23 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
Community and indigenous health-network boundary
WHO, Primary Health Care in Rural Areas and Indigenous Communities of Bolivia, physical pages 3 to 6; Alvarez et al., Health Policy and Planning, 2016, Abstract.
Statement or annotation question
WHO material depicts community organizations and indigenous health networks within an intercultural primary-care context, while a systematic review describes SAFCI's intended intercultural and integrated primary-care model. Neither source quantifies traditional-medicine use, demonstrates formal referral exchange with all traditional practitioners, or establishes SUS coverage of traditional services.
- Material reference
- material:82c12cc47002c47a66c4b642
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Reported
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Rural and indigenous communities in Bolivia (Plurinational State of), with Cochabamba Tropics examples; systematic review has national policy scope
- Period
- WHO presentation material available 2021; systematic review published 2016 using literature available through 2015
- Source layers
- Official
- Coverage domains
- Actors, Facility data, Governance and accountability, Provider networks, Patient flows, Primary care organization, Utilization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- WHO physical pages 3 to 6, Indigenous Health Network and Factors that facilitated access for indigenous populations; PubMed Abstract for Alvarez et al. 2016.
- Detected Media Type
- application/pdf
- File Sha256
- adc3cf6c4608dcceb4ffc66b28f7a2eded1f3bbfa429de97f1ad27a722c4f315
- Response Sha256
- adc3cf6c4608dcceb4ffc66b28f7a2eded1f3bbfa429de97f1ad27a722c4f315
Annotation prompts and machine flags
- Preserve the indigenous and geographic scope; do not label community participation as measured traditional-sector service utilization.
Candidate Analytical Mapping · Open for annotation
Dated subnational responsibility boundary
Agafitei GA. Revista Latinoamericana de Desarrollo Económico. 2023;39:35-76, physical pages 16 to 17; Ministerio de Salud y Deportes, 8 January 2024 and 16 May 2025.
Statement or annotation question
A 2023 study reports municipal administration of first- and second-level services and departmental administration of third-level services in the public subsector; Ministry accounts in 2024 and 2025 report the same broad responsibility boundary. This is a reported map, not evidence of provider autonomy or a rule for social-security and private facilities.
- Material reference
- material:ef4b9ad65b0d5319a101862e
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Reported
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Bolivia (Plurinational State of), reported public subsector
- Period
- System description in a 2023 article drawing on earlier sources; Ministry reports dated 8 January 2024 and 16 May 2025
- Source layers
- Research Literature
- Coverage domains
- Authoritative review, Provider autonomy, 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
- Description
- Agafitei physical pages 16 to 17, Bolivian health system; Ministry web sections on first- through fourth-level responsibilities, 8 January 2024 and 16 May 2025.
- Detected Media Type
- application/pdf
- File Sha256
- 5625b6a4d882f8e4f1691176ddfff93f7fc99c8be043cae715901736f8e9ba7c
- Response Sha256
- 5625b6a4d882f8e4f1691176ddfff93f7fc99c8be043cae715901736f8e9ba7c
Annotation prompts and machine flags
- Do not infer current legal authority, budget control or personnel authority without current legal and administrative sources.
Candidate Analytical Mapping · Open for annotation
Formal SUS design and dated access observations
Ministerio de Salud y Deportes, Guía instructiva para la implementación del SUS, 2019; Agafitei 2023, physical pages 1 to 3 and 31 to 35.
Statement or annotation question
The 2019 Ministry guide supplies formal SUS design, while a later study combines national survey comparison with a La Paz case study. The evidence supports a time-bounded implementation context, not a causal claim about national referral, utilization or equity effects.
- Material reference
- material:dee0d26af618acdb0600b2fa
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Observed
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Bolivia (Plurinational State of), with a separately bounded La Paz municipality case study
- Period
- formal guide 2019; household surveys 2017-2019; La Paz interviews 2021; article published 2023
- Source layers
- Research Literature
- Coverage domains
- Authoritative review, Decision rights, Governance and accountability, Hospital organization, Market structure, Observed referral, 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
- Description
- Ministry guide physical page 1; Agafitei physical pages 1 to 3, Abstract and Introduction, and 31 to 35, La Paz case study.
