1 HMN Assessment Tool Version 4 0 Eng With Switchboard

7/31/2019 1 HMN Assessment Tool Version 4 0 Eng With Switchboard

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V. NATIONAL HIS DATA QUALITY: Return to Menu Go to Results AbbreviationHealth Status Indicators

Highly adequate Adequate Present butadequat3 2 1

MortalityA. Under-5mortality (allcauses)

V.A.1Data-collectionmethod

Data-collection method used for estimatepublished most recently or to be published

Vital registration of atleast 90% of under-5

deaths

Birth history fromhousehold survey orSample Registration

System

Other methodas indirect mebased on houssurveys or cen

V.A.2Timeliness

For the most recently published estimate,number of years since the data werecollected

0-2 years 3-5 years 6-9 years

V.A.3Periodicity

Number of times measured in past 10years

3 or more 2 1

V.A.4Consistency

Datasets from major data sourcesconsistent during past 10 years

No majordiscrepancies

A few discrepancies Multiple discrepa

V.A.5Representativeness

Coverage of data upon which the mostrecently reported estimate is based

All deaths (>90%) Sample of deaths Local studies

V.A.6Disaggregation

Most recent estimate disaggregated bydemographic characteristics (e.g. sex, age)socioeconomic status (e.g. income,occupation, education of their parent) andlocality (e.g. urban/rural, majorgeographical or administrative region)

All 3 2 1

V.A.7Adjustment methods

In-country adjustments use transparent,well-established methods

Yes

B. Maternalmortality

V.B.1Data-collectionmethod

Data-collection method used for estimatethat were published most recently or will bepublished

Vital registration of atleast 90% of deaths

and with good medicalcertification of cause

of death

Sample VitalRegistration withVerbal Autopsy

Direct methodhousehold surcensuses (su

sibling historydeaths with

autopsy

Quality assessmentcriteria

Indicators Item

\\vboxsrv\conversion_tmp\scratch15568\96932808.xls.ms_office\V HIS data quality 5/15/2012


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V.B.2Timeliness


0-2 years 3-5 years 6-9 ye

V.B.3Periodicity


3 or more 2

V.B.4Consistency

Data consistent over past 10 years No majordiscrepancies

A few discrepancies Multiple dis

V.B.5Representativeness

Coverage of data upon which the mostrecent estimate is based

All deaths Sample of deaths Local stu

V.B.6Disaggregation

Estimate that was published most recentlyor will be published is disaggregated bydemographic characteristics (e.g. age),socioeconomic status (e.g. income,occupation, education) and locality (e.g.urban/rural, major geographical oradministrative region)

Disaggregationavailable for all 3

elements

Disaggregationavailable for 2

elements

Disagavaila

el

V.B.7Adjustment methods

In-country adjustments use transparent,well-established methods

Yes

MorbidityC. HIVprevalence

V.C.1Data-collectionmethod

Data-collection method used for estimatepublished most recently or to be published

1. If generalized epidemic

2. If concentrated or low-level epidemic

1. General populationsurvey + ANCsurveillance

2. Surveillance amongpopulation at high riskwith random sampling

1. ANC surveillance

2. Surveillance amongpopulation at high riskwith purposivesampling

1. HIV ca

2. HIV ca

V.C.2Timeliness



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V.C.5Representativeness


1. If generalized epidemic

2. If concentrated or low-level epidemic

1. Nationally

representative survey+ both urban and ruralANC clinics2. All majorpopulations at highrisk with randomsampling

1. Both urban and

rural ANC clinics

2. At least one majorhigh-risk population inmultiple locations

1. Inadequ

of clinics

2. One highpopulationlocation

V.C.6Disaggregation

Estimate that was published most recently(or will be published) is disaggregated by:(1) demographic characteristics (e.g., sex,age); (2) socioeconomic status (e.g.,income, occupation, education); and (3)locality (e.g., urban/rural, major

geographical or administrative region)


elements specifically,

prevalence among1524 year olds is

estimated with anadequate sample size


elements

Disaggavaila

ele

Health System indicatorsD. Measlesvaccinationcoverage by 12months of age

V.D.1Data-collectionmethod administrativestatistics

Coverage can be estimated from routineadministrative statistics submitted by atleast 90% of immunizing health facilities.These statistics are systematicallyreviewed at each level for completenessand consistency, and inconsistenciesinvestigated and corrected. To calculatecoverage, reliable estimates of populationare available

