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The sources do not establish a continuous current pathway, patient completion, bypass or counter-referral.", "citation": "Ministry of Public Health, Essential Package of Hospital Services, Annex A, PDF page 51; WHO, HeRAMS Afghanistan Summary Update, PDF page 25.", "url": "https://cdn.who.int/media/docs/default-source/documents/emergencies/herams/herams_afg_status_update_summary_report_2024-11.pdf?download=true&sfvrsn=8c5c5b29_3", "locator": "EPHS Annex A, PDF page 51; HeRAMS General clinical and trauma care service, PDF page 25, anchor: Monitored referral Referral capacity Acceptance of referrals.", "period": "Historical EPHS design from 2005; HeRAMS status through 2024-11-30", "territory": "Afghanistan; HeRAMS evidence is limited to reporting health service delivery units", "evidence_mode_candidate": "observed", "verification_source_layer": "official", "coverage_domains": [ "referral_design", "observed_referral", "patient_flows", "networks", "hospital_organization", "facility_data", "utilization" ], "source_version": { "file_sha256": "91da6a3516eed0dc63f48957a96c94e013c18ebac656422da4b3a6223b3407c4", "page_count": 48, "detected_media_type": "application/pdf", "hash_verified": true }, "review_requirements": [ "Do not merge the historical design with 2024 facility indicators into a claim of implementation or patient-level referral performance." ], "source_references": [ { "title": "The Essential Package of Hospital Services for Afghanistan", "citation": "Ministry of Public Health, Islamic Republic of Afghanistan. The Essential Package of Hospital Services for Afghanistan 2005/1384. 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HeRAMS Afghanistan Summary Update Report, December 2024: a comprehensive mapping of availability of essential services and barriers to their provision. Geneva: WHO; 2024. https://cdn.who.int/media/docs/default-source/documents/emergencies/herams/herams_afg_status_update_summary_report_2024-11.pdf?download=true&sfvrsn=8c5c5b29_3", "url": "https://cdn.who.int/media/docs/default-source/documents/emergencies/herams/herams_afg_status_update_summary_report_2024-11.pdf?download=true&sfvrsn=8c5c5b29_3", "locator": { "locator_type": "pdf_page_anchor", "page": 19, "physical_pdf_page": 25, "section": "General clinical and trauma care service", "source_word_anchor": "Monitored referral Referral capacity Acceptance of referrals", "source_word_count": 7 }, "source_version": { "file_sha256": "91da6a3516eed0dc63f48957a96c94e013c18ebac656422da4b3a6223b3407c4", "response_sha256": "91da6a3516eed0dc63f48957a96c94e013c18ebac656422da4b3a6223b3407c4", "page_count": 48, "detected_media_type": "application/pdf", "hash_verified": true, "retrieved_at": "2026-08-21" }, "source_projection_id": "country-improvement-source:AFG:herams-2024", "display_source_id": 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These identify time-bounded monitoring mechanisms, not their effectiveness, coverage, payment effect or continuation after 2021.", "tags": [], "territory": "31 contracted provinces and three Ministry Strengthening Mechanism provinces", "title": "Third-party HMIS verification in contracted programmes", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC9902816/fullTextXML" }, { "kind": "source_reference", "source": "Third party monitoring for health in Afghanistan: the good, the bad and the ugly", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC10711846/fullTextXML" }, { "kind": "source_reference", "source": "Comprehensive assessment of Afghanistan's health information system 2018", "url": "https://applications.emro.who.int/docs/9789290223078-eng.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Afghanistan - Support to Basic Package of Health Services-Strengthening Health Activity for Rural Poor. 2009. https://documents1.worldbank.org/curated/en/330221518081965576/pdf/123283-FP-P120565-Support-to-Basic-Package-of-Health-Services-Public.pdf", "country_ids": [ "AFG" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": "NGOs ii strengthening management autonomy and decision-making authority in public hospitals and", "institution": null, "locator": { "physical_pdf_page": 2, "source_word_anchor": "NGOs ii strengthening management autonomy and decision-making authority in public hospitals and", "source_word_count": 12 }, "material_id": "material:12f7b54948334aa71f1be518", "notes": [], "origin": "global-corpus-excerpt-queue", "period": null, "publication_date": null, "publication_year": 