HeRAMS苏丹信息图表2024年12月

DECEMBER 2024 TABLE OF CONTENTS Infographic interpretation guide3Overview10Abyei PCA16Blue Nile22Gedaref28Kassala34Khartoum40Red Sea46Sennar52White Nile58 HeRAMSSudanInfographic interpretation guide Purpose This guide provides practical guidance on HeRAMS infographic products produced for Sudan. Its purpose is to streamline understanding, andsupport readers in navigating the various components of these products. Background Disruptions to health systems can impede availability and access to essential health services. A lack of reliable information prevents sounddecision-making, increasing a community’s vulnerability to morbidity and mortality, especially in rapidly changing environments that requirecontinued monitoring. The Health Resources and Services Availability Monitoring System (HeRAMS) aims to provide decision-makers and healthstakeholders with vital and up-to-date information on the availability of essential health resources and services, helping them to identify gaps anddetermine priorities for intervention. This is accomplished by evaluating the availability of health services using standardized definitions adaptedto the local context. The HeRAMS data model HeRAMS provides a high-level, indicator-based snapshot of the health system status. Definitions are aligned with established standards to facili-tate data integration and harmonization. Each indicator is assessed through two key questions: 1.What is the availability level of the service?2.If partially or not available, what barriers impeding service delivery? Availability:is defined as the service being present in sufficient quality and quantity to meet the daily demands of the health service deliveryunit (HSDU)1. A resource or service is considered “available” only if the HSDU has the necessary resources to deliver it in accordance with nationalstandards. Availability is categorized as follows:AVAILABILITY MAIN BARRIERSWhat are the main (max. 3) barriers impeding availability? ●Partially available:The HSDU is able to provide some partsof the service but due to current constraints, has insufficientcapacity or resources to meet daily demand or is unable toprovide the full service in accordance with national standards. ●Not normally provided:The service falls outside of the current package of services the HSDU aims to provide. Expected versusnot expected Focal points specify for each service whether an HSDU anticipates providing it. “Expected” indicates that the HSDU plans to offerthe service, regardless of its current availability status—whether available, partially available, or unavailable. Conversely, “notexpected” means the HSDU does not plan to provide the service, even if all obstacles were removed, and the service is considered“not normally provided.” This categorization is based on the HSDU’s perspective and current circumstances and may differ fromassumptions based on national service packages. When an indicator is not available up to standard (partially or not available),barriersimpeding service availability are systematically collectedusing the following categories: ●Lack of (medical) supplies●Lack of financial resources ●Lack of staff●Lack of training●Lack of equipment Reporting frequency and methodology Information in HeRAMS is dynamically maintained through a collaborative network of trained focal points who are responsible for updating thestatus of health service delivery units (HSDUs) as new information emerges. The HeRAMS project in Sudan is an ongoing process, with continuousreporting, data validation and verification. As such, the analyses presented in these infographics are preliminary and intended solely to informoperations. Each infographic clearly states the cut-of date as of which data was included. Infographic content Overall considerations The initial section of the infographic provides an overview of the overall status of HSDUs and includes all reporting HSDUs in HeRAMS, while sub-sequent analyses focus exclusively on HSDUs that are at least partially functioning. The analysis of individual services excludes HSDUs reportinga service as “not normally provided.” As a result, the total number of HSDUs included in the analysis of each service may vary. Any changes areclearly indicated through supporting text labels accompanying the charts. Information on barriers hindering service availability is collected only when a service is reported as “partially available” or “not available,” witheach HSDU able to report up to three barriers. The analyses are restricted to HSDUs reporting barriers, and results are limited to the top threebarriers reported. The number of HSDUs included is clearly indicated through supporting text labels, and footnotes provide important details,such as non-reporting HSDUs, specific exclusions, or other relevant considerations. Operational status To determine whether the HSDU is currently capable of providing health services,the initial section of the HeRAMS questionnaire focus