Pakistan (Khyber Pakhtunkhwa): 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 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 August 2019, we had located 20 of the 30 indicators for Khyber Pakhtunkhwa, Pakistan. Please see the table below for more details on each indicator.
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Indicators |
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National health strategy** |
Country has set of core health indicators |
Country has master facility list |
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Population census within the last 10 years** |
Availability of national health surveys |
Completeness of vital registration (births and deaths) |
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Country has electronic system for aggregating routine facility and/or community service data |
Country has national statistics office |
National health statistics report (annual)** |
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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 |
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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 |
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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** |
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Completeness of disease surveillance reporting† |
National HIS coordinating body |
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** Outdated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.
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Indicators |
Status |
Source |
Title/Notes |
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1. National health strategy |
Not current (2010–2017) |
In-country contact |
Kyber Pakhtunkhwa Health Sector Strategy 2010–2017 A new strategy is being formulated |
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2. Health sector M&E plan |
Unknown |
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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. |
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4. HIS strategic plan
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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 |
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5. Country has set of core health indicators |
Current (2010–2017) |
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. |
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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. |
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7. Country has master facility list |
Available but not online |
In-country contact |
Master facility list with unique IDs of public sector facilities is available. The 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. |
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8. Conducted HMN assessment |
Not completed |
Country is not listed at link |
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9. Population census within the last 10 years |
No (1998) |
Census conducted in Pakistan as a whole. |
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10. Availability of national health surveys |
MICS5 (2016) and DHS (2012–2013) |
MICS5 for Khyber Pakhtunkhwa province is in survey design phase (2016). DHS is for Pakistan as a whole. |
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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 it is for Pakistan as a whole. |
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12. Country has electronic system for aggregating routine facility and/or community service data |
Yes |
Country is not listed on DHIS 2 link provided, but we found Khyber Pakhtunkhwa DHIS link on the MOH site. |
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13. Country has national statistics office |
Yes |
The province doesn’t have a separate statistics office. Link is for national statistics office. |
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14. National health statistics report (annual) |
Current (2017) |
District Health Information System, Evidence Based Decision Making: Annual Report 2017 Annual and quarterly DHIS reports are also made available on the DHIS website. |
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15. Country has website for health statistics with latest data available |
Yes, updated, and has recent health data. |
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16. DQA conducted on prioritized indicators aligned with most recent health sector strategy |
Yes |
In-country contact |
DQAs are conducted periodically. |
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17. PRISM assessment conducted in any regions/districts |
Conducted (2004) |
PRISM assessment conducted in Pakistan as a whole. |
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18. Percentage of facilities represented in HMIS information |
Almost 100% |
Almost 100% of the public-sector facilities are reporting on the monthly online DHIS. |
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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. |
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20. Measles coverage reported to WHO/UNICEF |
WHO/UNICEF estimate = 76%; Official government estimate = 66% |
See page 12 of WHO and UNICEF estimates of immunization coverage: 2018 revisionMeasles coverage information is for Pakistan as a whole. |
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21. Number of institutional deliveries available by district, and published within 12 months of preceding year |
Current (2018) by district |
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 12 of http://www.dhiskp.gov.pk/reports/3rdQuarter 2018.pdf |
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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 |
Unknown |
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23. Availability of standards/guidelines for RHIS data collection, reporting, and analysis |
Unknown |
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24. Presence of procedures to verify the quality of data (accuracy, completeness, timeliness) reported |
Unknown |
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25. RHIS data collection forms allow for disaggregation by gender |
Unknown |
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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 Khyber Pakhtunkhwa) |
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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 |
Not current (2012) |
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 |
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29. e-health strategy |
Not available |
Can be found indicated on page 1 section 1 of the WHO eHealth country profile for Pakistan |
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30. Completeness of disease surveillance reporting |
Unknown |
Weekly Epidemiological Bulletin, Week 48 (23-29 November 2014) Page 3 gives information on how many health facilities in the district reported but does not indicate the percentage completeness. |
