{
  "schema_version": "1.0.0",
  "display_policy": "all_display_eligible_evidence_is_public_and_reviewable_by_annotation",
  "country": {
    "iso3": "GNQ",
    "name": "Equatorial Guinea",
    "aliases": [
      "Equatorial Guinea"
    ],
    "type": "country",
    "who_region": "AFR",
    "who_region_source": "AFR",
    "wb_region": "Sub-Saharan Africa",
    "income_group": "upper_middle",
    "first_year": 2000,
    "last_core_year": 2023
  },
  "build": {
    "version": "2026-08-23+6c22928b",
    "built_at": "2026-08-23T06:47:49Z"
  },
  "summary": {
    "direct_typed_sources": 0,
    "direct_typed_claims": 0,
    "direct_typed_relationships": 0,
    "direct_typed_decision_rights": 0,
    "candidate_sources": 1,
    "candidate_facts": 0,
    "exact_contexts": 0,
    "source_linked_analytical_mappings": 10,
    "source_linked_analytical_object_rows": 19,
    "all_material_records": 28,
    "library_document_candidates": 5,
    "candidate_queue_records": 22,
    "current_public_projection_records": 1
  },
  "availability": [
    {
      "domain": "actors",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 14,
      "exact_context_count": 7,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "government_responsibilities",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 13,
      "exact_context_count": 6,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "ownership",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 4,
      "exact_context_count": 3,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "decision_rights",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 5,
      "exact_context_count": 3,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "autonomy",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 3,
      "exact_context_count": 2,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "primary_care",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 21,
      "exact_context_count": 9,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "hospital_organization",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 17,
      "exact_context_count": 9,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "referral_design",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 9,
      "exact_context_count": 6,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "observed_referral",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 3,
      "exact_context_count": 2,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "networks",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 8,
      "exact_context_count": 6,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "facility_data",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 11,
      "exact_context_count": 7,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "utilization",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 11,
      "exact_context_count": 7,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "patient_flows",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 8,
      "exact_context_count": 5,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "governance",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 17,
      "exact_context_count": 7,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "market_structure",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 8,
      "exact_context_count": 5,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "reform_history",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 8,
      "exact_context_count": 6,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "authoritative_review",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 9,
      "exact_context_count": 8,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    }
  ],
  "direct_typed_objects": {
    "sources": [],
    "claims": [],
    "actors": [],
    "relationships": [],
    "decision_rights": [],
    "provider_organizations": [],
    "autonomy": [],
    "accountability": [],
    "referrals": [],
    "patient_flows": [],
    "networks": [],
    "integration": [],
    "reforms": []
  },
  "source_linked_analytical_mappings": [
    {
      "mapping_id": "candidate-mapping:GNQ:actors-functions:administrative-levels",
      "country_id": "GNQ",
      "mapping_group": "actors_and_functions",
      "target_view": "functions",
      "target_slot": "administrative-levels",
      "support_state": "candidate_supported",
      "annotation_state": "open",
      "mapping_basis": "World Bank Country Economic Memorandum and Public Expenditure Review",
      "source_projection_ids": [
        "country-improvement-source:GNQ:world-bank-economic-memorandum-2025",
        "country-improvement-source:GNQ:world-bank-public-expenditure-review-2010"
      ],
      "typed_fields": {
        "function": "The memorandum reports central, intermediate and peripheral Ministry administrative levels.",
        "boundary": "The reported hierarchy is not a complete legal authority register."
      },
      "analytical_objects": {
        "function_assignments": [
          {
            "actor_label": "Central Ministry level",
            "function_label": "National policy and implementation guidance",
            "role": "Reported as overseeing policy and defining application guidelines",
            "actor_family": "national",
            "display_claim_ids": [
              "display-claim:d3c867259fb8380adf327cb2"
            ],
            "display_source_ids": [
              "display-source:GNQ:b98335e673d61d1a0dbeaf78",
              "display-source:GNQ:1ebcd6e65c716bdc3727e16e"
            ],
            "source_version_ids": [
              "display-source-version:31f4f0f731b6753d6f66f2dc",
              "display-source-version:c67641191d7247764add3f6b"
            ],
            "display_evidence_object_id": "display-claim:d3c867259fb8380adf327cb2"
          },
          {
            "actor_label": "Intermediate technical-support level",
            "function_label": "Program and project coordination",
            "role": "Reported coordination role",
            "actor_family": "subnational",
            "display_claim_ids": [
              "display-claim:e9be21187f3827ddeb00ba70"
            ],
            "display_source_ids": [
              "display-source:GNQ:b98335e673d61d1a0dbeaf78",
              "display-source:GNQ:1ebcd6e65c716bdc3727e16e"
            ],
            "source_version_ids": [
              "display-source-version:31f4f0f731b6753d6f66f2dc",
              "display-source-version:c67641191d7247764add3f6b"
            ],
            "display_evidence_object_id": "display-claim:e9be21187f3827ddeb00ba70"
          },
          {
            "actor_label": "Peripheral service providers",
            "function_label": "Frontline service provision",
            "role": "Reported as including district hospitals, health centers and health posts",
            "actor_family": "provider",
            "display_claim_ids": [
              "display-claim:30dfee1441e43c18cda95f17"
            ],
            "display_source_ids": [
              "display-source:GNQ:b98335e673d61d1a0dbeaf78",
              "display-source:GNQ:1ebcd6e65c716bdc3727e16e"
            ],
            "source_version_ids": [
              "display-source-version:31f4f0f731b6753d6f66f2dc",
              "display-source-version:c67641191d7247764add3f6b"
            ],
            "display_evidence_object_id": "display-claim:30dfee1441e43c18cda95f17"
          }
        ]
      },
      "title": "Three administrative levels are reported",
      "statement": "World Bank reports describe central, intermediate and peripheral levels, while the specific legal allocation of every decision remains unverified here.",
      "citation": "World Bank, Equatorial Guinea Country Economic Memorandum, 2025; Equatorial Guinea Public Expenditure Review, 2010.",
      "url": "https://documents1.worldbank.org/curated/en/099022425125016157/pdf/P179634-51ac0256-0971-4233-81ed-59d5a9ec7a1e.pdf",
      "locator": "Country Economic Memorandum, Access and coverage of essential health services, p. 122; Public Expenditure Review, Chapter 5, Section 5.9, p. 81.",
      "period": "Public Expenditure Review uses 2008-2009 information; memorandum published 2025 with mixed underlying dates",
      "territory": "Equatorial Guinea",
      "evidence_mode_candidate": "reported",
      "verification_source_layer": "grey_literature",
      "coverage_domains": [
        "actors",
        "government_responsibilities",
        "primary_care",
        "hospital_organization",
        "governance"
      ],
      "source_references": [
        {
          "title": "Equatorial Guinea Country Economic Memorandum",
          "citation": "World Bank. Equatorial Guinea Country Economic Memorandum. 2025. https://documents1.worldbank.org/curated/en/099022425125016157/pdf/P179634-51ac0256-0971-4233-81ed-59d5a9ec7a1e.pdf",
          "url": "https://documents1.worldbank.org/curated/en/099022425125016157/pdf/P179634-51ac0256-0971-4233-81ed-59d5a9ec7a1e.pdf",
          "locator": {
            "locator_type": "pdf_page_section",
            "pages": [
              122
            ],
            "sections": [
              "Access and coverage of essential health services"
            ],
            "source_word_anchor": "The health sector is governed by the MoHW",
            "source_word_count": 8
          },
          "source_version": {
            "file_sha256": "f50befabc2b32e9d2cffbf052e13a2a482bfb674c859a05bb9f8416cdb105ac8",
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-21"
          },
          "source_projection_id": "country-improvement-source:GNQ:world-bank-economic-memorandum-2025",
          "display_source_id": "display-source:GNQ:b98335e673d61d1a0dbeaf78",
          "source_version_id": "display-source-version:31f4f0f731b6753d6f66f2dc"
        },
        {
          "title": "Equatorial Guinea: Public Expenditure Review",
          "citation": "World Bank. Equatorial Guinea: Public Expenditure Review. Report No. 51656-GQ. 2010. https://documents1.worldbank.org/curated/en/887101468028497242/pdf/516560ESW0GQ0P00disclosed0120130110.pdf",
          "url": "https://documents1.worldbank.org/curated/en/887101468028497242/pdf/516560ESW0GQ0P00disclosed0120130110.pdf",
          "locator": {
            "locator_type": "pdf_page_section",
            "physical_pdf_pages": [
              103
            ],
            "pages": [
              81
            ],
            "sections": [
              "Chapter 5, Organization of the Health System",
              "Section 5.9"
            ],
            "source_word_anchor": "policy and budget implementation is highly centralized",
            "source_word_count": 7
          },
          "source_version": {
            "file_sha256": "430dd6695806f1e677e9e30db57b895cfe8ff07aeccfd8c7bacf6a5fe0a191f3",
            "response_sha256": "430dd6695806f1e677e9e30db57b895cfe8ff07aeccfd8c7bacf6a5fe0a191f3",
            "page_count": 162,
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:GNQ:world-bank-public-expenditure-review-2010",
          "display_source_id": "display-source:GNQ:1ebcd6e65c716bdc3727e16e",
          "source_version_id": "display-source-version:c67641191d7247764add3f6b"
        }
      ],
      "source_version": {
        "file_sha256": "f50befabc2b32e9d2cffbf052e13a2a482bfb674c859a05bb9f8416cdb105ac8",
        "detected_media_type": "application/pdf",
        "hash_verified": true,
        "retrieved_at": "2026-08-21"
      },
      "display_source_ids": [
        "display-source:GNQ:b98335e673d61d1a0dbeaf78",
        "display-source:GNQ:1ebcd6e65c716bdc3727e16e"
      ],
      "source_version_ids": [
        "display-source-version:31f4f0f731b6753d6f66f2dc",
        "display-source-version:c67641191d7247764add3f6b"
      ],
      "display_claim_ids": [
        "display-claim:d6f02297ef0ae5797dafd934",
        "display-claim:d3c867259fb8380adf327cb2",
        "display-claim:e9be21187f3827ddeb00ba70",
        "display-claim:30dfee1441e43c18cda95f17"
      ],
      "display_evidence_object_id": "display-claim:d6f02297ef0ae5797dafd934",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:GNQ:actors-functions:formal-plan",
      "country_id": "GNQ",
      "mapping_group": "actors_and_functions",
      "target_view": "functions",
      "target_slot": "formal-plan",
      "support_state": "candidate_supported",
      "annotation_state": "open",
      "mapping_basis": "National Health Development Plan 2021-2025",
      "source_projection_ids": [
        "country-improvement-source:GNQ:national-health-development-plan-2021-2025"
      ],
      "typed_fields": {
        "function": "The plan is a formal Ministry of Health and Social Welfare strategy for 2021-2025.",
        "boundary": "A plan does not allocate every operational function or show implementation."
