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InfographicInterpretation guideTABLE OF CONTENTS1All HSDUs:This infographic includes data from all Health Service Delivery Units (HSDUs) monitored by HeRAMS, offering a comprehensive snapshot of serviceavailability across the West Bank. It encompasses hospitals, governmental primary health care centers (PHCs), mobile clinics, and governmental emergencycenters.2All hospitals:This report includes data from general and specialized hospitals managed by governmental, NGO, and private entities. Among these, onepsychiatric hospital is included in the analysis of this report. Data from 7 of these hospitals, all located in East Jerusalem, are excluded from this report.3Governmental hospitals: This infographic is a subset of the “All Hospitals” infographic, focusing exclusively on governmental hospitals.4Government primary healthcare centers:This infographic provides insights on governmental health centers and focuses on a limited number of servicesdeemed priority for PHCs.All health servicedelivery units1Pages 6-10Govermental hospitals3Pages 16-20Pages 3-5HeRAMS servicedefinitionsPages 26-30 3This guide provides practical guidance on HeRAMS infographic products produced for the occupied Palestinian territory. Its purpose is to stream-line understanding, and support readers in navigating the various components of these products.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 adaptedThe HeRAMS data modelHeRAMS 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 are 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:●Available:The service is present in sufficient quality andquantity to fully meet the daily demands of the HSDU, andthe necessary staff and resources are in place to deliver it inaccordance with national standards.●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 available:The HSDU is expected to provide the servicebut, due to current constraints (such as insufficient resourcesor staff), is unable to deliver it at all.●Not normally provided:The service falls outside of the current package of services the HSDU aims to provide.Expected versusnot expectedFocal 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.1Rather than health facility, HeRAMS uses the term health service delivery unit (HSDU) to include any modality through which healthcare services may be pro-vided such as health centres, clinics, hospitals, mobile clinics, temporary or emergency structures, and in some cases individual providers such as communityHeRAMSoccupied PalestinianterritoryInfographic interpretation guideLack of financialresourcesLack ofequipmentLack oftrainingLack ofsuppliesLack ofstaffMAIN BARRIERSWhat are the main (max. 3) barriers impeding availability?AvailablePartiallyavailablePartiallyavailableNot availableNot normallyprovidedAVAILABILITYIs the service available? PurposeBackgroundto the local context.health workers. 4When an indicator is not available up to standard (partially or not available),barriersimpeding service availability are systematically collectedusing the following categories:●Lack of staff●La