Health System Intelligence Profile

ROSEW updates every month. It does not measure structural capacity — it measures active harm or immediate precursors to harm. If a system is failing, ROSEW shows it before mortality data arrives.

Baseline

2000–Present

Contemporary

Last ROSEW Update

July 30

2026

Overall Coherence Signal

→ Strained

Trajectory

2000–2010

Weak

Strained (improving)

2010–2020

Strained

Functional (gains in financing and workforce)

2020–present

Functional

Strained (pandemic and fiscal pressure)

Selected Domain Scores (0–100)

View Detailed Insights

Governance

Functional

Financing

Strained

Workforce

Strained

Supply Chain

Strained

Infrastructure

Strained

Pandemic Preparedness

Functional

ROSEW (Real-time)

High Stress (October 2026)

Key Risk Signals

Supply Chain Shock Resilience

Weak

Out of Pocket Protection

Limited protection

Workforce Fragility

High attrition in rural areas

Pandemic Readiness

Functional but stockpiles low

12-Month Risk Outlook

High probability

Cholera hotspots in flood-prone counties

Medium probability

TB treatment disruption if supply chain not reinforced

Low (High Impact) probability

Multi drug resistant malaria