Health System Organization Explorer / Country organization profile

Cook Islands

Organization and delivery profile covering institutional roles, decision rights, provider relationships, referral pathways, and changes over time.

How the health system is organized

This profile follows the organizational chain from national institutions and subnational authorities to purchasers, provider organizations, referral networks, and people using services.

Reported source

Actors and responsibilities

The workforce plan describes an internal referral system and outer-island service constraints, but is historical context rather than current performance evidence.

Period
2016 plan
Territory
Cook Islands
Locator
pp8-12.

Cook Islands Health Workforce Plan 2016-2025.

Open cited source

Formal source

Actors and responsibilities

The current plan describes Te Marae Ora, Pa Enua clinics and Rarotonga Hospital within a national delivery architecture. It does not measure implementation.

Period
2023-2027 plan
Territory
Cook Islands
Locator
pp17-22.

Te Marae Ora 2023-2027 plan.

Open cited source

Reported source

Decision rights and autonomy

The plan and historical survey instrument do not establish a current facility decision-rights schedule.

Period
2023-2027 plan; 2014 instrument
Territory
Cook Islands
Locator
Plan pp17-22; Form F2 p1.

Te Marae Ora 2023-2027 plan; World Bank Form F2.

Open cited source

Reported source

Decision rights and autonomy

The cited plan and baseline instruments do not support a national provider-autonomy rating.

Period
2023-2027 plan; 2014 instruments
Territory
Cook Islands
Locator
Plan pp17-22; Forms F1 and F2 p1.

Te Marae Ora 2023-2027 plan; World Bank Forms F1 and F2.

Open cited source

Reported source

Delivery and referrals

The situation analysis reports historical overseas referrals, and the 2017 multicountry study reports comparative referral context. Neither establishes current referral volumes, completion, or access.

Period
Historical evidence 2005-2011; multicountry study 2017
Territory
Cook Islands; Pacific multicountry study
Locator
UNICEF p42; Boudville et al. p6.

UNICEF 2017 situation analysis; Boudville et al. 2021.

Open cited source

Observed source

Delivery and referrals

The surgical study documents capacity in its public-facility study scope, rather than a full health-system facility census.

Period
2020-2021 facility visits
Territory
Cook Islands public surgical facilities
Locator
Methods; Tables 3 and 5.

Qin et al. 2023.

Open cited source

Formal source

Relationships and networks

The plans describe a domestic referral architecture, but do not provide a current national referral-completion measure.

Period
2017-2027 plans
Territory
Cook Islands
Locator
2017 plan p46; 2023 plan pp19-22.

Cook Islands national health plans 2017-2021 and 2023-2027.

Open cited source

Reported source

Relationships and networks

Regional cooperation context and a national plan do not establish a private-provider ownership or activity share.

Period
2023-2029
Territory
Cook Islands within Pacific regional context
Locator
MCCS Overview; national plan pp17-22.

WHO MCCS 2024-2029; Te Marae Ora 2023-2027 plan.

Open cited source

Reported source

Reform and institutional change

The regional strategy and baseline instruments identify cooperation and measurement contexts, not a completed reform or provider-market outcome.

Period
2014 and 2024-2029
Territory
Cook Islands within regional and baseline-study contexts
Locator
MCCS Overview; Forms F1 and F2 p1.

WHO MCCS 2024-2029; World Bank Forms F1 and F2.

Open cited source

Formal source

Reform and institutional change

The evidence distinguishes the previous 2017-2021 plan from the 2023-2027 plan and planning-cycle listing, without asserting implementation effects.

Period
2017-2027
Territory
Cook Islands
Locator
2017 plan p46; 2023 plan pp44-45; CPCD Main planning cycles.

Cook Islands national health plans 2017-2021 and 2023-2027; WHO CPCD planning cycles.

Open cited source

Open the interactive organization graph and national-subnational decision matrix

Methods, evidence, and data

Source traceability, coverage, citations, locators, source versions, and annotation materials are grouped here so the organizational synthesis remains the primary reading flow.

Directly mapped computable objects

Source-linked mappings drive the visible country synthesis and remain open for annotation. Canonical registries are reported separately so a zero in that publication layer is never mistaken for absent evidence.

Structured country layers with explicit fields for analysis
ObjectCountMeaning
Source-linked analytical mappings10Cited mappings rendered across the organization, decision, delivery, network, autonomy, and reform views.
Source-linked analytical object rows19Named graph nodes and edges, function assignments, decision cells, autonomy cells, pathways, and reform events supplied by those mappings.
Actors0Actors with explicit identity, territory, time, and evidence lineage.
Relationships0Evidence-backed actor-to-actor or actor-to-provider edges.
Decision rights0Actor, function, decision, and role assignments.
Provider organizations0Named or typed providers with evidence-backed ownership and management.
Autonomy records0Decision-domain authority paired with an autonomous-from actor.
Accountability records0Accountable-to actor and mechanism.
Referral designs0Formal referral, choice, bypass, and counter-referral arrangements.
Observed flows0Observed referral, bypass, mobility, or network flows.

Source traceability and coverage

These six documentation measures describe the traceability available for displayed materials: domain coverage, public URLs, exact locators, source versions, and typed mappings. They do not measure health-system performance, source truth, institutional quality, or country success. A zero never means that an actor, authority, relationship, service, or activity is absent.

Documentation status: Explicit analytical mappings. All six source-traceability measures meet or exceed 80%. Materials remain open for annotation and country-specific refinement.

Domain leads
100%17 of 17
Source layers
100%3 of 3
Public URLs
100%23 of 23
Exact locators
100%23 of 23
Source versions
100%23 of 23
Typed mapping
100%5 of 5

Traceability gaps to address

  1. Review and annotate the country synthesis
    All six preparation dimensions meet the target. Every source-linked finding and supporting material remains open for correction, qualification, and additional evidence through annotations.

Coverage by organizational domain

Source traceability across all 17 organizational domains
Displayed materials and source traceability by domain
DomainStateMaterialsURLsLocatorsVersionsStatementsContextsTyped
ActorsCriticalDirect typed mapping9999662
Government responsibilitiesCriticalDirect typed mapping10101010773
Provider ownershipCriticalDirect typed mapping3333331
Decision rightsCriticalDirect typed mapping4444442
Provider autonomyCriticalDirect typed mapping4444443
Primary care organizationCriticalDirect typed mapping12121212993
Hospital organizationCriticalDirect typed mapping1010101010104
Referral designCriticalDirect typed mapping1010101010105
Observed referralDirect typed mapping7777773
Provider networksDirect typed mapping1111111111115
Facility dataDirect typed mapping1010101010105
UtilizationDirect typed mapping9999993
Patient flowsDirect typed mapping7777773
Governance and accountabilityCriticalDirect typed mapping1616161613137
Market structureDirect typed mapping5555552
Reform historyCriticalDirect typed mapping6666662
Authoritative reviewDirect typed mapping20202020202010
Materials with the most complete source traceability
  1. Cook Islands National Health Strategic Plan 2023-2027
    Country Improvement Source Lead. Readiness checks: 5 of 5.
    material:fc5f0eed3aa64bff311895ac
  2. Cook Islands main planning cycles
    Country Improvement Source Lead. Readiness checks: 5 of 5.
    material:ef1ff89ac1b2c29e8737788f
  3. Historical and 2017 overseas-referral context
    Candidate Analytical Mapping. Readiness checks: 5 of 5.
    material:bc30c2e708255b092e770802
  4. Overseas Medical Referral: the health system challenges for Pacific Island Countries
    Country Improvement Source Lead. Readiness checks: 5 of 5.
    material:b49024b47cef2cf0c7c1d82d
  5. Planned national and island delivery architecture
    Candidate Analytical Mapping. Readiness checks: 5 of 5.
    material:8d95906edd35c27c15a5ffb7

Complete country materials

Every collected library candidate, queue record, source lead, statement, context, machine flag, and public projection assigned to this country is rendered below. Each item remains open for text-anchored annotation. A missing direct analytical mapping never hides the broader material.

All material records
23
Library documents
0
Queue records
22
Public-stage records
1
Cited source records
1
Source-linked statements
0
Exact contexts
0
Structured source-linked findings
10
Direct typed relationships
0

All collected materials

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

Formal domestic referral architecture

Cook Islands national health plans 2017-2021 and 2023-2027.

Statement or annotation question

The plans describe a domestic referral architecture, but do not provide a current national referral-completion measure.

Source context or anchor

Referral Services Domestic and International referrals
Material reference
material:0b04567b6f8f071f3aa583b9
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Formal
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
Cook Islands
Period
2017-2027 plans
Source layers
Official
Coverage domains
Authoritative review, Hospital organization, Provider networks, Patient flows, Primary care organization, Referral design
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Description
2017 plan p46; 2023 plan pp19-22.
Detected Media Type
application/pdf
File Sha256
178deaf0b72f20ad76be75be868f7b2a94a0293a5f1bfa0feba3c2e5f22ea06f
Response Sha256
178deaf0b72f20ad76be75be868f7b2a94a0293a5f1bfa0feba3c2e5f22ea06f

Annotation prompts and machine flags

  • Formal pathway is not observed completion.

Source links

Candidate Analytical Mapping · Open for annotation

Historical and 2017 overseas-referral context

UNICEF 2017 situation analysis; Boudville et al. 2021.

Statement or annotation question

The situation analysis reports historical overseas referrals, and the 2017 multicountry study reports comparative referral context. Neither establishes current referral volumes, completion, or access.

Source context or anchor

referrals overseas did not vary significantly
Material reference
material:bc30c2e708255b092e770802
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Reported
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
Cook Islands; Pacific multicountry study
Period
Historical evidence 2005-2011; multicountry study 2017
Source layers
Grey Literature
Coverage domains
Authoritative review, Facility data, Observed referral, Patient flows, Referral design, Utilization
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Description
UNICEF p42; Boudville et al. p6.
Detected Media Type
application/pdf
File Sha256
511ba07db93f5bf555f7fda0ce5a96a7848511c2d666fa7fd77a045cd15cff23
Response Sha256
511ba07db93f5bf555f7fda0ce5a96a7848511c2d666fa7fd77a045cd15cff23

Annotation prompts and machine flags

  • Do not restate as current flow.
  • Do not convert comparative rates into current access or completion.

Source links

Candidate Analytical Mapping · Open for annotation

Historical workforce and network context

Cook Islands Health Workforce Plan 2016-2025.

Statement or annotation question

The workforce plan describes an internal referral system and outer-island service constraints, but is historical context rather than current performance evidence.

Source context or anchor

An internal patient referral system is in place
Material reference
material:32688e5e656bd6903bfd0a81
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Reported
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
Cook Islands
Period
2016 plan
Source layers
Review Literature
Coverage domains
Authoritative review, Facility data, Governance and accountability, Hospital organization, Provider networks, Primary care organization, Referral design
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Description
pp8-12.
Detected Media Type
application/pdf
File Sha256
f3adc00636663dc4acea8cc810634cbf8ce87e1f8096d77da7fe5a1883cae7c0
Response Sha256
f3adc00636663dc4acea8cc810634cbf8ce87e1f8096d77da7fe5a1883cae7c0

Annotation prompts and machine flags

  • Do not use as current workforce evidence.

Source links

Candidate Analytical Mapping · Open for annotation

No national provider-autonomy rating is supported

Te Marae Ora 2023-2027 plan; World Bank Forms F1 and F2.

Statement or annotation question

The cited plan and baseline instruments do not support a national provider-autonomy rating.

Source context or anchor

Health Facility Assessment and Record Review
Material reference
material:4b0440daaa6c231a7820c5b8
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Reported
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
Cook Islands
Period
2023-2027 plan; 2014 instruments
Source layers
Grey Literature
Coverage domains
Authoritative review, Provider autonomy, Decision rights, Facility data, Governance and accountability
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Description
Plan pp17-22; Forms F1 and F2 p1.
Detected Media Type
application/pdf
File Sha256
178deaf0b72f20ad76be75be868f7b2a94a0293a5f1bfa0feba3c2e5f22ea06f
Response Sha256
178deaf0b72f20ad76be75be868f7b2a94a0293a5f1bfa0feba3c2e5f22ea06f

Annotation prompts and machine flags

  • Do not convert survey instruments into autonomy findings.

