Routine health information system data quality in a hill and mountain district of Nepal: a cross-sectional desk review of four years of DHIS2 data from Sankhuwasabha, 2021-2025
This cross-sectional desk review of four years of DHIS2 data from Sankhuwasabha district, Nepal, reveals that while reporting completeness and timeliness are generally high, the data harbor persistent immunization anomalies driven by systematic recording processes and the limitations of validation-rule-dependent consistency checks, underscoring the need to classify indicator pairs against active validation rules before assessing data quality.