Health System Organization Explorer / Country organization profile

Gambia

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 2024 report documents project progress and specific quality, essential-service and surveillance objectives without claiming a complete system organization map.

Period
October 2024
Territory
The Gambia
Locator
Implementation status and key decisions; results.

World Bank, The Gambia Essential Health Services Strengthening Project, Implementation Status and Results Report, 2024.

Open cited source

Formal source

Actors and responsibilities

The 2021-2025 national strategy describes a three-tier public delivery system and priorities that include decentralized governance and continuum of care.

Period
2021-2025
Territory
The Gambia
Locator
Executive summary; service delivery; institutional framework.

Ministry of Health, The Gambia, National Health Sector Strategic Plan 2021-2025.

Open cited source

Formal source

Decision rights and autonomy

No provider decision-right rating is inferred from plan and project documents alone.

Period
2021-2025 strategy and 2024 report
Territory
The Gambia
Locator
Institutional framework; implementation status report.

Ministry of Health, The Gambia, NHSSP 2021-2025; World Bank, GEHSSP implementation report, 2024.

Open cited source

Reported source

Decision rights and autonomy

The accessible materials do not justify a categorical primary-care or hospital autonomy rating.

Period
2019 and 2021-2025
Territory
The Gambia
Locator
Strategy institutional framework; Gambia facility hierarchy table.

Ministry of Health, The Gambia, NHSSP 2021-2025; Maina et al., facility database synthesis, 2019.

Open cited source

Formal source

Delivery and referrals

The evidence supports a layered public-system description, not an assumption that all patients follow the described hierarchy.

Period
2021-2025 strategy; DHS 2019-20 analysis
Territory
The Gambia
Locator
NHSSP executive summary; study setting.

Ministry of Health, The Gambia, NHSSP 2021-2025; fever care-seeking analysis, 2024.

Open cited source

Reported source

Delivery and referrals

Bed and physician density can be visualized without inferring provider ownership or patient movement.

Period
Retrieved 2026-08-21
Territory
The Gambia
Locator
API resources SH.MED.BEDS.ZS and SH.MED.PHYS.ZS.

World Bank World Development Indicators, SH.MED.BEDS.ZS and SH.MED.PHYS.ZS, retrieved 2026.

Open cited source

Observed source

Delivery and referrals

Reported referral totals and observed service use remain distinct from formal referral design and cannot be generalized across conditions or facilities.

Period
2017-2021 administrative trend; 2020 and 2024 publications
Territory
The Gambia; defined study populations where specified
Locator
Evaluation methods and results; DHS study methods and results; Annual Service Statistics Report, Figure 51, PDF page 74.

Results-based financing skilled-delivery evaluation, 2020; fever care-seeking analysis, 2024; Ministry of Health, Annual Service Statistics Report, 2021.

Open cited source

Reported source

Relationships and networks

The source describes levels and referral points while retaining uncertainty about current network membership and actual referral completion.

Period
Published 2019
Territory
The Gambia
Locator
Data Records; Gambia facility hierarchy table.

Maina et al., A spatial database of public health facilities in sub-Saharan Africa, 2019.

Open cited source

Observed source

Relationships and networks

The survey supports a mixed-service observation for infertility care, not a claim that either sector dominates health-service delivery.

Period
Survey published 2022
Territory
Surveyed facilities in The Gambia
Locator
Methods; provision of infertility services.

Availability of infertility services in The Gambia's public and private health facilities, 2022.

Open cited source

Reported source

Reform and institutional change

The timeline retains the distinct validity periods and evidence modes of strategy, cooperation, project reporting, service statistics, observed research and input data.

Period
2017-2026 source periods
Territory
The Gambia
Locator
NHSSP; WHO publication overview; project report; Annual Service Statistics Report, Figure 51, PDF page 74; WDI API resources.

Ministry of Health, The Gambia, NHSSP 2021-2025 and Annual Service Statistics Report, 2021; WHO CCS 2024-2028; World Bank project report; World Bank WDI.

