South Africa: HIS Indicators
As of August 2019, we had 27 of the 30 indicators for South Africa. 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 policy** |
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HIS strategic plan |
Country has set of core health indicators |
National HIS coordinating body ††† |
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Conducted HMN assessment |
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** |
Availability of standards/guidelines for RHIS data collection, reporting, and analysis |
Existence of policies, laws, and regulations mandating public and private health facilities/ providers to report indicators determined by the national HIS |
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Presence of procedures to verify the quality of data (accuracy, completeness, timeliness) reported |
RHIS data collection forms allow for disaggregation by gender |
National database with health workers by district and main cadres updated within last 2 years †† |
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Annual data on availability of tracer medicines and commodities in public and private health facilities |
e-health strategy
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Completeness of disease surveillance reporting † |
** Outdated
† Available but percentage unknown
†† Available, but last update unknown
††† 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 |
Current (2015–2020) |
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2. Health sector M&E plan |
Current (2017-2019), but not online |
In-country contact |
M&E framework in place – national indicator data set reviewed and implemented April 2017. Aligned to the National health strategy, and the Medium Term Strategic Framework which leads to achieving objectives of National Development Plan 2030. The plan is reviewed and updated every two years to improve M&E. |
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3. HIS policy |
Not current (2011) |
In-country contact |
District Health Management Information Systems (DHMIS) Policy |
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4. HIS strategic plan |
Available but not online |
In-country contact |
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5. Country has set of core health indicators |
Yes (2015–2020) |
Indicators can be found inside the current national health strategy. Indicators are separated for each health program:
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6. National HIS coordinating body |
Established, activity unknown |
In-country contact |
The National Health Information Systems of South Africa Committee |
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7. Country has master facility list |
Not available |
In-country contact |
There is a list of health facilities within the DHIS. However, the unique facility identifiers have not yet been implemented. |
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8. Conducted HMN assessment |
Completed (2009) |
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9. Population census within the last 10 years |
Yes (2011) |
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10. Availability of national health surveys |
DHS (2016) LSMS (1993) |
Data and reports can be found on the links provided |
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11. Completeness of vital registration (births and deaths) |
Incomplete – live births and deaths less than 90% |
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12. Country has electronic system for aggregating routine facility and/or community service data |
Yes, sub-nationally |
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DHIS 2 adoption by programs or partial national roll-out |
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13. Country has national statistics office |
Yes |
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14. National health statistics report (annual) |
Current (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 |
Available but not online |
In-country contact |
DQAs are conducted annually in June/July by the Auditor General of South Africa. |
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17. PRISM assessment conducted in any regions/districts |
Yes (2006) OBAT only (2013) |
See page 13, Table 1 at link. |
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18. Percentage of facilities represented in HMIS information |
100% for all public facilities |
In-country contact |
All facilities report into the DHIS. |
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19. Proportion (facility, district, national) offices using data for setting targets and monitoring |
Unknown |
In-country contact |
No assessment done to be able to report this |
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20. Measles coverage reported to WHO/UNICEF |
WHO/UNICEF estimate= 70%; Official government estimate= 81% |
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 |
Not current 876,752 live births in a facility Mostly occurred in public health facilities (2016–2017) |
Institutional deliveries only available by districts for births that occur among women younger than 18 years of age (link). |
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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 |
National Health Act 61 of 2003 as amended provides for health information. District Health Management Information System (DHMIS) policy (2011) relevant to public and private sector. Policy operationalized in standard operating procedures (SOPs) for 5 reporting levels (facility, sub-district, district, province and national). But only public providers predominantly report on indicators. Negotiations ongoing with private facilities. |
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23. Availability of standards/guidelines for RHIS data collection, reporting, and analysis |
Available |
In-country contact |
DHMIS policy and SOPs provide guidelines for data collection, reporting and analysis. National Income Dynamics Study (NIDS) provide standards and guidelines in detail. |
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24. Presence of procedures to verify the quality of data (accuracy, completeness, timeliness) reported |
Available |
In-country contact |
Checklists are available in the DHMIS SOPs which provide guidance on data quality checks, internal data quality audits, and feedback loops. Information systems contain data quality checks. Quarterly data alignment workshops conducted per district, province and national level. |
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25. RHIS data collection forms allow for disaggregation by gender |
Yes |
In-country contact |
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26. At least one national health account completed in last 5 years |
Unknown |
In-country contact |
Annual financial audits are conducted by Auditor General of South Africa National health account has not been completed, but expenditures are reported as part of the Department of Health (and provincial) Annual Report. |
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27. National database with health workers by district and main cadres updated within last 2 years |
Available, but not online |
In-country contact |
Workload Indicator for Staffing Needs (WISN) Human Resources for Health report available, but not available in public domain |
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28. Annual data on availability of tracer medicines and commodities in public and private health facilities |
Available |
In-country contact |
Availability of tracer medicines is tracked monthly as part of NIDS (not available online) 2015 Stock Outs National Survey, a report on essential medicines available for children |
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29. e-health strategy |
Available (2012–2017) |
In-country contact |
eHealth Strategy South Africa 2012/13 – 2016/17 The strategy was reviewed in 2017 and the process to compile and finalize an updated strategy is ongoing. In 2017, a ministerial commission was appointed to drive the process of review and compilation. |
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30. Completeness of disease surveillance reporting |
Available, but percentage unknown |
In-country contact |
National Institute for Communicable Diseases (NICD) releases newsletters, bulletins, quarterly and annual reports (2016/17) |
