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"source_reference", "source": "Loi n°2019-678 du 23 juillet 2019 portant réforme hospitalière", "url": "https://www.depps.sante.gouv.ci/DocPDF/DOCUMENTS%20DE%20R%C3%89F%C3%89RENCE/LOI%20N%C2%B02019-678%20DU%2023%20JUILLET%202019%20PORTANT%20REFORME%20HOSPITALIERE.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "historical decentralization review and World Bank assessment", "mapping_group": "decision_rights_and_autonomy", "mapping_id": "candidate-mapping:CIV:decision-autonomy:decentralization-boundary", "source_projection_ids": [ "country-improvement-source:CIV:soura-coulibaly-decentralization-review-2014", "country-improvement-source:CIV:world-bank-health-systems-assessment-2020" ], "support_state": "candidate_supported", "target_slot": "decentralization-boundary", "target_view": "autonomy", "typed_fields": { "boundary": "No uniform current autonomy rating is justified.", "implementation": "The assessment reports decentralization laws not implemented.", "review": "Community-health structures were discussed as having devolution-like autonomy." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Soura and Coulibaly 2014; World Bank 2020.", "country_ids": [ "CIV" ], "coverage_domains": [ "authoritative_review", "autonomy", "decision_rights", "governance", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "decentralized structures enjoy a kind of autonomy", "institution": null, "locator": { "description": "Abstract; World Bank Table 11." }, "material_id": "material:55fcac472d4bd4456338cc78", "notes": [ "Keep historical and implementation layers separate." ], "origin": "candidate-analytical-mappings", "period": "2014 review and 2020 assessment", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { 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"coverage_domains": [ "actors", "authoritative_review", "decision_rights", "facility_data", "governance", "market_structure", "ownership", "referral_design", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "La DEPPS a la charge du secteur privé", "institution": null, "locator": { "description": "Law 2019; plan pp42,48-49; mapping pp24-25." }, "material_id": "material:965ee39e7ee95ed3c24b2a08", "notes": [ "Legal and planning milestones do not establish observed results." ], "origin": "candidate-analytical-mappings", "period": "2019-2023", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "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": "8140617359220e1d3c27805164058bdbd965ea46bc254ba9e20a452063c5830f", "page_count": 18, "response_sha256": "8140617359220e1d3c27805164058bdbd965ea46bc254ba9e20a452063c5830f" }, "statement": "The evidence distinguishes hospital law, private-sector planning and a later phase-one facility mapping, without inferring reform effects.", "tags": [], "territory": "Côte d’Ivoire", "title": "Hospital and private-sector reform sequence", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.depps.sante.gouv.ci/DocPDF/DOCUMENTS%20DE%20R%C3%89F%C3%89RENCE/PLAN%20STRATEGIQUE%20NATIONAL%20IDSPS.pdf" }, { "kind": "source_reference", "source": "Loi n°2019-678 du 23 juillet 2019 portant réforme hospitalière", "url": "https://www.depps.sante.gouv.ci/DocPDF/DOCUMENTS%20DE%20R%C3%89F%C3%89RENCE/LOI%20N%C2%B02019-678%20DU%2023%20JUILLET%202019%20PORTANT%20REFORME%20HOSPITALIERE.pdf" }, { "kind": "source_reference", "source": "Cartographie des établissements sanitaires privés en Côte d’Ivoire", "url": "https://www.depps.sante.gouv.ci/DocPDF/DOCUMENTS%20DE%20R%C3%89F%C3%89RENCE/RAPPORT%20CARTOGRAPHIE%20ESPr%20IQVIA%20-%20BM_DEPPS.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "programme-specific research evidence", "mapping_group": "relationships_and_networks", "mapping_id": "candidate-mapping:CIV:relationships-networks:program-specific-referral", "source_projection_ids": [ "country-improvement-source:CIV:yotsu-ntd-referral-2020" ], "support_state": "candidate_supported", "target_slot": "leprosy-programme-referral", "target_view": "referrals", "typed_fields": { "boundary": "Programme-specific, not a generic national pathway.", "entry": "First-contact facilities identify suspected cases.", "referral": "Suspected leprosy cases are referred to intermediate level." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Yotsu et al. 2020.", "country_ids": [ "CIV" ], "coverage_domains": [ "authoritative_review", "networks", 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suspected leprosy cases to intermediate level within the programme described.", "tags": [], "territory": "Côte d’Ivoire leprosy programme", "title": "Leprosy referral pathway is programme-specific", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://europepmc.org/articles/PMC7164353" } ] }, { "analytical_mapping": { "mapping_basis": "official private-sector plan and hospital law", "mapping_group": "actors_and_functions", "mapping_id": "candidate-mapping:CIV:actors-functions:central-regional-district-private-sector", "source_projection_ids": [ "country-improvement-source:CIV:private-sector-plan-2021-2025", "country-improvement-source:CIV:hospital-reform-law-2019" ], "support_state": "candidate_supported", "target_slot": "central-regional-district-private-sector-roles", "target_view": "functions", "typed_fields": { "central": "DEPPS holds stated private-sector responsibility.", "district": "Health districts develop and monitor departmental action plans.", "regional": "Regional directorates coordinate regional policy." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "MSHPCMU/DEPPS. Plan Stratégique National 2021-2025.", "country_ids": [ "CIV" ], "coverage_domains": [ "actors", "authoritative_review", "decision_rights", "governance", "government_responsibilities", "market_structure" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "La DEPPS a la charge du secteur privé", "institution": null, "locator": { "description": "Plan pp42,48-49." }, "material_id": "material:7b991831ae0d374575fb74ee", "notes": [ "Stated roles are not implementation results." ], "origin": "candidate-analytical-mappings", "period": "2021-2025 plan", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "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": "db254985dba4011a7e36bea0db31cac57806cb70b0c3bd5925897def80b520b7", "page_count": 56, "response_sha256": "db254985dba4011a7e36bea0db31cac57806cb70b0c3bd5925897def80b520b7" }, "statement": "The plan assigns distinct private-sector stewardship, regional coordination and district action-planning roles.", "tags": [], "territory": "Côte d’Ivoire", "title": "National, regional and district private-sector roles", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.depps.sante.gouv.ci/DocPDF/DOCUMENTS%20DE%20R%C3%89F%C3%89RENCE/PLAN%20STRATEGIQUE%20NATIONAL%20IDSPS.pdf" }, { "kind": "source_reference", "source": "Loi n°2019-678 du 23 juillet 2019 portant réforme hospitalière", "url": "https://www.depps.sante.gouv.ci/DocPDF/DOCUMENTS%20DE%20R%C3%89F%C3%89RENCE/LOI%20N%C2%B02019-678%20DU%2023%20JUILLET%202019%20PORTANT%20REFORME%20HOSPITALIERE.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "World Bank assessment and bounded Savanes and Taabo studies", "mapping_group": "delivery_and_referrals", "mapping_id": "candidate-mapping:CIV:delivery-referrals:observed-bypass-boundary", "source_projection_ids": [ "country-improvement-source:CIV:world-bank-health-systems-assessment-2020", "country-improvement-source:CIV:munos-care-seeking-2018", "country-improvement-source:CIV:kone-taabo-phc-2022" ], "support_state": "candidate_supported", "target_slot": "primary-care-utilization-and-bypass-boundary", "target_view": "delivery", "typed_fields": { "abidjan": "Bypassing is reported as more common in Abidjan.", "national": "Assessment reports 79 percent outpatient visits at primary level.", "savanes": "Savanes study is not national.", "taabo": "Four new Taabo facilities reduced distance without observed ANC or delivery improvement." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank 2020; Munos et al. 2018; Koné et al. 2022.", "country_ids": [ "CIV" ], "coverage_domains": [ "authoritative_review", "facility_data", "market_structure", "observed_referral", "patient_flows", "primary_care", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "where bypassing is more common", "institution": null, "locator": { "description": "World Bank report p30; Munos et al. pp3,8-9; Koné et al. 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Plan Stratégique National 2021-2025.", "country_ids": [ "CIV" ], "coverage_domains": [ "authoritative_review", "governance", "networks", "referral_design", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "Réviser les directives de référence et de contre référence", "institution": null, "locator": { "description": "Plan p42, Action 3.4.2." }, "material_id": "material:7140b857a2a4a80ca3cbfd6d", "notes": [ "Do not call the guidance implemented." ], "origin": "candidate-analytical-mappings", "period": "2021-2025 plan", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "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": "db254985dba4011a7e36bea0db31cac57806cb70b0c3bd5925897def80b520b7", "page_count": 56, "response_sha256": "db254985dba4011a7e36bea0db31cac57806cb70b0c3bd5925897def80b520b7" }, "statement": "The plan proposes revision of public-private referral and counter-referral guidance; it does not report adherence.", "tags": [], "territory": "Côte d’Ivoire", "title": "Public-private referral guidance is a planned reform", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.depps.sante.gouv.ci/DocPDF/DOCUMENTS%20DE%20R%C3%89F%C3%89RENCE/PLAN%20STRATEGIQUE%20NATIONAL%20IDSPS.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "World Bank system assessment", "mapping_group": "actors_and_functions", "mapping_id": "candidate-mapping:CIV:actors-functions:three-tier-delivery", "source_projection_ids": [ "country-improvement-source:CIV:world-bank-health-systems-assessment-2020" ], "support_state": "candidate_supported", "target_slot": "three-tier-delivery-architecture", "target_view": "delivery", "typed_fields": { "primary": "CSU and CSR form the reported primary level.", "secondary": "Regional hospitals form the reported secondary level.", "tertiary": "Tertiary facilities provide specialized care." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank Group. Health Systems Assessment for Côte d’Ivoire. 2020.", "country_ids": [ "CIV" ], "coverage_domains": [ "actors", "authoritative_review", "governance", "hospital_organization", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "Côte d’Ivoire has a three-tiered health service delivery system", "institution": null, "locator": { "description": "PDF pp46-47, report pp27-28." }, "material_id": "material:bb13725f50f6fff4934f5a86", "notes": [ "Do not infer uniform capacity across levels." ], "origin": "candidate-analytical-mappings", "period": "2020 assessment", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "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": "c6e32818374cca44396057da2704070be3da35d0820d213fb7f91ea4fc9400e2", "page_count": 125, "response_sha256": "c6e32818374cca44396057da2704070be3da35d0820d213fb7f91ea4fc9400e2" }, "statement": "The assessment describes primary, secondary and tertiary delivery levels while warning that norms and practice diverge.", "tags": [], "territory": "Côte d’Ivoire", "title": "Reported three-tier delivery architecture", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents1.worldbank.org/curated/en/186071589777801915/pdf/Health-Systems-Assessment-for-Cote-d-Ivoire-Accelerating-Reforms-Toward-Universal-Health-Coverage.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "World Bank assessment", "mapping_group": "delivery_and_referrals", "mapping_id": "candidate-mapping:CIV:delivery-referrals:formal-and-reported-referral-weakness", "source_projection_ids": [ "country-improvement-source:CIV:world-bank-health-systems-assessment-2020" ], "support_state": "candidate_supported", "target_slot": "reported-referral-weakness", "target_view": "referrals", "typed_fields": { "boundary": "No national completion measure was located.", "formal_architecture": "Three levels are described.", "reported_practice": "Weak referral systems are reported as access barriers." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank Group. Health Systems Assessment for Côte d’Ivoire. 2020.", "country_ids": [ "CIV" ], "coverage_domains": [ "authoritative_review", "hospital_organization", "observed_referral", "patient_flows", "primary_care", "referral_design" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "weak referral systems pose a barrier", "institution": null, "locator": { "description": "PDF pp46-47, report pp27-28." }, "material_id": "material:3d8b0323f9630156c67510a4", "notes": [ "Keep formal design distinct from reported implementation." ], "origin": "candidate-analytical-mappings", "period": "2020 assessment", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "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": "c6e32818374cca44396057da2704070be3da35d0820d213fb7f91ea4fc9400e2", "page_count": 125, "response_sha256": "c6e32818374cca44396057da2704070be3da35d0820d213fb7f91ea4fc9400e2" }, "statement": "The system is described as tiered, while the assessment reports weak referral systems. This is not a national observed completion statistic.", "tags": [], "territory": "Côte d’Ivoire", "title": "Tiered architecture and reported referral weakness", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents1.worldbank.org/curated/en/186071589777801915/pdf/Health-Systems-Assessment-for-Cote-d-Ivoire-Accelerating-Reforms-Toward-Universal-Health-Coverage.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "DEPPS/MSHPCMU. Cartographie des établissements sanitaires privés en Côte d’Ivoire. 2023. https://www.depps.sante.gouv.ci/DocPDF/DOCUMENTS%20DE%20R%C3%89F%C3%89RENCE/RAPPORT%20CARTOGRAPHIE%20ESPr%20IQVIA%20-%20BM_DEPPS.pdf", "country_ids": [ "CIV" ], "coverage_domains": [ "authoritative_review", "facility_data", "hospital_organization", "market_structure", "networks", "ownership", "patient_flows", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "3187 établissements sanitaires privés ont été cartographiés", "institution": "DEPPS/MSHPCMU", "locator": { "locator_type": "pdf_page_anchor", "source_word_anchor": "3187 établissements sanitaires privés ont été cartographiés", "source_word_count": 6 }, "material_id": "material:b9054d1acefcc8b02f8b61b3", "notes": [ "Do not call the phase-one count the complete private-sector census." ], "origin": "country-evidence-improvement-sources", "period": "September 2023", "publication_date": null, "publication_year": 2023, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "9087211d7dbb3c436364dd577efbf7d83f570e6fd8b2946633ffca811a2a002e", "page_count": 94, "response_sha256": "9087211d7dbb3c436364dd577efbf7d83f570e6fd8b2946633ffca811a2a002e" }, "statement": "The phase-one mapping recorded 3,187 private facilities and describes incomplete national coverage; it reports inpatient availability for surveyed facilities.", "tags": [], "territory": "Phase-one private-facility mapping, Côte d’Ivoire", "title": "Cartographie des établissements sanitaires privés en Côte d’Ivoire", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.depps.sante.gouv.ci/DocPDF/DOCUMENTS%20DE%20R%C3%89F%C3%89RENCE/RAPPORT%20CARTOGRAPHIE%20ESPr%20IQVIA%20-%20BM_DEPPS.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Soura AB, Coulibaly A. Décentralisation et santé communautaire en Côte d’Ivoire. Med Santé Trop. 2014;24(2):151-156. https://pubmed.ncbi.nlm.nih.gov/24334434/", "country_ids": [ "CIV" ], "coverage_domains": [ "actors", "authoritative_review", "autonomy", "decision_rights", "governance", "government_responsibilities", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "decentralized structures enjoy a kind of autonomy", "institution": "Med Santé Trop", "locator": { "locator_type": "abstract_anchor", "source_word_anchor": "decentralized structures enjoy a kind of autonomy", "source_word_count": 7 }, "material_id": "material:a67f884a57158fb23a03ef07", "notes": [ "Do not convert the conceptual review into a present nationwide score." ], "origin": "country-evidence-improvement-sources", "period": "Historical conceptual review, 2014", "publication_date": null, "publication_year": 2014, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "review_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "96dd1f9974576573e97ca3871c0e1bfe156cf875b0fed1dda5b470a6d690db60" }, "statement": "The review characterizes decentralized community-health structures as having autonomy closer to devolution; it is not a current national autonomy inventory.", "tags": [], "territory": "Decentralized community-health structures, Côte d’Ivoire", "title": "Décentralisation et santé communautaire en Côte d’Ivoire", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://pubmed.ncbi.nlm.nih.gov/24334434/" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Hounsa AE, et al. Pan African Medical Journal. 2019;34:16. https://www.ebi.ac.uk/europepmc/webservices/rest/PMC6859026/fullTextXML", "country_ids": [ "CIV" ], "coverage_domains": [ "authoritative_review", "facility_data", "market_structure", "ownership", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "higher in the public sector than in the private sector", "institution": "Pan African Medical Journal", "locator": { "locator_type": "article_section_anchor", "source_word_anchor": "higher in the public sector 81.3 than in the private sector 48.8", "source_word_count": 10 }, "material_id": "material:c5003d1f0c4e9f07a0e7b736", "notes": [ "Keep malaria-management, first-line and 2016 survey scope visible." ], "origin": "country-evidence-improvement-sources", "period": "SARA cross-sectional survey, 10-30 July 2016", "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": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "31157d825ddbee59740a4c3ab39131d7b462407fb93bb508b52b658afacc1c96" }, "statement": "Among 818 surveyed first-line facilities, malaria-management operational capacity was higher in public than private facilities.", "tags": [], "territory": "First-line health facilities, Côte d’Ivoire", "title": "Evaluation de la capacité opérationnelle des établissements sanitaires de première ligne dans la prise en charge du paludisme en Côte d’Ivoire", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC6859026/fullTextXML" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank Group. Health Systems Assessment for Côte d’Ivoire. 