Pakistan (Sindh): 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 22 of the 30 indicators for Sindh, 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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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 |
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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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** |
Completeness of disease surveillance reporting † |
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HIS strategic plan |
National HIS coordinating body |
National health statistics report (annual) |
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Proportion (facility, district, national) offices using data for setting targets and monitoring † |
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** Outdated
† Available but percentage unknown
†† Available, but last update 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 |
Current (2012–2020) |
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2. Health sector M&E plan |
Yes (2012-2020) |
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There is no separate plan, but there is an M&E framework inside the Health Sector Strategy (pages 84-108). |
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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. |
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4. HIS strategic plan
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Available |
In-country contact |
There is a HIS strategic plan for the province. |
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5. Country has set of core health indicators |
Current (2012–2020) |
Found on pages 84-85 of current national health strategy plan (2012–2020). |
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6. National HIS coordinating body |
Available |
In-country contact
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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 |
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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 Sindh province was conducted in 2014, but MICS1 was conducted in Pakistan as a whole in 1995. DHS is for Pakistan as a whole. |
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11. Completeness of vital registration (births and deaths) |
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Source is not civil registration, but it is classified as reliable by UN Stats and 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 not listed on DHIS 2 link provided, but we located a link to Pakistan DHIS dashboards. |
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13. Country has national statistics office |
Yes |
Found national statistics office for both Pakistan as a whole and Sindh. |
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14. National health statistics report (annual) |
Available |
In-country contact |
The DHIS system is online. Monthly, quarterly and annual reports are generated for all levels. |
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15. Country has website for health statistics with latest data available |
Yes, updated but has no 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 during supervisory visits using LQAS and other techniques. |
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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% for public sector |
In-country contact |
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, but percentage unknown |
In-country contact |
Key performance indicators are tracked using the online M&E Dashboard. The information is being used in the development of the district level action plans and setting targets for the facilities. |
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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 |
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. |
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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 Sindh) |
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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 22-42 of the Health Facility Assessment – Sindh 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. |