2009, "record_kind": "corpus_page_anchor", "record_kind_label": "Corpus Page Anchor", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "c3387ac8be782a0b73c69fa8b45ef7afdbcbc745c36b6b935f704d2ac2217c9c", "page_count": 7, "text_sha256": "ae5871cf68cb379d98abb308ab483e6677425a4b322793215a60f2ce4ca6e17d" }, "statement": null, "tags": [ "control_knob:organization", "language:en", "source:World Bank Documents and Reports", "source_layer:global_literature" ], "territory": null, "title": "Afghanistan - Support to Basic Package of Health Services-Strengthening Health Activity for Rural Poor", "urls": [ { "kind": "stable_source_url", "source": "not supplied", "url": "https://documents1.worldbank.org/curated/en/330221518081965576/pdf/123283-FP-P120565-Support-to-Basic-Package-of-Health-Services-Public.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ministry of Public Health, Islamic Republic of Afghanistan. Afghanistan National Health Strategy 2016-2020. Kabul: Ministry of Public Health; 2016. https://extranet.who.int/cpcd/sites/default/files/public_file_repository/AFG_Afghanistan_National-Health-Strategy_2016-2020.pdf", "country_ids": [ "AFG" ], "coverage_domains": [ "actors", "decision_rights", "facility_data", "governance", "government_responsibilities", "hospital_organization", "market_structure", "networks", "primary_care", "referral_design", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "commissioned by the MoPH to provide the BPHS and EPHS", "institution": "Ministry of Public Health, Islamic Republic of Afghanistan", "locator": { "locator_type": "pdf_page_anchor", "page": 13, "physical_pdf_page": 13, "section": "2. 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It is a time-bounded strategy, not a current operating-authority assessment.", "tags": [], "territory": "Afghanistan national strategy", "title": "Afghanistan National Health Strategy 2016-2020", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://extranet.who.int/cpcd/sites/default/files/public_file_repository/AFG_Afghanistan_National-Health-Strategy_2016-2020.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Newbrander W, Ickx P, Feroz F, Stanekzai H. Afghanistan's Basic Package of Health Services: Its development and effects on rebuilding the health system. Global Public Health. 2014;9(Suppl 1):S6-S28. doi:10.1080/17441692.2014.916735. https://www.ebi.ac.uk/europepmc/webservices/rest/PMC4136668/fullTextXML", "country_ids": [ "AFG" ], "coverage_domains": [ "actors", "decision_rights", "governance", "government_responsibilities", "market_structure", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "The MOPH would contract with well-established NGOs", "institution": "Global Public Health", "locator": { "html_text_block": "paragraph beginning 'The agreed-on approach'", "locator_type": "xml_text_anchor", "section": "The BPHS and contracting for service delivery", "source_word_anchor": "The MOPH would contract with well-established NGOs", "source_word_count": 7 }, "material_id": "material:fe256a1f06572e4c0c807976", "notes": [ "Keep the reconstruction period explicit. Do not use this historical account to establish current contracting, facility ownership, provider autonomy or service performance." ], "origin": "country-evidence-improvement-sources", "period": "Historical account of reconstruction during 2003-2011; published 2014", "publication_date": null, "publication_year": 2014, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "39e7fd1ffef19c86e72ab16a079daf7c27e108743be86b8ecea6111a0b202255" }, "statement": "The historical paper reports that the agreed approach was for the Ministry of Public Health to contract established NGOs for BPHS delivery in defined geographic areas, with Ministry involvement in selection, contract management, monitoring and evaluation. It does not establish arrangements after the paper's 2003-2011 account.", "tags": [], "territory": "Afghanistan national health-system reconstruction account", "title": "Afghanistan's Basic Package of Health Services: Its development and effects on rebuilding the health system", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC4136668/fullTextXML" }, { "kind": "stable_url", "source": "not supplied", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC4136668/" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Health Organization Regional Office for the Eastern Mediterranean. Comprehensive assessment of Afghanistan's health information system 2018. Cairo: WHO Regional Office for the Eastern Mediterranean; 