Yes. Administrativestatistics are complete

(>90%) and qualitycontrol is good;

populationdenominators are

based upon full(>90%) birthregistration

Administrativestatistics areevaluated for

completeness andconsistency;population

denominators arebased upon

population projections

Thereevaluatcomple

consisadmin

statistics submitted b

90% offaciliti

populationare av



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V.D.2Data-collectionmethod- household surveystatistics

Coverage has been measured by at least 2nationally representative householdsurveys in the past 5 years andimmunization cards were shown duringeach survey for at least two thirds ofchildren

Yes, in the past 5years there have been

at least 2 nationallyrepresentative

household surveysmeasuring measles

vaccination coverage,during which cardswere shown for atleast two thirds of

children

In the past 5 yearsthere has been 1

nationallyrepresentative

household surveymeasuring measles

vaccination coverage,during which cardswere shown for atleast two thirds of

children

During tsurvey, icards weless than

c

V.D.3Timeliness

For the most recently published estimate,number of months since the data werecollected

0-11 months 12-17 months 18-29 m

V.D.4Periodicity

Number of times in the past 5 years that anannual estimate was published based onadministrative statistics

5 times 34 times Onc

V.D.5Consistency

Data consistent between recent surveysand reports


Several discrepancies Multiple dis

V.D.6Representativeness


(1) Data from at least90% of health facilities

and outreach sitesthat immunize

children including allmajor hospitals and

both public andprivate sector; or (2)


household sample

Data from at least80% of health facilities

and outreach sitesthat immunize

children

Data fro80% of h

and outhat

c

V.D.7Disaggregation

Estimate that was published most recently(or will be published) is disaggregated by:(1) demographic characteristics (e.g., sex,age); (2) socioeconomic status (e.g.,income, occupation, education of parents);and (3) locality (e.g., urban/rural, majorgeographical or administrative region)


elements


elements

Disaavai

e



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E. Deliveriesattended byskilled healthprofessionals

V.E.1Data-collectionmethod- administrativestatistics

The percentage of deliveries attended by askilled health professional can beestimated from routine administrativestatistics submitted by at least 90% ofrelevant health facilities. These statisticsare systematically reviewed at each levelfor completeness and consistency, andinconsistencies are investigated andcorrected. To calculate coverage, reliableestimates of population are available

Yes. Administrativestatistics are complete

(>90%) and qualitycontrol is good;

populationdenominators are

based upon full(>90%) birthregistration

Administrativestatistics areevaluated for

completeness andconsistency;population

denominators arebased upon

population projections

Theevalucomp

consadm

statisticsubmitte

90%facil

populatiare

V.E.2Data collectionmethod- household surveystatistics

The percentage of deliveries attended by askilled health professional has beenmeasured by at least 2 nationallyrepresentative household surveys in thepast 5 years

Yes. In the past 5years at least 2


household surveyshave measured

coverage

n the past 5 yearsthere has been 1


household surveymeasuring coverage

V.E.3Timeliness


0-11 months 12-17 months 18-59 m

V.E.4Periodicity


3 or more 2

V.E.5Consistency

Datasets consistent between recentsurveys and reports


Several discrepancies Multiple dis

V.E.6Representativeness


Data from at least90% of professionallysupervised deliveries

and from complete

(>90%) registration ofbirths

Nationallyrepresentative

household sample

Locincomp

on prsupervis

with levacom

V.E.7Disaggregation

Most recent estimate disaggregated by: (1)demographic characteristics (e.g., age); (2)socioeconomic status (e.g., income,occupation, education); and (3) locality(e.g., urban/rural, major geographical oradministrative region)


elements


elements

Disaavai

e



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F. Tuberculosis(TB) treatmentsuccess rateunder DOTS

V.6.1Data-collectionmethod

Source of data and method used for mostrecent data

Clinic reports withevaluation of reporting

rate

District reports withevaluation of reporting

rate

Nationallimited e

repor

V.6.2Timeliness


1 year 2 years 3-4 y

V.6.3Periodicity

Number of times measured in the past year(should be quarterly)

4

V.6.4Consistency

Consistency of treatment success ratesduring past 10 years (fluctuation due to non-standardized data collection procedure,definitions, etc.)