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 rows20Named 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%25 of 25
Exact locators
100%25 of 25
Source versions
100%25 of 25
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 mapping131313131064
Government responsibilitiesCriticalDirect typed mapping10101010734
Provider ownershipCriticalDirect typed mapping6666651
Decision rightsCriticalDirect typed mapping4444422
Provider autonomyCriticalDirect typed mapping4444422
Primary care organizationCriticalDirect typed mapping161616161697
Hospital organizationCriticalDirect typed mapping1717171717107
Referral designCriticalDirect typed mapping101010101073
Observed referralDirect typed mapping9999963
Provider networksDirect typed mapping9999972
Facility dataDirect typed mapping141414141486
UtilizationDirect typed mapping121212121275
Patient flowsDirect typed mapping9999963
Governance and accountabilityCriticalDirect typed mapping121212121257
Market structureDirect typed mapping101010101073
Reform historyCriticalDirect typed mapping6666633
Authoritative reviewDirect typed mapping8888871
Materials with the most complete source traceability
  1. Annual Service Statistics Report, 2021
    Country Improvement Source Lead. Readiness checks: 5 of 5.
    material:f8e576281f202ff85e2a9d06
  2. National Health Sector Strategic Plan 2021-2025
    Country Improvement Source Lead. Readiness checks: 5 of 5.
    material:f4e214f4e6b5df41705245ee
  3. Results-based financing to increase uptake of skilled delivery services in The Gambia
    Country Improvement Source Lead. Readiness checks: 5 of 5.
    material:d56f514dadeb672c09726cd5
  4. A spatial database of public health facilities in sub-Saharan Africa
    Country Improvement Source Lead. Readiness checks: 5 of 5.
    material:b88c81a94c5ca19a3d312421
  5. Availability of infertility services in public and private health facilities in The Gambia
    Country Improvement Source Lead. Readiness checks: 5 of 5.
    material:b7e5b44c630b16cca7eccd24

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
25
Library documents
2
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

25 records are rendered in full. Stage duplicates remain visible because a document candidate, triage record, statement, and exact context are separately annotatable objects.

Candidate Analytical Mapping · Open for annotation

A facility hierarchy is reported, not a completed-flow measure

Maina et al., A spatial database of public health facilities in sub-Saharan Africa, 2019.

Statement or annotation question

The source describes levels and referral points while retaining uncertainty about current network membership and actual referral completion.

Material reference
material:21f8ef643a7fde39cb52d16f
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Reported
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
The Gambia
Period
Published 2019
Source layers
Review Literature
Coverage domains
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
Data Records; Gambia facility hierarchy table.
Detected Media Type
text/xml
Response Sha256
6d8cd9ee031709931bf0ec1929f7ecca87c4fcb09e6393d366aa45f491d50689

Source links

Candidate Analytical Mapping · Open for annotation

A national strategy describes formal direction

Ministry of Health, The Gambia, National Health Sector Strategic Plan 2021-2025.

Statement or annotation question

The 2021-2025 national strategy describes a three-tier public delivery system and priorities that include decentralized governance and continuum of care.

Material reference
material:80eb4c14a422c6ac3b3e6872
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Formal
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
The Gambia
Period
2021-2025
Source layers
Official
Coverage domains
Actors, Governance and accountability, Government responsibilities, Hospital organization, Primary care organization, Reform history
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Description
Executive summary; service delivery; institutional framework.
Detected Media Type
application/pdf
File Sha256
7d9b08be7e94f05e835eb0d5fb9ce93a1daa877a934ef068dfe0bf189149aec3

Source links

Candidate Analytical Mapping · Open for annotation

Formal documents, reported service statistics, observed studies and inputs remain time-separated

Ministry of Health, The Gambia, NHSSP 2021-2025 and Annual Service Statistics Report, 2021; WHO CCS 2024-2028; World Bank project report; World Bank WDI.

Statement or annotation question

The timeline retains the distinct validity periods and evidence modes of strategy, cooperation, project reporting, service statistics, observed research and input data.

Material reference
material:9d4658fe450dbc374c6a620b
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Reported
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
The Gambia
Period
2017-2026 source periods
Source layers
Official
Coverage domains
Actors, Authoritative review, Facility data, Governance and accountability, Government responsibilities, Market structure, Patient flows, Reform history, Utilization
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Description
NHSSP; WHO publication overview; project report; Annual Service Statistics Report, Figure 51, PDF page 74; WDI API resources.
Detected Media Type
application/pdf
File Sha256
7d9b08be7e94f05e835eb0d5fb9ce93a1daa877a934ef068dfe0bf189149aec3

Source links

Candidate Analytical Mapping · Open for annotation

Inputs remain separate from organization claims

World Bank World Development Indicators, SH.MED.BEDS.ZS and SH.MED.PHYS.ZS, retrieved 2026.

Statement or annotation question

Bed and physician density can be visualized without inferring provider ownership or patient movement.

Material reference
material:52a6276507b615d39b6f357d
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Reported
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
The Gambia
Period
Retrieved 2026-08-21
Source layers
Grey Literature
Coverage domains
Facility data, Hospital organization, Market structure, Patient flows, Utilization
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Description
API resources SH.MED.BEDS.ZS and SH.MED.PHYS.ZS.
Detected Media Type
application/json
Response Sha256
05f15d6744e41f4f2569ec75db765689bf2bf8ded3581015e38a55995616ec1c

Source links

Candidate Analytical Mapping · Open for annotation

Project reporting is limited to its stated operation

World Bank, The Gambia Essential Health Services Strengthening Project, Implementation Status and Results Report, 2024.

Statement or annotation question

The 2024 report documents project progress and specific quality, essential-service and surveillance objectives without claiming a complete system organization map.

Material reference
material:2fdf841bf0f8c351318287e2
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Reported
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
The Gambia
Period
October 2024
Source layers
Grey Literature
Coverage domains
Actors, Facility data, Governance and accountability, Government responsibilities, 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
Implementation status and key decisions; results.
Detected Media Type
application/pdf
File Sha256
2beb2d70ce9d514551aa468ae73dc9ca2b0cf9c066eb2ad11a493a0eaa580d9f

Source links

Candidate Analytical Mapping · Open for annotation

Provider autonomy remains unclassified

Ministry of Health, The Gambia, NHSSP 2021-2025; Maina et al., facility database synthesis, 2019.

Statement or annotation question

The accessible materials do not justify a categorical primary-care or hospital autonomy rating.

Material reference
material:06d2109f2604f3d152ca018d
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Reported
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
The Gambia
Period
2019 and 2021-2025
Source layers
Review Literature
Coverage domains
Provider autonomy, Decision rights, Governance and accountability, 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
Strategy institutional framework; Gambia facility hierarchy table.
Detected Media Type
application/pdf
File Sha256
7d9b08be7e94f05e835eb0d5fb9ce93a1daa877a934ef068dfe0bf189149aec3

Source links

Candidate Analytical Mapping · Open for annotation

Public and private provision is visible with its denominator

Availability of infertility services in The Gambia's public and private health facilities, 2022.

Statement or annotation question

The survey supports a mixed-service observation for infertility care, not a claim that either sector dominates health-service delivery.

Material reference
material:b85404906bf915a531e38791
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Observed
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
Surveyed facilities in The Gambia
Period
Survey published 2022
Source layers
Research Literature
Coverage domains
Facility data, Hospital organization, Market structure, Provider ownership, Primary care organization, Utilization
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Description
Methods; provision of infertility services.
Detected Media Type
text/xml
Response Sha256
353810c879b6eacb9fdd040fca0a8327160d133b71af75fb148e19be300e91bd

Source links

Candidate Analytical Mapping · Open for annotation

Referral evidence is displayed with service boundaries

Results-based financing skilled-delivery evaluation, 2020; fever care-seeking analysis, 2024; Ministry of Health, Annual Service Statistics Report, 2021.

Statement or annotation question

Reported referral totals and observed service use remain distinct from formal referral design and cannot be generalized across conditions or facilities.

Material reference
material:14479742a1ae95f02f14acc9
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Observed
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
The Gambia; defined study populations where specified
Period
2017-2021 administrative trend; 2020 and 2024 publications
Source layers
Research Literature
Coverage domains
Hospital organization, 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
Evaluation methods and results; DHS study methods and results; Annual Service Statistics Report, Figure 51, PDF page 74.
Detected Media Type
text/xml
Response Sha256
4bd343d2d28f406f55ebd6acfff2e022711748bbff78ac22512a8afde81a5235

Source links

Candidate Analytical Mapping · Open for annotation

Strategy direction is not a decision-right matrix

Ministry of Health, The Gambia, NHSSP 2021-2025; World Bank, GEHSSP implementation report, 2024.

Statement or annotation question

No provider decision-right rating is inferred from plan and project documents alone.

Material reference
material:c7e975f779a5318b1587c76a
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Formal
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
The Gambia
Period
2021-2025 strategy and 2024 report
Source layers
Official
Coverage domains
Actors, Provider autonomy, Decision rights, Governance and accountability, Government responsibilities
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Description
Institutional framework; implementation status report.
Detected Media Type
application/pdf
File Sha256
7d9b08be7e94f05e835eb0d5fb9ce93a1daa877a934ef068dfe0bf189149aec3

Source links

Candidate Analytical Mapping · Open for annotation

Three care tiers are described

Ministry of Health, The Gambia, NHSSP 2021-2025; fever care-seeking analysis, 2024.

Statement or annotation question

The evidence supports a layered public-system description, not an assumption that all patients follow the described hierarchy.

Material reference
material:04cf7e60de875bd056883ded
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Formal
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
The Gambia
Period
2021-2025 strategy; DHS 2019-20 analysis
Source layers
Official
Coverage domains
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
NHSSP executive summary; study setting.
Detected Media Type
application/pdf
File Sha256
7d9b08be7e94f05e835eb0d5fb9ce93a1daa877a934ef068dfe0bf189149aec3

Source links

Country Improvement Source Lead · Open for annotation

A spatial database of public health facilities in sub-Saharan Africa

Maina J, et al. A spatial database of health facilities managed by the public health sector in sub-Saharan Africa. Scientific Data. 2019. https://www.ebi.ac.uk/europepmc/webservices/rest/PMC6658526/fullTextXML

Statement or annotation question

The database synthesis reports The Gambia's facility hierarchy, including minor and major health centres and district and regional hospitals.

Source context or anchor

Major Health Centres serve as referral points
Material reference
material:b88c81a94c5ca19a3d312421
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Reported
Publication date
2019
Institution
Scientific Data
Document type
Not Supplied
Territory
The Gambia, as represented in a regional facility database synthesis
Period
Published 2019; source table cites period-bound underlying material
Source layers
Review Literature
Coverage domains
Actors, Authoritative review, 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
xml_sections
Source Word Anchor
Major Health Centres serve as referral points
Source Word Count
7
Detected Media Type
text/xml
Response Sha256
6d8cd9ee031709931bf0ec1929f7ecca87c4fcb09e6393d366aa45f491d50689

Annotation prompts and machine flags

  • This synthesis is not a current all-provider census, ownership share, service-activity denominator or observed national patient-flow measure.

Source links

Country Improvement Source Lead · Open for annotation

Annual Service Statistics Report, 2021

Ministry of Health, The Gambia. Annual Service Statistics Report, 2021. World Health Organization Regional Office for Africa, 2022. https://www.afro.who.int/sites/default/files/2022-07/Final%20Service%20Statistic%20Report%2C%202021.pdf

Statement or annotation question

The Ministry report records 16,334 facility referrals in 2021, compared with 10,761 in 2017.

Source context or anchor

annual increase in referrals from 10,761 in 2017 to 16,334 in 2021
Material reference
material:f8e576281f202ff85e2a9d06
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Reported
Publication date
2022
Institution
Ministry of Health, The Gambia
Document type
Not Supplied
Territory
The Gambia
Period
National health-service statistics, 2021; referral trend 2017-2021
Source layers
Official
Coverage domains
Facility data, Hospital organization, Market structure, Observed referral, Provider ownership, 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
Locator Type
pdf_page_section
Source Word Anchor
annual increase in referrals from 10,761 in 2017 to 16,334 in 2021
Source Word Count
12
Detected Media Type
application/pdf
File Sha256
45907ce012629a457ef39f5970d3dd795ddb8ef99dc105443f97cecde2a732cb

Annotation prompts and machine flags

  • This administrative report presents reported facility referrals for its stated years. It does not measure referral completion, bypass, counter-referral, clinical appropriateness, or all patient movement.

Source links

Country Improvement Source Lead · Open for annotation

Availability of infertility services in public and private health facilities in The Gambia

Availability of services for the diagnosis and treatment of infertility in The Gambia's public and private health facilities: a cross-sectional survey. 2022. https://www.ebi.ac.uk/europepmc/webservices/rest/PMC9450453/fullTextXML

Statement or annotation question

The survey reports infertility-service availability in sampled public facilities and private clinics and identifies the teaching hospital as a system referral point.

Source context or anchor

public facilities and private clinics
Material reference
material:b7e5b44c630b16cca7eccd24
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Observed
Publication date
2022
Institution
BMC Health Services Research
Document type
Not Supplied
Territory
Surveyed public facilities and private clinics in The Gambia
Period
Cross-sectional survey published 2022
Source layers
Research Literature
Coverage domains
Authoritative review, Facility data, Hospital organization, Market structure, Provider networks, Provider ownership, 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
xml_sections
Source Word Anchor
public facilities and private clinics
Source Word Count
5
Detected Media Type
text/xml
Response Sha256
353810c879b6eacb9fdd040fca0a8327160d133b71af75fb148e19be300e91bd

Annotation prompts and machine flags

  • The study concerns a bounded service and surveyed facilities. It does not establish nationwide private-sector dominance or all-service referral-network membership.

Source links

Country Improvement Source Lead · Open for annotation

Country cooperation strategy 2024-2028, The Gambia

World Health Organization. Country cooperation strategy 2024-2028, The Gambia. 2024. https://www.who.int/publications/i/item/9789290315018

Statement or annotation question

WHO describes its country strategy as anchored in the 2021-2030 National Health Policy and the 2021-2025 National Health Sector Strategic Plan.

Source context or anchor

anchored on Gambia National Health Policy 2021 2030
Material reference
material:557607e81cff73d8be147267
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Reported
Publication date
2024
Institution
World Health Organization
Document type
Not Supplied
Territory
The Gambia
Period
WHO country cooperation strategy, 2024-2028
Source layers
Official
Coverage domains
Actors, Authoritative review, 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
web_publication_record
Source Word Anchor
anchored on Gambia National Health Policy 2021 2030
Source Word Count
8
Detected Media Type
text/html
Response Sha256
e55dee7f16cdf7885151d50ee9a442614d2d0f1bfc0299be32d3494f7a82efe6

Annotation prompts and machine flags

  • This WHO strategy confirms its stated policy anchors and cooperation priorities. It does not establish domestic legal authority or observed delivery practice.

Source links

Country Improvement Source Lead · Open for annotation

Factors influencing fever care-seeking for children under five years in The Gambia

Factors influencing fever care-seeking for children under five years of age in The Gambia: secondary analysis of 2019-20 DHS data. 2024. https://www.ebi.ac.uk/europepmc/webservices/rest/PMC11056064/fullTextXML

Statement or annotation question

The study describes a three-tier referral system and analyzes fever care-seeking using the 2019-20 DHS child dataset.

Source context or anchor

healthcare system is a three tiered referral system
Material reference
material:41f172944c376be795ed896f
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Observed
Publication date
2024
Institution
BMC Public Health
Document type
Not Supplied
Territory
The Gambia; DHS 2019-20 child dataset
Period
Secondary analysis published 2024 using DHS 2019-20
Source layers
Research Literature
Coverage domains
Actors, 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
xml_sections
Source Word Anchor
healthcare system is a three tiered referral system
Source Word Count
8
Detected Media Type
text/xml
Response Sha256
c32813535aa91bdc7bda9fca086f27ffa50ffd3f7cb7a0af50c47bdddb3d07cd

Annotation prompts and machine flags

  • The study's care-seeking analysis is limited to fever in children under five and its DHS variables. It is not a national all-condition referral-completion or provider-choice measure.

Source links

Country Improvement Source Lead · Open for annotation

Hospital beds per 1,000 people, The Gambia

World Bank. World Development Indicators, Hospital beds per 1,000 people, The Gambia. Retrieved 2026-08-21. https://api.worldbank.org/v2/country/GMB/indicator/SH.MED.BEDS.ZS?format=json

Statement or annotation question

The World Bank API returns The Gambia's national hospital-bed-density series.

Source context or anchor

Hospital beds per 1,000 people
Material reference
material:93cd86b1ff90f57140ada46e
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Reported
Publication date
2026
Institution
World Bank
Document type
Not Supplied
Territory
The Gambia
Period
API retrieved 2026-08-21; latest non-null series observation varies
Source layers
Grey Literature
Coverage domains
Facility data, Hospital organization, Market structure, Patient flows, Utilization
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Locator Type
api_resource
Source Word Anchor
Hospital beds per 1,000 people
Source Word Count
5
Detected Media Type
application/json
Response Sha256
05f15d6744e41f4f2569ec75db765689bf2bf8ded3581015e38a55995616ec1c

Annotation prompts and machine flags

  • Bed density is an aggregate input indicator, not a provider census, ownership share, referral measure or network map.

Source links

Country Improvement Source Lead · Open for annotation

National Health Sector Strategic Plan 2021-2025

Ministry of Health, The Gambia. National Health Sector Strategic Plan 2021-2025. WHO Country Planning Cycle Database, 2021. https://extranet.who.int/cpcd/sites/default/files/public_file_repository/GMB_Gambia_National-Health-Sector-Strategic-Plan_2021-2025.pdf

Statement or annotation question

The national plan describes a three-tier public service-delivery system and includes decentralized governance, continuum of care and partnership priorities.

Source context or anchor

three tier system Primary Secondary and Tertiary
Material reference
material:f4e214f4e6b5df41705245ee
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Formal
Publication date
2021
Institution
Ministry of Health, The Gambia
Document type
Not Supplied
Territory
The Gambia
Period
National strategic plan, 2021-2025
Source layers
Official
Coverage domains
Actors, Authoritative review, Provider autonomy, Decision rights, Governance and accountability, Government responsibilities, Hospital organization, Market structure, Provider networks, Provider ownership, Primary care organization, Referral design, Reform history
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Locator Type
pdf_page_section
Source Word Anchor
three tier system Primary Secondary and Tertiary
Source Word Count
7
Detected Media Type
application/pdf
File Sha256
7d9b08be7e94f05e835eb0d5fb9ce93a1daa877a934ef068dfe0bf189149aec3

Annotation prompts and machine flags

  • This plan describes formal intended organization for 2021-2025. It is not a current implementation audit, provider census, decision-right matrix or measure of patient movement.

Source links

Country Improvement Source Lead · Open for annotation

Physicians per 1,000 people, The Gambia

World Bank. World Development Indicators, Physicians per 1,000 people, The Gambia. Retrieved 2026-08-21. https://api.worldbank.org/v2/country/GMB/indicator/SH.MED.PHYS.ZS?format=json

Statement or annotation question

The World Bank API returns The Gambia's national physicians-per-1,000-people series.

Source context or anchor

Physicians per 1,000 people
Material reference
material:68bfdf960a78f4dd69ae945f
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Reported
Publication date
2026
Institution
World Bank
Document type
Not Supplied
Territory
The Gambia
Period
API retrieved 2026-08-21; latest non-null series observation varies
Source layers
Grey Literature
Coverage domains
Facility data, Hospital organization, 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
Locator Type
api_resource
Source Word Anchor
Physicians per 1,000 people
Source Word Count
4
Detected Media Type
application/json
Response Sha256
708f90a23277bd9e8c1929440724d5f976e792c7683b0d4653ee6ff2d1e1e735

Annotation prompts and machine flags

  • Physician density does not establish employment relationship, staffing authority, ownership distribution, patient choice or observed referral flows.

Source links

Country Improvement Source Lead · Open for annotation

Results-based financing to increase uptake of skilled delivery services in The Gambia

Results-based financing to increase uptake of skilled delivery services in The Gambia: using the three delays model to interpret midline evaluation findings. 2020. https://www.ebi.ac.uk/europepmc/webservices/rest/PMC7686684/fullTextXML

Statement or annotation question

The mixed-methods evaluation reports intervention-specific changes in referral to facilities for delivery, while overall skilled-delivery uptake did not increase at midline.

Source context or anchor

increases in referral to health facilities for delivery
Material reference
material:d56f514dadeb672c09726cd5
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Observed
Publication date
2020
Institution
BMC Pregnancy and Childbirth
Document type
Not Supplied
Territory
Intervention and comparison communities in The Gambia
Period
Midline evaluation published 2020
Source layers
Research 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
xml_sections
Source Word Anchor
increases in referral to health facilities for delivery
Source Word Count
8
Detected Media Type
text/xml
Response Sha256
4bd343d2d28f406f55ebd6acfff2e022711748bbff78ac22512a8afde81a5235

Annotation prompts and machine flags

  • This intervention evaluation cannot be converted into a national referral-flow measure, a general gatekeeping rule, or proof of permanent effects.

Source links

Country Improvement Source Lead · Open for annotation

The Gambia Essential Health Services Strengthening Project, implementation status report

World Bank. The Gambia Essential Health Services Strengthening Project (P173287), Implementation Status and Results Report. 2024. https://documents1.worldbank.org/curated/en/099102524225034615/pdf/P17328719c4d700fb193f717d70879ef3a0.pdf

Statement or annotation question

The report describes the project, additional financing approved in 2024, and reported progress on stated facility-quality, essential-service and surveillance objectives.

Source context or anchor

third Additional Financing was approved in June 2024
Material reference
material:63db3f90a5005eea16ad6e31
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Reported
Publication date
2024
Institution
World Bank
Document type
Not Supplied
Territory
The Gambia
Period
Implementation status report, October 2024
Source layers
Grey Literature
Coverage domains
Actors, Authoritative review, Provider autonomy, Decision rights, Facility data, Governance and accountability, Government responsibilities, Hospital organization, Market structure, Provider networks, 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_section
Source Word Anchor
third Additional Financing was approved in June 2024
Source Word Count
9
Detected Media Type
application/pdf
File Sha256
2beb2d70ce9d514551aa468ae73dc9ca2b0cf9c066eb2ad11a493a0eaa580d9f

Annotation prompts and machine flags

  • This is a project implementation report. It does not establish whole-system provider authority, ownership shares, network membership or national referral completion.

Source links

Displayed source projection · Open for annotation

The Gambia - Essential Health Services Strengthening Project : Additional Financing

World Bank Documents and Reports. The Gambia - Essential Health Services Strengthening Project : Additional Financing. World Bank Documents and Reports; 2024. https://documents.worldbank.org/curated/en/099061024155529324/pdf/BOSIB-5cc5094e-25e4-48f1-88a8-7982c3668630.pdf

Material reference
candidate-source:GMB:97e0d4f9d5514aa907cb
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, Grey Literature
Coverage domains
Actors, Government responsibilities
Current display status
Shown in full and open for annotation
Page Locator Linked From Priority Acquisition
True
Previous Visibility
Previously projected
Source Version Linked From Priority Acquisition
True
Physical Pdf Page
6
Source Word Anchor
Nutrition Population Implementing Agency Ministry of Health ADD FIN TBL1 Is this
Source Word Count
12
Detected Media Type
application/pdf
Page Count
61
Response Sha256
f933a3eba2679e792ff675ffe4303198961ea44aaf97f0a6caace987615685b6

Annotation prompts and machine flags

  • Public source projection retained as a distinct stage record.
  • Immutable source-version metadata was retrieved from this exact public source URL in the priority traceability audit.
  • A recoverable source locator was retrieved from this exact public source URL in the priority traceability audit.

Source links

Grey Literature Source Lead · Open for annotation

The Gambia - Essential Health Services Strengthening Project : Additional Financing

World Bank Documents and Reports. The Gambia - Essential Health Services Strengthening Project : Additional Financing. World Bank Documents and Reports; 2024. https://documents.worldbank.org/curated/en/099061024155529324/pdf/BOSIB-5cc5094e-25e4-48f1-88a8-7982c3668630.pdf

Material reference
material:f6a9ff0d7304c19120d738c4
Pipeline stage
Global-Grey-Source-Leads
Evidence mode
Not classified
Publication date
2024-06-06
Institution
World Bank Documents and Reports
Document type
Unknown
Territory
not supplied
Period
Not supplied
Source layers
Global Literature
Coverage domains
Actors, Government responsibilities
Current display status
Shown in full and open for annotation
Candidate Status
Candidate
Page Locator Linked From Priority Acquisition
True
Previous Boundary Detected
True
Previous Visibility
Previously not projected
Earlier source-record status
Unreviewed
Source Version Linked From Priority Acquisition
True
Status
Candidate
Triage Status
New
Url Status
Available
Physical Pdf Page
6
Source Word Anchor
Nutrition Population Implementing Agency Ministry of Health ADD FIN TBL1 Is this
Source Word Count
12
Detected Media Type
application/pdf
Page Count
61
Response Sha256
f933a3eba2679e792ff675ffe4303198961ea44aaf97f0a6caace987615685b6

Annotation prompts and machine flags

  • Catalogue lead displayed in full for source and claim annotation.
  • Check the catalogue geography, title match, and taxonomy tags against the source metadata.
  • This catalogue entry does not itself supply source bytes, an exact locator, or an atomic country statement.
  • Grey literature does not by itself establish current formal authority.
  • Catalogue ISO3 jurisdiction and an explicit metadata country alias in the title both matched.
  • Catalogue has the Organization control-knob tag.
  • Catalogue has organization-relevant topic tags: service_delivery.
  • Source family: global_literature.
  • Title signal: health_sector.
  • Published in 2020 or later.
  • Immutable source-version metadata was retrieved from this exact public source URL in the priority traceability audit.
  • A recoverable source locator was retrieved from this exact public source URL in the priority traceability audit.

