Afghanistan: HIS Indicators

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  | 
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| 
 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** Outdated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)  | 
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| 
 2. Health sector M&E plan  | 
 
  | 
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| 
 3. HIS policy  | 
 Not current (2009–2013)  | 
 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)  | 
 Afghanistan Comprehensive Health Information System Strategic Plan 2009–2013  | 
|
| 
 5. Country has set of core health indicators  | 
 Yes, but not current (2014)  | 
 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)  | 
 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)  | 
 All HMN documents and tools can be downloaded using this link.  | 
|
| 
 9. Population census within the last 10 years  | 
 No (1979)  | 
 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/ 
  | 
 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.  | 
 
  | 
|
| 
 13. Country has national statistics office  | 
 Yes  | 
 
  | 
|
| 
 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  | 
 
  | 
 
  | 
| 
 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  | 
 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%  | 
 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)  | 
 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)  | 
 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)  | 
 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)  | 
 National Disease and Surveillance & Response: Weekly Epidemiological Report – 48th  | 
                        
                                    
                                    
                                    
                                    
                                    
                                
