2024-08-07-世界卫生组织-HeRAMS_Ukraine_status_update_snapshot_July_2024_17页_1mb

HeRAMS Ukraine Status Update Summary

Introduction

The HeRAMS (Health Resources and Services Availability Monitoring System) provides real-time data to inform healthcare decision-making in Ukraine as of July 2024. This snapshot is based on ongoing monitoring and highlights key findings across operational status, basic amenities, health information systems, and health service domains. Data is subject to verification and change.

Operational Status Overview

• As of July 10, 13, and 22, 2024, many health facilities are operational, but significant disruptions exist:
  • Most affected oblasts show varying levels of operational status, with "non-operational" facilities due to destruction or inaccessibility.
  • Other oblasts and Kyiv city report similar trends, indicating widespread challenges.

Basic Amenities Overview

• Basic amenities like beds, water, sanitation, power, heating, transportation, and communication show high availability generally:
  • Across all regions, over 80-100% of amenities are available, but gaps exist in disaster-affected areas.
  • In most affected oblasts, issues like lack of staff, supplies, and equipment are common barriers; comparison between oblasts highlights regional disparities.

Health Information Management Systems Overview

• Health information systems, including eHealth, epidemiological reports, and activity reports, remain largely available:
  • High availability rates (e.g., 93-98%) with few exceptions.
  • Common reasons for inaccessibility include lack of staff and financial resources.

Health Service Domains Overview

• Availability of health services varies significantly by domain:
  • Key services include trauma care, child health, communicable diseases, maternal care, non-communicable diseases, and mental health and psychosocial support (MHPSS).
  • Trauma and General Services: High availability overall, but barriers noted in some areas.
  • Child Health and Communicable Diseases: Generally well-covered, with barriers like staffing shortages.
  • Maternal and Newborn Care, Reproductive Health, and Non-Communicable Diseases show moderate to low availability in certain regions.
  • MHPSS has the lowest availability and faces significant challenges in service delivery across all areas.

Barriers to Service Delivery

Common barriers include lack of staff, training, supplies, equipment, financial resources, and infrastructure issues.