2020. PDF page 14. https://applications.emro.who.int/docs/9789290223078-eng.pdf", "country_ids": [ "AFG" ], "coverage_domains": [ "actors", "authoritative_review", "facility_data", "governance", "networks" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "the Ministry of Public Health has contracted a third party", "institution": "World Health Organization Regional Office for the Eastern Mediterranean", "locator": { "locator_type": "pdf_page_anchor", "page": 14, "physical_pdf_page": 14, "section": "Health information system assessment findings", "source_word_anchor": "the Ministry of Public Health has contracted a third party", "source_word_count": 10 }, "material_id": "material:8c11a3dfd331c0bbdf350e6c", "notes": [ "Treat this as a technical assessment of the 2018 information-system context. Do not infer current verification coverage, quality or contractual authority." ], "origin": "country-evidence-improvement-sources", "period": "Assessment conducted in 2018 and published 2020", "publication_date": null, "publication_year": 2020, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "1766081774614d3776bb2132d7efaa0f647551d954557ec0d0f7c78495c9776e", "page_count": 46, "response_sha256": "1766081774614d3776bb2132d7efaa0f647551d954557ec0d0f7c78495c9776e" }, "statement": "The WHO technical assessment reports that the Ministry contracted KIT Royal Tropical Institute for independent BPHS and EPHS evaluations, including HMIS verification and facility-functionality assessment. It reports an assessment-period monitoring arrangement, not verified present practice or provider performance.", "tags": [], "territory": "Afghanistan national health information system assessment", "title": "Comprehensive assessment of Afghanistan's health information system 2018", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://applications.emro.who.int/docs/9789290223078-eng.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Arur A, Peters D, Hansen P. Contracting for health and curative care use in Afghanistan between 2004 and 2005. Health Policy and Planning. 2010;25(2):135-144. doi:10.1093/heapol/czp045. https://pmc.ncbi.nlm.nih.gov/articles/PMC3119387/", "country_ids": [ "AFG" ], "coverage_domains": [ "facility_data", "governance", "market_structure", "patient_flows", "primary_care", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "contracting-out facilities for outpatient visits is 29%", "institution": "Health Policy and Planning", "locator": { "html_text_block": "Results paragraph", "locator_type": "html_text_anchor", "section": "Abstract", "source_word_anchor": "contracting-out facilities for outpatient visits is 29%", "source_word_count": 6 }, "material_id": "material:9b585b616c234fae792929f9", "notes": [ "Keep the 2004-2005 comparison design and historical outcome scope explicit. Do not turn association findings into a current national utilization, referral or causal-effect claim." ], "origin": "country-evidence-improvement-sources", "period": "Comparison of outpatient curative-service use from 2004 to 2005; article published 2010", "publication_date": null, "publication_year": 2010, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "0074f009b1fd984e1343a6944029ad329488b75a0a28da6b01adc29a8a66f085" }, "statement": "The comparative study reports changes in outpatient curative-service use from 2004 to 2005 across contracting-out, contracting-in and non-contracted facility groups. Its historical association findings do not identify current use, referral completion or a causal effect of any single contract feature.", "tags": [], "territory": "Afghanistan facilities in the study's contracting-out, contracting-in and non-contracted comparison groups", "title": "Contracting for health and curative care use in Afghanistan between 2004 and 2005", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC3119387/" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Anwar I, Nabulo H, Shaikh BT, et al. Does contracting of health care in Afghanistan work? Public and service-users' perceptions and experience. BMC Health Services Research. 2011;11(Suppl 2):S11. doi:10.1186/1472-6963-11-S2-S11. https://www.ebi.ac.uk/europepmc/webservices/rest/PMC3332555/fullTextXML", "country_ids": [ "AFG" ], "coverage_domains": [ "facility_data", "market_structure", "ownership", "patient_flows", "primary_care", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "The survey covered 3283 households including 2845 recent health service users", "institution": "BMC Health Services Research", "locator": { "html_text_block": "Results paragraph", "locator_type": "xml_text_anchor", "section": "Abstract", "source_word_anchor": "The survey covered 3283 households including 2845 recent health service users", "source_word_count": 10 }, "material_id": "material:a2eaa7c5bbb1c6d9e6be56f0", "notes": [ "Keep the two-district Kabul Province design and 2008 collection period explicit. Do not generalize household observations to Afghanistan, current practice or referral completion." ], "origin": "country-evidence-improvement-sources", "period": "Household data collection July-August 2008; published 2011", "publication_date": null, "publication_year": 2011, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "24bb89464f463583b21c27c32ea7507cc795695ec0caeb4735077ce9987a1dc4" }, "statement": "A social audit surveyed 3,283 households, including 2,845 recent users, in two Kabul Province districts with different provider arrangements. This is an observed, two-district household study and does not estimate national or current utilization, referrals or provider performance.", "tags": [], "territory": "Thirty surveyed communities in two districts of Kabul Province, one NGO-operated and one Strengthening Mechanism district", "title": "Does contracting of health care in Afghanistan work? Public and service-users' perceptions and experience", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC3332555/fullTextXML" }, { "kind": "stable_url", "source": "not supplied", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC3332555/" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Salehi AS, Saljuqi M, Akseer N, et al. Factors influencing performance by contracted non-state providers implementing a basic package of health services in Afghanistan. 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Do not convert it into a formal current authority map, uniform provincial practice or a comprehensive autonomy assessment." ], "origin": "country-evidence-improvement-sources", "period": "Study examines BPHS contracting during 2003-2013; published 2018", "publication_date": null, "publication_year": 2018, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "01805fc13a4e16fb083233fe30eebb93c5372e42c9ceb2addf3620a400e71820" }, "statement": "The qualitative study's participant table describes the Grants and Contract Management Unit as managing procurement, contract management and non-state-provider compliance evaluation for BPHS implementation. The account is stakeholder and study-period evidence, not a current legal allocation of authority or a whole-system autonomy finding.", "tags": [], "territory": "Six purposively selected provinces: Balkh, Bamyan, Herat, Kabul, Kandahar and Nangarhar", "title": "Factors influencing performance by contracted non-state providers implementing a basic package of health services in Afghanistan", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC6172740/fullTextXML" }, { "kind": "stable_url", "source": "not supplied", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC6172740/" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Health Organization. HeRAMS Afghanistan Summary Update Report, December 2024: a comprehensive mapping of availability of essential services and barriers to their provision. Geneva: WHO; 2024. https://cdn.who.int/media/docs/default-source/documents/emergencies/herams/herams_afg_status_update_summary_report_2024-11.pdf?download=true&sfvrsn=8c5c5b29_3", "country_ids": [ "AFG" ], "coverage_domains": [ "facility_data", "hospital_organization", "observed_referral", "patient_flows", "referral_design", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "Monitored referral Referral capacity Acceptance of referrals", "institution": "World Health Organization", "locator": { "locator_type": "pdf_page_anchor", "page": 19, "physical_pdf_page": 25, "section": "General clinical and trauma care service", "source_word_anchor": "Monitored referral Referral capacity Acceptance of referrals", "source_word_count": 7 }, "material_id": "material:c21c2ec68ce871359c4a0d9f", "notes": [ "Preserve the reporting-unit denominator, operational-status definitions, not-reporting category and November 2024 reference period. Do not turn availability or capacity indicators into completed referral, patient-outcome or nationally representative utilization claims." ], "origin": "country-evidence-improvement-sources", "period": "Facility-status update through 30 November 2024", "publication_date": null, "publication_year": 2024, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "91da6a3516eed0dc63f48957a96c94e013c18ebac656422da4b3a6223b3407c4", "page_count": 48, "response_sha256": "91da6a3516eed0dc63f48957a96c94e013c18ebac656422da4b3a6223b3407c4" }, "statement": "The update maps operational status and service availability by facility type and includes referral-related indicators, including monitored referral, referral capacity, acceptance of referrals and ambulance use. These facility-reporting indicators are not patient-level referral-completion or utilization measures.", "tags": [], "territory": "Reporting health service delivery units in Afghanistan", "title": "HeRAMS Afghanistan Summary Update Report, December 2024", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://cdn.who.int/media/docs/default-source/documents/emergencies/herams/herams_afg_status_update_summary_report_2024-11.pdf?download=true&sfvrsn=8c5c5b29_3" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Frost A, Wilkinson M, Boyle P, Patel P, Sullivan R. An assessment of the barriers to accessing the Basic Package of Health Services in Afghanistan: was the BPHS a success? Globalization and Health. 2016;12:71. doi:10.1186/s12992-016-0212-6. https://europepmc.org/articles/PMC5111262", "country_ids": [ "AFG" ], "coverage_domains": [ "authoritative_review", "governance", "hospital_organization", "market_structure", "networks", "ownership", "patient_flows", "primary_care", "referral_design", "reform_history", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "BPHS was launched in 2003 followed by the EPHS in 2005", "institution": "Globalization and Health", "locator": { "html_text_block": "paragraph 1", "locator_type": "xml_text_anchor", "section": "Background", "source_word_anchor": "BPHS was launched in 2003 followed by the EPHS in 2005", "source_word_count": 11 }, "material_id": "material:645d249573a09312e0ada447", "notes": [ "Preserve the 2003-2016 evidence window and review limitations. Do not use the review to establish current contracting, access, referral performance or ownership." ], "origin": "country-evidence-improvement-sources", "period": "Review of evidence available from BPHS introduction in 2003 through 2016", "publication_date": null, "publication_year": 2016, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "review_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "0d2bdf363636f407f2f8c58ba7816124d1eefe26c1411792c1a00e15ca35b030" }, "statement": "The review describes the BPHS introduction in 2003 and EPHS introduction in 2005, contracting mechanisms with NGOs, and access barriers in the review period. It is historical synthesis and does not establish present arrangements.", "tags": [], "territory": "Afghanistan national review scope", "title": "Review of barriers to accessing Afghanistan's Basic Package of Health Services", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC5111262/fullTextXML" }, { "kind": "stable_url", "source": "not supplied", "url": "https://europepmc.org/articles/PMC5111262" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Samad D, Hamid B, Sayed GD, et al. The effectiveness of pay-for-performance contracts with non-governmental organizations in Afghanistan: results of a controlled interrupted time series analysis. BMC Health Services Research. 2023;23:122. doi:10.1186/s12913-023-09099-y. https://europepmc.org/articles/PMC9902816", "country_ids": [ "AFG" ], "coverage_domains": [ "actors", "authoritative_review", "autonomy", "decision_rights", "facility_data", "governance", "hospital_organization", "market_structure", "ownership", "primary_care", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "Substantial autonomy around organization & procurement", "institution": "BMC Health Services Research", "locator": { "locator_type": "xml_table", "section": "Methodology: MOPH-SM", "source_word_anchor": "Substantial autonomy around organization & procurement", "source_word_count": 6 }, "material_id": "material:fcf4b38be6914af46da1729f", "notes": [ "Keep ownership, contracting, operation, procurement autonomy and verification separate. Preserve the 2015-2021 and provincial scope; do not infer post-2021 arrangements or provider autonomy outside the studied contracts." ], "origin": "country-evidence-improvement-sources", "period": "SEHAT 2015-2018 and Sehatmandi 2019-2021 contract designs and HMIS outcome data", "publication_date": null, "publication_year": 2023, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "67426a5524b742685b73813c7352894e8292d6304d1c15e84d15db94d3a21988" }, "statement": "The