Indicator of the consequence of the crisis on the availability of the health services
Number of non-functional health facilities in a defined administrative or health area at a given point in time
Number of health facilities in the same administrative or health area at the same point in time
administrative area; health area; type of health facilities, i.e. basic health units, health centres, rural/district hospitals
Indicator used for response monitoring ?
Threshold / Standard
Follow-up of trends
Calculation: A facility is considered non-functional when health care activities cannot take place e.g. because of destruction of building, absence of personnel or no supplies. If some activities can be conducted, even partially and/or non-optimally, the structure is considered functional. Interpretation: This indicator is a snapshot of the situation at a given point in time. In the early phase after a crisis occurs, this indicator will show the consequences of the crisis (decrease/reduction in availability of health facilities) when compared to pre-crisis and the needs in terms of support to health facilities. At later stages of crisis, trends in this indicator will allow to monitor the response in supporting health facilities.
Guidance on phases
There is a differing level of quality of data which can be collected at different phases of the emergency depending on the context, eg the data available and the systems for data collection in place before the crisis, the accessibility of the affected areas, the resources on the ground, etc...
Guidance for pre-crisis/baseline
Census of health facilities should be available for crisis-prone countries, possibly as part of the COD/FOD, as a prepardness instrument
Numerator: assessment of functionality of health facilities Denominator: census of health facilities