      },
      "analytical_objects": {
        "graph_nodes": [
          {
            "node_id": "gnq:mohsw",
            "label": "Ministry of Health and Social Welfare",
            "family": "national",
            "display_claim_ids": [
              "display-claim:88762296751a4fcdd3ae55ff"
            ],
            "display_source_ids": [
              "display-source:GNQ:33beb5c577345fd8819f41d3"
            ],
            "source_version_ids": [
              "display-source-version:04cb42eec1f4815870e96a93"
            ],
            "display_evidence_object_id": "display-claim:88762296751a4fcdd3ae55ff"
          },
          {
            "node_id": "gnq:delivery-levels",
            "label": "Health-service delivery levels",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:ff3e182887b69dac5448c3d3"
            ],
            "display_source_ids": [
              "display-source:GNQ:33beb5c577345fd8819f41d3"
            ],
            "source_version_ids": [
              "display-source-version:04cb42eec1f4815870e96a93"
            ],
            "display_evidence_object_id": "display-claim:ff3e182887b69dac5448c3d3"
          }
        ],
        "graph_edges": [
          {
            "source_node_id": "gnq:mohsw",
            "target_node_id": "gnq:delivery-levels",
            "relationship": "sets formal plan direction for",
            "relationship_family": "governance",
            "display_claim_ids": [
              "display-claim:35a03b5ffb071fedee5b7588"
            ],
            "display_source_ids": [
              "display-source:GNQ:33beb5c577345fd8819f41d3"
            ],
            "source_version_ids": [
              "display-source-version:04cb42eec1f4815870e96a93"
            ],
            "display_evidence_object_id": "display-claim:35a03b5ffb071fedee5b7588"
          }
        ],
        "function_assignments": [
          {
            "actor_label": "Ministry of Health and Social Welfare",
            "function_label": "National health planning",
            "role": "Publishes the 2021-2025 plan",
            "actor_family": "national",
            "display_claim_ids": [
              "display-claim:6c8b1554d99408fa898ef441"
            ],
            "display_source_ids": [
              "display-source:GNQ:33beb5c577345fd8819f41d3"
            ],
            "source_version_ids": [
              "display-source-version:04cb42eec1f4815870e96a93"
            ],
            "display_evidence_object_id": "display-claim:6c8b1554d99408fa898ef441"
          }
        ]
      },
      "title": "The national plan describes formal direction",
      "statement": "The 2021-2025 plan sets a formal delivery and governance agenda; it is not an implementation audit.",
      "citation": "Ministry of Health and Social Welfare, National Health Development Plan 2021-2025.",
      "url": "https://www.guineasalud.org/archivos/Protocolos/Plan.pdf",
      "locator": "Health system organization; service delivery; referral and counter-referral.",
      "period": "2021-2025",
      "territory": "Equatorial Guinea",
      "evidence_mode_candidate": "formal",
      "verification_source_layer": "official",
      "coverage_domains": [
        "actors",
        "government_responsibilities",
        "governance",
        "reform_history",
        "primary_care",
        "hospital_organization"
      ],
      "source_references": [
        {
          "title": "National Health Development Plan 2021-2025",
          "citation": "Ministry of Health and Social Welfare, Equatorial Guinea. National Health Development Plan 2021-2025. https://www.guineasalud.org/archivos/Protocolos/Plan.pdf",
          "url": "https://www.guineasalud.org/archivos/Protocolos/Plan.pdf",
          "locator": {
            "locator_type": "pdf_page_section",
            "pages": [
              19,
              22,
              23,
              31
            ],
            "sections": [
              "Health system organization",
              "Service delivery",
              "Referral and counter-referral"
            ],
            "source_word_anchor": "The National Health Development Plan",
            "source_word_count": 5
          },
          "source_version": {
            "file_sha256": "ae57ac1268fc21aaa31e89f893e3c302489a1e85f933f948368af3649b316c17",
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-21"
          },
          "source_projection_id": "country-improvement-source:GNQ:national-health-development-plan-2021-2025",
          "display_source_id": "display-source:GNQ:33beb5c577345fd8819f41d3",
          "source_version_id": "display-source-version:04cb42eec1f4815870e96a93"
        }
      ],
      "source_version": {
        "file_sha256": "ae57ac1268fc21aaa31e89f893e3c302489a1e85f933f948368af3649b316c17",
        "detected_media_type": "application/pdf",
        "hash_verified": true,
        "retrieved_at": "2026-08-21"
      },
      "display_source_ids": [
        "display-source:GNQ:33beb5c577345fd8819f41d3"
      ],
      "source_version_ids": [
        "display-source-version:04cb42eec1f4815870e96a93"
      ],
      "display_claim_ids": [
        "display-claim:5501a0f5e6489f10abee6db2",
        "display-claim:88762296751a4fcdd3ae55ff",
        "display-claim:ff3e182887b69dac5448c3d3",
        "display-claim:35a03b5ffb071fedee5b7588",
        "display-claim:6c8b1554d99408fa898ef441"
      ],
      "display_evidence_object_id": "display-claim:5501a0f5e6489f10abee6db2",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:GNQ:decision-autonomy:reported-strategy-role",
      "country_id": "GNQ",
      "mapping_group": "decision_rights_and_autonomy",
      "target_view": "decisions",
      "target_slot": "reported-strategy-role",
      "support_state": "candidate_supported",
      "annotation_state": "open",
      "mapping_basis": "World Bank Country Economic Memorandum",
      "source_projection_ids": [
        "country-improvement-source:GNQ:world-bank-economic-memorandum-2025"
      ],
      "typed_fields": {
        "decision_right": "The reported central level oversees national policy and defines application guidelines.",
        "boundary": "This reported role does not establish approvals, implementation discretion or provider rights by decision domain."