study's contract-design table reports Ministry ownership of facilities, Ministry contracting authority, NGO operation in contracted provinces, substantial NGO organization and procurement autonomy subject to staffing norms, and third-party verification against HMIS records. The evidence is limited to the stated programmes and period.", "tags": [], "territory": "31 contracted provinces and three Ministry of Public Health Strengthening Mechanism provinces", "title": "Study of pay-for-performance contracts with NGOs in Afghanistan", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC9902816/fullTextXML" }, { "kind": "stable_url", "source": "not supplied", "url": "https://europepmc.org/articles/PMC9902816" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ministry of Public Health, Islamic Republic of Afghanistan. The Essential Package of Hospital Services for Afghanistan 2005/1384. Kabul: Ministry of Public Health; 2005. https://www.who.int/docs/default-source/medicines/medicines-list-formulary-standard-treatment-guidelines/afghanistan/afg-2005.pdf", "country_ids": [ "AFG" ], "coverage_domains": [ "actors", "autonomy", "decision_rights", "governance", "hospital_organization", "networks", "patient_flows", "referral_design", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "district, provincial, and regional hospitals are required to form", "institution": "Ministry of Public Health, Islamic Republic of Afghanistan", "locator": { "locator_type": "pdf_page_anchor", "page": 44, "physical_pdf_page": 51, "section": "Annex A: Hospital Policy for Afghanistan's Health System", "source_word_anchor": "district, provincial, and regional hospitals are required to form", "source_word_count": 9 }, "material_id": "material:69e80f68d9390df4a476284c", "notes": [ "Treat the hospital and referral descriptions as formal historical design. Do not infer current hospital autonomy, operational networks, bypass, counter-referral or patient choice." ], "origin": "country-evidence-improvement-sources", "period": "Package issued 2005; current validity and implementation are not established", "publication_date": null, "publication_year": 2005, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "f8f3ee58d9d9805ff5d6f4420b9ff1e91494d3e528e7eafbc26d094f5c51079b", "page_count": 62, "response_sha256": "f8f3ee58d9d9805ff5d6f4420b9ff1e91494d3e528e7eafbc26d094f5c51079b" }, "statement": "The package sets out a historical design for district, provincial and regional hospitals, including a referral-system role and hospital-director management within national standards. It does not establish current practice or patient completion of a referral route.", "tags": [], "territory": "Afghanistan national hospital-package design", "title": "The Essential Package of Hospital Services for Afghanistan", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.who.int/docs/default-source/medicines/medicines-list-formulary-standard-treatment-guidelines/afghanistan/afg-2005.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Kohler JC, et al. Third party monitoring for health in Afghanistan: the good, the bad and the ugly. BMJ Global Health. 2023;8:e013470. doi:10.1136/bmjgh-2023-013470. https://www.ebi.ac.uk/europepmc/webservices/rest/PMC10711846/fullTextXML", "country_ids": [ "AFG" ], "coverage_domains": [ "actors", "authoritative_review", "decision_rights", "facility_data", "governance", "networks" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "monitoring and verification by an independent TPM", "institution": "BMJ Global Health", "locator": { "html_text_block": "paragraph beginning 'Overall MoPH and TPM representatives'", "locator_type": "xml_text_anchor", "section": "The good", "source_word_anchor": "monitoring and verification by an independent TPM", "source_word_count": 7 }, "material_id": "material:c7e34adaf560209bd6e5b021", "notes": [ "Preserve the reflective, programme-period basis. Do not treat reported separation of functions as evidence of implementation quality, enforcement or current arrangements." ], "origin": "country-evidence-improvement-sources", "period": "Author reflection on BPHS and EPHS implementation and monitoring during 2013-2021; published 2023", "publication_date": null, "publication_year": 2023, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "a1fd3b3e94d0abd2e17dc76ab72e75d03a82e1ffed2ac98cd9ab0c2e95298c25" }, "statement": "The reflective paper reports participants' understanding of a contracting model that separated Ministry stewardship, NGO service