2024-05-12-世界卫生组织-HeRAMS_Yemen_Summary_Update_Report_February_2024_45页_3mb

Yemen HeRAMS Summary Update Report (February 2024)

Overview

The Health Resources and Services Availability Monitoring System (HeRAMS) provides an assessment of health service delivery units (HSDUs) in Yemen. As of February 2024, 22% of 5,345 HSDUs assessed were permanently closed, with an additional 53% not reporting. A total of 5,015 HSDUs remained at least partially operational, representing 94% of assessed facilities.

Key findings highlight operational challenges, with:

Key Challenges

• Functionality: 22% of HSDUs were completely non-functional due to staff shortages, equipment failures, financial constraints, or insecurity.
• Basic Amenities: 42% of facilities lacked functional power or cold chain equipment essential for preserving vaccines.
• Health Services: Five areas, particularly dealing with malnutrition and infectious diseases, showed service availability below 70%.
• Pooled Data: Graphs show a low proportion of facilities functional in regions like Abyan and Hadramawt, affecting around 800 HSDUs across 22 governorates.

Service Availability

• Maternal and Neonatal Health: 75% functional overall, but barriers like staff and equipment shortfalls restricted access in some regions.
• Emergency Services: Basic trauma and emergency care at only 78% of HSDUs, pointing to acute care system strain.
• Non-Communicable Diseases: Excessively high failure in services such as HIV testing only at 77%.
• Diagnostic Services: Infectious waste disposal reported at 53%, indicating a need for broader healthcare infrastructure upgrades.

Geographical Disparities

• High service availability correlated with better resources in Northern regions like Sana'a.
• Southern/Yemeni regions face significantly reduced access to both preventative and acute care, along with poor sanitation.

Concluding Remarks

Yemen faces critical healthcare system challenges due to conflict and resource limitations. Key service gaps in treatment for malnutrition, infectious disease management, and diagnostic services extrapolate into continued population health risks. Improving functionality through resource allocation, security measures, and standardized reporting remains essential.