Somalia Routine Health Information System Indicators list

A: The principles of including indicators:

 The utilization of service, and the linkage of service

 Facilitate/monitor EPHS
 Progamme monitoring
 Support reporting
 Global requirements
 General request on information sharing and use

B: Short notes for users:

The below listed indicators are the one currently collected from routine HMIS health facility reporting system endorsed by MOHs and HSS
working group after a few runs of consultations. The three zones (NEZ, NWZ and CSZ) are not in the same pace to implement the new HMIS
monthly reporting system. CSZ is aiming to implement it later this year.

Bearing in mind that broader Health Information Data, if needed, need to seek additional channels such as: C-HMIS, Surveys, Sentinel site
surveillance, Vital Statistics, assessment/evaluation, and/or programing reporting.

For example, key indicators: Infant mortality, child mortality, skilled birth attendance, health behavior, LLITN use rate, etc. are collecting through
surveys such as MICS, currently ongoing in SL and PL. Children stunting and wasting data are collecting through selected sites on the ground
through nutrition partners.

Newly added indicators such as deworming for ANC pregnant women, MMN for PNC visits, need to report through vertical programme report in
required frequency.

C: List of indicators:

ID Indicators Initial Analysis Notes on Indicators Agency requirement UNICEF

Completeness /Sharing Programming
checking and Frequency
analysis
1 Report rate Quarterly No. Reports received / No. General, HMIS system

Somalia Routine Health Information System Indicator List H XU UNICEF

 Expected reports indicators
2 Completeness Rate Quarterly Specific indicators General, HMIS system
indicators
3 ANC Frist Visit B Quarterly GF EPHS, UNSAS
4 ANC Repeat Visits B Quarterly Current operation in PL and GF EPHS, UNSAS
SL collect ANC1-ANC3+
5 ANC third visits+ JP
6 MMN stock-out Quarterly SRA2
7 TT stock-out Quarterly
8 VitA stock-out Reporting Cycle SRA2
9 Zinc stock-out Reporting Cycle SRA2
10 MMN for ANC Quarterly For 2010 (Iron Folic/ Vit A)
11 IPT1 for ANC Reporting Cycle CSZ WHO, GF
12 IPT2 for ANC Quarterly/Repo CSZ WHO, GF
rting Cycle
13 PNC Visits Quarterly
14 Vit A for PNC Quarterly General
15 Assisted deliveries B Quarterly EPHS ,SRA2
at MCH
16 Assisted deliveries Incomplete, Poor quality EPHS, SRA2
at home
17 Early initiation of Reporting Cycle SRA3
breastfeeding
(within 1 hr)
18 OPD all visits B Quarterly All/Under 5, M/F WHO EPHS

19 OPD malaria Quarterly/Repo All/under 5, type of Malaria WHO, GF SRA2

rting Cycle (severe, lab confirmed,
clinic)
20 OPD diarrhea B Quarterly/Repo All/under 5,Watery plus SRA2
rting Cycle bloody
21 OPD Pneumonia A Check with All/under 5 SRA2
WHO

Somalia Routine Health Information System Indicator List H XU UNICEF

22 OPD Fever Unkown A Check with All/under 5
WHO
23 OPD Measles A Check with All/under 5
WHO
24 OPD STIs Report Cycle GF/AIDS
25 Anti-malaria Reporting Cycle All/under 5 GF EPHS, SRA3
treatment ACT
26 No. tested during
ANC visits
27 No. of HIV positive AIDS, SRA1
during ANC
28 ARVs given to ANC AIDS, SRA1
clients
29 ARVs given to New SRA1
Born Baby
30 Total confirmed Reporting Cycle Total tested/Positive GF
Malarial microscopy
31 Total confirmed Reporting Cycle Lab: Number/number GF
Malaria RDTs
32 BCG Reporting Cycle Under 1 UNICEF/WHO joint report
33 DPT1 B Quarterly/Repo Under 1 UNICEF/WHO joint report
rting Cycle
34 DPT3 B Quarterly/Repo Under 1 UNICEF/WHO joint report EPHS, UNSAS
rting Cycle
35 Polio3 Reporting Cycle Under 1 UNICEF/WHO joint report SRA1
36 Measles B Quarterly/Repo Under 1 UNICEF/WHO joint report SRA1, EPHS
rting Cycle
37 TT2 Quarterly/Repo Denominator 1: Pregnant UNICEF/WHO joint report SRA1
rting Cycle women. Denominator 2:
ANC first visit
38 Family Planning Use Reporting Cycle GF EPHS
39 Nutrition: Number B Quarterly Under 5 General SRA3
of Children
Screened

Somalia Routine Health Information System Indicator List H XU UNICEF

40 Number of severely B Quarterly Under 5 General SRA3
malnourished
41 Number of Children A Quarterly Under 5 General SRA3
with Oedema
42 Number of Children A Quarterly Under 5 Service Linkage SRA3
referred to OTP
43 Number of Children A Quarterly Under 5 Service Linkage SRA3
referred to TFC/SC
44 Number of all Quarterly Inpatient, HMIS Hospital EPHS
admissions
45 Number of B Inpatient, HMIS Hospital
Maternity
admissions
46 Number of all Quarterly Inpatient, HMIS Hospital EPHS
discharged
47 Inpatient Mortality Quarterly Inpatient, HMIS Hospital
48 Number of assisted B Quarterly HMIS Hospital EPHS, SRA2
Deliveries ,Total/Instrumental
Deliveries/Caesarean
49 Maternal Death B
50 Malaria inpatients Reporting Cycle Inpatient, HMIS Hospital GF
Note:

1. Column “Initial Completeness checking and analysis” is designed for the zonal level to check the completeness of the data and conduct
initial analysis to monitor the progress. This is designed to be in a quarterly base. A- for analysis; B- both for analysis and completeness
checking.
2. Column “Analysis and sharing Cycle” is a whole list for analysis at HQ level.
3. Further IT programming and software development is designed to conduct regular data reporting, analysis and sharing, particularly the
ones with frequent cycle.
4. A few indicators are selected for the purpose of field DQA, to complement with HMIS system indicators (report rate and completeness ).
This list would communicate with specific agency, which is responsible for routine HMIS capacity building and supervision on the ground.
The list will subject to change during development and will not be shared beforehand (for the purpose to reflect the true scenario), but
the results will be shared through HSS or HMIS task force.

Somalia Routine Health Information System Indicator List H XU UNICEF

Further comments/inputs/suggestions, please, before 18 June, send to: hxu@unicef.org

Somalia Routine Health Information System Indicator List H XU UNICEF