provision and independent third-party monitoring and verification in SEHAT and Sehatmandi. It does not verify performance, payment enforcement or continuation after 2021.", "tags": [], "territory": "Afghanistan SEHAT and Sehatmandi programme monitoring arrangements", "title": "Third party monitoring for health in Afghanistan: the good, the bad and the ugly", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC10711846/fullTextXML" }, { "kind": "stable_url", "source": "not supplied", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10711846/" } ] }, { "annotation_status": "open", "authors": [], "availability": { "direct_text_checkable": true }, "citation": "NGOs ii strengthening management autonomy and decision-making authority in public hospitals and. https://documents1.worldbank.org/curated/en/330221518081965576/pdf/123283-FP-P120565-Support-to-Basic-Package-of-Health-Services-Public.pdf", "country_ids": [ "AFG" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": "evidence_context", "evidence_mode": "unclassified", "excerpt": "NGOs ii strengthening management autonomy and decision-making authority in public hospitals and", "institution": null, "locator": { "paragraph_index_on_page": 1, "physical_pdf_page": 2, "source_word_anchor": "NGOs ii strengthening management autonomy and decision-making authority in public hospitals and", "source_word_count": 12 }, "material_id": "display-evidence:AFG:9bef598be87db1be97d2", "notes": [ "Treat this short excerpt as source context, not as a complete country fact.", "Confirm country applicability, surrounding qualifications, and period before drafting a fact." ], "origin": "current-public-fact-projection", "period": "2009", "publication_date": null, "publication_year": null, "record_kind": "displayed_exact_context", "record_kind_label": "Displayed exact context", "screening": { "previous_visibility": "previously_projected" }, "source_layers": [ "grey_literature" ], "source_system": "grey_literature", "source_version": { "detected_media_type": "application/pdf", "file_sha256": "c3387ac8be782a0b73c69fa8b45ef7afdbcbc745c36b6b935f704d2ac2217c9c", "page_count": 7, "text_sha256": "ae5871cf68cb379d98abb308ab483e6677425a4b322793215a60f2ce4ca6e17d" }, "statement": null, "tags": [], "territory": "country_applicability_pending", "title": "NGOs ii strengthening management autonomy and decision-making authority in public hospitals and", "urls": [ { "kind": "source_reference", "source": "Afghanistan - Support to Basic Package of Health Services-Strengthening Health Activity for Rural Poor", "url": "https://documents1.worldbank.org/curated/en/330221518081965576/pdf/123283-FP-P120565-Support-to-Basic-Package-of-Health-Services-Public.pdf" } ] }, { "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank Documents and Reports. Afghanistan - COVID-19 Emergency Response and Health Systems Preparedness Project. World Bank Documents and Reports; 2020. https://documents.worldbank.org/curated/en/279251584299018111/pdf/Afghanistan-COVID-19-Emergency-Response-and-Health-Systems-Preparedness-Project.pdf", "country_ids": [ "AFG" ], "coverage_domains": [ "actors", "authoritative_review", "government_responsibilities" ], "display_status": "shown_in_full", "document_type": "candidate source metadata", "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "paragraph_index_on_page": 3, "physical_pdf_page": 5, "source_word_anchor": "the above-mentioned risks the Ministry of Public Hea lth will update during", "source_word_count": 12 }, "material_id": "candidate-source:AFG:164a66033614b3005f5b", "notes": [ "Public source projection retained as a distinct stage record.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.", "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-source-projection", "period": null, "publication_date": null, "publication_year": 2020, "record_kind": "displayed_source_projection", "record_kind_label": "Displayed source projection", "screening": { "page_locator_linked_from_country_score_acquisition": true, "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "candidate_source_metadata", "grey_literature" ], "source_system": "global_literature", "source_version": { "detected_media_type": "application/pdf", "page_count": 13, "response_sha256": "041c2651c758bfb31a3f96a4df079b7811ef688aa6a9e38f2a58f8a24114f3a5" }, "statement": null, "tags": [ "grey_library" ], "territory": null, "title": "Afghanistan - COVID-19 Emergency Response and Health Systems Preparedness