Source links

Candidate Analytical Mapping · Open for annotation

Planned national and island delivery architecture

Te Marae Ora 2023-2027 plan.

Statement or annotation question

The current plan describes Te Marae Ora, Pa Enua clinics and Rarotonga Hospital within a national delivery architecture. It does not measure implementation.

Source context or anchor

Rarotonga Hospital is the primary referral centre
Material reference
material:8d95906edd35c27c15a5ffb7
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Formal
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
Cook Islands
Period
2023-2027 plan
Source layers
Official
Coverage domains
Actors, Authoritative review, Governance and accountability, Government responsibilities, Hospital organization, Provider networks, Primary care organization, Referral design
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Description
pp17-22.
Detected Media Type
application/pdf
File Sha256
178deaf0b72f20ad76be75be868f7b2a94a0293a5f1bfa0feba3c2e5f22ea06f
Response Sha256
178deaf0b72f20ad76be75be868f7b2a94a0293a5f1bfa0feba3c2e5f22ea06f

Annotation prompts and machine flags

  • Do not infer observed referral completion.

Source links

Candidate Analytical Mapping · Open for annotation

Provider decision delegation is not established

Te Marae Ora 2023-2027 plan; World Bank Form F2.

Statement or annotation question

The plan and historical survey instrument do not establish a current facility decision-rights schedule.

Source context or anchor

Health Worker Survey
Material reference
material:51622a3f2dbf9c49aa3c0176
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Reported
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
Cook Islands
Period
2023-2027 plan; 2014 instrument
Source layers
Grey Literature
Coverage domains
Authoritative review, Provider autonomy, Decision rights, Governance and accountability
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Description
Plan pp17-22; Form F2 p1.
Detected Media Type
application/pdf
File Sha256
178deaf0b72f20ad76be75be868f7b2a94a0293a5f1bfa0feba3c2e5f22ea06f
Response Sha256
178deaf0b72f20ad76be75be868f7b2a94a0293a5f1bfa0feba3c2e5f22ea06f

Annotation prompts and machine flags

  • Do not assign autonomy without a delegation instrument.

Source links

Candidate Analytical Mapping · Open for annotation

Regional and survey materials have bounded meaning

WHO MCCS 2024-2029; World Bank Forms F1 and F2.

Statement or annotation question

The regional strategy and baseline instruments identify cooperation and measurement contexts, not a completed reform or provider-market outcome.

Source context or anchor

Health Facility Assessment and Record Review
Material reference
material:03f6068fdafef0abdb616e0e
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Reported
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
Cook Islands within regional and baseline-study contexts
Period
2014 and 2024-2029
Source layers
Grey Literature
Coverage domains
Authoritative review, Provider autonomy, Facility data, Governance and accountability, Market structure, Reform history, Utilization
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Description
MCCS Overview; Forms F1 and F2 p1.
Detected Media Type
text/html
Response Sha256
f1638984dc64e6b608aeddbba263cfe29d7ccd44a5abd9bebc8e3c58f57505b0

Annotation prompts and machine flags

  • Do not describe source availability as reform implementation.

Source links

Candidate Analytical Mapping · Open for annotation

Regional cooperation is not a provider-market map

WHO MCCS 2024-2029; Te Marae Ora 2023-2027 plan.

Statement or annotation question

Regional cooperation context and a national plan do not establish a private-provider ownership or activity share.

Source context or anchor

enhancing health and health system resilience
Material reference
material:0f054ac58a7782de053127e2
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Reported
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
Cook Islands within Pacific regional context
Period
2023-2029
Source layers
Official
Coverage domains
Authoritative review, Governance and accountability, Government responsibilities, 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
MCCS Overview; national plan pp17-22.
Detected Media Type
text/html
Response Sha256
f1638984dc64e6b608aeddbba263cfe29d7ccd44a5abd9bebc8e3c58f57505b0

Annotation prompts and machine flags

  • Do not imply private-market shares.

Source links

Candidate Analytical Mapping · Open for annotation

Successive national health-plan periods

Cook Islands national health plans 2017-2021 and 2023-2027; WHO CPCD planning cycles.

Statement or annotation question

The evidence distinguishes the previous 2017-2021 plan from the 2023-2027 plan and planning-cycle listing, without asserting implementation effects.

Source context or anchor

Referral Services Domestic and International referrals
Material reference
material:3a2fa07679e9b253ae041200
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Formal
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
Cook Islands
Period
2017-2027
Source layers
Official
Coverage domains
Actors, Authoritative review, Governance and accountability, Government responsibilities, Referral design, Reform history
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Description
2017 plan p46; 2023 plan pp44-45; CPCD Main planning cycles.
Detected Media Type
application/pdf
File Sha256
c9860655942778e28156dc43694921d36fab1cd671d353e2cd33e5c00e70ca69
Response Sha256
c9860655942778e28156dc43694921d36fab1cd671d353e2cd33e5c00e70ca69

Annotation prompts and machine flags

  • Do not infer reform outcomes from plan sequence.

Source links

Candidate Analytical Mapping · Open for annotation

Surgical-facility evidence has a defined scope

Qin et al. 2023.

Statement or annotation question

The surgical study documents capacity in its public-facility study scope, rather than a full health-system facility census.

Source context or anchor

all SOA specialists concentrated at the referral hospital
Material reference
material:63fb5f73ca1af4640bfb524d
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Observed
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
Cook Islands public surgical facilities
Period
2020-2021 facility visits
Source layers
Review Literature
Coverage domains
Authoritative review, Facility data, Hospital organization, Provider networks, Patient flows, Utilization
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Description
Methods; Tables 3 and 5.
Detected Media Type
application/json
File Sha256
5ef910fb76c3badbb443f67de4fa06881a7aac6763667b3433cbaa9ba1efd9a4
Response Sha256
5ef910fb76c3badbb443f67de4fa06881a7aac6763667b3433cbaa9ba1efd9a4

Annotation prompts and machine flags

  • Retain public-surgical-facility scope.

Source links

Country Improvement Source Lead · Open for annotation

Assessment of essential surgical and anaesthesia care capacity in five Pacific Island Countries

Qin R, et al. Assessment of essential surgical and anaesthesia care capacity in five Pacific Island Countries. Lancet Regional Health Western Pacific. 2023.

Statement or annotation question

The cross-sectional study reports surgical capacity for the Cook Islands study setting. It is not a general facility census.

Source context or anchor

all SOA specialists concentrated at the referral hospital
Material reference
material:856c6b77c78e86b893d35bb5
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Observed
Publication date
2023
Institution
Lancet Regional Health Western Pacific
Document type
Not Supplied
Territory
Cook Islands public surgical-facility study
Period
Facility visits 2020-2021
Source layers
Review Literature
Coverage domains
Authoritative review, Facility data, Hospital organization, Market structure, Provider networks, Patient flows, Utilization
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Locator Type
bioc_table_anchor
Source Word Anchor
all SOA specialists concentrated at the referral hospital
Source Word Count
8
Detected Media Type
application/json
File Sha256
5ef910fb76c3badbb443f67de4fa06881a7aac6763667b3433cbaa9ba1efd9a4
Response Sha256
5ef910fb76c3badbb443f67de4fa06881a7aac6763667b3433cbaa9ba1efd9a4

Annotation prompts and machine flags

  • Retain public surgical-facility and cross-sectional scope.

Source links

Country Improvement Source Lead · Open for annotation

Cook Islands Health Workforce Plan 2016-2025

Cook Islands Ministry of Health. Health Workforce Plan 2016-2025.

Statement or annotation question

The workforce plan reports a dispersed service network and workforce constraints. Its figures and implementation assessments are historical.

Source context or anchor

An internal patient referral system is in place
Material reference
material:7a9700893a0462f5f7d8594f
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Reported
Publication date
2016
Institution
Cook Islands Ministry of Health
Document type
Not Supplied
Territory
Cook Islands
Period
2016 workforce plan
Source layers
Review Literature
Coverage domains
Actors, Authoritative review, Facility data, Governance and accountability, Hospital organization, Provider networks, Observed referral, Patient flows, Primary care organization, Referral design, Utilization
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Locator Type
pdf_page_set_anchor
Source Word Anchor
An internal patient referral system is in place
Source Word Count
8
Detected Media Type
application/pdf
File Sha256
f3adc00636663dc4acea8cc810634cbf8ce87e1f8096d77da7fe5a1883cae7c0
Response Sha256
f3adc00636663dc4acea8cc810634cbf8ce87e1f8096d77da7fe5a1883cae7c0

Annotation prompts and machine flags

  • Do not use the plan as current workforce counts.

Source links

Country Improvement Source Lead · Open for annotation

Cook Islands National Health Strategic Plan 2017-2021

Cook Islands Ministry of Health. National Health Strategic Plan 2017-2021.

Statement or annotation question

The previous plan documents its own policy period and referral delivery area. It is historical context, not current policy.

Source context or anchor

Referral Services Domestic and International referrals
Material reference
material:7985b6acbe9da0ddfcdcf026
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Formal
Publication date
2017
Institution
Cook Islands Ministry of Health
Document type
Not Supplied
Territory
Cook Islands
Period
2017-2021 plan
Source layers
Official
Coverage domains
Actors, Authoritative review, 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_page_anchor
Source Word Anchor
Referral Services Domestic and International referrals
Source Word Count
6
Detected Media Type
application/pdf
File Sha256
c9860655942778e28156dc43694921d36fab1cd671d353e2cd33e5c00e70ca69
Response Sha256
c9860655942778e28156dc43694921d36fab1cd671d353e2cd33e5c00e70ca69

Annotation prompts and machine flags

  • Do not present the 2017-2021 plan as current policy.

Source links

Country Improvement Source Lead · Open for annotation

Cook Islands National Health Strategic Plan 2023-2027

Te Marae Ora. Cook Islands National Health Strategic Plan 2023-2027.

Statement or annotation question

The strategic plan describes Te Marae Ora roles, delivery architecture and planned direction. It does not establish implementation in every setting.

Source context or anchor

Rarotonga Hospital is the primary referral centre
Material reference
material:fc5f0eed3aa64bff311895ac
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Formal
Publication date
2023
Institution
Te Marae Ora, Cook Islands Ministry of Health
Document type
Not Supplied
Territory
Cook Islands
Period
2023-2027 plan
Source layers
Official
Coverage domains
Actors, Authoritative review, Decision rights, Governance and accountability, Government responsibilities, Hospital organization, Provider networks, Provider ownership, Primary care organization, Referral design, Reform history
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Locator Type
pdf_page_set_anchor
Source Word Anchor
Rarotonga Hospital is the primary referral centre
Source Word Count
7
Detected Media Type
application/pdf
File Sha256
178deaf0b72f20ad76be75be868f7b2a94a0293a5f1bfa0feba3c2e5f22ea06f
Response Sha256
178deaf0b72f20ad76be75be868f7b2a94a0293a5f1bfa0feba3c2e5f22ea06f

Annotation prompts and machine flags

  • Keep plan design separate from observed delivery.

Source links

Country Improvement Source Lead · Open for annotation

Cook Islands RBF Facility Assessment and Record Review Instrument

World Bank. Cook Islands RBF baseline: Health Facility Assessment and Record Review, Form F1. 2014.

Statement or annotation question

The instrument defines facility and record-review variables. It is not evidence of facility performance or organization.

Source context or anchor

Health Facility Assessment and Record Review
Material reference
material:8c5654580f6e636f76380201
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Reported
Publication date
2014
Institution
World Bank
Document type
Not Supplied
Territory
Cook Islands RBF baseline study
Period
2014 baseline instrument
Source layers
Grey Literature
Coverage domains
Authoritative review, Facility data, Governance and accountability, Hospital organization, Market structure, Primary care organization, Utilization
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Locator Type
pdf_form_anchor
Source Word Anchor
Health Facility Assessment and Record Review
Source Word Count
6
Detected Media Type
application/pdf
File Sha256
992859d2574608bb94fa47ab09088e95df565e1e5ba0aacbfcc9b5ca784bcef6
Response Sha256
992859d2574608bb94fa47ab09088e95df565e1e5ba0aacbfcc9b5ca784bcef6

Annotation prompts and machine flags

  • Do not represent an instrument as observed data.

Source links

Country Improvement Source Lead · Open for annotation

Cook Islands RBF Health Worker Survey Instrument

World Bank. Cook Islands RBF baseline: Health Worker Survey, Form F2. 2014.

Statement or annotation question

The instrument describes a worker-survey design. It does not establish provider autonomy or observed management practice.

Source context or anchor

Health Worker Survey
Material reference
material:1645fcc53dbd77f84207d30a
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Reported
Publication date
2014
Institution
World Bank
Document type
Not Supplied
Territory
Cook Islands RBF baseline study
Period
2014 baseline instrument
Source layers
Grey Literature
Coverage domains
Authoritative review, Provider autonomy, Decision rights, Facility data, Governance and accountability, Utilization
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Locator Type
pdf_form_anchor
Source Word Anchor
Health Worker Survey
Source Word Count
3
Detected Media Type
application/pdf
File Sha256
9f4777243828e1ea59d5a0425c608f0d3575aa659ae192f24799ecd825648104
Response Sha256
9f4777243828e1ea59d5a0425c608f0d3575aa659ae192f24799ecd825648104

Annotation prompts and machine flags

  • Do not convert survey domains into country findings.

Source links

Country Improvement Source Lead · Open for annotation

Cook Islands main planning cycles

World Health Organization. Country Planning Cycle Database: Cook Islands main planning cycles. Retrieved 2026.

Statement or annotation question

The WHO country planning-cycles page lists the Cook Islands National Health Strategic Plan 2023-2027. It identifies a plan period, not implementation.

Source context or anchor

National Health Strategic Plan 2023-2027
Material reference
material:ef1ff89ac1b2c29e8737788f
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Formal
Publication date
2026
Institution
World Health Organization
Document type
Not Supplied
Territory
Cook Islands
Period
Planning cycles displayed in 2026
Source layers
Official
Coverage domains
Authoritative review, Governance and accountability, Government responsibilities, Reform history
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Locator Type
html_text_anchor
Source Word Anchor
National Health Strategic Plan 2023-2027
Source Word Count
5
Detected Media Type
text/html
Response Sha256
f922edf86278cb1aab1e2504aa40af3d7db2222ca75d1e64b76c86b62f7111b9

Annotation prompts and machine flags

  • Treat the page as a planning-cycle listing, not implementation evidence.

Source links

Country Improvement Source Lead · Open for annotation

Overseas Medical Referral: the health system challenges for Pacific Island Countries

Boudville A, Irava W, Motofaga S, Gilbert K, Mills A. Overseas Medical Referral: the health system challenges for Pacific Island Countries. Pacific Health. 2021;4.

Statement or annotation question

The multicountry study includes Cook Islands referral material and reports comparative overseas-referral context for 2017. It does not establish current national volumes, completion, or unmet need.

Source context or anchor

relatively higher levels of OMR per 1000
Material reference
material:b49024b47cef2cf0c7c1d82d
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Reported
Publication date
2021
Institution
Pacific Health
Document type
Not Supplied
Territory
Cook Islands within a 16-Pacific-island-country study
Period
Questionnaire, interview and document evidence for 2017
Source layers
Research Literature
Coverage domains
Authoritative review, Provider networks, Observed referral, Patient flows, 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_anchor
Source Word Anchor
relatively higher levels of OMR per 1000
Source Word Count
7
Detected Media Type
application/pdf
File Sha256
9629b0fa471ee9e6567704c3539907d1e37a0b247b1a1f48fd7bc5ce932feeb6
Response Sha256
9629b0fa471ee9e6567704c3539907d1e37a0b247b1a1f48fd7bc5ce932feeb6

Annotation prompts and machine flags

  • Retain the 2017 multicountry-study scope.
  • Do not infer current Cook Islands referral completion or access.

Source links

Country Improvement Source Lead · Open for annotation

Pacific Islands-WHO Multi-country Cooperation Strategy 2024-2029

World Health Organization Regional Office for the Western Pacific. Pacific Islands-WHO Multi-country Cooperation Strategy 2024-2029.

Statement or annotation question

The strategy provides regional cooperation context and is not a country-specific account of provider authority.