      },
      "analytical_objects": {
        "decision_cells": [
          {
            "decision_id": "gnq-national-policy-guidance",
            "decision_label": "National policy and application guidance",
            "actor_label": "Central Ministry level",
            "actor_family": "national",
            "role": "Reported as overseeing policy and defining guidelines",
            "constraint": "No displayed legal instrument assigns complete rights across staffing, finance, procurement or service mix.",
            "display_claim_ids": [
              "display-claim:60a28f019426e67c09d22f60"
            ],
            "display_source_ids": [
              "display-source:GNQ:b98335e673d61d1a0dbeaf78"
            ],
            "source_version_ids": [
              "display-source-version:31f4f0f731b6753d6f66f2dc"
            ],
            "display_evidence_object_id": "display-claim:60a28f019426e67c09d22f60"
          }
        ]
      },
      "title": "A reported strategic role is not a full decision matrix",
      "statement": "The source supports the Ministry's reported policy-guidance role, not a categorical decentralization score.",
      "citation": "World Bank, Equatorial Guinea Country Economic Memorandum, 2025.",
      "url": "https://documents1.worldbank.org/curated/en/099022425125016157/pdf/P179634-51ac0256-0971-4233-81ed-59d5a9ec7a1e.pdf",
      "locator": "Access and coverage of essential health services, p. 122.",
      "period": "Published 2025; mixed underlying dates",
      "territory": "Equatorial Guinea",
      "evidence_mode_candidate": "reported",
      "verification_source_layer": "grey_literature",
      "coverage_domains": [
        "decision_rights",
        "government_responsibilities",
        "actors",
        "governance"
      ],
      "source_references": [
        {
          "title": "Equatorial Guinea Country Economic Memorandum",
          "citation": "World Bank. Equatorial Guinea Country Economic Memorandum. 2025. https://documents1.worldbank.org/curated/en/099022425125016157/pdf/P179634-51ac0256-0971-4233-81ed-59d5a9ec7a1e.pdf",
          "url": "https://documents1.worldbank.org/curated/en/099022425125016157/pdf/P179634-51ac0256-0971-4233-81ed-59d5a9ec7a1e.pdf",
          "locator": {
            "locator_type": "pdf_page_section",
            "pages": [
              122
            ],
            "sections": [
              "Access and coverage of essential health services"
            ],
            "source_word_anchor": "The health sector is governed by the MoHW",
            "source_word_count": 8
          },
          "source_version": {
            "file_sha256": "f50befabc2b32e9d2cffbf052e13a2a482bfb674c859a05bb9f8416cdb105ac8",
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-21"
          },
          "source_projection_id": "country-improvement-source:GNQ:world-bank-economic-memorandum-2025",
          "display_source_id": "display-source:GNQ:b98335e673d61d1a0dbeaf78",
          "source_version_id": "display-source-version:31f4f0f731b6753d6f66f2dc"
        }
      ],
      "source_version": {
        "file_sha256": "f50befabc2b32e9d2cffbf052e13a2a482bfb674c859a05bb9f8416cdb105ac8",
        "detected_media_type": "application/pdf",
        "hash_verified": true,
        "retrieved_at": "2026-08-21"
      },
      "display_source_ids": [
        "display-source:GNQ:b98335e673d61d1a0dbeaf78"
      ],
      "source_version_ids": [
        "display-source-version:31f4f0f731b6753d6f66f2dc"
      ],
      "display_claim_ids": [
        "display-claim:af3804d2b9f502d6fa922485",
        "display-claim:60a28f019426e67c09d22f60"
      ],
      "display_evidence_object_id": "display-claim:af3804d2b9f502d6fa922485",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:GNQ:decision-autonomy:unclassified",
      "country_id": "GNQ",
      "mapping_group": "decision_rights_and_autonomy",
      "target_view": "autonomy",
      "target_slot": "unclassified",
      "support_state": "candidate_supported",
      "annotation_state": "open",
      "mapping_basis": "Displayed plan and World Bank synthesis",
      "source_projection_ids": [
        "country-improvement-source:GNQ:national-health-development-plan-2021-2025",
        "country-improvement-source:GNQ:world-bank-economic-memorandum-2025"
      ],
      "typed_fields": {
        "autonomy_boundary": "The sources do not provide a provider-by-function decision-right table.",
        "boundary": "Provider autonomy remains visible as unclassified rather than imputed from the hierarchical description."
      },
      "analytical_objects": {
        "autonomy_cells": [
          {
            "dimension": "Workforce",
            "provider_group": "Primary care",
            "authority_label": "Not classified from displayed sources",
            "counterpart": "No displayed source allocates staffing authority by facility.",
            "display_claim_ids": [
              "display-claim:a6dcadb87ac14ba75adbc1c8"
            ],
            "display_source_ids": [
              "display-source:GNQ:33beb5c577345fd8819f41d3",
              "display-source:GNQ:b98335e673d61d1a0dbeaf78"
            ],
            "source_version_ids": [
              "display-source-version:04cb42eec1f4815870e96a93",
              "display-source-version:31f4f0f731b6753d6f66f2dc"
            ],
            "display_evidence_object_id": "display-claim:a6dcadb87ac14ba75adbc1c8"
          },
          {
            "dimension": "Financial management",
            "provider_group": "Hospitals",
            "authority_label": "Not classified from displayed sources",
            "counterpart": "No displayed source provides a hospital financial-authority matrix.",
            "display_claim_ids": [
              "display-claim:3fb55dc3d51040aa34acb093"
            ],
            "display_source_ids": [
              "display-source:GNQ:33beb5c577345fd8819f41d3",
              "display-source:GNQ:b98335e673d61d1a0dbeaf78"
            ],
            "source_version_ids": [
              "display-source-version:04cb42eec1f4815870e96a93",
              "display-source-version:31f4f0f731b6753d6f66f2dc"
            ],
            "display_evidence_object_id": "display-claim:3fb55dc3d51040aa34acb093"
          }
        ]
      },
      "title": "Provider autonomy remains unclassified",
      "statement": "The accessible sources do not justify categorical autonomy ratings for primary-care facilities or hospitals.",
      "citation": "Ministry of Health and Social Welfare, National Health Development Plan 2021-2025; World Bank Country Economic Memorandum, 2025.",
      "url": "https://documents1.worldbank.org/curated/en/099022425125016157/pdf/P179634-51ac0256-0971-4233-81ed-59d5a9ec7a1e.pdf",
      "locator": "Plan governance and service-delivery sections; World Bank p. 122.",
      "period": "2021-2025 plan and 2025 synthesis",
      "territory": "Equatorial Guinea",
      "evidence_mode_candidate": "reported",
      "verification_source_layer": "grey_literature",
      "coverage_domains": [
        "decision_rights",
        "autonomy",
        "primary_care",
        "hospital_organization",
        "governance"
      ],
      "source_references": [
        {
          "title": "National Health Development Plan 2021-2025",
          "citation": "Ministry of Health and Social Welfare, Equatorial Guinea. National Health Development Plan 2021-2025. https://www.guineasalud.org/archivos/Protocolos/Plan.pdf",
          "url": "https://www.guineasalud.org/archivos/Protocolos/Plan.pdf",
          "locator": {
            "locator_type": "pdf_page_section",
            "pages": [
              19,
              22,
              23,
              31
            ],
            "sections": [
              "Health system organization",
              "Service delivery",
              "Referral and counter-referral"
            ],
            "source_word_anchor": "The National Health Development Plan",
            "source_word_count": 5
          },
          "source_version": {
            "file_sha256": "ae57ac1268fc21aaa31e89f893e3c302489a1e85f933f948368af3649b316c17",
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-21"
          },
          "source_projection_id": "country-improvement-source:GNQ:national-health-development-plan-2021-2025",
          "display_source_id": "display-source:GNQ:33beb5c577345fd8819f41d3",
          "source_version_id": "display-source-version:04cb42eec1f4815870e96a93"
        },
        {
          "title": "Equatorial Guinea Country Economic Memorandum",
          "citation": "World Bank. Equatorial Guinea Country Economic Memorandum. 2025. https://documents1.worldbank.org/curated/en/099022425125016157/pdf/P179634-51ac0256-0971-4233-81ed-59d5a9ec7a1e.pdf",
          "url": "https://documents1.worldbank.org/curated/en/099022425125016157/pdf/P179634-51ac0256-0971-4233-81ed-59d5a9ec7a1e.pdf",
          "locator": {
            "locator_type": "pdf_page_section",
            "pages": [
              122
            ],
            "sections": [
              "Access and coverage of essential health services"
            ],
            "source_word_anchor": "The health sector is governed by the MoHW",
            "source_word_count": 8
          },
          "source_version": {
            "file_sha256": "f50befabc2b32e9d2cffbf052e13a2a482bfb674c859a05bb9f8416cdb105ac8",
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-21"
          },
          "source_projection_id": "country-improvement-source:GNQ:world-bank-economic-memorandum-2025",
          "display_source_id": "display-source:GNQ:b98335e673d61d1a0dbeaf78",
          "source_version_id": "display-source-version:31f4f0f731b6753d6f66f2dc"
        }
      ],
      "source_version": {
        "file_sha256": "ae57ac1268fc21aaa31e89f893e3c302489a1e85f933f948368af3649b316c17",
        "detected_media_type": "application/pdf",
        "hash_verified": true,
        "retrieved_at": "2026-08-21"
      },
      "display_source_ids": [
        "display-source:GNQ:33beb5c577345fd8819f41d3",
        "display-source:GNQ:b98335e673d61d1a0dbeaf78"
      ],
      "source_version_ids": [
        "display-source-version:04cb42eec1f4815870e96a93",
        "display-source-version:31f4f0f731b6753d6f66f2dc"
      ],
      "display_claim_ids": [
        "display-claim:420da3eb5df0d3d829ba3797",
        "display-claim:a6dcadb87ac14ba75adbc1c8",
        "display-claim:3fb55dc3d51040aa34acb093"
      ],
      "display_evidence_object_id": "display-claim:420da3eb5df0d3d829ba3797",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:GNQ:delivery-referrals:bata-observed-boundary",
      "country_id": "GNQ",
      "mapping_group": "delivery_and_referrals",
      "target_view": "referrals",
      "target_slot": "bata-observed-boundary",
      "support_state": "candidate_supported",
      "annotation_state": "open",
      "mapping_basis": "Bata malaria care-seeking study and healthcare-worker interview study",
      "source_projection_ids": [
        "country-improvement-source:GNQ:bata-malaria-care-seeking-study-2016",
        "country-improvement-source:GNQ:healthcare-obstacles-study-2015"
      ],
      "typed_fields": {
        "formal_observed": "Observed evidence concerns malaria care-seeking and interview perspectives in defined study contexts.",
        "boundary": "Neither source produces national all-condition referral completion, bypass or counter-referral rates."
