13, Table 1 at link.

18. Percentage of facilities represented in HMIS information

100% for all public facilities

In-country contact

All facilities report into the DHIS.

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


In-country contact

No assessment done to be able to report this

20. Measles coverage reported to WHO/UNICEF

WHO/UNICEF estimate= 75; Official government estimate= 96

See page 9 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

964,901 total deliveries

Mostly occurred in public health facilities (2014–2015)

Institutional deliveries only available by districts for births that occur among women younger than 18 years of age (link).

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

Available (partially)

In-country contact

National Health Act 61 of 2003 as amended provides for health information.

District Health Management Information System (DHMIS) policy (2011) relevant to public and private sector.

Policy operationalized in standard operating procedures (SOPs) for 5 reporting levels (facility, sub-district, district, province and national).

But only public providers predominantly report on indicators. Negotiations ongoing with private facilities.

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


In-country contact

DHMIS policy and SOPs provide guidelines for data collection, reporting and analysis. National Income Dynamics Study (NIDS) provide standards and guidelines in detail.

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


In-country contact

Checklists are  available in the DHMIS SOPs which provide guidance on data quality checks, internal data quality audits, and feedback loops. Information systems contain data quality checks. Quarterly data alignment workshops conducted per district, province and national level.

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


In-country contact

Annual financial audits are conducted by Auditor General of South Africa

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

Available, but not online

In-country contact

Workload Indicator for  Staffing Needs (WISN) Human Resources for Health report available, but not available in public domain

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


In-country contact

Availability of tracer medicines is tracked monthly as part of NIDS (not available online)

2015 Stock Outs National Survey, a report on essential medicines available for children

29. e-health strategy

Available (2012–2017)

eHealth Strategy South Africa 2012/13 – 2016/17

30. Completeness of disease surveillance reporting


In-country contact

National Institute for Communicable Diseases (NICD) releases newsletters, bulletins, quarterly and annual reports (2016/17)