Afghanistan: HIS Indicators

Afghanistan

As of August 2019, we had located 22 of the 30 indicators for Afghanistan. Please see the table below for more details on each indicator.

Indicators

National health strategy

Health sector M&E plan**

HIS policy**

HIS strategic plan

Country has set of core health indicators**

National HIS coordinating body

 

Country has master facility list**

Conducted HMN assessment

Population census within the last 10 years**

Availability of national health surveys

 

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

National health statistics report (annual)**

Country has website for health statistics with latest data available

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**

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

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** Outdated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. 

Indicators

Status

Source

Title/Notes

1. National health strategy

Current (2016–2020)

http://bit.ly/2wzHqX8

National Health Policy 2016–2020

2. Health sector M&E plan

 

http://bit.ly/2aVTg3w

Islamic Republic of Afghanistan Ministry of Public Health Strategic Plan for Monitoring and Evaluation 1386–1390

3. HIS policy

Not current (2009–2013)

http://bit.ly/2aMKlNO

The HIS policy is included in the HIS Strategic plan, Afghanistan Comprehensive Health Information System Strategic Plan 2009–2013

4. HIS strategic plan

Not current (2009–2013)

http://bit.ly/2aMKlNO

Afghanistan Comprehensive Health Information System Strategic Plan 2009–2013

5. Country has set of core health indicators

Yes, but not current (2014)

http://bit.ly/2aOB9i4

Found in expired M&E plan (2011), but a fact sheet on the MOH site has a list of indicators updated in 2014.

6. National HIS coordinating body

Established and active

In-country contact

The HIS coordinating body is established and active. The committee has been less active post HIS plan formulation, however, they do meet to review progress of the plan.

7. Country has master facility list

Not current (2014)

http://bit.ly/2aP5SHU

Download an Excel file with list of facilities by following the link provided and selecting “List of Active Health Facilities November 2014.”

8. Conducted HMN assessment

Completed (2007)

http://bit.ly/2aOh7Sh  

All HMN documents and tools can be downloaded using this link.

9. Population census within the last 10 years

No (1979)

http://bit.ly/2bkncZ9

First census was conducted in 1979, and subsequent census conduction failed due to security reasons and war.

10. Availability of national health surveys 

MICS4 (2010–2011)

DHS (2015)

http://mics.unicef.org/
surveys

 

http://bit.ly/2aOAKMR

Data and reports can be found in the links provided.

11. Completeness of vital registration (births and deaths)

Incomplete – live births and deaths are less than 50%

In-country contact

 

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

Yes, pilot/early phase for DHIS2.

https://www.dhis2.org/
deployments

 

13. Country has national statistics office

Yes

http://cso.gov.af/en

 

14. National health statistics report (annual)

Not current (2015)

Document provided by in-country contact.

HMIS report titled “Health management Information System Report Q3–1394,” reports on multiple health indicators of interest.

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

Yes, updated and has a recent health report

http://moph.gov.af/en/news

 

 

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

Not available

In-country contact

Various donor projects and NGO contractors carry out DQA occasionally.

17. PRISM assessment conducted in any regions/districts

Not conducted

http://bit.ly/2aZIEO0

Country not listed at link.

18. Percentage of facilities represented in HMIS information

(2015) Percentages listed by 9 types of facilities

Document provided by in-country contact.

Percentages listed on page 4 of “Health Management Information System Report Q3–1394.”

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

Not available

 

Most target setting occurs at the central level with contribution from some Provincial Health Offices. Presently, facilities and districts are not using data for setting targets.

20. Measles coverage reported to WHO/UNICEF

WHO/UNICEF estimate = 64%; Official government estimate = 82%

https://bit.ly/2NnQ6qJ 

See page 12 of WHO/UNICEF estimates of immunization coverage: 2018 revision.

21. Number of institutional deliveries available by district, and published within 12 months of preceding year

Not current (2015) – by province

Document provided by in-country contact.

Institutional deliveries unavailable by district, but by province on page 16 of “Health Management Information System Report Q3–1394.” HMIS report is from 2015, institutional deliveries information is current.

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

Unknown

 

 

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

Available (Partially)

http://bit.ly/2iXYRMc

Data collection and reporting: National Health Management Information System – Procedures Manual(2011)

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

Unknown

 

 

25.RHIS data collection forms allow for disaggregation by gender

Unknown

 

 

26. At least one national health account completed in last 5 years

Available (2014)

http://bit.ly/2wBQOYE

http://bit.ly/2wzaf5Q

Afghanistan National Health Accounts with Disease Accounts 2014

Afghanistan National Health Accounts with Subaccounts for Reproductive Health 2011 – 2012

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

Unknown

 

 

28. Annual data on availability of tracer

medicines and commodities in public

and private health facilities

Unknown

 

 

29. e-health strategy

Available (draft)

http://bit.ly/2vFwEj8

ICT Policy for Afghanistan: A digital agenda for development and social change 2015 – 2024 (draft)

Can be found on pages 21 - 24 under section 5.2.3 E-Health: ICT in Health.

30. Completeness of disease surveillance reporting

Current

98.8% of surveillance sentinel sites submitted the weekly epidemiological report (Nov 25 – Dec 1, 2018)

https://bit.ly/2AsxEYk

National Disease and Surveillance & Response: Weekly Epidemiological Report – 48th

 

Filed under: Health Systems Strengthening , Health Services , Health System , Afghanistan