      },
      "analytical_objects": {
        "provider_delivery_observations": [
          {
            "label": "Observed care-seeking and care barriers",
            "observation": "The studies provide setting-bound evidence on malaria care-seeking and healthcare-worker perspectives.",
            "scope": "Not a national all-condition referral-flow measure.",
            "display_claim_ids": [
              "display-claim:b0110cb5a1be04e85f0b948a"
            ],
            "display_source_ids": [
              "display-source:GNQ:6e4aa1bd0996302ef5fa43a2",
              "display-source:GNQ:36788ce8ad01cc8d4e84d247"
            ],
            "source_version_ids": [
              "display-source-version:42300e0912eaa4fdd00a3d97",
              "display-source-version:38a990f08398a1f4001c348e"
            ],
            "display_evidence_object_id": "display-claim:b0110cb5a1be04e85f0b948a"
          }
        ]
      },
      "title": "Observed care evidence remains setting-bound",
      "statement": "Observed evidence is kept separate from formal referral design and is not generalized to a national pathway.",
      "citation": "Custodio et al., Bata malaria care-seeking study, 2016; Healthcare obstacles and barriers study, 2015.",
      "url": "https://eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi?db=pmc&id=PMC4818441",
      "locator": "Study area and population; interview study methods and results.",
      "period": "2013 and 2015 studies",
      "territory": "Defined Equatorial Guinea study settings",
      "evidence_mode_candidate": "observed",
      "verification_source_layer": "research_literature",
      "coverage_domains": [
        "observed_referral",
        "patient_flows",
        "utilization",
        "referral_design",
        "primary_care",
        "hospital_organization"
      ],
      "source_references": [
        {
          "title": "Determinants of delay in malaria care-seeking behaviour for children in Bata district",
          "citation": "Custodio E et al. Determinants of delay in malaria care-seeking behaviour for children 15 years and under in Bata district, Equatorial Guinea. Malaria Journal. 2016. https://eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi?db=pmc&id=PMC4818441",
          "url": "https://eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi?db=pmc&id=PMC4818441",
          "locator": {
            "locator_type": "xml_sections",
            "sections": [
              "Methods",
              "Study area and population"
            ],
            "source_word_anchor": "network of ten health centres",
            "source_word_count": 5
          },
          "source_version": {
            "response_sha256": "a387a3de76616ecbbdb7b5615fa61943411be861f4ca31b681989c0c411a4c3e",
            "detected_media_type": "text/xml",
            "hash_verified": true,
            "retrieved_at": "2026-08-21"
          },
          "source_projection_id": "country-improvement-source:GNQ:bata-malaria-care-seeking-study-2016",
          "display_source_id": "display-source:GNQ:6e4aa1bd0996302ef5fa43a2",
          "source_version_id": "display-source-version:42300e0912eaa4fdd00a3d97"
        },
        {
          "title": "Healthcare in Equatorial Guinea, West Africa: obstacles and barriers to care",
          "citation": "K. E. R. et al. Healthcare in Equatorial Guinea, West Africa: obstacles and barriers to care. Journal of Health Services Research and Policy. 2015. https://eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi?db=pmc&id=PMC4407943",
          "url": "https://eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi?db=pmc&id=PMC4407943",
          "locator": {
            "locator_type": "xml_sections",
            "sections": [
              "Introduction",
              "Methods",
              "Results"
            ],
            "source_word_anchor": "healthcare system remains relatively understudied",
            "source_word_count": 5
          },
          "source_version": {
            "response_sha256": "efdd1149507d44d8400e9e798dfdb07f6e6e10c894ca80601e07a7e40d46ce2c",
            "detected_media_type": "text/xml",
            "hash_verified": true,
            "retrieved_at": "2026-08-21"
          },
          "source_projection_id": "country-improvement-source:GNQ:healthcare-obstacles-study-2015",
          "display_source_id": "display-source:GNQ:36788ce8ad01cc8d4e84d247",
          "source_version_id": "display-source-version:38a990f08398a1f4001c348e"
        }
      ],
      "source_version": {
        "response_sha256": "a387a3de76616ecbbdb7b5615fa61943411be861f4ca31b681989c0c411a4c3e",
        "detected_media_type": "text/xml",
        "hash_verified": true,
        "retrieved_at": "2026-08-21"
      },
      "display_source_ids": [
        "display-source:GNQ:6e4aa1bd0996302ef5fa43a2",
        "display-source:GNQ:36788ce8ad01cc8d4e84d247"
      ],
      "source_version_ids": [
        "display-source-version:42300e0912eaa4fdd00a3d97",
        "display-source-version:38a990f08398a1f4001c348e"
      ],
      "display_claim_ids": [
        "display-claim:bf85639dcbf9f991ac2520e3",
        "display-claim:b0110cb5a1be04e85f0b948a"
      ],
      "display_evidence_object_id": "display-claim:bf85639dcbf9f991ac2520e3",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:GNQ:delivery-referrals:input-series",
      "country_id": "GNQ",
      "mapping_group": "delivery_and_referrals",
      "target_view": "delivery",
      "target_slot": "input-series",
      "support_state": "candidate_supported",
      "annotation_state": "open",
      "mapping_basis": "World Development Indicators APIs",
      "source_projection_ids": [
        "country-improvement-source:GNQ:world-bank-beds-2026",
        "country-improvement-source:GNQ:world-bank-physicians-2026"
      ],
      "typed_fields": {
        "inputs": "National hospital-bed and physician-density series are available as dated aggregate inputs.",
        "boundary": "Aggregate inputs do not establish ownership, activity, referral completion, network membership or autonomy."
      },
      "analytical_objects": {
        "provider_delivery_observations": [
          {
            "label": "National health inputs",
            "observation": "Hospital-bed and physician-density series are separately available for visualization.",
            "scope": "National aggregate inputs only.",
            "display_claim_ids": [
              "display-claim:7d1553ede53ff799b02e511d"
            ],
            "display_source_ids": [
              "display-source:GNQ:b461cd32b080a74db75699d2",
              "display-source:GNQ:c71230f51893ad3ccbd5e944"
            ],
            "source_version_ids": [
              "display-source-version:3165d89e02fbd96dc29ab411",
              "display-source-version:e93e3f996480f8a8e72d41c3"
            ],
            "display_evidence_object_id": "display-claim:7d1553ede53ff799b02e511d"
          }
        ]
      },
      "title": "Inputs are separate from organization claims",
      "statement": "Bed and physician density can be visualized without inferring provider ownership or patient movement.",
      "citation": "World Bank World Development Indicators, SH.MED.BEDS.ZS and SH.MED.PHYS.ZS, retrieved 2026.",
      "url": "https://api.worldbank.org/v2/country/GNQ/indicator/SH.MED.BEDS.ZS?format=json",
      "locator": "API resources SH.MED.BEDS.ZS and SH.MED.PHYS.ZS.",
      "period": "Retrieved 2026-08-21",
      "territory": "Equatorial Guinea",
      "evidence_mode_candidate": "reported",
      "verification_source_layer": "grey_literature",
      "coverage_domains": [
        "facility_data",
        "utilization",
        "patient_flows",
        "hospital_organization",
        "market_structure"
      ],
      "source_references": [
        {
          "title": "Hospital beds per 1,000 people, Equatorial Guinea",
          "citation": "World Bank. World Development Indicators, Hospital beds per 1,000 people, Equatorial Guinea. Retrieved 2026-08-21. https://api.worldbank.org/v2/country/GNQ/indicator/SH.MED.BEDS.ZS?format=json",
          "url": "https://api.worldbank.org/v2/country/GNQ/indicator/SH.MED.BEDS.ZS?format=json",
          "locator": {
            "locator_type": "api_resource",
            "sections": [
              "SH.MED.BEDS.ZS",
              "Equatorial Guinea national series"
            ],
            "source_word_anchor": "Hospital beds per 1,000 people",
            "source_word_count": 5
          },
          "source_version": {
            "response_sha256": "1d1abba46919eeeeecc33cb0b724465f8f405a011d14e3902e3537d639d85c37",
            "detected_media_type": "application/json",
            "hash_verified": true,
            "retrieved_at": "2026-08-21"
          },
          "source_projection_id": "country-improvement-source:GNQ:world-bank-beds-2026",
          "display_source_id": "display-source:GNQ:b461cd32b080a74db75699d2",
          "source_version_id": "display-source-version:3165d89e02fbd96dc29ab411"
        },
        {
          "title": "Physicians per 1,000 people, Equatorial Guinea",
          "citation": "World Bank. World Development Indicators, Physicians per 1,000 people, Equatorial Guinea. Retrieved 2026-08-21. https://api.worldbank.org/v2/country/GNQ/indicator/SH.MED.PHYS.ZS?format=json",
          "url": "https://api.worldbank.org/v2/country/GNQ/indicator/SH.MED.PHYS.ZS?format=json",
          "locator": {
            "locator_type": "api_resource",
            "sections": [
              "SH.MED.PHYS.ZS",
              "Equatorial Guinea national series"
            ],
            "source_word_anchor": "Physicians per 1,000 people",
            "source_word_count": 4
          },
          "source_version": {
            "response_sha256": "9fa10eef9c18b5c5264b2475a8b48162a72daed6561fe51b372259b51c3044cc",
            "detected_media_type": "application/json",
            "hash_verified": true,
            "retrieved_at": "2026-08-21"
          },
          "source_projection_id": "country-improvement-source:GNQ:world-bank-physicians-2026",
          "display_source_id": "display-source:GNQ:c71230f51893ad3ccbd5e944",
          "source_version_id": "display-source-version:e93e3f996480f8a8e72d41c3"
        }
      ],
      "source_version": {
        "response_sha256": "1d1abba46919eeeeecc33cb0b724465f8f405a011d14e3902e3537d639d85c37",
        "detected_media_type": "application/json",
        "hash_verified": true,
        "retrieved_at": "2026-08-21"
      },
      "display_source_ids": [
        "display-source:GNQ:b461cd32b080a74db75699d2",
        "display-source:GNQ:c71230f51893ad3ccbd5e944"
      ],
      "source_version_ids": [
        "display-source-version:3165d89e02fbd96dc29ab411",
        "display-source-version:e93e3f996480f8a8e72d41c3"
      ],
      "display_claim_ids": [
        "display-claim:bfa4757b5ae98d8cbb6beb2b",
        "display-claim:7d1553ede53ff799b02e511d"
      ],
      "display_evidence_object_id": "display-claim:bfa4757b5ae98d8cbb6beb2b",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:GNQ:delivery-referrals:reported-three-level-model",
      "country_id": "GNQ",
      "mapping_group": "delivery_and_referrals",
      "target_view": "delivery",
      "target_slot": "reported-three-level-model",
      "support_state": "candidate_supported",
      "annotation_state": "open",
      "mapping_basis": "World Bank Country Economic Memorandum",
      "source_projection_ids": [
        "country-improvement-source:GNQ:world-bank-economic-memorandum-2025"
      ],
      "typed_fields": {
        "delivery_design": "The memorandum reports a three-level delivery model and names public health posts, centers and hospitals.",
        "boundary": "The source notes data limitations and does not demonstrate patient adherence, gatekeeping or patient choice."
      },
      "analytical_objects": {
        "provider_delivery_observations": [
          {
            "label": "Reported service-delivery model",
            "observation": "The World Bank synthesis describes a three-level service-delivery model.",
            "scope": "Reported organizational description, not an observed all-provider patient-flow measure.",
            "display_claim_ids": [
              "display-claim:73df163338d7d4ad9a2e7e47"
            ],
            "display_source_ids": [
              "display-source:GNQ:b98335e673d61d1a0dbeaf78"
            ],
            "source_version_ids": [
              "display-source-version:31f4f0f731b6753d6f66f2dc"
            ],
            "display_evidence_object_id": "display-claim:73df163338d7d4ad9a2e7e47"
          }
        ]
      },
      "title": "A three-level delivery model is reported",
      "statement": "The World Bank synthesis describes levels of care, without implying that every patient follows a verified referral pathway.",
      "citation": "World Bank, Equatorial Guinea Country Economic Memorandum, 2025.",
      "url": "https://documents1.worldbank.org/curated/en/099022425125016157/pdf/P179634-51ac0256-0971-4233-81ed-59d5a9ec7a1e.pdf",
      "locator": "Access and coverage of essential health services, p. 122.",
      "period": "Published 2025; mixed underlying dates",
      "territory": "Equatorial Guinea",
      "evidence_mode_candidate": "reported",
      "verification_source_layer": "grey_literature",
      "coverage_domains": [
        "primary_care",
        "hospital_organization",
        "referral_design",
        "networks",
        "facility_data",
        "governance"
      ],
      "source_references": [
        {
          "title": "Equatorial Guinea Country Economic Memorandum",
          "citation": "World Bank. Equatorial Guinea Country Economic Memorandum. 2025. https://documents1.worldbank.org/curated/en/099022425125016157/pdf/P179634-51ac0256-0971-4233-81ed-59d5a9ec7a1e.pdf",
          "url": "https://documents1.worldbank.org/curated/en/099022425125016157/pdf/P179634-51ac0256-0971-4233-81ed-59d5a9ec7a1e.pdf",
          "locator": {
            "locator_type": "pdf_page_section",
            "pages": [
              122
            ],
            "sections": [
              "Access and coverage of essential health services"
            ],
            "source_word_anchor": "The health sector is governed by the MoHW",
            "source_word_count": 8
          },
          "source_version": {
            "file_sha256": "f50befabc2b32e9d2cffbf052e13a2a482bfb674c859a05bb9f8416cdb105ac8",
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-21"
          },
          "source_projection_id": "country-improvement-source:GNQ:world-bank-economic-memorandum-2025",
          "display_source_id": "display-source:GNQ:b98335e673d61d1a0dbeaf78",
          "source_version_id": "display-source-version:31f4f0f731b6753d6f66f2dc"
        }
      ],
      "source_version": {
        "file_sha256": "f50befabc2b32e9d2cffbf052e13a2a482bfb674c859a05bb9f8416cdb105ac8",
        "detected_media_type": "application/pdf",
        "hash_verified": true,
        "retrieved_at": "2026-08-21"
      },
      "display_source_ids": [
        "display-source:GNQ:b98335e673d61d1a0dbeaf78"
      ],
      "source_version_ids": [
        "display-source-version:31f4f0f731b6753d6f66f2dc"
      ],
      "display_claim_ids": [
        "display-claim:5bec12fc26540d66931a3b36",
        "display-claim:73df163338d7d4ad9a2e7e47"
      ],
      "display_evidence_object_id": "display-claim:5bec12fc26540d66931a3b36",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:GNQ:relationships-networks:formal-referral-objective",
      "country_id": "GNQ",
      "mapping_group": "relationships_and_networks",
      "target_view": "referrals",
      "target_slot": "formal-referral-objective",
      "support_state": "candidate_supported",
      "annotation_state": "open",
      "mapping_basis": "National Health Development Plan 2021-2025",
      "source_projection_ids": [
        "country-improvement-source:GNQ:national-health-development-plan-2021-2025"
      ],
      "typed_fields": {
        "network": "The plan includes referral and counter-referral strengthening within its formal service-delivery agenda.",
        "boundary": "A plan objective is not evidence of network membership, counter-referral practice or completed referrals."
      },
      "analytical_objects": {
        "graph_nodes": [
          {
            "node_id": "gnq:primary-level",
            "label": "Primary-level facilities",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:fb87186d55ac336306be0a09"
            ],
            "display_source_ids": [
              "display-source:GNQ:33beb5c577345fd8819f41d3"
            ],
            "source_version_ids": [
              "display-source-version:04cb42eec1f4815870e96a93"
            ],
            "display_evidence_object_id": "display-claim:fb87186d55ac336306be0a09"
          },
          {
            "node_id": "gnq:hospital-levels",
            "label": "Hospital levels",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:1488dd7806ea27822753ef53"
            ],
            "display_source_ids": [
              "display-source:GNQ:33beb5c577345fd8819f41d3"
            ],
            "source_version_ids": [
              "display-source-version:04cb42eec1f4815870e96a93"
            ],
            "display_evidence_object_id": "display-claim:1488dd7806ea27822753ef53"
          }
        ],
        "graph_edges": [
          {
            "source_node_id": "gnq:primary-level",
            "target_node_id": "gnq:hospital-levels",
            "relationship": "is included in formal referral planning toward",
            "relationship_family": "referral",
            "display_claim_ids": [
              "display-claim:892e2eab61450a6b25168596"
            ],
            "display_source_ids": [
              "display-source:GNQ:33beb5c577345fd8819f41d3"
            ],
            "source_version_ids": [
              "display-source-version:04cb42eec1f4815870e96a93"
            ],
            "display_evidence_object_id": "display-claim:892e2eab61450a6b25168596"
          }
        ]
      },
      "title": "Referral strengthening is a formal objective",
      "statement": "The plan supports a formal referral and counter-referral objective, not a measured national pathway.",
      "citation": "Ministry of Health and Social Welfare, National Health Development Plan 2021-2025.",
      "url": "https://www.guineasalud.org/archivos/Protocolos/Plan.pdf",
      "locator": "Service delivery and patient referral and counter-referral, pp. 22-23.",
      "period": "2021-2025",
      "territory": "Equatorial Guinea",
      "evidence_mode_candidate": "formal",
      "verification_source_layer": "official",
      "coverage_domains": [
        "referral_design",
        "networks",
        "primary_care",
        "hospital_organization",
        "governance"
      ],
      "source_references": [
        {
          "title": "National Health Development Plan 2021-2025",
          "citation": "Ministry of Health and Social Welfare, Equatorial Guinea. National Health Development Plan 2021-2025. https://www.guineasalud.org/archivos/Protocolos/Plan.pdf",
          "url": "https://www.guineasalud.org/archivos/Protocolos/Plan.pdf",
          "locator": {
            "locator_type": "pdf_page_section",
            "pages": [
              19,
              22,
              23,
              31
            ],
            "sections": [
              "Health system organization",
              "Service delivery",
              "Referral and counter-referral"
            ],
            "source_word_anchor": "The National Health Development Plan",
            "source_word_count": 5
          },
          "source_version": {
            "file_sha256": "ae57ac1268fc21aaa31e89f893e3c302489a1e85f933f948368af3649b316c17",
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-21"
          },
          "source_projection_id": "country-improvement-source:GNQ:national-health-development-plan-2021-2025",
          "display_source_id": "display-source:GNQ:33beb5c577345fd8819f41d3",
          "source_version_id": "display-source-version:04cb42eec1f4815870e96a93"
        }
      ],
      "source_version": {
        "file_sha256": "ae57ac1268fc21aaa31e89f893e3c302489a1e85f933f948368af3649b316c17",
        "detected_media_type": "application/pdf",
        "hash_verified": true,
        "retrieved_at": "2026-08-21"
      },
      "display_source_ids": [
        "display-source:GNQ:33beb5c577345fd8819f41d3"
      ],
      "source_version_ids": [
        "display-source-version:04cb42eec1f4815870e96a93"
      ],
      "display_claim_ids": [
        "display-claim:295654499a924a45f6c333d0",
        "display-claim:fb87186d55ac336306be0a09",
        "display-claim:1488dd7806ea27822753ef53",
        "display-claim:892e2eab61450a6b25168596"
      ],
      "display_evidence_object_id": "display-claim:295654499a924a45f6c333d0",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:GNQ:relationships-networks:public-private-boundary",
      "country_id": "GNQ",
      "mapping_group": "relationships_and_networks",
      "target_view": "public-private",
      "target_slot": "public-private-boundary",
      "support_state": "candidate_supported",
      "annotation_state": "open",
      "mapping_basis": "Country-system brief and Bata study",
      "source_projection_ids": [
        "country-improvement-source:GNQ:health-care-system-country-brief-2023",
        "country-improvement-source:GNQ:bata-malaria-care-seeking-study-2016"
      ],
      "typed_fields": {
        "architecture": "The country brief covers a system under public responsibility; the Bata study documents public and private facilities in one district.",
        "boundary": "Neither source supplies a current national ownership or activity denominator."
      },
      "analytical_objects": {
        "provider_organizations": [
          {
            "label": "Bata study facilities",
            "ownership": "Public and private facilities described in a defined district study",
            "scope": "Not a national ownership or delivery-dominance estimate.",
            "display_claim_ids": [
              "display-claim:3142ad978bb0c258163595f0"
            ],
            "display_source_ids": [
              "display-source:GNQ:b907c31b027cf139e9297abe",
              "display-source:GNQ:6e4aa1bd0996302ef5fa43a2"
            ],
            "source_version_ids": [
              "display-source-version:4806ac710b8f3d8217897560",
              "display-source-version:42300e0912eaa4fdd00a3d97"
            ],
            "display_evidence_object_id": "display-claim:3142ad978bb0c258163595f0"
          }
        ]
      },
      "title": "Public and private provision is locally documented",
      "statement": "Available evidence identifies public and private facilities in Bata district but cannot support a national ownership pie chart or delivery-dominance claim.",
      "citation": "Ballester Otero et al., The Health Care System in Equatorial Guinea, 2023; Custodio et al., Bata malaria care-seeking study, 2016.",
      "url": "https://eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi?db=pmc&id=PMC4818441",
      "locator": "Country-brief abstract; Bata study area and population.",
      "period": "2013 local study; 2023 country brief",
      "territory": "Bata district and national review",
      "evidence_mode_candidate": "observed",
      "verification_source_layer": "research_literature",
      "coverage_domains": [
        "ownership",
        "market_structure",
        "primary_care",
        "hospital_organization",
        "facility_data",
        "utilization"
      ],
      "source_references": [
        {
          "title": "The Health Care System in Equatorial Guinea",
          "citation": "Ballester Otero CL, Moron-Nozaleda MG, Cobos Munoz D, Ondo Ndoho FA. The Health Care System in Equatorial Guinea. CRC 1342 Social Policy Country Briefs 33. 2023. https://media.suub.uni-bremen.de/entities/publication/25377f77-f962-4760-bd2b-f758d6e8a1b1",
          "url": "https://media.suub.uni-bremen.de/entities/publication/25377f77-f962-4760-bd2b-f758d6e8a1b1",
          "locator": {
            "locator_type": "repository_record",
            "sections": [
              "Abstract",
              "Files"
            ],
            "source_word_anchor": "current organization of the health care system",
            "source_word_count": 7
          },
          "source_version": {
            "response_sha256": "dd9a7231465237f220d66d870e7d448fd4daa4b92585e6676bbd2bd1b8df4d46",
            "detected_media_type": "text/html",
            "hash_verified": true,
            "retrieved_at": "2026-08-21"
          },
          "source_projection_id": "country-improvement-source:GNQ:health-care-system-country-brief-2023",
          "display_source_id": "display-source:GNQ:b907c31b027cf139e9297abe",
          "source_version_id": "display-source-version:4806ac710b8f3d8217897560"
        },
        {
          "title": "Determinants of delay in malaria care-seeking behaviour for children in Bata district",
          "citation": "Custodio E et al. Determinants of delay in malaria care-seeking behaviour for children 15 years and under in Bata district, Equatorial Guinea. Malaria Journal. 2016. https://eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi?db=pmc&id=PMC4818441",
          "url": "https://eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi?db=pmc&id=PMC4818441",
          "locator": {
            "locator_type": "xml_sections",
            "sections": [
              "Methods",
              "Study area and population"
            ],
            "source_word_anchor": "network of ten health centres",
            "source_word_count": 5
          },
          "source_version": {
            "response_sha256": "a387a3de76616ecbbdb7b5615fa61943411be861f4ca31b681989c0c411a4c3e",
            "detected_media_type": "text/xml",
            "hash_verified": true,
            "retrieved_at": "2026-08-21"
          },
          "source_projection_id": "country-improvement-source:GNQ:bata-malaria-care-seeking-study-2016",
          "display_source_id": "display-source:GNQ:6e4aa1bd0996302ef5fa43a2",
          "source_version_id": "display-source-version:42300e0912eaa4fdd00a3d97"
        }
      ],
      "source_version": {
        "response_sha256": "dd9a7231465237f220d66d870e7d448fd4daa4b92585e6676bbd2bd1b8df4d46",
        "detected_media_type": "text/html",
        "hash_verified": true,
        "retrieved_at": "2026-08-21"
      },
      "display_source_ids": [
        "display-source:GNQ:b907c31b027cf139e9297abe",
        "display-source:GNQ:6e4aa1bd0996302ef5fa43a2"
      ],
      "source_version_ids": [
        "display-source-version:4806ac710b8f3d8217897560",
        "display-source-version:42300e0912eaa4fdd00a3d97"
      ],
      "display_claim_ids": [
        "display-claim:d30d67a7c91c787c9621444a",
        "display-claim:3142ad978bb0c258163595f0"
      ],
      "display_evidence_object_id": "display-claim:d30d67a7c91c787c9621444a",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:GNQ:time-reform:time-separated-evidence",
      "country_id": "GNQ",
      "mapping_group": "time_and_reform",
      "target_view": "reforms",
      "target_slot": "time-separated-evidence",
      "support_state": "candidate_supported",
      "annotation_state": "open",
      "mapping_basis": "Plan, World Bank synthesis, WHO profiles and district assessment, literature and input APIs",
      "source_projection_ids": [
        "country-improvement-source:GNQ:national-health-development-plan-2021-2025",
        "country-improvement-source:GNQ:world-bank-economic-memorandum-2025",
        "country-improvement-source:GNQ:who-country-results-2024",
        "country-improvement-source:GNQ:who-country-cooperation-strategy-at-a-glance-2017",
        "country-improvement-source:GNQ:health-care-system-country-brief-2023",
        "country-improvement-source:GNQ:bata-malaria-care-seeking-study-2016",
        "country-improvement-source:GNQ:world-bank-beds-2026",
        "country-improvement-source:GNQ:world-bank-physicians-2026"
      ],
      "typed_fields": {
        "time_boundary": "Formal planning, historical and current reported syntheses, local observed research, district assessment and API inputs have distinct periods and evidence modes.",
        "boundary": "Older and setting-bound evidence is not silently displayed as current nationwide practice."
      },
      "analytical_objects": {
        "reform_events": [
          {
            "event_id": "gnq-pnds-2021",
            "label": "National Health Development Plan 2021-2025",
            "year": 2021,
            "status": "Formal plan period; implementation is assessed separately.",
            "display_claim_ids": [
              "display-claim:3ebcc80552a73a7a28b57f5c"
            ],
            "display_source_ids": [
              "display-source:GNQ:33beb5c577345fd8819f41d3",
              "display-source:GNQ:b98335e673d61d1a0dbeaf78",
              "display-source:GNQ:9c42b2bc9b9ba7c5551e3827",
              "display-source:GNQ:48182001b07495e8aa8c249b",
              "display-source:GNQ:b907c31b027cf139e9297abe",
              "display-source:GNQ:6e4aa1bd0996302ef5fa43a2",
              "display-source:GNQ:b461cd32b080a74db75699d2",
              "display-source:GNQ:c71230f51893ad3ccbd5e944"
            ],
            "source_version_ids": [
              "display-source-version:04cb42eec1f4815870e96a93",
              "display-source-version:31f4f0f731b6753d6f66f2dc",
              "display-source-version:98ac4c4bfc6fa6c5efb5074c",
              "display-source-version:8ebac9bd7bd20a30eb2cb070",
              "display-source-version:4806ac710b8f3d8217897560",
              "display-source-version:42300e0912eaa4fdd00a3d97",
              "display-source-version:3165d89e02fbd96dc29ab411",
              "display-source-version:e93e3f996480f8a8e72d41c3"
            ],
            "display_evidence_object_id": "display-claim:3ebcc80552a73a7a28b57f5c"
          },
          {
            "event_id": "gnq-district-assessment-2024",
            "label": "Rapid health-district functionality assessment",
            "year": 2024,
            "status": "WHO-reported assessment in ten districts.",
            "display_claim_ids": [
              "display-claim:5127c52a34371c1597858057"
            ],
            "display_source_ids": [
              "display-source:GNQ:33beb5c577345fd8819f41d3",
              "display-source:GNQ:b98335e673d61d1a0dbeaf78",
              "display-source:GNQ:9c42b2bc9b9ba7c5551e3827",
              "display-source:GNQ:48182001b07495e8aa8c249b",
              "display-source:GNQ:b907c31b027cf139e9297abe",
              "display-source:GNQ:6e4aa1bd0996302ef5fa43a2",
              "display-source:GNQ:b461cd32b080a74db75699d2",
              "display-source:GNQ:c71230f51893ad3ccbd5e944"
            ],
            "source_version_ids": [
              "display-source-version:04cb42eec1f4815870e96a93",
              "display-source-version:31f4f0f731b6753d6f66f2dc",
              "display-source-version:98ac4c4bfc6fa6c5efb5074c",
              "display-source-version:8ebac9bd7bd20a30eb2cb070",
              "display-source-version:4806ac710b8f3d8217897560",
              "display-source-version:42300e0912eaa4fdd00a3d97",
              "display-source-version:3165d89e02fbd96dc29ab411",
              "display-source-version:e93e3f996480f8a8e72d41c3"
            ],
            "display_evidence_object_id": "display-claim:5127c52a34371c1597858057"
          }
        ]
      },
      "title": "Evidence stays time-separated",
      "statement": "The timeline retains the separate periods and evidence modes of formal planning, historical and current reports, observed local research and national input series.",
      "citation": "Ministry of Health and Social Welfare plan; World Bank, WHO, country brief, research and WDI sources.",
      "url": "https://www.guineasalud.org/archivos/Protocolos/Plan.pdf",
      "locator": "Plan; World Bank p. 122; WHO 2017 health-policy sections; WHO district-assessment section; and linked sources.",
      "period": "2004-2026 source periods",
      "territory": "Equatorial Guinea",
      "evidence_mode_candidate": "reported",
      "verification_source_layer": "official",
      "coverage_domains": [
        "reform_history",
        "authoritative_review",
        "actors",
        "government_responsibilities",
        "facility_data",
        "utilization",
        "patient_flows",
        "governance",
        "market_structure"
      ],
      "source_references": [
        {
          "title": "National Health Development Plan 2021-2025",
          "citation": "Ministry of Health and Social Welfare, Equatorial Guinea. National Health Development Plan 2021-2025. https://www.guineasalud.org/archivos/Protocolos/Plan.pdf",
          "url": "https://www.guineasalud.org/archivos/Protocolos/Plan.pdf",
          "locator": {
            "locator_type": "pdf_page_section",
            "pages": [
              19,
              22,
              23,
              31
            ],
            "sections": [
              "Health system organization",
              "Service delivery",
              "Referral and counter-referral"
            ],
            "source_word_anchor": "The National Health Development Plan",
            "source_word_count": 5
          },
          "source_version": {
            "file_sha256": "ae57ac1268fc21aaa31e89f893e3c302489a1e85f933f948368af3649b316c17",
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-21"
          },
          "source_projection_id": "country-improvement-source:GNQ:national-health-development-plan-2021-2025",
          "display_source_id": "display-source:GNQ:33beb5c577345fd8819f41d3",
          "source_version_id": "display-source-version:04cb42eec1f4815870e96a93"
        },
        {
          "title": "Equatorial Guinea Country Economic Memorandum",
          "citation": "World Bank. Equatorial Guinea Country Economic Memorandum. 2025. https://documents1.worldbank.org/curated/en/099022425125016157/pdf/P179634-51ac0256-0971-4233-81ed-59d5a9ec7a1e.pdf",
          "url": "https://documents1.worldbank.org/curated/en/099022425125016157/pdf/P179634-51ac0256-0971-4233-81ed-59d5a9ec7a1e.pdf",
          "locator": {
            "locator_type": "pdf_page_section",
            "pages": [
              122
            ],
            "sections": [
              "Access and coverage of essential health services"
            ],
            "source_word_anchor": "The health sector is governed by the MoHW",
            "source_word_count": 8
          },
          "source_version": {
            "file_sha256": "f50befabc2b32e9d2cffbf052e13a2a482bfb674c859a05bb9f8416cdb105ac8",
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-21"
          },
          "source_projection_id": "country-improvement-source:GNQ:world-bank-economic-memorandum-2025",
          "display_source_id": "display-source:GNQ:b98335e673d61d1a0dbeaf78",
          "source_version_id": "display-source-version:31f4f0f731b6753d6f66f2dc"
        },
        {
          "title": "WHO Results Report 2024-2025: Equatorial Guinea",
          "citation": "World Health Organization. WHO Results Report 2024-2025: Equatorial Guinea country profile. https://www.who.int/about/accountability/results/who-results-report-2024-2025/country-profile/2024/equatorial-guinea",
          "url": "https://www.who.int/about/accountability/results/who-results-report-2024-2025/country-profile/2024/equatorial-guinea",
          "locator": {
            "locator_type": "web_page_section",
            "sections": [
              "Rapid assessment of health district functionality"
            ],
            "source_word_anchor": "rapid assessment was carried out in 2024",
            "source_word_count": 7
          },
          "source_version": {
            "response_sha256": "a56bff5610b40be45afe5836326318efa26f2d6c4c2a345863d578bf41dabee9",
            "detected_media_type": "text/html",
            "hash_verified": true,
            "retrieved_at": "2026-08-21"
          },
          "source_projection_id": "country-improvement-source:GNQ:who-country-results-2024",
          "display_source_id": "display-source:GNQ:9c42b2bc9b9ba7c5551e3827",
          "source_version_id": "display-source-version:98ac4c4bfc6fa6c5efb5074c"
        },
        {
          "title": "WHO country cooperation strategy at a glance: Equatorial Guinea",
          "citation": "World Health Organization. WHO country cooperation strategy at a glance: Equatorial Guinea. 2017. https://iris.who.int/server/api/core/bitstreams/6e9835de-fdbb-41f1-b985-f9468f766f9c/content",
          "url": "https://iris.who.int/server/api/core/bitstreams/6e9835de-fdbb-41f1-b985-f9468f766f9c/content",
          "locator": {
            "locator_type": "pdf_page_section",
            "physical_pdf_pages": [
              1
            ],
            "sections": [
              "Health situation",
              "Health policies and systems"
