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Belize Health Sector Strategic Plan 2025-2034. 2025. https://www.paho.org/sites/default/files/2025-03/blz-health-sector-strategic-plan-2025-2034_0.pdf", "country_ids": [ "BLZ" ], "coverage_domains": [ "actors", "autonomy", "decision_rights", "facility_data", "governance", "government_responsibilities", "hospital_organization", "market_structure", "networks", "ownership", "primary_care", "referral_design", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "headed by Regional Health Managers", "institution": "Ministry of Health & Wellness, Belize", "locator": { "locator_type": "pdf_page_set_anchor", "source_word_anchor": "headed by Regional Health Managers", "source_word_count": 5 }, "material_id": "material:78ddb132bd009d169023df2a", "notes": [ "Treat plan provisions, priorities and targets as formal arrangements or intent, not proof of nationwide completion or observed patient movement." ], "origin": "country-evidence-improvement-sources", "period": "Strategic plan 2025 to 2034; descriptions and reported milestones cite earlier years where stated", "publication_date": null, "publication_year": 2025, "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": "a70f44d2ccc5e76f321c7ec4efea12f94a974f921590936d61b9e3ba9c30f70b", "page_count": 83, "response_sha256": "a70f44d2ccc5e76f321c7ec4efea12f94a974f921590936d61b9e3ba9c30f70b" }, "statement": "The Ministry plan describes four regionalized health-delivery regions led by Regional Health Managers, community primary-care services, regional secondary hospitals and Karl Heusner Memorial Hospital as the sole referral hospital. It also sets policy directions for Ministry and National Health Insurance coordination rather than measuring universal implementation.", "tags": [], "territory": "Belize national health sector, with four health regions", "title": "Belize Health Sector Strategic Plan 2025-2034", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.paho.org/sites/default/files/2025-03/blz-health-sector-strategic-plan-2025-2034_0.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ministry of Health and Wellness, Belize. Belize National Mental Health Policy 2023-2028. 2023. https://www.paho.org/sites/default/files/2023-10/nmh-policy-belize.pdf", "country_ids": [ "BLZ" ], "coverage_domains": [ "actors", "decision_rights", "facility_data", "governance", "government_responsibilities", "hospital_organization", "market_structure", "networks", "primary_care", "referral_design" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "Establish a supervisory and referral structure", "institution": "Ministry of Health and Wellness, Belize", "locator": { "locator_type": "pdf_page_set_anchor", "source_word_anchor": "Establish a supervisory and referral structure", "source_word_count": 6 }, "material_id": "material:10b825e2dd8b319f682c2ab5", "notes": [ "Keep this as mental-health-specific formal policy evidence; do not generalize it into observed referral functioning or every-service decision right." ], "origin": "country-evidence-improvement-sources", "period": "Mental health policy 2023 to 2028", "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": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "8ebea45ece3d71242cdd05e5841f66ce45887eb6aeb767356f1f4b6ffb085d70", "page_count": 24, "response_sha256": "8ebea45ece3d71242cdd05e5841f66ce45887eb6aeb767356f1f4b6ffb085d70" }, "statement": "The policy assigns national oversight and implementation roles to the Ministry of Health and Wellness and specifies district mental-health responsibilities, including a supervisory and referral structure for non-specialist personnel. It is a mental-health policy framework and does not establish functioning referral performance across all Belize services.", "tags": [], "territory": "Belize mental health services, including Ministry, district and collaborating-sector roles", "title": "Belize National Mental Health Policy 2023-2028", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.paho.org/sites/default/files/2023-10/nmh-policy-belize.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Pan American Health Organization. Belize launches plan to expand its health workforce, improve its geographical distribution and skills. 22 February 2019. https://www.paho.org/en/news/22-2-2019-belize-launches-plan-expand-its-health-workforce-improve-its-geographical", "country_ids": [ "BLZ" ], "coverage_domains": [ "actors", "autonomy", "governance", "government_responsibilities", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "The Plan establishes five strategic objectives and activities", "institution": "Pan American Health Organization", "locator": { "locator_type": "html_section_anchor", "source_word_anchor": "The Plan establishes five strategic objectives and activities", "source_word_count": 8 }, "material_id": "material:a77889224a64d2b4483c0610", "notes": [ "Treat this PAHO news report as evidence that a plan was launched and what it stated, not as an implementation or workforce-performance evaluation." ], "origin": "country-evidence-improvement-sources", "period": "Strategic Plan on Human Resources for Universal Health 2019 to 2024; launch reported February 2019", "publication_date": null, "publication_year": 2019, "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": "text/html", "response_sha256": "9650535dd8b92b0b362375487c7a9a7f6bd8e4e71b35aade61f8a60f2dd4591a" }, "statement": "PAHO reported the Ministry of Health launch of the Strategic Plan on Human Resources for Universal Health 2019-2024, including planned Ministry leadership and a human-resources unit. This is a report of a plan launch and stated objectives, not evidence that workforce distribution or service quality targets were achieved.", "tags": [], "territory": "Belize national health workforce", "title": "Belize launches plan to expand its health workforce, improve its geographical distribution and skills", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.paho.org/en/news/22-2-2019-belize-launches-plan-expand-its-health-workforce-improve-its-geographical" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Pan American Health Organization; Government of Belize. Belize: Country Cooperation Strategy 2023-2027. 2023. https://www.paho.org/sites/default/files/2023-06/blz-ccs-2023-2027.pdf", "country_ids": [ "BLZ" ], "coverage_domains": [ "actors", "facility_data", "governance", "government_responsibilities", "hospital_organization", "networks", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "quality primary health care/integrated health service delivery network", "institution": "Pan American Health Organization; Government of Belize", "locator": { "locator_type": "pdf_page_set_anchor", "source_word_anchor": "quality primary health care/integrated health service delivery network", "source_word_count": 8 }, "material_id": "material:7754fceea818e3841edc66a0", "notes": [ "Use this strategy for stated priorities and PAHO cooperation only; do not infer that its primary-care or network objectives have been achieved." ], "origin": "country-evidence-improvement-sources", "period": "Country Cooperation Strategy 2023 to 2027", "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": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "80b376fe90d0da9c29fdf5edd6c4236894eae7e0aa81bcd8efe38485d9f216ad", "page_count": 54, "response_sha256": "80b376fe90d0da9c29fdf5edd6c4236894eae7e0aa81bcd8efe38485d9f216ad" }, "statement": "The PAHO and Government country-cooperation strategy identifies quality primary health care and an integrated health-service delivery network as national priorities and frames PAHO technical cooperation with Belize. It records strategic direction and collaboration commitments, not measured delivery capacity or completed service integration.", "tags": [], "territory": "Belize national health sector", "title": "Belize: Country Cooperation Strategy 2023-2027", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.paho.org/sites/default/files/2023-06/blz-ccs-2023-2027.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ministry of Health and Wellness, Belize; Pan American Health Organization. Development of Essential Public Health Functions Action Plan Belize 2024-2029. 2023. https://www.paho.org/sites/default/files/2025-08/2023nov10-ephf-final-report.pdf", "country_ids": [ "BLZ" ], "coverage_domains": [ "actors", "decision_rights", "facility_data", "governance", "government_responsibilities", "market_structure", "networks", "ownership", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "institutional capacities of the MoHW and Regional Health Authorities", "institution": "Ministry of Health and Wellness, Belize; Pan American Health Organization", "locator": { "locator_type": "pdf_page_set_anchor", "source_word_anchor": "institutional capacities of the MoHW and Regional Health Authorities", "source_word_count": 9 }, "material_id": "material:ef5428a706e60c92e8f4a9ae", "notes": [ "Treat the action plan's proposals, targets and scheduled legislation as formal intent, not evidence of enacted institutional separation or operational data exchange." ], "origin": "country-evidence-improvement-sources", "period": "Action plan drafted November 2023, with implementation schedules for 2024 to 2029", "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": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "57a323abc769d38533a6eb69366518a7474b94b9f3c5ec0aece46d207dc62e73", "page_count": 40, "response_sha256": "57a323abc769d38533a6eb69366518a7474b94b9f3c5ec0aece46d207dc62e73" }, "statement": "The action plan proposes strengthened Ministry of Health and Wellness and Regional Health Authority capacities, and records historic formation of four health regions, the hospital authority and National Health Insurance during health-sector reform. Its scheduled objectives and proposed mechanisms are formal design evidence, not confirmation that they were implemented.", "tags": [], "territory": "Belize national health sector and Regional Health Authorities", "title": "Development of Essential Public Health Functions Action Plan Belize 2024-2029", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.paho.org/sites/default/files/2025-08/2023nov10-ephf-final-report.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Pan American Health Organization; Ministry of Health and Wellness, Belize; European Union. Health Sector Support Programme Belize Final Report (September 2018-September 2025). 2025. https://www.paho.org/sites/default/files/2025-09/health-sector-support-programme-belize-final-report12x9-digital-compressed.pdf", "country_ids": [ "BLZ" ], "coverage_domains": [ "actors", "facility_data", "governance", "government_responsibilities", "hospital_organization", "networks", "primary_care", "referral_design", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "Clinical Data Exchange and Data Warehouse", "institution": "Pan American Health Organization; Ministry of Health and Wellness, Belize; European Union", "locator": { "locator_type": "pdf_page_set_anchor", "source_word_anchor": "Clinical Data Exchange and Data Warehouse", "source_word_count": 6 }, "material_id": "material:cca23a1f6af34deaf02ec761", "notes": [ "Keep the report's programme-reporting status and sustainability conditions visible; do not treat listed integration work as independently verified national coverage." ], "origin": "country-evidence-improvement-sources", "period": "Health Sector Support Programme, September 2018 to September 2025", "publication_date": null, "publication_year": 2025, "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": "b70d4f607c0688b425a0d94a7f93e99f9ff16abca675b44f048894da4372e7a3", "page_count": 86, "response_sha256": "b70d4f607c0688b425a0d94a7f93e99f9ff16abca675b44f048894da4372e7a3" }, "statement": "The programme final report describes reported work on an Integrated Health Service Delivery Network, primary care and a Clinical Data Exchange Platform that integrated BHIS, the NHI RAWA system and the National Cancer Registry. These are programme-reported achievements and sustainability conditions, not an independent measure of nationwide interoperability or care coordination.", "tags": [], "territory": "Belize, including programme work across all regions", "title": "Health Sector Support Programme Belize Final Report (September 2018-September 2025)", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.paho.org/sites/default/files/2025-09/health-sector-support-programme-belize-final-report12x9-digital-compressed.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Pompa Olivet M, Cascaret Rodriguez E, Rash T, Choc J. Medical referrals from Punta Gorda Community Hospital between 2015 and 2023. Belize Journal of Medicine. 2024;13(Suppl 1). doi:10.61997/bjm.v13iSuppl1.462. https://www.bjomed.org/index.php/bjm/article/view/462", "country_ids": [ "BLZ" ], "coverage_domains": [ "facility_data", "hospital_organization", "networks", "observed_referral", "patient_flows", "primary_care", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "96.1% were made to the Southern Regional Hospital", "institution": "Belize Journal of Medicine", "locator": { "locator_type": "html_section_anchor", "source_word_anchor": "96.1% were made to the Southern Regional Hospital", "source_word_count": 8 }, "material_id": "material:1450e49dc27ca86612b14dc5", "notes": [ "Retain the single hospital, Toledo District and 2015 to 2023 scope. Do not generalize this destination pattern to national referral