HeRAMS Iraq status update report November 2024: Operational status of the health system

Status update reportNovember 2024 Operational status of the health system A comprehensive mapping of the operationalstatus of health service delivery units ©World Health Organization 2024 Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 IGO licence (CC BY-NC-SA 3.0IGO;https://creativecommons.org/licenses/by-nc-sa/3.0/igo). Under the terms of this licence, you may copy, redistribute and adapt the work for non-commercial purposes, provided the work is appropri-ately cited, as indicated below. In any use of this work, there should be no suggestion that WHO endorses any specific organization, productsor services. The use of the WHO logo is not permitted. If you adapt the work, then you must license your work under the same or equivalentCreative Commons licence. If you create a translation of this work, you should add the following disclaimer along with the suggested citation:“This translation was not created by the World Health Organization (WHO). WHO is not responsible for the content or accuracy of this translation.The original English edition shall be the binding and authentic edition”. Any mediation relating to disputes arising under the licence shall be conducted in accordance with the mediation rules of the World IntellectualProperty Organization (http://www.wipo.int/amc/en/mediation/rules/). Suggested citation. HeRAMS Iraq status update report November 2024 - Operational status of the health system: A comprehensive mapping ofthe operational status of health service delivery units; 2024 Third-party materials. If you wish to reuse material from this work that is attributed to a third party, such as tables, figures or images, it is yourresponsibility to determine whether permission is needed for that reuse and to obtain permission from the copyright holder. The risk of claimsresulting from infringement of any third-party-owned component in the work rests solely with the user. General disclaimers.The designations employed and the presentation of the material in this publication do not imply the expression of anyopinion whatsoever on the part of WHO concerning the legal status of any country, territory, city or area or of its authorities, or concerning thedelimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agree-ment. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by WHO inpreference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distin-guished by initial capital letters. All reasonable precautions have been taken by WHO to verify the information contained in this publication. However, the published material isbeing distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lieswith the reader. In no event shall WHO be liable for damages arising from its use. HeRAMS IraqStatus update reportNovember 2024 Operational status of the health system A comprehensive mapping of the operationalstatus of health service delivery units ACRONYMS DoHDirectorate of HeatlhHERHealth Electronic RecordsHeRAMSHealth Resources and Services Availability Monitoring SystemHMISHealth Management Information SystemHSDUHealth Service Delivery UnitICUIntensive Care UnitPPEPersonal Protective EquipmentVIPVentilated Improved PitWHOWorld Health Organization TABLE OF CONTENTS AcronymsIV Disclaimer7Overview of HSDUs evaluated8Interpretation guide11Building condition2Equipment condition4Functionality6Accessibility8Inpatient bed capacity12 ICU BEDS12MATERNITY BEDS13OTHER INPATIENT BEDS14 Water18Sanitation facilities22hand-hygiene facilities26Personal protective equipment28Cleaning equipment30Waste management32 WASTE SEGREGATION32FINAL DISPOSAL OF SHARPS34FINAL DISPOSAL OF INFECTIOUS WASTE36 Power availability40 Cold chain for medicine44 Cold chain46 HEALTH ELECTRONIC RECORDS54AVAILABILITY OF FACILITY REPORTING SYSTEM56 DISCLAIMER Disruptions to health systems can impede provision of and access to essential health services. Communities’ vulnerability toincreased morbidity and mortality substantially increases when a lack of reliable information prevents sound decision-making,especially in rapidly changing environments that require continued assessment. The Health Resources and Services Availabil-ity Monitoring System (HeRAMS) aims to provide decision-makers and health stakeholders at large with vital and up-to-dateinformation on the availability of essential health resources and services, help them identify gaps and determine priorities forintervention. HeRAMS draws on the wealth of experience and knowledge gathered by the World Health Organization (WHO) and health sectoractors, including nongovernmental organizations, donors, academic institut