HeRAMS Nepal September 2024 floods and landslides report: Operational status of the health system
A comprehensive mapping of the operational status of health service delivery units

Overview
The Health Resources and Services Availability Monitoring System (HeRAMS) aims to provide decision-makers and health stakeholders at large with vital and up-to-date information on the availability of essential health resources and services, help them identify gaps, and determine priorities for intervention.
HeRAMS was deployed in Bagmati, Koshi, and Madhesh provinces following the severe flooding and landslides that affected these provinces in September 2024. The analysis presented here provides insights into the status of 78 health service delivery units (HSDUs) across the three provinces, based on data reported as of 31 January 2025. While this HeRAMS deployment remains ongoing and data verification and validation continue, the analysis presented here is not final and has been produced solely to inform operations.
This is the first report of the HeRAMS Nepal September 2024 floods and landslides report series, focusing on the operational status of health facilities, including the level and type of support provided by partners and the availability of basic amenities. For more in-depth information on the availability of essential health services and barriers impeding their delivery, specialized reports are available covering: