32 records are rendered in full. Stage duplicates remain visible because a document candidate, triage record, statement, and exact context are separately annotatable objects.
Candidate Analytical Mapping · Open for annotation
A designed public referral ladder coexists with private and overseas routes
Medical Benefits Regulations 2011; Ministry community-clinic directory; Cabinet Notes 20 May 2026; National Strategic Plan 2016 to 2020; Rhudd 2021.
Statement or annotation question
The public design links community services to the principal hospital and now includes a Barbuda specialist-booking mechanism. MBS rules formalize eligible overseas referrals, but the evidence does not establish universal domestic gatekeeping or closed-loop counter-referral.
- Material reference
- material:d937b521937f743e7e8447c1
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Formal
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Antigua, Barbuda and eligible overseas care
- Period
- formal rules and service design checked through 2026, with the plan baseline labelled 2016
- Source layers
- Official
- Coverage domains
- Actors, Decision rights, Governance and accountability, Hospital organization, Market structure, Provider networks, Patient flows, Primary care organization, Referral design
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- Regulations 14 to 17; plan pages 20 to 22 and 63; Cabinet item 4; specialty review service context
- Detected Media Type
- application/pdf
- File Sha256
- d7813ea2b91caa125645c2d1f4e0b04b1681520c565c77cbf2d92a81933d97c4
- Page Count
- 38
- Response Sha256
- d7813ea2b91caa125645c2d1f4e0b04b1681520c565c77cbf2d92a81933d97c4
Annotation prompts and machine flags
- Do not infer a domestic referral mandate from the overseas MBS rule.
- Do not infer route adherence, attendance or counter-referral from design documents.
Candidate Analytical Mapping · Open for annotation
A ministry-led system with separate statutory boards and mixed delivery
Government health portfolio; Public Health Act; Medical Benefits Act 2010; Hospitals Board Act 1999; Mount St John’s Medical Centre Act 2009; Ministry community-clinic directory; National Strategic Plan for Health 2016 to 2020; PAHO Health in the Americas 2024.
Statement or annotation question
Antigua and Barbuda combines national ministry stewardship and direct public delivery with separate public-health, benefits and hospital-governance bodies. Private providers operate alongside the public network, while Barbuda depends on links to specialist services in Antigua.
- Material reference
- material:48debe3df1971e6c0c6ef3e5
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Reported
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- national system, Antigua clinic network and Barbuda service links
- Period
- current architecture checked 2026-08-15 with historical transition boundaries retained
- Source layers
- Official
- Coverage domains
- Actors, Authoritative review, Decision rights, Governance and accountability, Government responsibilities, Hospital organization, Market structure, Provider networks, Provider ownership, Primary care organization, Referral design, Reform history
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- Current portfolio; cited legal sections; community-clinic service directory; plan pages 20 to 22 and 29 to 30
- Detected Media Type
- text/html
- Response Sha256
- 6ec3240ade1ae9c78ee2e267064b0f58f3e6e88012cfc4ad8e65b60dcc2c4cc3
Annotation prompts and machine flags
- Do not treat portfolio responsibility as daily control of every body.
- Keep the unresolved commencement date in the 1999 to 2009 hospital-board transition visible.
Candidate Analytical Mapping · Open for annotation
A zoned public primary-care network feeds a concentrated specialist core
Ministry community-clinic directory; Cabinet Notes 1 April and 20 May 2026; National Strategic Plan 2016 to 2020; PAHO Health in the Americas 2024; Rhudd 2021.
Statement or annotation question
Community clinics form the public front line, while Sir Lester Bird Medical Centre concentrates specialist public care. Barbuda’s smaller service base depends on connections to Antigua, and private providers offer a parallel route.
- Material reference
- material:9355792b0c115a1af451173f
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Reported
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Antigua, Barbuda and eligible overseas links
- Period
- current service description checked 2026-08-15 with 2016 inventory labelled historical
- Source layers
- Official
- Coverage domains
- Actors, Facility data, Governance and accountability, Government responsibilities, Hospital organization, Market structure, Provider networks, Provider ownership, Patient flows, Primary care organization, Referral design
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- Community-clinic services; Cabinet item 4 on both dates; plan pages 20 to 22; specialty review service context
- Detected Media Type
- text/html
- Response Sha256
- 583033273191f9fd1d79a220323bcd9538011edf14eebcbd0f02699d5ae463af
Annotation prompts and machine flags
- Do not treat a designed pathway as measured patient flow.
- Do not combine historical facility counts with current WDI rates or current operating counts.
Candidate Analytical Mapping · Open for annotation
Capacity and workforce evidence uses different years and denominators
National Strategic Plan 2016 to 2020, Table 2.8; PAHO HRH country profile 2025; PAHO RaMPS factsheet 2022; WHO SCORE country profile.
Statement or annotation question
The available quantitative picture combines an older public-facility inventory, cadre-specific workforce stocks and a bounded national telephone survey. The health-input charts add comparable WDI trends, while unavailable utilization series remain explicit rather than inferred.
- Material reference
- material:d2a8b6d1ce7ab2f9b59b3f05
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Observed
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- national, with historical named facilities on Antigua and Barbuda
- Period
- facility inventory 2016, workforce observations 2017 and 2019, survey 2021 and data assessment 2013 to 2018
- Source layers
- Grey Literature
- Coverage domains
- Authoritative review, Facility data, Governance and accountability, Hospital organization, Market structure, Observed referral, Patient flows, Primary care organization, Referral design, Utilization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- Plan Table 2.8; HRH profile page 1; RaMPS pages 2 to 3; WHO SCORE page 9
- Detected Media Type
- application/pdf
- File Sha256
- d61d9e19085a48ddd7607b3c97aea641af4fc06b046f003bd01b08d252ab22c3
- Page Count
- 72
- Response Sha256
- d61d9e19085a48ddd7607b3c97aea641af4fc06b046f003bd01b08d252ab22c3
Annotation prompts and machine flags
- Do not add cadre stocks across different reporting years.
- A SCORE availability zero is not a service-use zero.
- Do not sum historical named beds into a current national total.
Candidate Analytical Mapping · Open for annotation
Decision rights differ across policy, benefits, hospitals and professional regulation
Public Health Act sections 11, 12 and 102; Medical Benefits Act 2010 and Regulations 2011; Mount St John’s Medical Centre Act 2009 and Amendment Act 2021; Medical Practitioners Act 2009; Cabinet Notes 1 April 2026.
Statement or annotation question
Policy, public-health coordination, benefit administration, hospital governance and practitioner licensing are assigned to different bodies. Hospital operational autonomy is bounded and the former statutory bar on ministerial direction of daily operations was removed in 2021.
- Material reference
- material:cbad7ae62b5e892b7abde96e
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Formal
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- national system and Sir Lester Bird Medical Centre
- Period
- current formal allocation checked 2026-08-15, with prospective reform phases marked separately
- Source layers
- Official
- Coverage domains
- Actors, Provider autonomy, Decision rights, Governance and accountability, Government responsibilities, Hospital organization, Provider networks, Primary care organization, Referral design, Reform history
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- Cited legal sections and Cabinet item 4
- Detected Media Type
- application/pdf
- File Sha256
- f4ab3d80f8dd85262373b5da76c8e2a96adc4a1795d020a4bb3d1216c1e21b72
- Page Count
- 113
- Response Sha256
- f4ab3d80f8dd85262373b5da76c8e2a96adc4a1795d020a4bb3d1216c1e21b72
Annotation prompts and machine flags
- Do not infer an affirmative ministerial daily-management power solely from repeal of the earlier prohibition.
- Keep appointment, policy, regulation and implementation roles distinct.
Candidate Analytical Mapping · Open for annotation
Hospital boards have defined management space, but autonomy remains bounded
Hospitals Board Act 1999; Mount St John’s Medical Centre Act 2009; Mount St John’s Medical Centre Amendment Act 2021; Medical Practitioners Act 2009; Ministry community-clinic directory; National Strategic Plan 2016 to 2020.
Statement or annotation question
Hospital statutes assign management, financial and clinical functions to a Board, paired with audit and reporting duties. The former daily-operation non-interference clause was removed in 2021, while no comparable facility-level autonomy regime was found for Ministry community clinics.
- Material reference
- material:24961a0078f49dd5f41415c7
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Formal
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Sir Lester Bird Medical Centre and Ministry community clinics
- Period
- current legal boundary checked 2026-08-15, with older Hospitals Board transition retained
- Source layers
- Official
- Coverage domains
- Provider autonomy, Decision rights, Governance and accountability, Hospital organization, Market structure, Provider ownership, Primary care organization, Reform history
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- Hospital Act sections 9 to 25; Amendment Act 2021 section 3; community-clinic directory
- Detected Media Type
- application/pdf
- File Sha256
- 3da7855d2bf445763eaac5e001c9e297b3da7cb29913cb524277f60f6ee2d8df
- Page Count
- 14
- Response Sha256
- 3da7855d2bf445763eaac5e001c9e297b3da7cb29913cb524277f60f6ee2d8df
Annotation prompts and machine flags
- Do not infer unrestricted procurement, capital or service-mix autonomy.
- The absence of a located PHC autonomy rule is not proof that local managers never exercise discretion.
Candidate Analytical Mapping · Open for annotation
Observed pathway evidence is bounded and does not support a national referral rate
National Strategic Plan 2016 to 2020, page 63; PAHO RaMPS 2021; Rhudd 2021; WHO SCORE Antigua and Barbuda profile.
Statement or annotation question
Empirical evidence confirms concentration of specialist cancer care and reports a pandemic-period mental-health contact measure, while system documents identify referral-organization and data gaps. A national referral completion or bypass estimate remains unavailable.
- Material reference
- material:07106d273b2432ab443ed728
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Observed
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- national survey and system documents plus a specialty-specific national pathway
- Period
- plan diagnosis 2016, survey 2021, specialty review 2021 and data assessment 2013 to 2018
- Source layers
- Grey Literature
- Coverage domains
- Authoritative review, Facility data, Governance and accountability, Hospital organization, Provider networks, Observed referral, Patient flows, Primary care organization, Referral design, Utilization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- RaMPS pages 2 to 3; Rhudd section Population of Antigua and Barbuda; plan page 63; WHO SCORE page 9
- Detected Media Type
- application/pdf
- File Sha256
- d61d9e19085a48ddd7607b3c97aea641af4fc06b046f003bd01b08d252ab22c3
- Page Count
- 72
- Response Sha256
- d61d9e19085a48ddd7607b3c97aea641af4fc06b046f003bd01b08d252ab22c3
Annotation prompts and machine flags
- Keep every subgroup denominator and evidence period visible.
- Do not present unavailable referral data as zero referrals or as evidence that the designed route fails universally.
Candidate Analytical Mapping · Open for annotation
Public and private delivery coexist, but their links are incompletely formalized
Medical Benefits Act 2010; Medical Practitioners Act 2009; National Strategic Plan 2016 to 2020, pages 20 to 22 and 30; PAHO Health in the Americas 2024; PAHO RaMPS; Rhudd 2021.
Statement or annotation question
The public network remains the institutional core, while private providers supply a parallel set of services. MBS links eligible benefits to registered institutions, but available evidence does not establish one integrated public-private network or current sector-wide utilization shares.
- Material reference
- material:97a99801ab7ab4c0fa4707c5
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Reported
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- national public and private provider sectors
- Period
- mixed-delivery baseline described in 2016 with current statutory and review context through 2026
- Source layers
- Review Literature
- Coverage domains
- Actors, Authoritative review, Provider autonomy, Decision rights, Facility data, Governance and accountability, Government responsibilities, Hospital organization, Market structure, Provider networks, Observed referral, Provider ownership, Patient flows, Primary care organization, Referral design, Utilization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- Plan page 22 Private Sector and page 30 financing architecture; cited statutes and bounded empirical sources
- Detected Media Type
- application/pdf
- File Sha256
- 89e719ea70d0268d8a6fd2f17ab123194f58670a6864920c63ebefdc87d63c81
- Page Count
- 36
- Response Sha256
- 89e719ea70d0268d8a6fd2f17ab123194f58670a6864920c63ebefdc87d63c81
Annotation prompts and machine flags
- Do not infer current market shares from the 2016 inventory.
- Do not treat MBS benefit payment as evidence that it contracts every provider or purchases all care.
Candidate Analytical Mapping · Open for annotation
Reform has changed governance incrementally, without an enacted NHI replacement
Hospitals Board Act 1999; Mount St John’s Medical Centre Act 2009 and Amendment Act 2021; Medical Benefits Act 2010 and Regulations 2011; National Strategic Plan 2016 to 2020; PAHO 2024 to 2025 results; Cabinet Notes 2026; MBS NHI updates.
Statement or annotation question
Hospital and benefit governance changed through successive statutes, while later reforms focus on PHC access, planning, inter-island connections and information systems. The evidence keeps proposed NHI separate from enacted and operational arrangements.
- Material reference
- material:af1dcdbd6160a9213e736b8d
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Reported
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- national system, Antigua and Barbuda service reforms
- Period
- 1999 through prospective 2030 reform horizon, current status checked 2026-08-15
- Source layers
- Official
- Coverage domains
- Actors, Authoritative review, Provider autonomy, Decision rights, Facility data, Governance and accountability, Government responsibilities, Hospital organization, Market structure, Provider networks, Observed referral, Provider ownership, Patient flows, Primary care organization, Referral design, Reform history
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- Cited legal sections; plan pages 20 to 30 and 63; PAHO governance section; Cabinet item 4; MBS Latest NHI Updates
- Detected Media Type
- application/pdf
- File Sha256
- 3da7855d2bf445763eaac5e001c9e297b3da7cb29913cb524277f60f6ee2d8df
- Page Count
- 14
- Response Sha256
- 3da7855d2bf445763eaac5e001c9e297b3da7cb29913cb524277f60f6ee2d8df
Annotation prompts and machine flags
- Keep assent, publication, commencement, implementation and prospective completion as separate states.
- Do not describe proposed NHI as operational.
- Do not state that the 2009 hospital framework commenced on a date not verified by Gazette notice.
Candidate Analytical Mapping · Open for annotation
The network spans clinic zones, two islands, private providers and overseas care
Medical Benefits Regulations 2011; Ministry community-clinic directory; Cabinet Notes 20 May 2026; National Strategic Plan 2016 to 2020; PAHO End-of-Biennium Assessment 2024 to 2025.
Statement or annotation question
Domestic public services are organized around Antigua clinic zones and the principal hospital, with a new Barbuda booking link and an MBS overseas route. Public-private referral links remain documented as informal rather than a fully integrated network.
- Material reference
- material:c73a2e98fece6d271bcd413e
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Reported
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Antigua, Barbuda and eligible overseas providers
- Period
- current network actions through 2026 with the 2016 public-private baseline retained
- Source layers
- Official
- Coverage domains
- Actors, Decision rights, Governance and accountability, Government responsibilities, Hospital organization, Market structure, Provider networks, Observed referral, Patient flows, Primary care organization, Referral design, Reform history
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- Cabinet item 4; clinic-directory nursing zones; MBS regulations 14 to 17; plan page 22; PAHO integrated-care section
- Detected Media Type
- application/pdf
- File Sha256
- d7813ea2b91caa125645c2d1f4e0b04b1681520c565c77cbf2d92a81933d97c4
- Page Count
- 38
- Response Sha256
- d7813ea2b91caa125645c2d1f4e0b04b1681520c565c77cbf2d92a81933d97c4
Annotation prompts and machine flags
- Do not infer electronic interoperability, referral completion or clinical integration from organizational links.
Country Improvement Source Lead · Open for annotation
Antigua and Barbuda Hospitals Board Act 1999
Antigua and Barbuda. Hospitals Board Act 1999, No. 1 of 1999. Sections 2 to 4, 7 to 8 and 16 to 21. https://health.gov.ag/wp-content/uploads/2020/10/Antigua-and-Barbuda-Hospitals-Board-Act-1999.pdf
Statement or annotation question
The Act created a corporate Hospitals Board for hospital organization and management, subject to ministerial policy direction, public funding and borrowing controls, annual audit and reporting.
Source context or anchor
overall organisation and management of the hospitals
- Material reference
- material:5d5fb7ba1263afcbb4a7731a
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Formal
- Publication date
- 1999
- Institution
- Government of Antigua and Barbuda
- Document type
- Not Supplied
- Territory
- public hospitals assigned to the statutory Hospitals Board
- Period
- statutory date 1999-02-25; later MSJMC repeal chain requires a commencement notice not located
- Source layers
- Official
- Coverage domains
- Actors, Provider autonomy, Decision rights, Governance and accountability, Government responsibilities, Hospital organization, Provider ownership, Reform history
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- legal_sections
- Source Word Anchor
- overall organisation and management of the hospitals
- Source Word Count
- 7
- Detected Media Type
- application/pdf
- File Sha256
- 3da7855d2bf445763eaac5e001c9e297b3da7cb29913cb524277f60f6ee2d8df
- Page Count
- 14
- Response Sha256
- 3da7855d2bf445763eaac5e001c9e297b3da7cb29913cb524277f60f6ee2d8df
Annotation prompts and machine flags
- Display this as historical and transition evidence because the 2009 Act contains a conditional repeal whose commencement notice was not located.
Country Improvement Source Lead · Open for annotation
Antigua and Barbuda country profile of human resources for health
Pan American Health Organization. Antigua and Barbuda Country Profile of Human Resources for Health. 2025. Page 1. https://www.paho.org/sites/default/files/2025-04/antigua-and-barbuda_0.pdf
Statement or annotation question
The profile reports 264 doctors in 2017, 610 nursing personnel, 272 midwives and 34 community health workers in 2019, with cadre-specific densities and years kept separate.
Source context or anchor
Nursing personnel (2019) 610
- Material reference
- material:c23fbfe2aa62eb78ced65957
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Observed
- Publication date
- 2025
- Institution
- Pan American Health Organization
- Document type
- Not Supplied
- Territory
- national health-workforce reporting
- Period
- cadre observations reported for 2017 and 2019
- Source layers
- Grey Literature
- Coverage domains
- Authoritative review, Facility data, Governance and accountability, Hospital organization, Market structure, Primary care organization, Utilization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- profile_panel
- Section
- Stock of professionals
- Source Word Anchor
- Nursing personnel (2019) 610
- Source Word Count
- 4
- Detected Media Type
- application/pdf
- File Sha256
- ae40442de60eba57f1a5d8581c86c58fed1d104245f42d97165ac1d68e23de6e
- Page Count
- 1
- Response Sha256
- ae40442de60eba57f1a5d8581c86c58fed1d104245f42d97165ac1d68e23de6e
Annotation prompts and machine flags
- These are cadre stocks, not FTEs; reporting years differ and must not be summed into one current workforce total.
Country Improvement Source Lead · Open for annotation
Cabinet decisions on Barbuda health services and specialist booking
Government of Antigua and Barbuda. Cabinet Notes, 20 May 2026, item 4. https://ab.gov.ag/detail_template.php?page=media%2Fcabinet_notes%2F2026%2F2026_may_20-cabinet_meeting
Statement or annotation question
Cabinet approved Hanna Thomas Hospital upgrades, a booking system linking Barbuda patients to specialist services in Antigua, and planned restoration of maternity services.
Source context or anchor
new patient booking system
- Material reference
- material:167b3e2af94890e0bfc7111c
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Reported
- Publication date
- 2026
- Institution
- Cabinet of Antigua and Barbuda
- Document type
- Not Supplied
- Territory
- Barbuda and its service connections to Antigua
- Period
- Cabinet decisions reported 2026-05-20
- Source layers
- Official
- Coverage domains
- Actors, Governance and accountability, Government responsibilities, Hospital organization, Provider networks, Patient flows, Primary care organization, Referral design, Reform history
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- cabinet_item
- Section
- Item 4
- Source Word Anchor
- new patient booking system
- Source Word Count
- 4
- Detected Media Type
- text/html
- Response Sha256
- 1041f061ef74c28e7531788dd3b2b3d12cf9d30d9a712ec6393f2f8b59f4b32e
Annotation prompts and machine flags
- Plans and booking-system approval do not establish completed referral attendance, counter-referral or maternity restoration.
Country Improvement Source Lead · Open for annotation
Cabinet decisions on extended primary-care hours and health information reform
Government of Antigua and Barbuda. Cabinet Notes, 1 April 2026, item 4. https://ab.gov.ag/detail_template.php?page=media%2Fcabinet_notes%2F2026%2F2026_apr_01-cabinet_meeting_agreed_confirmed
Statement or annotation question
Cabinet approved phase-one extended primary-care hours at two health centres and a new public-health intelligence department with a phased transition from predominantly paper-based systems through 2030.
Source context or anchor
Phase One will commence on April 13, 2026
- Material reference
- material:857db78c26ec6c5b46658a73
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Reported
- Publication date
- 2026
- Institution
- Cabinet of Antigua and Barbuda
- Document type
- Not Supplied
- Territory
- national reforms with initial implementation at Grays Farm and Clare Hall
- Period
- Cabinet decision 2026-04-01; phase one scheduled from 2026-04-13; digital transition planned 2026 to 2030
- Source layers
- Official
- Coverage domains
- Decision rights, Facility data, Governance and accountability, Government responsibilities, Provider networks, Primary care organization, Reform history
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- cabinet_item
- Section
- Item 4
- Source Word Anchor
- Phase One will commence on April 13, 2026
- Source Word Count
- 9
- Detected Media Type
- text/html
- Response Sha256
- 86b24ef88dca51be1a1f7f826519a904f006583823ccbbe19a84328e704a4d94
Annotation prompts and machine flags
- Cabinet approval and scheduled phases do not prove full rollout or measured effects.
Country Improvement Source Lead · Open for annotation
Community clinics and nursing zones
Ministry of Health, Wellness and Environment. Community Clinics. Current service directory, retrieved 22 August 2026. https://health.gov.ag/departments/community-clinics/
Statement or annotation question
The Ministry describes a government-operated community-clinic network organized in three nursing zones, with daily medical clinics at major health centres and weekly chronic-disease clinics across clinics.
Source context or anchor
coordinated integrated approach
- Material reference
- material:6e920a697de5223d2c5c0a3d
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Reported
- Publication date
- 2026
- Institution
- Ministry of Health, Wellness and Environment
- Document type
- Not Supplied
- Territory
- Antigua community-clinic network
- Period
- current webpage retrieved 2026-08-22
- Source layers
- Official
- Coverage domains
- Actors, Facility data, Governance and accountability, Government responsibilities, Provider networks, Patient flows, Primary care organization, Referral design
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- web_sections
- Source Word Anchor
- coordinated integrated approach
- Source Word Count
- 3
- Detected Media Type
- text/html
- Response Sha256
- 583033273191f9fd1d79a220323bcd9538011edf14eebcbd0f02699d5ae463af
Annotation prompts and machine flags
- The directory does not establish legal title, facility-level autonomy or a patient-registration requirement.
Country Improvement Source Lead · Open for annotation
Health in the Americas: Antigua and Barbuda country profile
Pan American Health Organization. Health in the Americas: Antigua and Barbuda. Updated 18 October 2024. Sections Health system and Measures to achieve universal health coverage. https://hia.paho.org/en/country-profiles/antigua-and-barbuda
Statement or annotation question
PAHO’s current country profile places PHC-centred universal coverage on the policy agenda and reports persistent constraints from fragmented planning, workforce shortages and weak translation from policy to strategic action.
Source context or anchor
fragmented health planning operations
- Material reference
- material:dd122dd848d6fa464599ed6e
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Reported
- Publication date
- 2024
- Institution
- Pan American Health Organization
- Document type
- Not Supplied
- Territory
- national health system
- Period
- profile updated 2024, with planning constraints drawn partly from the 2016 to 2020 plan
- Source layers
- Review Literature
- Coverage domains
- Actors, Authoritative review, Decision rights, Governance and accountability, Government responsibilities, Hospital organization, Market structure, Provider networks, Provider ownership, Primary care organization, Referral design, Reform history, Utilization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- web_sections
- Source Word Anchor
- fragmented health planning operations
- Source Word Count
- 4
- Detected Media Type
- text/html
- Response Sha256
- d62f83cb1eb1fa1e47b6cc71f894e4569e5ae25076e1588039458c61efde1d21
Annotation prompts and machine flags
- The profile synthesizes planning constraints and should not be read as a new implementation audit of every current arrangement.
Country Improvement Source Lead · Open for annotation
Latest National Health Insurance updates
Medical Benefits Scheme. Latest NHI Updates. Current official policy page, retrieved 22 August 2026. https://www.mbs.gov.ag/v2/media/news-2/nhi/
Statement or annotation question
The current MBS policy page continues to describe National Health Insurance as proposed and documents steering and consultation activity rather than an enacted replacement purchaser.
Source context or anchor
Proposed National Health Insurance
- Material reference
- material:e721dc704d3e32d187d2c4b8
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Reported
- Publication date
- 2026
- Institution
- Medical Benefits Scheme
- Document type
- Not Supplied
- Territory
- national health-insurance reform process
- Period
- current page retrieved 2026-08-22, describing steering work from 2020 onward
- Source layers
- Official
- Coverage domains
- Actors, Decision rights, Governance and accountability, Government responsibilities, Market structure, Reform history
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- web_section
- Section
- Latest NHI Updates
- Source Word Anchor
- Proposed National Health Insurance
- Source Word Count
- 4
- Detected Media Type
- text/html
- Response Sha256
- 1f2e56dbdcd1285ad32993c17987856c1309961ef9ea20d0f678b8a05a792698
Annotation prompts and machine flags
- Do not describe NHI as enacted, operational or a replacement for MBS.
Country Improvement Source Lead · Open for annotation
Medical Benefits Act 2010
Antigua and Barbuda. Medical Benefits Act 2010, No. 4 of 2010. Sections 3, 8 to 9, 39 to 53 and 62 to 66. https://www.mbs.gov.ag/pdf/MBSAct_201307290927t.pdf
Statement or annotation question
The Act establishes the Medical Benefits Board to administer the contribution-funded Scheme, hold its funds and pay specified benefits including medicines, services at registered institutions and eligible overseas treatment.
Source context or anchor
responsible for administering the Scheme
- Material reference
- material:f30b7c1458b0d1f2613c53c6
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Formal
- Publication date
- 2010
- Institution
- Government of Antigua and Barbuda
- Document type
- Not Supplied
- Territory
- national Medical Benefits Scheme and eligible beneficiaries
- Period
- Act assented 2010-05-13, subject to commencement and implementing regulations
- Source layers
- Official
- Coverage domains
- Actors, Provider autonomy, Decision rights, Governance and accountability, Government responsibilities, Hospital organization, Market structure, Provider networks, Primary care organization, Referral design, Reform history
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- legal_sections
- Source Word Anchor
- responsible for administering the Scheme
- Source Word Count
- 5
- Detected Media Type
- application/pdf
- File Sha256
- 89e719ea70d0268d8a6fd2f17ab123194f58670a6864920c63ebefdc87d63c81
- Page Count
- 36
- Response Sha256
- 89e719ea70d0268d8a6fd2f17ab123194f58670a6864920c63ebefdc87d63c81
Annotation prompts and machine flags
- Do not describe MBS as universal coverage, the sole payer or a comprehensive strategic purchaser.
Country Improvement Source Lead · Open for annotation
Medical Benefits Regulations 2011
Antigua and Barbuda. Medical Benefits Regulations 2011, Statutory Instrument No. 27. Regulations 3, 10 and 14 to 17. https://health.gov.ag/wp-content/uploads/2020/10/MBSRegulations_2011_No27.pdf
Statement or annotation question
The Regulations specify contribution and beneficiary conditions, benefit procedures, designated institutions and a registered-practitioner referral requirement for overseas treatment.
Source context or anchor
referral by a registered medical practitioner is obtained
- Material reference
- material:283b8f872fc0883cc9bad141
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Formal
- Publication date
- 2011
- Institution
- Government of Antigua and Barbuda
- Document type
- Not Supplied
- Territory
- national MBS benefits and overseas-treatment route
- Period
- regulations published 2011-05-05
- Source layers
- Official
- Coverage domains
- Decision rights, Governance and accountability, Hospital organization, Market structure, Provider networks, Patient flows, Primary care organization, Referral design, Reform history
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- regulations
- Source Word Anchor
- referral by a registered medical practitioner is obtained
- Source Word Count
- 8
- Detected Media Type
- application/pdf
- File Sha256
- d7813ea2b91caa125645c2d1f4e0b04b1681520c565c77cbf2d92a81933d97c4
- Page Count
- 38
- Response Sha256
- d7813ea2b91caa125645c2d1f4e0b04b1681520c565c77cbf2d92a81933d97c4
Annotation prompts and machine flags
- The verified referral rule applies to eligible overseas treatment, not all domestic specialist care.
Country Improvement Source Lead · Open for annotation
Medical Practitioners Act 2009
Antigua and Barbuda. Medical Practitioners Act 2009, No. 3 of 2009. Sections 3, 7, 12 and 17 to 21. https://health.gov.ag/wp-content/uploads/2020/10/The-Medical-Practitioners-Act-2009.pdf
Statement or annotation question
The Medical Council registers, licenses and disciplines medical practitioners; licences may be restricted to a place, institution or supervision arrangement and ordinarily require renewal.
Source context or anchor
registration, licensing and regulation of medical practice
- Material reference
- material:3a5837b4fbae07963d6cbe05
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Formal
- Publication date
- 2009
- Institution
- Government of Antigua and Barbuda
- Document type
- Not Supplied
- Territory
- medical practitioners nationally
- Period
- Act published 2009-02-19, with later amendments kept separate
- Source layers
- Official
- Coverage domains
- Actors, Provider autonomy, Decision rights, Governance and accountability, Hospital organization, Market structure, Primary care organization, Reform history
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- legal_sections
- Source Word Anchor
- registration, licensing and regulation of medical practice
- Source Word Count
- 7
- Detected Media Type
- application/pdf
- File Sha256
- e5f6180ce818aff63c92d38c550d38a2f9c7ce18ca7be0ac7027ea12e11d467e
- Page Count
- 28
- Response Sha256
- e5f6180ce818aff63c92d38c550d38a2f9c7ce18ca7be0ac7027ea12e11d467e
Annotation prompts and machine flags
- Practitioner licensing does not establish a complete facility-licensing or accreditation regime.
Country Improvement Source Lead · Open for annotation
Ministry of Health, Wellness, Environment and Civil Service Affairs portfolio
Government of Antigua and Barbuda. Ministry of Health, Wellness, Environment and Civil Service Affairs. Current government portfolio, retrieved 15 August 2026. https://ab.gov.ag/detail_template.php?page=government_info%2Fmin_health
Statement or annotation question
The current ministerial portfolio places public hospitals, the Hospitals Board, the Medical Benefits Scheme, the Central Board of Health, health information and local government within the health ministry portfolio.
Source context or anchor
Medical Benefits Scheme
- Material reference
- material:ac9d2cd64e3d69936f2a48d0
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Reported
- Publication date
- 2026
- Institution
- Government of Antigua and Barbuda
- Document type
- Not Supplied
- Territory
- national ministerial portfolio
- Period
- current webpage retrieved 2026-08-15
- Source layers
- Official
- Coverage domains
- Actors, Decision rights, Governance and accountability, Government responsibilities, Hospital organization, Primary care organization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- web_section
- Section
- Portfolio
- Source Word Anchor
- Medical Benefits Scheme
- Source Word Count
- 3
- Detected Media Type
- text/html
- Response Sha256
- 6ec3240ade1ae9c78ee2e267064b0f58f3e6e88012cfc4ad8e65b60dcc2c4cc3
Annotation prompts and machine flags
- A ministerial portfolio establishes political responsibility, not ownership or daily control of every named statutory body.
Country Improvement Source Lead · Open for annotation
Mount St John’s Medical Centre Act 2009
Antigua and Barbuda. Mount St John’s Medical Centre Act 2009, No. 2 of 2009. Sections 3 to 4, 9 to 25 and 28 to 29. https://health.gov.ag/wp-content/uploads/2020/10/The-Mount-St.-John-Medical-Centre-Act-2009-2.pdf
Statement or annotation question
The Act creates a corporate hospital Board with organization, management, executive, financial, clinical, audit and reporting functions, and textually replaces the earlier Hospitals Board framework on commencement.
Source context or anchor
responsible for the overall organisation and management
- Material reference
- material:a2ca2b1d2dccf66a09183006
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Formal
- Publication date
- 2009
- Institution
- Government of Antigua and Barbuda
- Document type
- Not Supplied
- Territory
- Mount St John’s Medical Centre, now Sir Lester Bird Medical Centre
- Period
- Act published 2009-02-13; exact Gazette commencement notice not located
- Source layers
- Official
- Coverage domains
- Actors, Provider autonomy, Decision rights, Governance and accountability, Government responsibilities, Hospital organization, Market structure, Provider networks, Provider ownership, Referral design, Reform history
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- legal_sections
- Source Word Anchor
- responsible for the overall organisation and management
- Source Word Count
- 7
- Detected Media Type
- application/pdf
- File Sha256
- 3630866a9dcc544c4637bf15e938c6970ece2cddb93cbbb280af3d97751db0b7
- Page Count
- 21
- Response Sha256
- 3630866a9dcc544c4637bf15e938c6970ece2cddb93cbbb280af3d97751db0b7
Annotation prompts and machine flags
- The Act permits a management company but does not prove one was appointed.
- Keep the 2021 change to the daily-operation safeguard visible.
Country Improvement Source Lead · Open for annotation
Mount St John’s Medical Centre Amendment Act 2021
Antigua and Barbuda. Mount St John’s Medical Centre Amendment Act 2021, No. 11 of 2021. Section 3. https://health.gov.ag/wp-content/uploads/2022/03/No.-11-of-2021-Mount-St.-John-Medical-Centre-Amendment-Act-2021.pdf
Statement or annotation question
The 2021 amendment repealed the subsection that had prohibited the Minister from directing daily hospital operations, narrowing the earlier statutory autonomy safeguard.
Source context or anchor
repealing subsection (2) in its entirety
- Material reference
- material:10961ced92cb917eab9de431
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Formal
- Publication date
- 2021
- Institution
- Government of Antigua and Barbuda
- Document type
- Not Supplied
- Territory
- Mount St John’s Medical Centre, now Sir Lester Bird Medical Centre
- Period
- assented 2021-06-26 and published 2021-07-01
- Source layers
- Official
- Coverage domains
- Provider autonomy, Decision rights, Governance and accountability, Hospital organization, Reform history
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- legal_section
- Section
- 3
- Source Word Anchor
- repealing subsection (2) in its entirety
- Source Word Count
- 7
- Detected Media Type
- application/pdf
- File Sha256
- 61fc531b6ee46c55f94282140b233686113163ddf0e4c86bba42523e940f9217
- Page Count
- 5
- Response Sha256
- 61fc531b6ee46c55f94282140b233686113163ddf0e4c86bba42523e940f9217
Annotation prompts and machine flags
- Do not retain the original daily-operation prohibition as if it were current law.
Country Improvement Source Lead · Open for annotation
National Strategic Plan for Health 2016 to 2020
Government of Antigua and Barbuda. National Strategic Plan for Health 2016 to 2020. Pages 20 to 22, 29 to 30 and 63; Table 2.8 and Figure 2.4. https://extranet.who.int/countryplanningcycles/sites/default/files/planning_cycle_repository/antigua_and_barbuda/atg._national_strategic_plan_for_health_2016_2020.pdf
Statement or annotation question
The plan describes a centrally led public system with seven health centres, 17 sub-health centres, a 185-bed referral hospital and an eight-bed Barbuda facility, while reporting parallel financing, informal public-private specialty referrals, limited regulation and referral-system weaknesses.
Source context or anchor
private sector operates as a parallel system
- Material reference
- material:3efdd09ccae63278c586d399
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Reported
- Publication date
- 2016
- Institution
- Government of Antigua and Barbuda
- Document type
- Not Supplied
- Territory
- national health system with Antigua and Barbuda facility context
- Period
- 2016 to 2020 plan using earlier system assessments and plan-baseline data
- Source layers
- Official
- Coverage domains
- Actors, Authoritative review, Provider autonomy, Decision rights, Facility data, Governance and accountability, Government responsibilities, Hospital organization, Market structure, Provider networks, Observed referral, Provider ownership, Patient flows, Primary care organization, Referral design, Reform history, Utilization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- pages_tables_and_figures
- Source Word Anchor
- private sector operates as a parallel system
- Source Word Count
- 7
- Detected Media Type
- application/pdf
- File Sha256
- d61d9e19085a48ddd7607b3c97aea641af4fc06b046f003bd01b08d252ab22c3
- Page Count
- 72
- Response Sha256
- d61d9e19085a48ddd7607b3c97aea641af4fc06b046f003bd01b08d252ab22c3
Annotation prompts and machine flags
- Keep the 2016 plan baseline separate from current facility counts and reforms.
- Do not convert an in-built referral design into observed referral completion.
Country Improvement Source Lead · Open for annotation
PAHO End-of-Biennium Assessment 2024 to 2025: Antigua and Barbuda
Pan American Health Organization. End-of-Biennium Assessment 2024 to 2025: Antigua and Barbuda. Country results sections on governance and integrated care. https://pbdigital.paho.org/en/eob-2024-2025/country/antigua-and-barbuda
Statement or annotation question
PAHO reports completion of an essential public-health-functions assessment, development of a new national strategic health plan and service reorganization for NCD and mental-health care within a PHC framework.
Source context or anchor
development of a new National Strategic Plan for Health
- Material reference
- material:5210f45e82af79c4f65ded3f
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Reported
- Publication date
- 2026
- Institution
- Pan American Health Organization
- Document type
- Not Supplied
- Territory
- national reform support
- Period
- 2024 to 2025 programme results
- Source layers
- Review Literature
- Coverage domains
- Authoritative review, Decision rights, Governance and accountability, Government responsibilities, Provider networks, Primary care organization, Reform history
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- web_sections
- Source Word Anchor
- development of a new National Strategic Plan for Health
- Source Word Count
- 9
- Detected Media Type
- text/html
- Response Sha256
- eccb3776d4cbfb2a0d66c3f5636c0d309d2f45bd4558e598b6e5a7b5c2b22cd7
Annotation prompts and machine flags
- Plan development and service-reorganization support are process evidence, not proof of nationwide adoption or outcomes.
Country Improvement Source Lead · Open for annotation
Public Health Act, Cap. 353
Antigua and Barbuda. Public Health Act, Cap. 353. Sections 2, 11, 12 and 102. Ministry of Health legal library. https://health.gov.ag/wp-content/uploads/2020/10/cap-353-Public-Health-Act.pdf
Statement or annotation question
The Act constitutes the Central Board of Health, assigns it advisory and coordinating public-health functions, permits sanitary districts and district Medical Officers of Health, and gives it infectious-disease direction and regulation powers.
Source context or anchor
coordination of measures conducive to public health
- Material reference
- material:8b3de051d683b79747e00365
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Formal
- Publication date
- 1957
- Institution
- Government of Antigua and Barbuda
- Document type
- Not Supplied
- Territory
- national public-health system and any sanitary districts created under the Act
- Period
- consolidated act hosted in the current Ministry legal library, retrieved 2026-08-15
- Source layers
- Official
- Coverage domains
- Actors, Decision rights, Governance and accountability, Government responsibilities, Provider networks, Reform history
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- legal_sections
- Source Word Anchor
- coordination of measures conducive to public health
- Source Word Count
- 7
- Detected Media Type
- application/pdf
- File Sha256
- f4ab3d80f8dd85262373b5da76c8e2a96adc4a1795d020a4bb3d1216c1e21b72
- Page Count
- 113
- Response Sha256
- f4ab3d80f8dd85262373b5da76c8e2a96adc4a1795d020a4bb3d1216c1e21b72
Annotation prompts and machine flags
- Sanitary-district authority does not prove which districts presently exist or that routine health services are devolved.
Country Improvement Source Lead · Open for annotation
Rapid Mobile Phone Survey on NCDs and COVID-19: Antigua and Barbuda
Pan American Health Organization. Rapid Mobile Phone Survey on NCDs and COVID-19: Antigua and Barbuda. Survey September to November 2021. Pages 2 to 3. https://www.paho.org/sites/default/files/2022-09/factsheetantigua-barbuda.pdf
Statement or annotation question
Among 2,001 adults, the survey reports condition-specific medication continuity and that 47.4 percent of respondents reporting COVID-related mental-health service need consulted services; site preferences are stated preferences rather than use.
Source context or anchor
percentage who consulted mental health services
- Material reference
- material:95c35cdddd6a28b4562616a6
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Observed
- Publication date
- 2022
- Institution
- Pan American Health Organization
- Document type
- Not Supplied
- Territory
- national random-digit-dial telephone survey of adults
- Period
- survey fielded September to November 2021
- Source layers
- Grey Literature
- Coverage domains
- Market structure, Provider networks, Observed referral, Patient flows, Primary care organization, Referral design, Utilization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- factsheet_panels
- Source Word Anchor
- percentage who consulted mental health services
- Source Word Count
- 6
- Detected Media Type
- application/pdf
- File Sha256
- a8d86d49a2b1e6ec72e394d7f60d6c5e419625f4184526dc0f770e8c8d2c5b31
- Page Count
- 3
- Response Sha256
- a8d86d49a2b1e6ec72e394d7f60d6c5e419625f4184526dc0f770e8c8d2c5b31
Annotation prompts and machine flags
- The mental-health denominator is the subgroup reporting pandemic-related need; vaccination location is preference, not observed utilization.
Country Improvement Source Lead · Open for annotation
The current state of prostate cancer in Antigua and Barbuda
Rhudd A. The current state of prostate cancer in Antigua and Barbuda. ecancermedicalscience. 2021;15:ed112. doi:10.3332/ecancer.2021.ed112. Europe PMC full-text PDF. https://europepmc.org/api/getPdf?pmcid=PMC8426014
Statement or annotation question
This specialty-focused review describes Sir Lester Bird Medical Centre as the main public referral centre where most patients needing specialist care are seen and reports prostate services concentrated there.
Source context or anchor
most patients requiring specialist care are seen here
- Material reference
- material:951e398330b52d8a9486a09e
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Reported
- Publication date
- 2021
- Institution
- ecancermedicalscience
- Document type
- Not Supplied
- Territory
- national prostate-care pathway and service context
- Period
- published 2021
- Source layers
- Research Literature
- Coverage domains
- Authoritative review, Facility data, Hospital organization, Market structure, Provider networks, Observed referral, Provider ownership, Patient flows, Primary care organization, Referral design, Utilization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- article_pdf_page
- Section
- Health Care system
- Source Word Anchor
- most patients requiring specialist care are seen here
- Source Word Count
- 8
- Detected Media Type
- application/pdf
- File Sha256
- e20fdeed55f789dea39da1e7494f071dbcd99a7a94eadcd040e3bb9d28b5e9c3
- Page Count
- 5
- Response Sha256
- e20fdeed55f789dea39da1e7494f071dbcd99a7a94eadcd040e3bb9d28b5e9c3
Annotation prompts and machine flags
- This is cancer-specific descriptive evidence and cannot supply a whole-system referral rate or utilization share.
