HeRAMS
HeRAMS (Health Resources and Services Availability Monitoring System) is a global health information management tool (for mapping, collection, collation and analysis of information on health resources and services) that aims to provide timely, relevant and reliable information for decision-making. It is used to guide interventions at the primary and secondary care levels, measure gaps and improve resource planning, ensure that actions are evidence-based, and enhance the coordination and accountability of WHO and other health sector partners.
HeRAMS was adapted for Syria in early 2013, after many consultative meetings with the Syrian Ministry of Health and health sector partners to customize the tool according to the priority identified areas of the health sector.
The key information that is assessed through HeRAMS includes the functionality status, accessibility, health infrastructure, human resources, availability of health services, equipment, medicines at primary and secondary care level.
HeRAMS Health centres assessment tool | Arabic
HeRAMS Hospitals assessment tool | Arabic
Objectives
HeRAMS is developed to provide timely, relevant, and reliable information about the available health resources, to decision-makers, in order to support them in:
- monitoring health situation at primary health care and secondary care levels
- measuring gaps and improving planning of resources
- ensuring evidence-based actions
- enhancing coordination and accountability.

Process and methodology
HeRAMS in Syria is a World Health Organization (WHO) project that aims at strengthening the collection and analysis of information on the availability of health resources and services in Syria at health facility level.
A team of national health staff from all governorates was formulated for HeRAMS reporting, and different data collection mechanisms were introduced to address the shortage of timely and relevant information. The main HeRAMS tool for collecting data is a questionnaire that assesses the functionality status, accessibility, health infrastructure, human resources, availability of health services, equipment and medicines at primary and secondary care level.
Periodicity of reporting is monthly for hospitals and quarterly for health centres.
Data are verified rigorously with data collectors and cross-checked randomly with other sources at governorate level.
Currently, HeRAMS has been expanded to cover Ministry of Higher Education hospitals, UNRWA health centres, SARC health centres, NGOs health centres supported by WHO, and private hospitals in Al-Hasakeh governorate.
The main challenges faced during data collection and reporting were accessibility and security, as well as continuous power cuts and lack of network coverage in many governorates.
HeRAMS products
- Statistical and analytical reports on the functionality status, accessibility, infrastructure patterns, availability of health resources, health services, medicines and equipment in hospitals and health centres, at governorates and district levels.
- Trend analysis on functionality status of health facilities.
- Comprehensive set of maps to visualize the produced analysis.
HeRAMS
2021
Annual report 2021: public health centres
Annual report 2021: public hospitals
Annual report 2021: UNRWA/SARC health centres
Annual report 2021: UNRWA health centres
2020
Annual report 2020: NGOs health centres supported by WHO
Annual report 2020: public health centres
Annual report 2020: private hospitals in Al-Hasakeh Governorate
Annual report 2020: UNRWA health centres
Annual report 2020: public hospitals
Annual report 2020: SARC health centres
Bi-annual report on public health centres, January-June 2020
Bi-annual report on public hospitals, January-June 2020
2019
Annual report 2019: public health centres
Annual report 2019: public hospitals
Annual report 2019: private hospitals
Annual report 2019: SARC health centres
Annual report 2019: UNRWA health centres
Annual report 2019: NGO health centres
Annual report 2018: public hospitals
Annual report 2018: public health centres
Snapshot of public hospitals, December 2018
Snapshot of public health centres, third quarter, 2018
Snapshot of public hospitals, November 2018
Snapshot of public hospitals, October 2018
HeRAMS summary report, April–June 2018
Snapshot of public hospitals, September 2018
Snapshot of public health centres, second quarter 2018
HeRAMS summary report, January-March 2018
Snapshot of public hospitals, August 2018
Snapshot of public hospitals, May 2018
Snapshot of public health centres, first quarter 2018
Snapshot of public hospitals, April 2018
Snapshot of public hospitals, March 2018
Annual report 2017: public hospitals
Annual report 2017: public health centres
Snapshot of public health centres, October–December 2017
Snapshot of public hospitals, December 2017
Snapshot of public hospitals, November 2017
Snapshot of public health centres, July–September 2017
Snapshot of public hospitals, October 2017
Snapshot of public hospitals, September 2017
Snapshot of public hospitals, August 2017
Snapshot for public health centres, April–June 2017
Snapshot of public hospitals, July 2017
Snapshot of public hospitals, June 2017
Snapshot of public hospitals, May 2017
Snapshot for public health centres, January–March 2017
Snapshot of public hospitals, April 2017
Snapshot of public hospitals, March 2017
Situation reports on north-west Syria
Situation overview
- The escalation of conflict in north-west Syria continued unabated during the reporting period, impacting civilians, health care infrastructure and health service provision in northern Hama and southern Idleb governorates.
- Since the beginning of the year, there have been 38 attacks on health care, resulting in 31 deaths and 55 injuries of health staff.
- Due to the recent crisis, it is estimated that over 330 000 people have been newly displaced, moving mostly to areas near the Turkish border in northern Idleb. In these areas, a large number of IDPs who were displaced previously are already present. More than half of the population in Idleb governorate are already IDPs.
- Recently displaced people have mostly settled in either already densely populated camps that are at full or excess capacity, or in makeshift camps in the countryside. Some have found refuge with host families or in mosques and schools. This has put an additional strain on health care service delivery.
Read the latest situation report on north-west Syria, 15 May–30 June 2019
Related reports
Situation repors on north-west Syria, Issue 1, 1–15 May 2019