flows." ], "origin": "country-evidence-improvement-sources", "period": "Retrospective descriptive study of medical referrals, 2015 to 2023", "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": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "e762df4cc925541c3e926c9ef0e62a51e3c7491355a9743c273e832dc8ab15bd" }, "statement": "A retrospective descriptive study of referrals from Punta Gorda Community Hospital reported about 486 referrals annually and 96.1 percent sent to Southern Regional Hospital. These observations concern one district hospital pathway and do not estimate national referral completion, bypass or specialist access.", "tags": [], "territory": "Punta Gorda Community Hospital and Toledo District referrals, Belize", "title": "Medical referrals from Punta Gorda Community Hospital between 2015 and 2023", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.bjomed.org/index.php/bjm/article/view/462" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Government of Belize. National Health Insurance (Validation) Act, 2024, Act No. 2 of 2025. Gazetted 11 January 2025. https://www.agm.gov.bz/uploads/laws/67fe7b9cbe01d_Act_No._02_of_2025_National_Health_Insurance_Validation_Act__2024.pdf", "country_ids": [ "BLZ" ], "coverage_domains": [ "actors", "autonomy", "decision_rights", "governance", "government_responsibilities", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "NHI Committee established under section 75", "institution": "Government of Belize", "locator": { "locator_type": "legal_articles", "source_word_anchor": "NHI Committee established under section 75", "source_word_count": 6 }, "material_id": "material:156527a4d082cbcda85a08c0", "notes": [ "Confirm the current consolidated Social Security legislation and subsequent instruments before assigning operational powers, purchasing rules or provider obligations." ], "origin": "country-evidence-improvement-sources", "period": "Act assented December 2024 and gazetted January 2025; validates stated historical periods", "publication_date": null, "publication_year": 2025, "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": "43e06a60540e5adfebd6e8baa1d1dbfa43f89084f8016ec0002d06e0c9a7f66a", "page_count": 3, "response_sha256": "43e06a60540e5adfebd6e8baa1d1dbfa43f89084f8016ec0002d06e0c9a7f66a" }, "statement": "The Act defines the National Health Insurance Committee as established under section 75 of the Social Security Act and the National Health Insurance Scheme as established under section 70. It validates specified past acts and decisions, rather than setting out a complete current purchasing contract architecture.", "tags": [], "territory": "Belize National Health Insurance Scheme", "title": "National Health Insurance (Validation) Act, 2024", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.agm.gov.bz/uploads/laws/67fe7b9cbe01d_Act_No._02_of_2025_National_Health_Insurance_Validation_Act__2024.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Hernandez Prado B, Usher M. The Health Sector Support Programme in Belize: Final Evaluation Report. Pan American Health Organization; 2025. https://www.paho.org/sites/default/files/2025-08/hssp-final-evaluation-report-28-02-25submittedfinal-clean.pdf", "country_ids": [ "BLZ" ], "coverage_domains": [ "actors", "authoritative_review", "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": "reported", "excerpt": "using a mixed-methods approach", "institution": "Pan American Health Organization", "locator": { "locator_type": "pdf_page_set_anchor", "source_word_anchor": "using a mixed-methods approach", "source_word_count": 4 }, "material_id": "material:b0451b5b1580cd4f4111a05a", "notes": [ "Keep reported programme findings separate from national routine-service statistics and retain the report's warning that the Integrated Care Model was phased rather than nationwide." ], "origin": "country-evidence-improvement-sources", "period": "Health Sector Support Programme 2018 to 2025; evaluation fieldwork January to February 2025", "publication_date": null, "publication_year": 2025, "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/pdf", "file_sha256": "0a9a92e47c2a1c85bee18b04d6a910582efaa6c4ba8ab7bba717e35ec45484af", "page_count": 71, "response_sha256": "0a9a92e47c2a1c85bee18b04d6a910582efaa6c4ba8ab7bba717e35ec45484af" }, "statement": "The final mixed-methods evaluation reports on a 2018 to 2025 programme for facilities, service organization and health-information infrastructure. 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