Several discrepancies Multiple discr

V.6.5Representativeness

Coverage of data upon which the mostrecent estimate is based -- % ofsubnational DOTS quarterly reportsreceived by national TB programme in mostrecent year

Over 90% 75% - 89% 50% -

V.6.6Disaggregation - 1

Estimate that was published most recentlyor will be published is disaggregated bydemographic characteristics (e.g. age),socioeconomic status (e.g. income,occupation, education) and locality (e.g.urban/rural, major geographical oradministrative region)


elements


elements

Disagavail

el

V.6.7Disaggregation - 2

Most recent estimate disaggregated by HIVstatus and by drug resistance

Disaggregated byboth

Disaggregated by 1 ofthese



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G. Generalgovernmenthealthexpenditure(GGHE) percapita (ministry ofhealth, otherministries andsocial security,regional and localgovernments,extra budgetaryentities)

V.G.1Data-collectionmethod

Data-collection method used for mostrecent data

Data compiled usingNational HealthAccounts (NHA)

methodology

Data compiled fromadministrative sources(i.e. primary sourcesof each component)

Data imseconda

(e.g. repo

V.G.2Timeliness


0-1 years 2 years 3 or mor

V.G.3Periodicity

Periodicity Yearly Every 1-2 years More than

V.G.4Consistency

Consistency of definitions of expenditure onhealth across components (ministry ofhealth, other ministries and social security,regional and local governments, extrabudgetary entities) and over time

Single source with nobreak in series

Various sources thatare harmonized

Various are not

V.G.5Representativeness

Components represented All components:ministry of health,

other ministries andsocial security,

regional and localgovernments, extrabudgetary entities

Ministry of health,regional and localgovernments and

social security

Ministrywell as so

V.G.6Disaggregation - 1

Availability of disaggregated estimates ofgeneral government expenditure (allcomponents: ministry of health, otherministries and social security, regional andlocal governments, extra budgetaryentities) by subnational or district level

All components:ministry of health,

other ministries andsocial security,

regional and localgovernments, extrabudgetary entities

Ministry of health,regional and localgovernments and

social security

Ministrywell as so



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V.G.7Disaggregation - 2

Availability of disaggregated estimates ofexternally funded government expenditureby source of funding (i.e. multilateral,bilateral, private foundations, NGOs,

others)

Disbursed externalresources from

multilateral, bilateral,private foundations,

NGOs, others

Disbursed externalresources frommultilateral and

bilateral

Commiresoumulti

b

V.G.8Adjustment methods

Availability of detailed information onsources and statistical methodologies, andrecording of any departures frominternational guidelines, for all adjustmentscarried out and their resulting estimates

Resulting estimatesare completely

replicable throughdata audit trail

Based on theavailable information,

resulting estimatesare replicable at 75%

Basavailable

resultinare repli

H. Privateexpenditure onhealth per capita(households' out-of-pocket, privatehealth insurance,NGOs, firms andcorporations)

V.H.1Data-collectionmethod


Data compiled usingNational HealthAccounts (NHA)

methodology

Data compiled using 1household survey for

out-of-pocket, asurvey for at least 1

other component, andimputations for

remainingcomponents

Data comhouseho

out-ofimputaother c

V.H.2Timeliness


0-1 years 2 years 3-4 y

V.H.3Periodicity

Periodicity Data for allcomponents available

yearly

All componentssurveyed at least

once in past 5 years

Hoexpenditat least o

V.H.4Consistency Consistency of definitions of expenditure onhealth across components (households' out-of-pocket, private health insurance, NGOs,firms and corporations) and over time

Single source with nobreak in series Various sources thatare harmonized Various are not



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V.H.5Representativeness

Coverage of population Nationally-representative

including allcomponents:

households' out-of-pocket, private

insurance, NGOs,firms and corporations

Nationally-representative only for

households' out-of-pocket plus 1 other

component

Narepresentthe hous

V.H.6Disaggregation - 1

Availability of disaggregated estimates ofprivate expenditure (all components:households' out-of-pocket, private healthinsurance, NGOs, firms and corporations)by subnational or district level

All components:households' out-of-

pocket, privateinsurance, NGOs,

firms and corporations

Households' out-of-pocket and 1 other

component

Househpo

V.H.7Disaggregation - 2

Availability of disaggregated estimates ofprivate expenditure by source of funding(i.e. multilateral, bilateral, privatefoundations, NGOs, others)

Disbursed externalresources from

multilateral, bilateral,private foundations,

NGOs, others

Disbursed externalresources frommultilateral and

bilateral

Commiresoumulti

b

V.H.8Adjustment methods

Availability of detailed information onsources and statistical methodologies, andrecording of any departures frominternational guidelines, for all adjustmentscarried out and their resulting estimates

Resulting estimatesare completely

replicable throughdata audit trail

Based on theavailable information,

resulting estimatesare replicable at 75%

Basavailable

resultinare repli

I. Density ofhealth workforce(total and byprofessionalcategory) by1,000 population

V.I.1Data-collectionmethod

Routine administrative records arevalidated with findings from a regularlyconducted health facility survey/census,labour-force survey and the populationcensus

