Pakistan (Punjab): 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 2019, we had located 21 of the 30 indicators for Punjab, Pakistan. 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 |
Country has set of core health indicators |
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Country has master facility list |
Population census within the last 10 years** |
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 |
Country has national statistics office |
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National health statistics report (annual)** |
Country has website for health statistics with latest data available |
DQA conducted on prioritized indicators aligned with most recent health sector strategy |
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PRISM assessment conducted in any regions/districts
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Percentage of facilities represented in HMIS information |
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
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Annual data on availability of tracer medicines and commodities in public and private health facilities** |
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Completeness of disease surveillance reporting † |
HIS strategic plan |
National HIS coordinating body |
** Outdated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 (2018) |
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2. Health sector M&E plan |
Current (2012-2020) |
Can be found on pages 45-62 of the Draft Strategy 2012-2020: Health Sector of Punjab |
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3. HIS policy |
Not available |
In-country contact |
A dedicated HIS policy is not in place. The Punjab Health Sector Strategy (PHSS) 2012-2020 mentions the need for information systems and plans for including these in future. Draft PC-1s from the Integrated MNCH and RH Program also mention investing in the HIS for evidence based decision making and planning purposes. A dedicated HIS policy is not in place. |
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4. HIS strategic plan
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Available |
In-country contact |
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5. Country has set of core health indicators |
Current (2018) |
Found on pages 35–38 of current national health strategy plan (2018) |
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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 |
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. |
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8. Conducted HMN assessment |
Not completed |
Country is not listed. |
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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 (2014) and DHS (2012–2013) |
MICS5 for Punjab province was conducted in 2014. 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 |
Punjab provinces used an electronic DHIS. Link worked when created but, as of May 2018, it would not work. |
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13. Country has national statistics office |
Yes |
Punjab does not have a separate statistics office. The link is for the national statistics office. |
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14. National health statistics report (annual) |
Not current (2016) |
District Health Information System, Evidence Based Decision Making: Annual Report 2016 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% |
In-country contact |
Yes, 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 |
Unknown |
In-country contact |
Target setting is a part of DHIS, but it is not tracked. |
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20. Measles coverage reported to WHO/UNICEF |
WHO/UNICEF estimate = 76%; Official government estimate = 66% |
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See page 12 of WHO and UNICEF estimates of immunization coverage: 2018 revision Measles 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 |
Not current (2013-2014) – by district |
Institutional deliveries by district can be found on page 25 of the Annual Report Health Department 2013–2014 |
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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 Punjab) |
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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 22-43 of the Health Facility Assessment – Punjab Provincial Report |
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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. |