Monthly situation reports
2024
Monthly Situation Report - June 2024
Monthly Situation Report - May 2024
Monthly Situation Report - April 2024
Monthly Situation Report - March 2024
Monthly Situation Report - January and February 2024
2023
Monthly Situation Report - July 2023
Monthly Situation Report - June 2023
Monthly Situation Report - May 2023
Monthly Situation Report - April 2023
Monthly Situation Report - March 2023
Monthly Situation Report - February 2023
Monthly Situation Report - January 2023
2022
Monthly Situation Report - December 2022
Monthy Situation Report - November 2022
Monthly Situatin Report - October 2022
Monthly Situation Report - September 2022
Monthly Situation Report - August 2022
Monthly Situation Report - July 2022
Situation report, Issue 2, 16-31 January 2022
Situation report, Issue 1, 1-15 January 2022
2021
Situation report, Issue 24, 16-31 December 2021
Situation report, Issue 23, 1-15 December 2021
Situation report, Issue 22, 16-30 November 2021
Situation report, Issue 21, 1-15 November 2021
Situation report, Issue 20, 16-31 October 2021
Situation report, Issue 19, 1-15 October 2021
Situation report, Issue 18, 16-30 September 2021
Situation report, Issue 17, 1-15 September 2021
Situation report, Issue 16, 16-31 August 2021
Situation report, Issue 15, 1-15 August 2021
Situation report, Issue 14, 16-31 July 2021
Situation report, Issue 13, 1-15 July 2021
Situation report, Issue 12, 16-30 June 2021
Situation report, Issue 11, 1-15 June 2021
Situation report, Issue 10, 16-31 May 2021
Situation report, Issue 9, 1-15 May 2021
Situation report, Issue 8, 16-30 April 2021
Situation report, Issue 7, 1-15 April 2021
Situation report, Issue 6, 16-31 March 2021
Situation report, Issue 5, 1-15 March 2021
Situation report, Issue 4, 16-28 February 2021
Situation report, Issue 3, 1-15 February 2021

COVID-19 situation reports
COVID‐19 situation report, December 2022
COVID‐19 situation report, November 2022
COVID‐19 situation report, October 2022
COVID‐19 situation report, September 2022
COVID‐19 situation report, August 2022
COVID‐19 situation report, July 2022
COVID‐19 situation report, June 2022
COVID‐19 situation report, May 2022
COVID‐19 situation report, April 2022
COVID‐19 situation report, March 2022
COVID‐19 situation report, February 2022
COVID‐19 situation report, January 2022
COVID‐19 situation report, December 2021
COVID‐19 situation report, November 2021
COVID‐19 situation report, October 2021
COVID‐19 situation report, September 2021
COVID-19 situation report, 21 September 2021
COVID-19 situation report, 5 July 2021
COVID-19 situation report, 3 June 2021
COVID-19 situation report, 5 May 2021
COVID-19 situation report, 13 April 2021
COVID-19 situation report, 3 March 2021
COVID-19 situation report, 3 February 2021
COVID-19 situation report, 6 January 2021
COVID-19 situation report, 1 December 2020