Routine administrativerecords validated with

population census,labour-force surveys,

health facilitycensus/surveys and

administrative records

Administrative recordsvalidated with either

health facilitycensus/surveys or

labour-force surveys

Only adrecor

validacensu

V.I.2Timeliness


0-5 months 6-11 months 12 or more



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V.I.3Periodicity

Number of times measured in past 5 years 5 or more 3-4 1-2

V.I.4Consistency

Variables and data definitions andclassifications consistent over time andacross different sources

All sources areconsistent. The

variables have thesame definitions/

classification in allsources

Most of the sourcesare consistent. Thevariables have thesame definitions/

classification in mostof the sources

Only somesourcon

V.I.5Disaggregation- 1

Categories of health workers

ISCO: International Standard Classificationof Occupations

15 or moreoccupations or ISCO

4 digits or nationalequivalent

4-14 occupations orISCO 3 digits or

national equivalent

Less than digits o

equ

V.I.6Disaggregation - 2

Estimate that was published most recentlyor will be published is disaggregated by (1)gender, (2) urban/rural, (3) majorgeographical or administrative region and(4) public/private sector

The data allowdisaggregation by all

4 variables

The data allowdisaggregation by 3variables (excludingpublic/private sector)

The ddisaggrevariables

public/purba

Risk Factor IndicatorsHighly adequate Adequate

Presentade

3 2J. Smokingprevalence (15years and older)

V.J.1Data-collectionmethod


Population-basedsurvey with self-

report, daily smokersover previous month

V.J.2Timeliness


0-2 years 3-5 years 6 or more

V.J.3Periodicity


3 or more 2

V.J.4Consistency

Data consistent over time No majordiscrepancies

A few discrepancies Multiple disc

V.J.5Representativeness

Type of sample upon which most recentestimate is based

Nationally-representative sample

Purposive or othernon-random national

sampling

Loca

Quality assessmentcriteria

ResultsIndicators



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V.J.6Disaggregation

Estimate that was published most recently(or will be published) is disaggregated by:(1) demographic characteristics (e.g., sex,age); (2) socioeconomic status (e.g.,

income, occupation, education of parents);and (3) locality (e.g., urban/rural, majorgeographical or administrative region)


elements


elements

Disaggreavailabl

elem

Additional selected indicatorsAdditionalIndicator number1

Data-collectionmethod


Timeliness For the most recently published estimate,number of years since the data werecollected

Periodicity Number of times measured in past 10years

Consistency Revisions consistent over time, anddatasets between major sources duringpast 10 years

Representativeness Coverage of data upon which the mostrecently reported estimate is based

Disaggregat ion Most recent est imate disaggregated bydemographic characteristics (e.g. sex, age)socioeconomic status (e.g. income,occupation, education of their parent) andlocality (e.g. urban/rural, majorgeographical or administrative region)

All 3 2 1

Estimation methods Estimates use transparent, well-establishedmethods

AdditionalIndicator number2






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Disaggregation Most recent estimate disaggregated bydemographic characteristics (e.g. sex, age)socioeconomic status (e.g. income,occupation, education of their parent) andlocality (e.g. urban/rural, majorgeographical or administrative region)

All 3 2










All 3 2




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Disaggregation Most recent estimate disaggregated bydemographic characteristics (e.g. sex, age)socioeconomic status (e.g. income,occupation, education of their parent) andlocality (e.g. urban/rural, major

geographical or administrative region)

All 3 2











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All 3 2 1




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Name 1 Name2 Name3 Name4 Name5 Name6 Name7 Name8 Name9 Name10 Name11 Name12 Name13

Response from interviewees



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Name1 Name2 Name3 Name4 Name5 Name6 Name7 Name8 Name9 Name10 Name11 Name12 Name13




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VI. Dissemination and use Return to Menu Go to Results AbbreviationsA. Analysis and use of information

Highly adequate Adequate Present but notadequate3 2 1

VI.A.1 Senior managers and policy-makers demand complete, timely, accurate,relevant and validated HIS information

Yes Yes, but they do nothave the skills to

judge

Demand frommanagers is ad-hocusually as a result

external pressure(e.g., questions fro

politicians or themedia)

VI.A.2 Graphs are widely used to display information at subnational healthadministrative offices (e.g., regional/provincial, district) and health facilities.They are up to date and clearly understood

True at all levels(regional/provincial,

district health offices,health facilities)