2020. https://documents1.worldbank.org/curated/en/186071589777801915/pdf/Health-Systems-Assessment-for-Cote-d-Ivoire-Accelerating-Reforms-Toward-Universal-Health-Coverage.pdf", "country_ids": [ "CIV" ], "coverage_domains": [ "actors", "authoritative_review", "autonomy", "decision_rights", "facility_data", "governance", "government_responsibilities", "hospital_organization", "market_structure", "observed_referral", "ownership", "patient_flows", "primary_care", "referral_design", "reform_history", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "weak referral systems pose a barrier", "institution": "World Bank Group", "locator": { "locator_type": "pdf_page_anchor", "source_word_anchor": "weak referral systems pose a barrier", "source_word_count": 6 }, "material_id": "material:de1b505b6a5565cc98d3b0bf", "notes": [ "Do not present weak referral reporting as a national completion rate." ], "origin": "country-evidence-improvement-sources", "period": "2020 assessment; underlying indicators vary by measure", "publication_date": null, "publication_year": 2020, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "c6e32818374cca44396057da2704070be3da35d0820d213fb7f91ea4fc9400e2", "page_count": 125, "response_sha256": "c6e32818374cca44396057da2704070be3da35d0820d213fb7f91ea4fc9400e2" }, "statement": "The assessment describes a three-tier delivery system, reports weak referral systems as an access barrier and distinguishes formal norms from practice.", "tags": [], "territory": "Côte d’Ivoire national system description", "title": "Health Systems Assessment for Côte d’Ivoire: Accelerating Reforms Toward Universal Health Coverage", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents1.worldbank.org/curated/en/186071589777801915/pdf/Health-Systems-Assessment-for-Cote-d-Ivoire-Accelerating-Reforms-Toward-Universal-Health-Coverage.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Koné S, et al. BMJ Open. 2022;12:e054355. https://www.ebi.ac.uk/europepmc/webservices/rest/PMC8808407/fullTextXML", "country_ids": [ "CIV" ], "coverage_domains": [ "authoritative_review", "facility_data", "patient_flows", "primary_care", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "No improvement was observed for ANC attendance, institutional deliveries and adult mortality.", "institution": "BMJ Open", "locator": { "locator_type": "article_section_anchor", "source_word_anchor": "No improvement was observed for ANC attendance institutional deliveries and adult mortality", "source_word_count": 12 }, "material_id": "material:dbcf002f5306d193d5739268", "notes": [ "Keep Taabo and four-facility scope visible; do not generalize nationally." ], "origin": "country-evidence-improvement-sources", "period": "Prospective data, 2010-2018", "publication_date": null, "publication_year": 2022, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "8b9dda18c4d668f43447fc8d2071259a29f7d3acac36bfb503e74cb2b30c086f" }, "statement": "In four targeted Taabo villages, opening primary healthcare facilities reduced mean distance to care without observed improvement in antenatal attendance or institutional deliveries.", "tags": [], "territory": "Taabo Health and Demographic Surveillance System, south-central Côte d’Ivoire", "title": "Impact of newly constructed primary healthcare centres on antenatal care attendance, facility delivery and all-cause mortality: quasi-experimental evidence from Taabo health and demographic surveillance system, Côte d’Ivoire", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC8808407/fullTextXML" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Yotsu RR, et al. Integrated management of Buruli ulcer and leprosy in Côte d’Ivoire. 