Lesotho: HIS Indicators
As of August 2019, we had located 24 of the 30 indicators for Lesotho. Please see the table below for more details on each indicator.
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Indicators |
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National health strategy |
Health sector M&E plan** |
HIS policy** |
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HIS strategic plan** |
Country has set of core health indicators** |
National HIS coordinating body
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Country has master facility list** |
Conducted HMN assessment |
Population census within the last 10 years** |
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Availability of national health surveys
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Completeness of vital registration (births and deaths) |
Country has electronic system for aggregating routine facility and/or community service data |
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Country has national statistics office |
National health statistics report (annual)** |
Country has website for health statistics with latest data available** |
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DQA conducted on prioritized indicators aligned with most recent health sector strategy |
Measles coverage reported to WHO/UNICEF |
Number of institutional deliveries available by district, and published within 12 months of preceding year** |
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Availability of standards/guidelines for RHIS data collection, reporting, and analysis |
Presence of procedures to verify the quality of data (accuracy, completeness, timeliness) reported |
RHIS data collection forms allow for disaggregation by gender |
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At least one national health account completed in last 5 years** |
e-health strategy |
Completeness of disease surveillance reporting |
** Outdated
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.
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Indicators |
Status |
Source |
Title/Notes |
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1. National health strategy |
Current (2017–2022) |
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2. Health sector M&E plan |
Not current (2008–2013) |
In-country contact |
Varied. There is a health sector M&E Plan presented by the Millennium Challenge Corporation, the Government of Lesotho, and Millennium Account Lesotho. Draft available, to be finalized in 2018 |
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3. HIS policy |
Not current (2003) |
In-country contact |
An updated HMIS Policy and Standard Operating Procedures were expected at the end of 2014. Currently under revision, to be finalized in 2018 |
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4. HIS strategic plan |
Not current (2013–2017) |
Health Management Information System Strategic Plan 2013–2017 |
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5. Country has set of core health indicators |
Yes, but not current (2013–2017) |
Found on pages 51–53 of current National Health Strategy Plan (2013–2017) |
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6. National HIS coordinating body |
Established, and not active |
In-country contact
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There is a coordinating body between the Lesotho Bureau of Statistics and the MOHSW. However, the body is not functional due to lack of coordination. The MOHSW has an internal Strategic Information Technical Working Group. |
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7. Country has master facility list |
Available but not current (2017) |
In-country contact |
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8. Conducted HMN assessment |
Completed (2007) |
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9. Population census within the last 10 years |
Yes (2016) |
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10. Availability of national health surveys |
MICS2 (2010) DHS (2014) |
Data and reports can be found following the links (DHS). |
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11. Completeness of vital registration (births and deaths) |
Incomplete – live births and deaths are less than 90% |
The vital registration of births and deaths is guided by the 1973 Registration of Births and Death Act. While the information content in the vital statistics forms is adequate and reporting is mandatory, the use of the vital registration is voluntary. Registration of birth is influenced by enrollment in school and deaths registration is influenced by insurance claims. Where the two services are not required, the system is never used. For example, assessment of the deaths forms suggests registered cause of death is often not the actual cause of death. Thus, the completeness of vital registration in Lesotho is compromised because the act is outdated and is not enforced. |
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12. Country has electronic system for aggregating routine facility and/or community service data |
Yes, nationally |
In-country contact |
Lesotho uses hybrid of e-health management information system with a mix of integrated and vertical systems. DHIS 2 is used for routine data. |
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13. Country has national statistics office |
Yes |
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14. National health statistics report (annual) |
Not current (2010) |
In-country contact |
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15. Country has website for health statistics with latest data available |
Yes, updated and has no recent health report |
Link worked when created but, as of February 2019, it would not work. May also check https://bit.ly/2ywupAF. |
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16. DQA conducted on prioritized indicators aligned with most recent health sector strategy |
Available (2018) |
In-country contact |
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17. PRISM assessment conducted in any regions/districts |
Not conducted |
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Country not listed at link. |
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18. Percentage of facilities represented in HMIS information |
Not available |
In-country contact |
Varies with the system being used. |
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19. Proportion (facility, district, national) offices using data for setting targets and monitoring |
Not available |
In-country contact |
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20. Measles coverage reported to WHO/UNICEF |
WHO/UNICEF estimate = 90%; Official government estimate = 61% |
See page 10 of WHO and UNICEF estimates of immunization coverage: 2018 revision |
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21. Number of institutional deliveries available by district, and published within 12 months of preceding year |
Available, but not current (2015) |
In-country contact |
The most recent number of institutional deliveries report in Lesotho was published in 2015. |
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22. Existence of policies, laws, and regulations mandating public and private health facilities/ providers to report indicators determined by the national HIS |
Not available
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In-country contact |
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23. Availability of standards/guidelines for RHIS data collection, reporting, and analysis |
Available |
In-country contact |
RHIS Standards/Guidelines 2016 |
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24. Presence of procedures to verify the quality of data (accuracy, completeness, timeliness) reported |
Available |
In-country contact |
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25. RHIS data collection forms allow for disaggregation by gender |
Available |
In-country contact |
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26. At least one national health account completed in last 5 years |
Not conducted (2010) |
Can be found on page 33 of the Lesotho Health Systems Assessment 2010 document under section 4.1.1 Resource Flows in Lesotho (last paragraph on the page). According to the document, Lesotho has never conducted a National Health Accounts estimation. |
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27. National database with health workers by district and main cadres updated within last 2 years |
Unknown |
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28. Annual data on availability of tracer medicines and commodities in public and private health facilities |
Unknown |
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29. e-health strategy |
Available, but not online |
In-country contact |
Draft available |
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30. Completeness of disease surveillance reporting |
90% (2018) |
In-country contact |
Data flow has changed since the Ministry introduced DHIS2. Reports are captured at facility level. |