True at health offices(regional/provincial,district), but not at

health facilities

True atregional/provincihealth offices onl

VI.A.3 Maps are widely used to display information at subnational healthadministrative offices (e.g., regional/provincial, district) and health facilities.They are up to date and clearly understood

True at all levels(regional/provincial,

district health offices,health facilities)

True at health offices(regional/provincial,district), but not at

health facilities

True atregional/provincihealth offices onl

B. Information use for policy and advocacyHighly adequate Adequate Present but notadequate

3 2 1VI.B.1 Integrated HIS summary reports including information on a minimum set of

core indicators (including those used to measure progress towardsachieving the MDGs and those used by Global Health Partnerships, ifapplicable) are distributed regularly to all relevant parties

Regular integratedreports at least

annually to nationaland local relevant

partners

Regular integratedreports at least

annually, butdistributed only to the

ministry of health

Occasional reportsbut not annually

Items

Items


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C. Information use for planning and priority settingHighly adequate Adequate

Present but notadequate

3 2 1VI.C.1 Health information (population health status, health system, risk factors) is

demonstrably used in the planning and in the resource allocationprocesses (e.g. for annual integrated development plans, medium-termexpenditure frameworks, long-term strategic plans, and annual healthsector reviews)

Yes, systematicallyused with methodsand targets alignedbetween different

planning frameworks

Commonly used fordiagnostic purposes

to describe healthproblems/ challenges,but no synchronised

use of healthinformation between

different planning

frameworks

Health information isoccasionally used

D. Information use for resource allocationHighly adequate Adequate

Present but not

adequate3 2 1

VI.D.1 HIS information is widely used by district and subnational managementteams to set resource allocations in the annual budget processes

The majority oftargets/budget

proposals are backedup by HIS information

Some targets/budgetproposals are backedup by HIS information

Few targets/budgetproposals are backedup by HIS informatio

Items

Items


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Categories Maximum Score %

A Analysis and use of information 0 0.0 Not assessed

B Information use for policy and advocacy 0 0.0 Not assessed

C Information use for planning and prioritysetting

0 0.0 Not assessed

D Information use for resource allocation 0 0.0 Not assessed

EInformation use for implementation andaction

0 0.0 Not assessed

TOTAL 0 0.0 Not assessed


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Name1 Name2 Name3 Name4 Name5 Name6 Name7 Name8 Name9 Name10 Name11 Name1





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I. Resources

Categories Result

Policy and PlanningNot assessed

---HIS institutions, humanresources and financing

Not assessed---

HIS Infrastructure Not assessed---

OverallNot assessed

---

II. Indicators

Categories Result

IndicatorsNot assessed

---

III. Data Sources

Data Source Contents Capacity & Practices Dissemination Integration and use Total

CensusNot assessed

---Not assessed

---Not assessed

---Not assessed

---Not assessed

---

Vital statisticsNot assessed

---Not assessed

---Not assessed

---Not assessed

---Not assessed

---

Population-based surveysNot assessed

---Not assessed

---Not assessed

---Not assessed

---Not assessed

---Health and disease records(incl. surveillance)

Not assessed---

Not assessed---

Not assessed---

Not assessed---

Not assessed---

Health service recordsNot assessed

---Not assessed

---Not assessed

---Not assessed

---Not assessed

---

Resource recordsNot assessed

---Not assessed

---Not assessed

---Not assessed

---Not assessed

---

TotalNot assessed

---

IV. Data Management

Categories Result

Data managementNot assessed

---


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V. Information Products

Categories Overall

Information ProductsNot assessed

---

VI. Dissemination and UseCategories Result

Analysis and use of information

Not assessed---

Information use for policy andadvocacy

Not assessed---

Information use for planningand priority setting

Not assessed---

Information use for resourceallocation

Not assessed---

Information use for implementation and action

Not assessed---

OverallNot assessed

---


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Component Summary of comments1. HIS ResourcesA. Policy and Planning A1:

A2:A3:A4:A5:A6:A7:

B. HIS institutions, B1:human resources and B2:financing B3:

B4:B5:B6:B7:B8:B9:B10:B11:B12:B13:

C. HIS infrastructure C1:C2:C3:C4:C5:

2. IndicatorsA1:A2:A3:A4:A5:

3. Data sourcesA. Census A1.1:

A2.1:A2.2:A2.3:A3.1:A3.2:A3.3:A3.4:A4.1:

B. Vital registration B1.1:B1.2:B1.3:B2.1:

B2.2:B2.3:B2.4:B2.5:B2.6:B2.7:B2.8:B3.1:B4.1:

C. Population-based C1.1:surveys C1.2:

C1.3:


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Component Summary of commentsC2.1:C2.2:C2.3:C2.4:C3.1:C3.2:C4.1:C4.2:

D. Health & disease D1.1:records D1.2:

D1.3:D2.1:D2.2:D2.3:D2.4:D2.5:D2.6:D2.7:D3.1:D4.1:D4.2:

E. Health service records E1.1:

E1.2:E2.1:E2.2:E2.3:E2.4:E3.1:E3.2:E4.1:E4.2:E4.3:

F. Resource records 1. Infrastructure and health servicesF1.1:F1.2:F2.1:F2.2:F3.1:F4.1:

2. Human resourcesF1.3:F1.4:F2.3:F2.4:

3. Financing and expenditure

F1.5:F1.6:F2.5:F2.6:F2.7:F2.8:F3.2:F4.2:

4. Equipment, supplies and commoditiesF1.7:F1.8:F2.9:


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Component Summary of commentsF2.10:F2.11:F4.3:F4.4:

4. Data managementA1:A2:A3:A4:A5:

5. Information Products

A. Health status indicators 1. Under-5 mortality

- Mortality A1.1:A1.2:A1.3:A1.4:A1.5:A1.6:A1.7:

2. Maternal mortalityA2.1:A2.2:A2.3:A2.4:A2.5:A2.6:A2.7:

- Morbidity 3. HIV prevalenceA3.1:A3.2:

A3.3:A3.4:A3.5:A3.6:

B. Health Systemindicators

4. Measles coverage

B4.1:B4.2:B4.3:B4.4:B4.5:B4.6:B4.7:

5. Deliveries attended by skilled health profesionalsB5.1:B5.2:B5.3:B5.4:B5.5:B5.6:B5.7:

6. Tuberculosis (TB) treatment success rate under DOTSB6.1:B6.2:B6.3:


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Component Summary of commentsB6.4:B6.5:B6.6:B6.7:

7. General government expenditure on health per capitaB7.1:B7.2:B7.3:B7.4:B7.5:B7.6:B7.7:B7.8:

8. Private expenditure on health per capitaB8.1:B8.2:B8.3:B8.4:B8.5:B8.6:B8.7:B8.8:

9. Density of health workforceB9.1:B9.2:B9.3:B9.4:B9.5:B9.6:

C. Risk factors 10. Smoking prevalenceC10.1:C10.2:

C10.3:C10.4:C10.5:C10.6:

Additional indicators

6. Dissemination and useA. Analysis and use of A1:information A2:

A3:A4:

B. Information use forpolicy and advocacy

B1:

C. Information use for plan C1:

D. Information use for D1:resource allocation D2:

E. Information use for E1:implementation and E2:actions E3:


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Overall HIS

Resources Not assessedPolicy and planning Not assessedInstitutions, human resources & financing Not assessedInfrastructure Not assessed

Indicators Not assessed

Data sources Not assessedCensus Not assessedVital statistics Not assessedPopulation-based surveys Not assessed ResourcesHealth & diseases records Not assessedHealth service records Not assessedResource records Not assessed

Data management Not assessed

Information products Not assessed

Dissemination & use Not assessed

Data sources

0% 25% 50%

Overall

Policy and planning

Institutions, HR and financing

Infrastructure

0% 25% 50%

Resources

Indicators

Data sources

Data management

Information products

Dissemination & use

0% 25% 50%

Overall

Census

Vital statistics

Population-based surveys

Health & diseases records

Health service records

Resource records


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0% 25% 50% 75%

Resources

Indicators

Data sources

Data management

Information products

Dissemination & use

Overall HISReturn


144/156

0% 25% 50% 75%

Overall

Policy and planning

Institutions, HR and financing

Infrastructure

ResourcesReturn


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0% 25% 50% 75%

Overall

Census

Vital statistics

Population-based surveys

Health & diseases records

Health service records

Resource records

Data sourcesReturn


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Abbreviations and acronyms

ANC Antenatal careDHS Demographic Health SurveyDOTS The internationally recommended strategy for tuberculosis control. DOT stands for directly

observed treatmentDSS Demographic Surveillance SystemGAVI Global Alliance for Vaccines and ImmunizationGHP Global health partnersGPS Global Positioning SatelliteHIS Health Information SystemHMIS Health Management Information SystemHMN Health Metrics NetworkHR Human resourcesICD International Statistical Classification of Diseases and Related Health ProblemsIDSR Integrated Disease Surveillance and ResponseICT Information and Communications TechnologyISCO International Standard Classification of OccupationsIHR International Health RegulationsIMF International Monetary Fund