Source links

Library document candidate · Open for annotation

The Gambia - Essential Health Services Strengthening Project : Additional Financing

The Gambia - Essential Health Services Strengthening Project : Additional Financing. 2024. https://search.worldbank.org/api/v3/wds

Material reference
material:8de5f51d210f64a439236e34
Pipeline stage
Global-Health-Systems-Library
Evidence mode
Not classified
Publication date
2024-06-06
Institution
World Bank Documents and Reports
Document type
Unknown
Territory
national
Period
Not supplied
Source layers
Global Literature
Coverage domains
Service Delivery
Current display status
Shown in full and open for annotation
Evidence Work Review State
Auto
Machine Screening State
Organization tag candidate
Organization Tag Confidence
0.85
Page Locator Linked From Priority Acquisition
True
Previous Visibility
Previously not projected unless selected
Source Version Linked From Priority Acquisition
True
Download Status
Availability or relevance uncertain
Downloaded
False
Extracted
False
Physical Pdf Page
6
Source Word Anchor
Nutrition Population Implementing Agency Ministry of Health ADD FIN TBL1 Is this
Source Word Count
12
Detected Media Type
application/pdf
Page Count
61
Response Sha256
f933a3eba2679e792ff675ffe4303198961ea44aaf97f0a6caace987615685b6

Annotation prompts and machine flags

  • Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.
  • Immutable source-version metadata was retrieved from this exact public source URL in the priority traceability audit.
  • A recoverable source locator was retrieved from this exact public source URL in the priority traceability audit.

Source links

Source Triage Record · Open for annotation

The Gambia - Essential Health Services Strengthening Project : Additional Financing

World Bank Documents and Reports. The Gambia - Essential Health Services Strengthening Project : Additional Financing. World Bank Documents and Reports; 2024. https://documents.worldbank.org/curated/en/099061024155529324/pdf/BOSIB-5cc5094e-25e4-48f1-88a8-7982c3668630.pdf

Material reference
material:a5fa7aa6bd6919b5243018d3
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
Global Literature
Coverage domains
Actors, Government responsibilities
Current display status
Shown in full and open for annotation
Page Locator Linked From Priority Acquisition
True
Previous Boundary Detected
True
Previous Visibility
Previously not projected
Earlier source-record status
Open for annotation
Source Version Linked From Priority Acquisition
True
Physical Pdf Page
6
Source Word Anchor
Nutrition Population Implementing Agency Ministry of Health ADD FIN TBL1 Is this
Source Word Count
12
Detected Media Type
application/pdf
Page Count
61
Response Sha256
f933a3eba2679e792ff675ffe4303198961ea44aaf97f0a6caace987615685b6

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.
  • Immutable source-version metadata was retrieved from this exact public source URL in the priority traceability audit.
  • A recoverable source locator was retrieved from this exact public source URL in the priority traceability audit.

Source links

Library document candidate · Open for annotation

Minutes of a Meeting of the Executive Directors of IBRD and IDA and the Boards of Directors of IFC and MIGA held on February 27, 2024 and Record of Approvals February 16 thru 27

Minutes of a Meeting of the Executive Directors of IBRD and IDA and the Boards of Directors of IFC and MIGA held on February 27, 2024 and Record of Approvals February 16 thru 27. 2024. https://search.worldbank.org/api/v3/wds

Material reference
material:b8eef6d4bed9d79ca1af1f11
Pipeline stage
Global-Health-Systems-Library
Evidence mode
Not classified
Publication date
2024-02-27
Institution
World Bank Documents and Reports
Document type
Unknown
Territory
national
Period
Not supplied
Source layers
Global Literature
Coverage domains
Service Delivery
Current display status
Shown in full and open for annotation
Evidence Work Review State
Auto
Machine Screening State
Organization tag candidate
Organization Tag Confidence
0.85
Page Locator Linked From Country Score Acquisition
True
Previous Visibility
Previously not projected unless selected
Source Version Linked From Country Score Acquisition
True
Download Status
Availability or relevance uncertain
Downloaded
False
Extracted
False
Physical Pdf Page
3
Source Word Anchor
People's Democratic Republic Credits Health and Nutrition Services Access Project II 4
Source Word Count
12
Detected Media Type
application/pdf
Page Count
7
Response Sha256
8c2d594983fa9c62211e73ec8b9b97d5b7a3a77c04a69f6a8d18c04eeff472a0

Annotation prompts and machine flags

  • Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.
  • Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.
  • A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links