Source context or anchor

enhancing health and health system resilience
Material reference
material:840a25332397086ddcddaf23
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Reported
Publication date
2024
Institution
World Health Organization
Document type
Not Supplied
Territory
Cook Islands within the Pacific region
Period
2024-2029 strategy
Source layers
Official
Coverage domains
Actors, Authoritative review, Governance and accountability, Government responsibilities, Primary care organization, Reform history
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Html Text Block
5
Locator Type
html_text_anchor
Source Word Anchor
enhancing health and health system resilience
Source Word Count
6
Detected Media Type
text/html
Response Sha256
f1638984dc64e6b608aeddbba263cfe29d7ccd44a5abd9bebc8e3c58f57505b0

Annotation prompts and machine flags

  • Do not infer Cook Islands institutional roles from regional strategy language.

Source links

Country Improvement Source Lead · Open for annotation

Situation Analysis of Children in the Cook Islands

UNICEF. Situation Analysis of Children in the Cook Islands. 2017.

Statement or annotation question

The situation analysis reports historical facilities and overseas referrals. These are not current service measures.

Source context or anchor

referrals overseas did not vary significantly
Material reference
material:797ae7694e8db35bc83f68c0
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Reported
Publication date
2017
Institution
UNICEF
Document type
Not Supplied
Territory
Cook Islands
Period
Historical evidence reported 2005-2011
Source layers
Grey Literature
Coverage domains
Authoritative review, Facility data, Hospital organization, Market structure, Provider networks, Observed referral, Provider ownership, Patient flows, Primary care organization, Referral design, Utilization
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Locator Type
pdf_page_anchor
Source Word Anchor
referrals overseas did not vary significantly
Source Word Count
6
Detected Media Type
application/pdf
File Sha256
511ba07db93f5bf555f7fda0ce5a96a7848511c2d666fa7fd77a045cd15cff23
Response Sha256
511ba07db93f5bf555f7fda0ce5a96a7848511c2d666fa7fd77a045cd15cff23

Annotation prompts and machine flags

  • Retain the historical period and secondary-source boundary.

Source links

Displayed source projection · Open for annotation

Pacific Islands-WHO multi-country cooperation strategy 2024-2029

WHO Regional Office for the Western Pacific. Pacific Islands-WHO multi-country cooperation strategy 2024-2029. 2024. https://www.who.int/westernpacific/publications/i/item/9789290620587

Material reference
candidate-source:COK:2b09f6a1ddc452f8b863
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
Overview
Html Text Block
5
Locator Type
html_text_anchor
Source Word Anchor
and enhancing health and health system resilience
Source Word Count
7
Response Sha256
0e36703f0192ec38e436b0d20d008b29e78a08ca2887cab3fc5a079818c82c2b

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 links

Source Triage Record · Open for annotation

Pacific Islands-WHO multi-country cooperation strategy 2024-2029

WHO Regional Office for the Western Pacific. Pacific Islands-WHO multi-country cooperation strategy 2024-2029. 2024. https://www.who.int/westernpacific/publications/i/item/9789290620587

Material reference
material:dbb57f56efb0a93e6913289a
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
Who Wpro
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
Overview
Html Text Block
5
Locator Type
html_text_anchor
Source Word Anchor
and enhancing health and health system resilience
Source Word Count
7
Response Sha256
0e36703f0192ec38e436b0d20d008b29e78a08ca2887cab3fc5a079818c82c2b

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.

Source links

Targeted Source Lead · Open for annotation

Pacific Islands-WHO multi-country cooperation strategy 2024-2029

WHO Regional Office for the Western Pacific. Pacific Islands-WHO multi-country cooperation strategy 2024-2029. 2024. https://www.who.int/westernpacific/publications/i/item/9789290620587

Material reference
material:f18953ef5014a9c2b5af12ce
Pipeline stage
Targeted-Gap-Source-Leads
Evidence mode
Not classified
Publication date
2024-10-03
Institution
WHO Regional Office for the Western Pacific
Document type
Multi Country Cooperation Strategy
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
Overview
Html Text Block
5
Locator Type
html_text_anchor
Source Word Anchor
and enhancing health and health system resilience
Source Word Count
7
Detected Media Type
text/html
Response Sha256
dab2d41e2734154fee80ed0018cac44ba3d554331bb544c64a58659f1fb789b5

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.

Source links