LSMS Living Standard Measurement StudyMDG Millennium Development GoalsMICS Multiple Indicator Cluster SurveysMoH Ministry of HealthNGO Non-governmental organizationNHA National Health AccountsNSO National Statistics OfficeOECD Organisation for Economic Co-operation and DevelopmentPARIS21 Partnership in Statistics for Development in the 21st CenturyPES Post enumeration surveySARS Severe Acute Respiratory SyndromeSAVVY Sample Vital Registration with Verbal AutopsySPA Service Provision AssessmentSRS Sample Registration SystemTB TuberculosisUNDP United Nations Development ProgrammeUNFPA United Nations Population FundUNICEF United Nations Childrens FundVA Verbal AutopsyWHO World Health Organization


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Glossary for Statistics and Data ManagementCauses of death The causes of death to be entered on the medical certificate are defined as all those diseases, morbid conditions or

injuries which either resulted in or contributed to death and the circumstances of the accident or violence which producedany such injuries

Civil registration As defined by the UN: the continuous, permanent, compulsory and universal recording of the occurrence andcharacteristics of vital events (live births, deaths, foetal deaths, marriages and divorces) and other civil status events

pertaining to the population as provided by decree, law or regulation, in accordance with the legal requirements in eachcountry. It establishes and provides legal documentation of such events. These records are also the best source of vitalstatistics.

Data management A set of procedures to collect, store, analyse and distribute data. Once data are collected, a sound management approachis essential. Firstly, a metadata dictionary is necessary to accurately describe the data elements. Next, effective data-storage procedures require a well-designed logical structure to permit data retrieval and analysis. Data analysis andpresentation include calculating indicators and preparing tables and graphs. Finally, the data should be made available toall those who can use and act upon them.

Data warehouse An integrated information-storage area that consists of a data repository bringing together multiple databases from variousdata sources, and a report-generating facility.

DSS: Demographicsurveillance system

The longitudinal enumeration of all demographic events, including cause of death via verbal autopsy, in a geographicallydefined population.

Enumeration Distinct from registration; the means by which the presence of individuals in a household or other group is recorded;normally used in reference to a census or survey. Enumeration is anonymous and does not provide any direct benefit to theindividual.

ICT: Information andCommunicationsTechnology

Includes the computers, software, data-capture devices, wireless communication devices, and local and wide areanetworks that move information, and the people that are required to design, implement and support these systems.

ISCO: InternationalStandard Classification ofOccupations

One of the main international classifications, for which ILO is responsible. ISCO is a tool for organizing jobs into a clearlydefined set of groups according to the tasks and duties undertaken.

ICD: International StatisticalClassification of Diseasesand Related HealthProblems

A classification maintained by WHO for coding diseases, signs, symptoms and other factors causing morbidity andmortality; used world-wide for morbidity and mortality statistics and designed to promote international comparabilitycollection, processing, classification, and presentation of statistics.

Medical certification ofcause of death

Medical practitioners or other qualified certifiers use their clinical judgement to diagnose the cause(s) of death to beentered on the medical certificate.


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Metadata (dictionary) Metadata is data about data. To relate data from multiple sources, it is essential to develop common definitions andunderstand the characteristics of each data element. The tool for achieving this is the metadata dictionary. It coversdefinitions of data elements/variables, their use in indicators, data-collection method, time period of data-collection,analysis techniques used, estimation methods and possible data biases.

Microdata Nonaggregated data about the units sampled. In the case of population and household censuses and surveys, microdataconsists of records of the individuals and households interviewed.

Mortality rate The ratio of the number of people dying in a year to the total mid-year population in which the deaths occurred. This rate isalso called the crude death rate. The mortality rate may be standardized when comparing mortality rates over time (orbetween countries) to take account of differences in the population. This rate is then called the age-standardized deathrate.

SRS: Sample (vital)registration system

Longitudinal enumeration of demographic events including cause of death via verbal autopsy, in a nationally representativesample of clusters such as exists in China and India.

Underlying cause of death (a) the disease or injury which initiated the train of morbid events leading directly to death; or (b) the circumstances of theaccident or violence which produced the fatal injury.

Verbal autopsy A structured interview administered to care-givers or family members of households after a death occurs; used todetermine probable cause(s) of death where most deaths occur outside of health facilities and direct medical certification israre.

Vital registration All sanctioned modes of registering individuals and reporting on vital events.Vital statistics Data on vital events drawn from all of sources of vital events data. Particularly in developing country settings, where civil

registration functions poorly or not at all, the UN acknowledges that a variety of data sources and systems are used toderive estimates of vital statistics.

