The tool comprises 24 capacities and 42 indicators, including 34 scored and 8 unscored declaration or information indicators, organized into three sections:

States Parties are encouraged to prepare their reports through a multisectoral process, under the coordination of their National IHR Authority and with the participation of their National IHR Focal Point and other relevant authorities. The accompanying SPAR guidance document provides explanations and practical support for completing the questionnaire and selecting appropriate responses.

Reports are completed and submitted through e-SPAR, WHO's secure online reporting platform, available in the six United Nations official languages. Submitted information supports reporting to WHO Governing Bodies, national planning and monitoring of IHR implementation. Publicly available results are shared through WHO platforms, subject to the applicable data-access arrangements.