- Detected Media Type
- application/pdf
- File Sha256
- 2e04455b1076d6a37c431940fd80a1e128778e6ff6fab0e1a4a16fd2d56e629c
- Page Count
- 29
- Response Sha256
- 2e04455b1076d6a37c431940fd80a1e128778e6ff6fab0e1a4a16fd2d56e629c
Annotation prompts and machine flags
- Keep formal, reported and observed evidence modes visible, and keep the La Paz case-study period separate from national survey years.
Candidate Analytical Mapping · Open for annotation
Formal SUS levels and health-network design
Ministerio de Salud y Deportes, Guía instructiva para la implementación del SUS, 2019, pages 11 and 18; WHO indigenous PHC material, physical page 2; Ministerio de Salud y Deportes, 4 June 2024.
Statement or annotation question
The Ministry guide and WHO material support a candidate map of SUS levels of care and health-network design. A separate 2024 Ministry report records a priority to improve referral-counter-referral work with third-level hospital directors. The latter is reported administrative context, not evidence that the formal design was achieved.
- Material reference
- material:fe75e2f8147bb4b6aa92e81f
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Formal
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Bolivia (Plurinational State of), SUS public-service network; rural and indigenous illustrations
- Period
- formal guide issued 2019; WHO presentation material available 2021; Ministry priority report dated 4 June 2024
- Source layers
- Official
- Coverage domains
- Facility data, Governance and accountability, 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
- Ministry guide physical pages 11 and 18, Redes de Salud and Niveles de atención; WHO physical page 2, Public Health System Organization; Ministry web section on the 34 third-level hospital directors' meeting, 4 June 2024.
- Detected Media Type
- application/pdf
- File Sha256
- 2e04455b1076d6a37c431940fd80a1e128778e6ff6fab0e1a4a16fd2d56e629c
- Page Count
- 29
- Response Sha256
- 2e04455b1076d6a37c431940fd80a1e128778e6ff6fab0e1a4a16fd2d56e629c
Annotation prompts and machine flags
- Do not infer an observed universal patient pathway from the formal network diagram.
Candidate Analytical Mapping · Open for annotation
La Paz referral and private-alternative observations
Agafitei GA. Revista Latinoamericana de Desarrollo Económico. 2023;39:35-76, physical pages 31 to 35.
Statement or annotation question
A mixed-methods study reports La Paz interview accounts of coordination and counter-referral difficulties between first and second levels, with some descriptions of private alternatives. These are site-specific observations, not a national flow estimate or a causal effect of SUS.
- Material reference
- material:6d51a17b3e85841d764e73bc
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Observed
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- La Paz municipality, Bolivia (Plurinational State of); national survey component separately bounded
- Period
- National surveys 2017-2019; La Paz interviews during 2021; article published 2023
- Source layers
- Research Literature
- Coverage domains
- Facility data, Hospital organization, 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
- Description
- Physical pages 31 to 35, Access to SUS healthcare services: a case study of La Paz.
- Detected Media Type
- application/pdf
- File Sha256
- 5625b6a4d882f8e4f1691176ddfff93f7fc99c8be043cae715901736f8e9ba7c
- Response Sha256
- 5625b6a4d882f8e4f1691176ddfff93f7fc99c8be043cae715901736f8e9ba7c
Annotation prompts and machine flags
- Keep interview accounts, national survey results and the private-care alternative distinct; do not calculate national rates from this case study.
Candidate Analytical Mapping · Open for annotation
National, departmental and municipal health-network levels
WHO, Primary Health Care in Rural Areas and Indigenous Communities of Bolivia, pages 2 to 3; Agafitei 2023, pages 16 to 17; Ministerio de Salud y Deportes, Directora del SUS, 16 May 2025.
Statement or annotation question
The candidate map distinguishes the Ministry at national level, SEDES at departmental level and municipalities at local level, with health networks and services operating below these levels. A 2025 Ministry account also describes concurrent responsibilities in the public SUS context. Neither source set assigns every provider sector to one chain of authority.
- Material reference
- material:8a66777ebb723562700dd6c7
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Reported
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Bolivia (Plurinational State of), with rural and indigenous-network illustrations and a public-SUS Ministry account
- Period
- WHO material available 2021; system description in a 2023 study using earlier evidence; Ministry report dated 16 May 2025
- Source layers
- Official
- Coverage domains
- Actors, Authoritative review, Governance and accountability, Government responsibilities, Hospital organization, Provider networks, Primary care organization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- WHO physical pages 2 to 3, Health System Management Levels; Agafitei physical pages 16 to 17, Bolivian health system; Ministry web section Directora del SUS, 16 May 2025.
- Detected Media Type
- application/pdf
- File Sha256
- adc3cf6c4608dcceb4ffc66b28f7a2eded1f3bbfa429de97f1ad27a722c4f315
- Response Sha256
- adc3cf6c4608dcceb4ffc66b28f7a2eded1f3bbfa429de97f1ad27a722c4f315
Annotation prompts and machine flags
- Do not turn the illustrated public-network hierarchy into an ownership or management claim for social security, private or traditional providers.
Candidate Analytical Mapping · Open for annotation
Public, social-security and private sector boundaries
WHO Health Benefit Package Country Profile, physical page 1; Agafitei 2023, physical pages 16 to 18.
Statement or annotation question
WHO reports a public subsector, short-term social-security cajas with their own provider networks, and voluntary private coverage. The mapping keeps SUS, social security and private arrangements separate; it does not claim that their populations, providers or care routes are mutually exclusive in practice.
- Material reference
- material:82a3df041aef6cceb0068e7e
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Reported
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Bolivia (Plurinational State of)
- Period
- WHO survey responses 2020-2021; study published 2023 using earlier system evidence
- Source layers
- Grey Literature
- Coverage domains
- Actors, Authoritative review, Decision rights, Governance and accountability, Market structure, Provider networks, Provider ownership
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- WHO physical page 1, HBP features and processes; Agafitei physical pages 16 to 18, Bolivian health system.
- Detected Media Type
- application/pdf
- File Sha256
- 770b1978a782de9c54c848138269ca8a23cfaae64117d53dbe9b471330e82dd5
- Page Count
- 3
- Response Sha256
- 770b1978a782de9c54c848138269ca8a23cfaae64117d53dbe9b471330e82dd5
Annotation prompts and machine flags
- Do not recast social-security network statements as SUS purchasing or private-provider ownership claims.
Candidate Analytical Mapping · Open for annotation
SUS formal benefit and level-of-care rules
Ministerio de Salud y Deportes, Guía instructiva para la implementación del SUS, 2019, pages 5, 11 and 18; WHO Health Benefit Package Country Profile, page 1.
Statement or annotation question
The Ministry's 2019 guide supports a formal SUS implementation mapping, while WHO reports the Ministry's role in benefit-package discussions. These sources do not establish that a given service was available, free or used at every facility.
- Material reference
- material:e17cda0b14dd3098b61533ac
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Formal
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Bolivia (Plurinational State of), SUS public-service network
- Period
- formal guide issued 2019; WHO survey responses 2020-2021
- Source layers
- Official
- Coverage domains
- Provider autonomy, Decision rights, Governance and accountability, Hospital organization, 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
- Ministry guide physical pages 5, 11 and 18, Redes de Salud and Niveles de atención; WHO profile physical page 1, HBP features and processes.
- Detected Media Type
- application/pdf
- File Sha256
- 2e04455b1076d6a37c431940fd80a1e128778e6ff6fab0e1a4a16fd2d56e629c
- Page Count
- 29
- Response Sha256
- 2e04455b1076d6a37c431940fd80a1e128778e6ff6fab0e1a4a16fd2d56e629c
Annotation prompts and machine flags
- Keep formal rules separate from reported availability, utilization and referral completion.
Candidate Analytical Mapping · Open for annotation
SUS launch and subsequent profile context
Ministerio de Salud y Deportes, Guía instructiva para la implementación del SUS, 2019; WHO, Universal health access and coverage, a reference for the world, 2020; PAHO, Perfil de País: Bolivia, 2024.
Statement or annotation question
The candidate timeline records the 2019 Ministry implementation guide, PAHO's reported February 2019 SUS launch, and WHO's subsequent institutional account of 2019 policy formulation and implementation planning, followed by a 2024 country profile. It does not attribute later indicator patterns to SUS or establish uniform implementation across departments and municipalities.
- Material reference
- material:f79e60153d81b639023e84ad
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Formal
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Bolivia (Plurinational State of)
- Period
- formal guide 2019; WHO country story for the 2020 mid-term review; PAHO profile published 15 September 2024 with indicator-specific source years
- Source layers
- Official
- Coverage domains
- Actors, Authoritative review, Decision rights, Facility data, Governance and accountability, Government responsibilities, Hospital organization, Provider networks, Primary care organization, Reform history, Utilization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- Ministry guide physical page 1, title; WHO country-story sections Bolivia country story and Universal health access and coverage; PAHO web sections Perfil de País and Situación de salud.
- Detected Media Type
- application/pdf
- File Sha256
- 2e04455b1076d6a37c431940fd80a1e128778e6ff6fab0e1a4a16fd2d56e629c
- Page Count
- 29
- Response Sha256
- 2e04455b1076d6a37c431940fd80a1e128778e6ff6fab0e1a4a16fd2d56e629c
Annotation prompts and machine flags
- Do not convert a launch date or profile indicator into a national implementation-effect claim.
Candidate Analytical Mapping · Open for annotation
Traditional-sector, public, social-security and private boundaries
WHO, Primary Health Care in Rural Areas and Indigenous Communities of Bolivia, pages 3 to 6; WHO Health Benefit Package Country Profile, page 1.
Statement or annotation question
The sources support separate analytical treatment of indigenous community-network context, SUS public services, short-term social security and voluntary private coverage. They do not provide a national traditional-practitioner financing, licensing or referral map, so no such linkage is asserted.
- Material reference
- material:01b79fc151dd6bf7bd84689d
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Reported
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Bolivia (Plurinational State of), with rural and indigenous-community examples
- Period
- WHO rural and indigenous material available 2021; WHO benefit-package survey responses 2020-2021
- Source layers
- Grey Literature
- Coverage domains
- Actors, Governance and accountability, Market structure, Provider networks, Provider ownership, Patient flows, Primary care organization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- WHO indigenous PHC material physical pages 3 to 6, Indigenous Health Network and SAFCI context; WHO HBP profile physical page 1, sector description.
- Detected Media Type
- application/pdf
- File Sha256
- adc3cf6c4608dcceb4ffc66b28f7a2eded1f3bbfa429de97f1ad27a722c4f315
- Response Sha256
- adc3cf6c4608dcceb4ffc66b28f7a2eded1f3bbfa429de97f1ad27a722c4f315
Annotation prompts and machine flags
- Do not equate intercultural policy context with verified traditional-service coverage, referral volume, private provision or social-security contracting.
Country Improvement Source Lead · Open for annotation
Bolivia (Plurinational State of): Health Benefit Package Country Profile
World Health Organization. Bolivia (Plurinational State of): Health Benefit Package Country Profile. WHO Global Survey on HTA and Health Benefit Packages, 2020-2021. https://cdn.who.int/media/docs/default-source/health-economics/hbp-country-profiles-2020-21/hbp-country_area-profile_bolivia-%28plurinational-state-of%29.pdf
Statement or annotation question
WHO reports a public subsector for people without other coverage, short-term social-security cajas with their own provider networks, and voluntary private coverage. The profile reports survey information and does not establish current enrolment, contracting or use for every fund or provider.
Source context or anchor
Each box has its own network of providers
- Material reference
- material:87d2c270537551e1da4197d0
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Reported
- Publication date
- 2021
- Institution
- World Health Organization
- Document type
- Not Supplied
- Territory
- Bolivia (Plurinational State of), public subsector, short-term social security and voluntary private coverage
- Period
- WHO survey responses for 2020-2021
- Source layers
- Grey Literature
- Coverage domains
- Actors, Provider autonomy, Decision rights, Facility data, Governance and accountability, Hospital organization, Market structure, Provider networks, Provider ownership, 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
- pdf_page_anchor
- Section
- HBP features and processes
- Source Word Anchor
- Each box has its own network of providers
- Source Word Count
- 8
- Detected Media Type
- application/pdf
- File Sha256
- 770b1978a782de9c54c848138269ca8a23cfaae64117d53dbe9b471330e82dd5
- Page Count
- 3
- Response Sha256
- 770b1978a782de9c54c848138269ca8a23cfaae64117d53dbe9b471330e82dd5
Annotation prompts and machine flags
- Keep SUS, short-term social security and voluntary private coverage as separate reported sectors.
Country Improvement Source Lead · Open for annotation
Directora del SUS: la salud es una competencia compartida entre el Gobierno nacional y las entidades territoriales
Ministerio de Salud y Deportes. Directora del SUS: la salud es una competencia compartida entre el Gobierno nacional y las entidades territoriales. 16 May 2025. https://www.minsalud.gob.bo/8630-directora-del-sus-la-salud-es-una-competencia-compartida-entre-el-gobierno-nacional-y-las-entidades-territoriales
Statement or annotation question
The Ministry's SUS director reports concurrent national, departmental and municipal responsibilities, including departmental ownership of third-level hospitals and municipal financing of first- and second-level facilities. The report also describes referral problems in some departments, but it is not an independent national performance audit.
Source context or anchor
la salud es una competencia compartida
- Material reference
- material:9e22b3e5f394c2973ed41c0e
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Reported
- Publication date
- 2025
- Institution
- Ministerio de Salud y Deportes, Estado Plurinacional de Bolivia
- Document type
- Not Supplied
- Territory
- Bolivia (Plurinational State of), public SUS facilities; examples discuss Santa Cruz
- Period
- Ministry news report, 16 May 2025
- Source layers
- Official
- Coverage domains
- Actors, Provider autonomy, Decision rights, Governance and accountability, Government responsibilities, Hospital organization, Observed referral, Provider ownership, 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_section_anchor
- Source Word Anchor
- la salud es una competencia compartida
- Source Word Count
- 6
- Detected Media Type
- text/html
- Response Sha256
- ca147fed61d9c7b5133cfe259c1e512dc1dc3a40f0b553116ec8bb29aedfecc0
Annotation prompts and machine flags
- Treat the facility ownership, financing and referral descriptions as a Ministry account limited to the public SUS context.
Country Improvement Source Lead · Open for annotation
Guía instructiva para la implementación del Sistema Único de Salud
Ministerio de Salud y Deportes. Guía instructiva para la implementación del Sistema Único de Salud. 2019. https://www.minsalud.gob.bo/images/Descarga/SUS/Instructivo_guia_completo_001_SUS_2019.pdf
Statement or annotation question
The Ministry guide sets out implementation arrangements for SUS. It is evidence of the formal 2019 operational framework and must not be read as proof that every municipality, network or service route was functioning as designed.
Source context or anchor
Sistema Único de Salud
- Material reference
- material:3fe270d68b45a3851f8c5321
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Formal
- Publication date
- 2019
- Institution
- Ministerio de Salud y Deportes, Estado Plurinacional de Bolivia
- Document type
- Not Supplied
- Territory
- Bolivia (Plurinational State of), Sistema Único de Salud public-service network
- Period
- SUS implementation guide issued in 2019
- 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
- Locator Type
- pdf_title_and_sections
- Source Word Anchor
- Sistema Único de Salud
- Source Word Count
- 4
- Detected Media Type
- application/pdf
- File Sha256
- 2e04455b1076d6a37c431940fd80a1e128778e6ff6fab0e1a4a16fd2d56e629c
- Page Count
- 29
- Response Sha256
- 2e04455b1076d6a37c431940fd80a1e128778e6ff6fab0e1a4a16fd2d56e629c
Annotation prompts and machine flags
- Treat the guide as a 2019 formal framework, not as an implementation audit.
Country Improvement Source Lead · Open for annotation
Histórico: Gobierno y directores acuerdan optimizar la atención en hospitales de tercer nivel con equipamiento, personal y SUS
Ministerio de Salud y Deportes. Histórico: Gobierno y directores acuerdan optimizar la atención en hospitales de tercer nivel con equipamiento, personal y SUS. 4 June 2024. https://www.minsalud.gob.bo/8153-historico-gobierno-y-directores-acuerdan-optimizar-la-atencion-en-hospitales-de-tercer-nivel-con-equipamiento-personal-y-sus
Statement or annotation question
The Ministry reports an agreement with 34 third-level hospital directors to improve equipment, staffing, medicines and referral-counter-referral work. This documents a stated administrative priority and reported problem context, not achieved changes or national referral outcomes.
Source context or anchor
agilizar la referencia-contrarreferencia
- Material reference
- material:db1b2ddb87286eabc9107633
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Reported
- Publication date
- 2024
- Institution
- Ministerio de Salud y Deportes, Estado Plurinacional de Bolivia
- Document type
- Not Supplied
- Territory
- Bolivia (Plurinational State of), Ministry meeting with 34 third-level hospital directors
- Period
- Ministry news report, 4 June 2024
- Source layers
- Official
- Coverage domains
- Actors, Facility data, Governance and accountability, Government responsibilities, Hospital organization, Provider networks, 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
- web_section_anchor
- Source Word Anchor
- agilizar la referencia-contrarreferencia
- Source Word Count
- 3
- Detected Media Type
- text/html
- Response Sha256
- 3dbd8a43f0159f92f51ecdf11857a7aa9ce2c592e0411051a3fc1a9f5bc1dff1
Annotation prompts and machine flags
- Do not convert a reported agreement or stated priority into evidence of completed referral improvement.
Country Improvement Source Lead · Open for annotation
Ministra de Salud resalta la importancia de acudir al primer nivel de atención para aliviar la carga del tercer nivel
Ministerio de Salud y Deportes. Ministra de Salud resalta la importancia de acudir al primer nivel de atención para aliviar la carga del tercer nivel. 8 January 2024. https://www.minsalud.gob.bo/7957-ministra-de-salud-resalta-la-importancia-de-acudir-al-primer-nivel-de-atencion-para-aliviar-la-carga-del-tecer-nivel
Statement or annotation question
A Ministry news report states that first- and second-level care depend on municipalities, third-level care on departmental governments, and fourth-level care on national government. It is an official reported account and does not establish legal detail, facility autonomy, or actual care-routing compliance.
Source context or anchor
primer y segundo nivel dependen de los municipios
- Material reference
- material:460a037236fc7827ea4a6af4
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Reported
- Publication date
- 2024
- Institution
- Ministerio de Salud y Deportes, Estado Plurinacional de Bolivia
- Document type
- Not Supplied
- Territory
- Bolivia (Plurinational State of), reported public SUS service arrangement
- Period
- Ministry news report, 8 January 2024; service counts cited for 2023
- Source layers
- Official
- Coverage domains
- Provider autonomy, Decision rights, Governance and accountability, Government responsibilities, Hospital organization, Provider networks, 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
- web_section_anchor
- Source Word Anchor
- primer y segundo nivel dependen de los municipios
- Source Word Count
- 8
- Detected Media Type
- text/html
- Response Sha256
- 6b95cd5ce7cf262de7cd3921e956cd7e2c90798e4978d44a575da5a2ffad98d2
Annotation prompts and machine flags
- Do not treat this Ministry news report as a legal allocation, a measure of provider autonomy, or evidence that referrals follow the stated levels.
Country Improvement Source Lead · Open for annotation
Perfil de País: Bolivia
Pan American Health Organization. Perfil de País: Bolivia. Salud en las Américas+, 15 September 2024. https://hia.paho.org/es/perfiles-de-pais/bolivia
Statement or annotation question
PAHO reports that SUS was launched from February 2019 and presents national, departmental and municipal health indicators. The profile cautions that its interagency indicators may differ from more recent country figures.
Source context or anchor
lanzamiento del Sistema Único de Salud
- Material reference
- material:fa8a28c39950ce8db6b94880
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Reported
- Publication date
- 2024
- Institution
- Pan American Health Organization
- Document type
- Not Supplied
- Territory
- Bolivia (Plurinational State of), national profile with department and municipality indicators where specified
- Period
- Country profile published 15 September 2024; indicators use stated source years
- Source layers
- Review Literature
- Coverage domains
- Actors, Authoritative review, Facility data, Governance and accountability, Patient flows, Primary care organization, 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_section_anchor
- Source Word Anchor
- lanzamiento del Sistema Único de Salud
- Source Word Count
- 6
- Detected Media Type
- text/html
- Response Sha256
- 7b0d01e81b2105954235fde3e7cc2fbd04591ffd7a35d9a7b915c9ce355a78ea
Annotation prompts and machine flags
- Use indicator-specific dates and do not replace current national administrative data with profile estimates.
Country Improvement Source Lead · Open for annotation
Primary Health Care in Rural Areas and Indigenous Communities of Bolivia
World Health Organization. Primary Health Care in Rural Areas and Indigenous Communities of Bolivia. https://cdn.who.int/media/docs/default-source/documents/gender/phc-for-indigenous-people-of-bolivia.pdf
Statement or annotation question
WHO depicts Ministry, departmental SEDES, municipalities, health networks and community organizations as distinct management or operational levels. It describes rural and indigenous-network examples and should not be generalized into a complete current national referral-performance measure.
Source context or anchor
HEALTH SYSTEM MANAGEMENT LEVELS
- Material reference
- material:a876e2d9f3a67f1f1dc6c8b5
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Reported
- Publication date
- 2021
- Institution
- World Health Organization
- Document type
- Not Supplied
- Territory
- Bolivia (Plurinational State of), rural and indigenous communities; examples include Cochabamba Tropics municipalities
- Period
- WHO presentation material available in 2021
- Source layers
- Official
- Coverage domains
- Actors, Facility data, Governance and accountability, Government responsibilities, Hospital organization, Provider networks, 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
- pdf_page_set_anchor
- Source Word Anchor
- HEALTH SYSTEM MANAGEMENT LEVELS
- Source Word Count
- 4
- Detected Media Type
- application/pdf
- File Sha256
- adc3cf6c4608dcceb4ffc66b28f7a2eded1f3bbfa429de97f1ad27a722c4f315
- Response Sha256
- adc3cf6c4608dcceb4ffc66b28f7a2eded1f3bbfa429de97f1ad27a722c4f315
Annotation prompts and machine flags
- Separate the indigenous-network examples from national system-wide observed service use.
Country Improvement Source Lead · Open for annotation
Primary health care research in Bolivia: systematic review and analysis
Alvarez FN, Leys M, Rivera Mérida HE, Escalante Guzmán G. Primary health care research in Bolivia: systematic review and analysis. Health Policy and Planning. 2016;31(1):114-128. doi:10.1093/heapol/czv013. https://pubmed.ncbi.nlm.nih.gov/25953966/
Statement or annotation question
This systematic review reports that SAFCI was intended to establish intercultural, intersectoral and integrated primary health care, while finding limited research to assess policy effects. It synthesizes a dated evidence base and does not measure current service delivery or referral performance.
Source context or anchor
there has not been a comprehensive analysis
- Material reference
- material:d3cce084d2ac242df94ce8f2
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Reported
- Publication date
- 2016
- Institution
- Health Policy and Planning
- Document type
- Not Supplied
- Territory
- Bolivia (Plurinational State of), national primary-health-care research and policy context
- Period
- Literature reviewed through the study's 2015 publication; journal issue 2016
- Source layers
- Review Literature
- Coverage domains
- Actors, Authoritative review, Facility data, Governance and accountability, Government responsibilities, Provider networks, Primary care organization, 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_section_anchor
- Source Word Anchor
- there has not been a comprehensive analysis
- Source Word Count
- 7
- Detected Media Type
- text/html
- Response Sha256
- c46ce33aed23220695c647edc2eb2c4598f3543a78b5f2fbc31de4bbdedc990f
Annotation prompts and machine flags
- Keep the review's policy description and evidence-gap finding distinct from current observed performance.
Country Improvement Source Lead · Open for annotation
The Bolivian Universal Health System and Effective Access to Healthcare: A Diagnosis
Agafitei GA. The Bolivian Universal Health System and Effective Access to Healthcare: A Diagnosis. Revista Latinoamericana de Desarrollo Económico. 2023;39:35-76. doi:10.35319/lajed.202239278. https://lajed.ucb.edu.bo/a/article/download/278/486
Statement or annotation question
The study combines national household-survey analysis with interviews in La Paz. It reports increased public-service access in SUS's first year alongside resource constraints; its interview and pathway findings are bounded to the La Paz case study and cannot estimate national referral completion.
Source context or anchor
access to public healthcare services has increased
- Material reference
- material:f2b3eed8aa6df4bdf14aee8b
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Observed
- Publication date
- 2023
- Institution
- Revista Latinoamericana de Desarrollo Económico
- Document type
- Not Supplied
- Territory
- Bolivia (Plurinational State of) national household-survey analysis; qualitative case study in La Paz municipality
- Period
- National Household Surveys 2017-2019; interviews in La Paz during 2021; article published 2023
- Source layers
- Research Literature
- Coverage domains
- Actors, Authoritative review, Provider autonomy, Decision rights, Facility data, Governance and accountability, 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
- pdf_page_set_anchor
- Source Word Anchor
- access to public healthcare services has increased
- Source Word Count
- 7
- Detected Media Type
- application/pdf
- File Sha256
- 5625b6a4d882f8e4f1691176ddfff93f7fc99c8be043cae715901736f8e9ba7c
- Response Sha256
- 5625b6a4d882f8e4f1691176ddfff93f7fc99c8be043cae715901736f8e9ba7c
Annotation prompts and machine flags
- Keep national survey findings distinct from the La Paz interviews and do not infer causal reform effects.
Country Improvement Source Lead · Open for annotation
Universal health access and coverage, a reference for the world
World Health Organization. Bolivia (Plurinational State of): Universal health access and coverage, a reference for the world. WHO Results Report 2020 mid-term review country story. 2020. https://www.who.int/about/accountability/results/who-results-report-2020-mtr/country-story/2020/universal-health-access-and-coverage-a-reference-for-the-world
Statement or annotation question
WHO reports that Bolivia introduced SUS reforms in 2019 and describes WHO support for policy formulation and implementation planning. This institutional country story is a reported account, not an independent causal evaluation of SUS effects.
Source context or anchor
introduced ambitious health reforms in 2019
- Material reference
- material:cc719c77c255fe7a64b5fef3
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Reported
- Publication date
- 2020
- Institution
- World Health Organization
- Document type
- Not Supplied
- Territory
- Bolivia (Plurinational State of), national SUS reform context; RISS examples in La Paz and El Alto
- Period
- WHO country story for the 2020 mid-term review, describing 2019 reform and implementation context
- Source layers
- Official
- Coverage domains
- Actors, Decision rights, Governance and accountability, Government responsibilities, Provider networks, Primary care organization, 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_section_anchor
- Source Word Anchor
- introduced ambitious health reforms in 2019
- Source Word Count
- 6
- Detected Media Type
- text/html
- Response Sha256
- b54f25ac2d3d88ec8b0ca42a6f785a86011322da6fb7c59abb0dc7fba5d3aa5e
Annotation prompts and machine flags
- Treat WHO's account of its own support and reported outcomes as institutional reporting, not independent impact evidence.
Displayed source projection · Open for annotation
Bolivia (Plurinational State of) - Country Profile
Pan American Health Organization. Bolivia (Plurinational State of) - Country Profile. 2024. https://hia.paho.org/en/country-profiles/bolivia
- Material reference
- candidate-source:BOL:8b4c81f13c1115048243
- 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
- Challenges related to population health
- Html Text Block
- 46
- Locator Type
- html_text_anchor
- Source Word Anchor
- and segmentation of the health system for which it will be necessary
- Source Word Count
- 12
- Response Sha256
- 8c9bef44ee548e05a126ef25a0d54349e18bffbcd657e5b2582487cb953fdcbe
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
Bolivia (Plurinational State of) - Country Profile
Pan American Health Organization. Bolivia (Plurinational State of) - Country Profile. 2024. https://hia.paho.org/en/country-profiles/bolivia
- Material reference
- material:ad5091b8e8b790b166cb5f40
- 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
- Challenges related to population health
- Html Text Block
- 46
- Locator Type
- html_text_anchor
- Source Word Anchor
- and segmentation of the health system for which it will be necessary
- Source Word Count
- 12
- Response Sha256
- 8c9bef44ee548e05a126ef25a0d54349e18bffbcd657e5b2582487cb953fdcbe
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
Bolivia (Plurinational State of) - Country Profile
Pan American Health Organization. Bolivia (Plurinational State of) - Country Profile. 2024. https://hia.paho.org/en/country-profiles/bolivia
- Material reference
- material:321f1f55b7a0ceadb5a15c23
- 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
- Challenges related to population health
- Html Text Block
- 46
- Locator Type
- html_text_anchor
- Source Word Anchor
- and segmentation of the health system for which it will be necessary
- Source Word Count
- 12
- Detected Media Type
- text/html
- Response Sha256
- fc3aa01adbe97dd396bc419fc9e6f8645a0847cb879f3c3fe75dac8c4557a029
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.