Vital statistics system A s defined by the UN: the total process of (1) collecting information by civil registration or enumeration on the frequency of occurrence of specified and defined vital events as well as relevant characteristics of the events themselves and (2) of compiling, processing, analysing, evaluating, presenting and disseminating these data in statistical form.

Glossary for National Health Accounts (NHA)Audit The legal requirement for a corporation to have its ba lance sheet, financial sta tement, and underlying accounting system

and records examined by a qualified auditor so as to enable an opinion to be formed as to whether the financial statementaccurately represent the company's financial condition and whether they comply with relevant statutes.

Entity An economic actor in the health system. Entities can be governments , bus inesses, organiza tions , individuals, families , etc.


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(Expenditure on health by)external resources

The sum of resources channelled towards health by all non-resident entities that enter into transactions with residententities, or have other economic links with resident units, explicitly labelled or not to health, to be used as means ofpayments of health goods and services by financing agents in the government or private sectors. Includes donations andloans, in cash and in-kind resources.

(Expenditure on health by)extrabudgetary entities

Extra-budgetary funds comprise publicly funded schemes that operate autonomously, such as university hospitals,foundations dealing with specific health risks etc.

(Expenditure on health by)firms and corporations

Expenditure on health services by all resident corporations and quasi-corporations not controlled by government, additionalto those channelled through social security and private medical insurance. Comprises direct outlays to medical careproviders and to suppliers of medical goods as well as reimbursements to households and the supply of services in kind tothe employees and sometimes their relatives. The WHO does not report parastatals expenditure on health under privateexpenditure but under general government expenditure on health.

Financial agents Institutions or entities that channel the funds provided by financing sources and use those funds to pay for, or purchase, theactivities inside the health accounts boundary.

Financing sources Institutions or entities that provide the funds used in the system by financing agents.

Functions The types of goods and services provided and ac tiv ities performed within the hea lth accounts boundary.

General governmentexpenditure on health

The sum of outlays for health maintenance, restoration or enhancement paid for in cash or supplied in kind by governmententities, such as the Ministry of Health, other ministries, parastatal organizations, social security agencies, (without double-counting the government transfers to social security and to extra-budgetary funds). Includes transfer payments tohouseholds to offset medical care costs and extra-budgetary funds to finance health services and goods. The revenue

base of these entities may comprise multiple sources, including external funds.Imputa tion Making an informed guess about a miss ing value us ing logical edits or s tatis tica l procedures .

National Health Accounts(NHA)

A tool for the systematic, comprehensive and consistent monitoring of resource flows in a national health system. Itprovides a framework with standard definitions, boundaries, classifications and a set of interrelated tables for standardreporting of expenditures on health and its financing. NHAs are designed to capture the resource flows for the mainfunctions of health-care financing: namely, resource mobilization and allocation; pooling and insurance; purchasing andproviding of care; and the distribution of expenditures by disease, socioeconomic characteristics and geopolitical areas.

(Expenditure on health by)NGOs

Expenditure on health by non-profit institutions serving households (NPISHs), which are not predominantly financed andcontrolled by government, that provide goods or services to households free or at prices that are not economicallysignificant.


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(Expenditure on health by)households' out-of-pocket

Expenditure on health by households as direct payments, discretionary, made to health practitioners and suppliers ofpharmaceuticals, therapeutic appliances, and other goods and services whose primary intent is to contribute to therestoration or to the enhancement of the health status of individuals or population groups. A household is an individual or agroup of persons sharing the same living accommodation, which pool some, or all, of their income and wealth and whichconsume certain types of goods and services collectively, mainly housing and food.

Private expenditure onhealth

The sum of outlays for health by private entities, such as commercial or mutual health insurance, non profit institutionsserving households, resident corporations and quasi-corporations not controlled by government with a health servicesdelivery or financing, and households.

(Expenditure on health by)private health insurance

Expenditure on health by private insurance institutions. Private insurance enrolment may be contractual or voluntary, andconditions and benefits or basket of benefits are agreed under voluntary basis between the insurance agent and thebeneficiaries. They are thus, not controlled by government units for the purpose of providing social benefits to members.

Providers Entities that receive money in exchange for or in anticipation of producing the activities inside the health accountsboundary.

(Expenditure on health by)social security

Expenditure on health by social security institutions. Social security or National health insurance schemes are imposed andcontrolled by government units for the purpose of providing social benefits to members of the community as a whole, or toparticular segments of the community. Comprises direct outlays to medical care providers and to suppliers of medical

goods as well as reimbursements to households and the supply of services in kind to the enrolees.


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