Nepal: HIS Indicators
As of August 2019, we had located 26 of the 30 indicators for Nepal. 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 strategic plan** |
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Country has set of core health indicators** |
National HIS coordinating body ††† |
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 |
Percentage of facilities represented in HMIS information |
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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 |
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Existence of policies, laws, and regulations mandating public and private health facilities/ providers to report indicators determined by the national HIS |
Presence of procedures to verify the quality of data (accuracy, completeness, timeliness) reported
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RHIS data collection forms allow for disaggregation by gender |
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At least one national health account completed in last 5 years
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National database with health workers by district and main cadres updated within last 2 years |
Annual data on availability of tracer medicines and commodities in public and private health facilities |
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e-health strategy
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Completeness of disease surveillance reporting |
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** Outdated
††† Available, but activity 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 |
Yes (2015–2020) |
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2. Health Sector M&E plan |
Yes (2016–2021) |
https://bit.ly/2uuj0uD |
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3. HIS policy |
Unknown |
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4. HIS strategic plan |
Not current (2002–2006) |
https://bit.ly/2JDAAV4 |
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5. Country has set of core health indicators |
Not current (2013) |
Document provided by in-country contact. |
Health Management Information System [HMIS] Indicators, 2070 |
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6. National HIS coordinating body |
Established, activity unknown |
https://bit.ly/2JDAAV4 |
HIS strategic plan discussed the establishment of a committee (page 13) but activity is unknown. |
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7. Country has master facility list |
Available (Partial) |
In-country contact |
The Department of Health Services (DoHS), Health Management Information System (HMIS) Unit maintains record of all facilities. This is used for DHIS 2 platform for routine reporting. However, the detail list with unique ID for private facilities across the country is not fully updated. |
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8. Conducted HMN assessment |
Not completed |
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9. Population census within the last 10 years |
Yes (2011) |
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10. Availability of national health surveys |
MICS5 (2014) DHS (2011) LSMS (2010) |
Data and reports can be found on the following links provided. |
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11. Completeness of vital registration (births and deaths) |
11.4% live births and 4.5% deaths. Source is not civil registration but considered reliable by UN Stats. |
Both data were collected in 2011. |
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12. Country has electronic system for aggregating routine facility and/or community service data |
Yes, sub-nationally |
Currently in the pilot stage or early phase in roll-out. |
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13. Country has national statistics office |
Yes |
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14. National health statistics report (annual) |
Current (2018) |
Annual Report Department of Health Services 2074/75 (2017/2018) |
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15. Country has website for health statistics with latest data available |
Yes, updated and has recent health reports |
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16. DQA conducted on prioritized indicators aligned with most recent health sector strategy |
Yes (Partially) |
In-country contact |
There are cases of program specific DQA exercise being done by Immunization and HIV and most recently by IMCI program. MOH has recently developed a routine DQA (customized using MEASURE Evaluation tool) and piloted in few districts. However, a systematic DQA for prioritized indicators are not yet aligned with strategy cycle and are yet to be institutionalized. |
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17. PRISM assessment conducted in any regions/districts |
Not conducted |
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18. Percentage of facilities represented in HMIS information |
(2018) 95% of public facilities, 96% public hospitals, 98% primary health care centers, 98% health posts, 49% of non-public facilities |
Can be found inside the current Annual Health Report on page iii under “Trend of Health Service Coverage Fact Sheet.” |
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19. Proportion (facility, district, national) offices using data for setting targets an |
Unknown |
In-country contact |
HMIS Unit at DoHS does exercise on Annual Health Targets Setting and Estimates, calculated using census data projections and past year trends of services with certain adjustments. They are then used by all district health offices and health facilities for monthly monitoring and performance evaluation. These calculations are on done in spreadsheet and sent to districts via email. Recently an effort is made to make this available on DHIS 2 platform for users. |
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20. Measles coverage reported to WHO/UNICEF |
WHO/UNICEF estimate= 91%; Official government estimate= 91% |
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 (2018)
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The current Annual Health Report (page iv or 54) has information for institutional delivery at the regional and national level. It is presented as a percentage of expected deliveries. At the national level, it slightly decreased to 54.56%. |
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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 |
Available (Partially) |
In-country contact |
Nepal Health Services Act, 4th amendment 2013 mandates health workers from public facilities report the required indicators. |
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23. Availability of standards/guidelines for RHIS data collection, reporting, and analysis |
Available (2017) |
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24. Presence of procedures to verify the quality of data (accuracy, completeness, timeliness) reported |
Available (Partially) |
In-country contact |
HMIS user manual 2014 provides how to check data for quality. Integrated monitoring checklist (a type of internal data audit practice) provides detail about what and how to check. Data review meetings are held at the facility and district level. The reporting timeline is standard. Data reporting from facility is mostly manual but it is entered into DHIS2 software database at district level. It also allows checking accuracy and completeness of data. Feedback system is inbuilt but yet to be practiced better. |
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25. RHIS data collection forms allow for disaggregation by gender |
Available |
In-country contact |
Nepal’s HMIS data are disaggregated by gender, caste/ethnicity category, age, and geography. All tools are standardized to capture demographic variables across the program and services in similar ways. |
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26. At least one national health account completed in last 5 years |
Yes |
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27. National database with health workers by district and main cadres updated within last 2 years |
Yes (Partially) |
In-country contact |
Public sector health facility database is available and updated. Private sector, especially hospitals, clinics are also listed but incomplete. |
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28. Annual data on availability of tracer medicines and commodities in public and private health facilities |
Yes (Partially) |
In-country contact Report - http://bit.ly/2hpsj9F |
Data available from Logistics Management Information System (LMIS) for public sector and some private sector facilities. “Nepal Health Facility Survey 2015- Final Report” provides information about availability of tracer medicines and commodities by types of facilities . |
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29. e-health strategy |
Yes (2017) |
Document provided by in-country contact |
National eHealth Strategy 2017 |
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30. Completeness of disease surveillance reporting |
Yes (Partially) |
In-country contact |
EWARS is used by Epidemiology and Disease Control Division of DoHS to collect and disseminate information related to notifiable disease surveillance. http://edcd.gov.np/mediacenter.html HIV surveillance is done regularly by National Center for AIDS and STD Control (NCASC) www.ncasc.gov.np |