Project", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents.worldbank.org/curated/en/279251584299018111/pdf/Afghanistan-COVID-19-Emergency-Response-and-Health-Systems-Preparedness-Project.pdf" } ] }, { "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank Documents and Reports. Afghanistan - COVID-19 Emergency Response and Health Systems Preparedness Project : Restructuring and Additional Financing. World Bank Documents and Reports; 2021. https://documents.worldbank.org/curated/en/633481616378424775/pdf/Afghanistan-COVID-19-Emergency-Response-and-Health-Systems-Preparedness-Project-Restructuring-and-Additional-Financing.pdf", "country_ids": [ "AFG" ], "coverage_domains": [ "actors", "government_responsibilities" ], "display_status": "shown_in_full", "document_type": "candidate source metadata", "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "heading": "ABBREVIATIONS AND ACRONYMS", "paragraph_index_on_page": 2, "physical_pdf_page": 3, "source_word_anchor": "Immunizations GCMU Grants and Contract Management Unit GDP Gross Domestic Product GRM", "source_word_count": 12 }, "material_id": "candidate-source:AFG:c8ec45362b925286623d", "notes": [ "Public source projection retained as a distinct stage record.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.", "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-source-projection", "period": null, "publication_date": null, "publication_year": 2021, "record_kind": "displayed_source_projection", "record_kind_label": "Displayed source projection", "screening": { "page_locator_linked_from_country_score_acquisition": true, "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "candidate_source_metadata", "grey_literature" ], "source_system": "global_literature", "source_version": { "detected_media_type": "application/pdf", "page_count": 91, "response_sha256": "e078478fc7ffd950682fc9f8124c353533e903fd41a9765b92180d3ee1a9be54" }, "statement": null, "tags": [ "grey_library" ], "territory": null, "title": "Afghanistan - COVID-19 Emergency Response and Health Systems Preparedness Project : Restructuring and Additional Financing", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents.worldbank.org/curated/en/633481616378424775/pdf/Afghanistan-COVID-19-Emergency-Response-and-Health-Systems-Preparedness-Project-Restructuring-and-Additional-Financing.pdf" } ] }, { "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank Documents and Reports. Afghanistan - Health Sector Emergency Rehabilitation. World Bank Documents and Reports; 2011. https://documents.worldbank.org/curated/en/398231475093977401/pdf/000020051-20140620084107.pdf", "country_ids": [ "AFG" ], "coverage_domains": [ "actors", "authoritative_review", "government_responsibilities" ], "display_status": "shown_in_full", "document_type": "candidate source metadata", "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "paragraph_index_on_page": 2, "physical_pdf_page": 8, "source_word_anchor": "NGOs with flexibility and autonomy in the use of funds for the", "source_word_count": 12 }, "material_id": "candidate-source:AFG:35aeb57b85ca540cb9d1", "notes": [ "Public source projection retained as a distinct stage record.", "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.", "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition." ], "origin": "current-public-source-projection", "period": null, "publication_date": null, "publication_year": 2011, "record_kind": "displayed_source_projection", "record_kind_label": "Displayed source projection", "screening": { "page_locator_linked_from_country_score_acquisition": true, "previous_visibility": "previously_projected", "source_version_linked_from_country_score_acquisition": true }, "source_layers": [ "candidate_source_metadata", "grey_literature" ], "source_system": "global_literature", "source_version": { "detected_media_type": "application/pdf", "page_count": 8, "response_sha256": "80a0fddbd892586369042f84c05f1404d4eefc04f7867a155ea8e4f6512cc9fe" }, "statement": null, "tags": [ "grey_library" ], "territory": null, "title": "Afghanistan - Health Sector Emergency Rehabilitation", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents.worldbank.org/curated/en/398231475093977401/pdf/000020051-20140620084107.pdf" } ] }, { "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank Documents and Reports. Afghanistan - Support to Basic Package of Health Services (BPHS) Project. 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Afghanistan - Support to Basic Package of Health Services Project. 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