Country Improvement Source Lead · Open for annotation
WHO SCORE assessment: Antigua and Barbuda
World Health Organization. SCORE for Health Data Technical Package: Antigua and Barbuda country profile. Data availability assessment 2013 to 2018. Page 9. https://cdn.who.int/media/docs/default-source/documents/ddi/score/country-profiles/who_score_atg_en.pdf?sfvrsn=cacb4917_10
Statement or annotation question
The SCORE assessment recorded no assessed annual availability for outpatient visits or diagnosis-specific hospital admission and discharge rates and no data on an up-to-date master facility list.
Source context or anchor
HOSPITAL ADMISSION / DISCHARGE RATES BY DIAGNOSIS
- Material reference
- material:333b32dbed151167ce524607
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Observed
- Publication date
- 2021
- Institution
- World Health Organization
- Document type
- Not Supplied
- Territory
- national health-data system assessment
- Period
- data availability assessed primarily for 2013 to 2018
- Source layers
- Grey Literature
- Coverage domains
- Authoritative review, Facility data, Governance and accountability, Patient flows, Utilization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- score_panel
- Section
- Optimize health service data
- Source Word Anchor
- HOSPITAL ADMISSION / DISCHARGE RATES BY DIAGNOSIS
- Source Word Count
- 7
- Detected Media Type
- application/pdf
- File Sha256
- e38a48131bec14b6e44894bc7d08f199284492945ba27bda2824a8d998a10d90
- Page Count
- 15
- Response Sha256
- e38a48131bec14b6e44894bc7d08f199284492945ba27bda2824a8d998a10d90
Annotation prompts and machine flags
- A zero availability score means no assessed annual statistic, not zero visits or admissions.
Displayed source projection · Open for annotation
Antigua and Barbuda - Country Profile
Pan American Health Organization. Antigua and Barbuda - Country Profile. 2024. https://hia.paho.org/en/country-profiles/antigua-and-barbuda
- Material reference
- candidate-source:ATG:f0a0565b9f0a0a99559d
- Pipeline stage
- Current-Public-Source-Projection
- Evidence mode
- Not classified
- Publication date
- 2024
- Institution
- not supplied
- Document type
- Candidate Source Metadata
- Territory
- not supplied
- Period
- Not supplied
- Source layers
- Candidate Source Metadata, Official
- Coverage domains
- Actors, Governance and accountability, Government responsibilities, Primary care organization, Service Delivery
- Current display status
- Shown in full and open for annotation
- Page Locator Linked From Locator Gap Acquisition
- True
- Previous Visibility
- Previously projected
- Heading
- Measures to achieve universal health coverage
- Html Text Block
- 42
- Locator Type
- html_text_anchor
- Source Word Anchor
- others is focusing on health system strengthening with universal access and coverage
- Source Word Count
- 12
- Response Sha256
- 84fe39a5517712fb937954b7f0e91bb82e77b9ab7ee0e784e5413db6c76fc529
Annotation prompts and machine flags
- Public source projection retained as a distinct stage record.
- A recoverable source locator was retrieved from this exact public source URL in the locator-gap traceability audit.
Source Triage Record · Open for annotation
Antigua and Barbuda - Country Profile
Pan American Health Organization. Antigua and Barbuda - Country Profile. 2024. https://hia.paho.org/en/country-profiles/antigua-and-barbuda
- Material reference
- material:d662566d56b59b2c9b22d5d5
- Pipeline stage
- Global-Source-Triage-Queue
- Evidence mode
- Not classified
- Publication date
- 2024
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- not supplied
- Period
- Not supplied
- Source layers
- Paho Health In The Americas
- Coverage domains
- Actors, Governance and accountability, Government responsibilities, Primary care organization, Service Delivery
- Current display status
- Shown in full and open for annotation
- Page Locator Linked From Locator Gap Acquisition
- True
- Previous Boundary Detected
- True
- Previous Visibility
- Previously not projected
- Earlier source-record status
- Open for annotation
- Heading
- Measures to achieve universal health coverage
- Html Text Block
- 42
- Locator Type
- html_text_anchor
- Source Word Anchor
- others is focusing on health system strengthening with universal access and coverage
- Source Word Count
- 12
- Response Sha256
- 84fe39a5517712fb937954b7f0e91bb82e77b9ab7ee0e784e5413db6c76fc529
Annotation prompts and machine flags
- Verify the exact bibliographic citation against the original source.
- Confirm that the document applies to the named country and intended territorial scope.
- Confirm document type, issuing institution, authority, and claim-specific suitability.
- Retrieve and hash the exact source version when it is not already verified.
- Check publication date, effective period, currency, and supersession risk.
- Confirm only domains directly supported by the reviewed source.
- Add substantive feedback directly through the text-anchored annotation layer.
- A recoverable source locator was retrieved from this exact public source URL in the locator-gap traceability audit.
Targeted Source Lead · Open for annotation
Antigua and Barbuda - Country Profile
Pan American Health Organization. Antigua and Barbuda - Country Profile. 2024. https://hia.paho.org/en/country-profiles/antigua-and-barbuda
- Material reference
- material:bda511d10665423e373eaac9
- Pipeline stage
- Targeted-Gap-Source-Leads
- Evidence mode
- Not classified
- Publication date
- 2024
- Institution
- Pan American Health Organization
- Document type
- Country Health Profile
- Territory
- not supplied
- Period
- Not supplied
- Source layers
- Not supplied
- Coverage domains
- Actors, Governance and accountability, Government responsibilities, Primary care organization, Service Delivery
- Current display status
- Shown in full and open for annotation
- Page Locator Linked From Locator Gap Acquisition
- True
- Previous Boundary Detected
- True
- Previous Visibility
- Previously not projected
- Earlier source-record status
- Unreviewed
- Source Version Linked From Locator Gap Acquisition
- True
- Status
- Candidate
- Heading
- Measures to achieve universal health coverage
- Html Text Block
- 42
- Locator Type
- html_text_anchor
- Source Word Anchor
- others is focusing on health system strengthening with universal access and coverage
- Source Word Count
- 12
- Detected Media Type
- text/html
- Response Sha256
- aa11df6b418acb13f8783e633a1f940859d11ad12c346a1a62362c571bb94dae
Annotation prompts and machine flags
- Authoritative official source page or publication exposes country-specific health-system organization, governance, delivery, or primary-care context.
- Immutable source-version metadata was retrieved from this exact public source URL in the locator-gap traceability audit.
- A recoverable source locator was retrieved from this exact public source URL in the locator-gap traceability audit.