2020. https://europepmc.org/articles/PMC7164353", "country_ids": [ "CIV" ], "coverage_domains": [ "authoritative_review", "networks", "observed_referral", "patient_flows", "primary_care", "referral_design" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "detecting and referring all suspicious cases", "institution": "Research article", "locator": { "locator_type": "article_section_anchor", "source_word_anchor": "detecting and referring all suspicious cases", "source_word_count": 6 }, "material_id": "material:017ba34ccdd70068b1049af6", "notes": [ "Do not generalize programme referral to all conditions." ], "origin": "country-evidence-improvement-sources", "period": "Programme context 2016-2017", "publication_date": null, "publication_year": 2020, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "f15b60bc3f71260fc70b27ff7df480834b781ff654ecf1295b8ae568718d0396" }, "statement": "For leprosy, first-contact facilities detect and refer suspected cases to intermediate level; this is programme-specific.", "tags": [], "territory": "Leprosy programme facilities, Côte d’Ivoire", "title": "Integrated management of Buruli ulcer and leprosy in Côte d’Ivoire", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://europepmc.org/articles/PMC7164353" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "République de Côte d’Ivoire. Loi n°2019-678 du 23 juillet 2019 portant réforme hospitalière. 2019. https://www.depps.sante.gouv.ci/DocPDF/DOCUMENTS%20DE%20R%C3%89F%C3%89RENCE/LOI%20N%C2%B02019-678%20DU%2023%20JUILLET%202019%20PORTANT%20REFORME%20HOSPITALIERE.pdf", "country_ids": [ "CIV" ], "coverage_domains": [ "actors", "authoritative_review", "autonomy", "decision_rights", "governance", "hospital_organization", "ownership", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "Le Directeur est l’ordonnateur de l’EPH", "institution": "République de Côte d’Ivoire", "locator": { "locator_type": "legal_article_anchor", "source_word_anchor": "Le Directeur est l ordonnateur de l EPH", "source_word_count": 7 }, "material_id": "material:d5f20e7277ab3c126a3605c4", "notes": [ "Budget execution is not full fiscal autonomy." ], "origin": "country-evidence-improvement-sources", "period": "Law enacted 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": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "8140617359220e1d3c27805164058bdbd965ea46bc254ba9e20a452063c5830f", "page_count": 18, "response_sha256": "8140617359220e1d3c27805164058bdbd965ea46bc254ba9e20a452063c5830f" }, "statement": "The law assigns public-hospital budget execution to directors, oversight of annual budget proposals to hospital councils, and permits delegated public hospital service through convention.", "tags": [], "territory": "Côte d’Ivoire public and delegated hospital services", "title": "Loi n°2019-678 du 23 juillet 2019 portant réforme hospitalière", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.depps.sante.gouv.ci/DocPDF/DOCUMENTS%20DE%20R%C3%89F%C3%89RENCE/LOI%20N%C2%B02019-678%20DU%2023%20JUILLET%202019%20PORTANT%20REFORME%20HOSPITALIERE.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Munos MK, et al. Journal of Global Health. 2018. https://europepmc.org/articles/PMC6211616?pdf=render", "country_ids": [ "CIV" ], "coverage_domains": [ "authoritative_review", "facility_data", "hospital_organization", "market_structure", "observed_referral", "patient_flows", "primary_care", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "dominated by public first-level health centers", "institution": "Journal of Global Health", "locator": { "locator_type": "pdf_page_anchor", "source_word_anchor": "dominated by public first-level health centers", "source_word_count": 6 }, "material_id": "material:35bf7a871e6b69da2b97cdef", "notes": [ "Do not infer national referral rates from Savanes." ], "origin": "country-evidence-improvement-sources", "period": "Study published 2018", "publication_date": null, "publication_year": 2018, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "c0c40675aa49c51d301fc8c8bc2f7b394682440fbd77235942a24c2dbc31d5c8", "response_sha256": "c0c40675aa49c51d301fc8c8bc2f7b394682440fbd77235942a24c2dbc31d5c8" }, "statement": "The study documents mixed public, NGO, religious and private care sources in Savanes and bounded care-seeking episodes.", "tags": [], "territory": "Savanes region", "title": "Measuring effective coverage of maternal and child health interventions in Côte d’Ivoire", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://europepmc.org/articles/PMC6211616?pdf=render" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Duran D, et al. 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