            ],
            "source_word_anchor": "operationalization of health districts",
            "source_word_count": 4
          },
          "source_version": {
            "file_sha256": "b471338ae31caeb22bb598486b2b12e82e53f58bfc68ccaa9adde0be19db7cd9",
            "response_sha256": "b471338ae31caeb22bb598486b2b12e82e53f58bfc68ccaa9adde0be19db7cd9",
            "page_count": 2,
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:GNQ:who-country-cooperation-strategy-at-a-glance-2017",
          "display_source_id": "display-source:GNQ:48182001b07495e8aa8c249b",
          "source_version_id": "display-source-version:8ebac9bd7bd20a30eb2cb070"
        },
        {
          "title": "The Health Care System in Equatorial Guinea",
          "citation": "Ballester Otero CL, Moron-Nozaleda MG, Cobos Munoz D, Ondo Ndoho FA. The Health Care System in Equatorial Guinea. CRC 1342 Social Policy Country Briefs 33. 2023. https://media.suub.uni-bremen.de/entities/publication/25377f77-f962-4760-bd2b-f758d6e8a1b1",
          "url": "https://media.suub.uni-bremen.de/entities/publication/25377f77-f962-4760-bd2b-f758d6e8a1b1",
          "locator": {
            "locator_type": "repository_record",
            "sections": [
              "Abstract",
              "Files"
            ],
            "source_word_anchor": "current organization of the health care system",
            "source_word_count": 7
          },
          "source_version": {
            "response_sha256": "dd9a7231465237f220d66d870e7d448fd4daa4b92585e6676bbd2bd1b8df4d46",
            "detected_media_type": "text/html",
            "hash_verified": true,
            "retrieved_at": "2026-08-21"
          },
          "source_projection_id": "country-improvement-source:GNQ:health-care-system-country-brief-2023",
          "display_source_id": "display-source:GNQ:b907c31b027cf139e9297abe",
          "source_version_id": "display-source-version:4806ac710b8f3d8217897560"
        },
        {
          "title": "Determinants of delay in malaria care-seeking behaviour for children in Bata district",
          "citation": "Custodio E et al. Determinants of delay in malaria care-seeking behaviour for children 15 years and under in Bata district, Equatorial Guinea. Malaria Journal. 2016. https://eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi?db=pmc&id=PMC4818441",
          "url": "https://eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi?db=pmc&id=PMC4818441",
          "locator": {
            "locator_type": "xml_sections",
            "sections": [
              "Methods",
              "Study area and population"
            ],
            "source_word_anchor": "network of ten health centres",
            "source_word_count": 5
          },
          "source_version": {
            "response_sha256": "a387a3de76616ecbbdb7b5615fa61943411be861f4ca31b681989c0c411a4c3e",
            "detected_media_type": "text/xml",
            "hash_verified": true,
            "retrieved_at": "2026-08-21"
          },
          "source_projection_id": "country-improvement-source:GNQ:bata-malaria-care-seeking-study-2016",
          "display_source_id": "display-source:GNQ:6e4aa1bd0996302ef5fa43a2",
          "source_version_id": "display-source-version:42300e0912eaa4fdd00a3d97"
        },
        {
          "title": "Hospital beds per 1,000 people, Equatorial Guinea",
          "citation": "World Bank. World Development Indicators, Hospital beds per 1,000 people, Equatorial Guinea. Retrieved 2026-08-21. https://api.worldbank.org/v2/country/GNQ/indicator/SH.MED.BEDS.ZS?format=json",
          "url": "https://api.worldbank.org/v2/country/GNQ/indicator/SH.MED.BEDS.ZS?format=json",
          "locator": {
            "locator_type": "api_resource",
            "sections": [
              "SH.MED.BEDS.ZS",
              "Equatorial Guinea national series"
            ],
            "source_word_anchor": "Hospital beds per 1,000 people",
            "source_word_count": 5
          },
          "source_version": {
            "response_sha256": "1d1abba46919eeeeecc33cb0b724465f8f405a011d14e3902e3537d639d85c37",
            "detected_media_type": "application/json",
            "hash_verified": true,
            "retrieved_at": "2026-08-21"
          },
          "source_projection_id": "country-improvement-source:GNQ:world-bank-beds-2026",
          "display_source_id": "display-source:GNQ:b461cd32b080a74db75699d2",
          "source_version_id": "display-source-version:3165d89e02fbd96dc29ab411"
        },
        {
          "title": "Physicians per 1,000 people, Equatorial Guinea",
          "citation": "World Bank. World Development Indicators, Physicians per 1,000 people, Equatorial Guinea. Retrieved 2026-08-21. https://api.worldbank.org/v2/country/GNQ/indicator/SH.MED.PHYS.ZS?format=json",
          "url": "https://api.worldbank.org/v2/country/GNQ/indicator/SH.MED.PHYS.ZS?format=json",
          "locator": {
            "locator_type": "api_resource",
            "sections": [
              "SH.MED.PHYS.ZS",
              "Equatorial Guinea national series"
            ],
            "source_word_anchor": "Physicians per 1,000 people",
            "source_word_count": 4
          },
          "source_version": {
            "response_sha256": "9fa10eef9c18b5c5264b2475a8b48162a72daed6561fe51b372259b51c3044cc",
            "detected_media_type": "application/json",
            "hash_verified": true,
            "retrieved_at": "2026-08-21"
          },
          "source_projection_id": "country-improvement-source:GNQ:world-bank-physicians-2026",
          "display_source_id": "display-source:GNQ:c71230f51893ad3ccbd5e944",
          "source_version_id": "display-source-version:e93e3f996480f8a8e72d41c3"
        }
      ],
      "source_version": {
        "file_sha256": "ae57ac1268fc21aaa31e89f893e3c302489a1e85f933f948368af3649b316c17",
        "detected_media_type": "application/pdf",
        "hash_verified": true,
        "retrieved_at": "2026-08-21"
      },
      "display_source_ids": [
        "display-source:GNQ:33beb5c577345fd8819f41d3",
        "display-source:GNQ:b98335e673d61d1a0dbeaf78",
        "display-source:GNQ:9c42b2bc9b9ba7c5551e3827",
        "display-source:GNQ:48182001b07495e8aa8c249b",
        "display-source:GNQ:b907c31b027cf139e9297abe",
        "display-source:GNQ:6e4aa1bd0996302ef5fa43a2",
        "display-source:GNQ:b461cd32b080a74db75699d2",
        "display-source:GNQ:c71230f51893ad3ccbd5e944"
      ],
      "source_version_ids": [
        "display-source-version:04cb42eec1f4815870e96a93",
        "display-source-version:31f4f0f731b6753d6f66f2dc",
        "display-source-version:98ac4c4bfc6fa6c5efb5074c",
        "display-source-version:8ebac9bd7bd20a30eb2cb070",
        "display-source-version:4806ac710b8f3d8217897560",
        "display-source-version:42300e0912eaa4fdd00a3d97",
        "display-source-version:3165d89e02fbd96dc29ab411",
        "display-source-version:e93e3f996480f8a8e72d41c3"
      ],
      "display_claim_ids": [
        "display-claim:ec3a8c38a916d52f07bf0192",
        "display-claim:3ebcc80552a73a7a28b57f5c",
        "display-claim:5127c52a34371c1597858057"
      ],
      "display_evidence_object_id": "display-claim:ec3a8c38a916d52f07bf0192",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    }
  ],
  "displayed_evidence": {
    "candidate_sources": [
      {
        "candidate_source_id": "candidate-source:GNQ:6d47f3117f22771f2367",
        "evidence_layer": "candidate_source_metadata",
        "evidence_layers": [
          "candidate_source_metadata"
        ],
        "source_layers": [
          "candidate_source_metadata"
        ],
        "source_type": "candidate source metadata",
        "display_eligible": true,
        "title": "WHO country cooperation strategy at a glance: Equatorial Guinea",
        "citation": "World Health Organization. WHO country cooperation strategy at a glance: Equatorial Guinea. 2017. https://www.who.int/publications/i/item/WHO-CCU-17.01-Equatorial-Guinea",
        "citation_string": "World Health Organization. WHO country cooperation strategy at a glance: Equatorial Guinea. 2017. https://www.who.int/publications/i/item/WHO-CCU-17.01-Equatorial-Guinea",
        "citation_status": "supplied",
        "citation_provenance": "source metadata",
        "url": "https://www.who.int/publications/i/item/WHO-CCU-17.01-Equatorial-Guinea",
        "publication_year": 2017,
        "source_families": [
          "WHO_WHO_CCS"
        ],
        "channels": [
          "targeted_official"
        ],
        "verification_source_layer": "official",
        "coverage_domains": [
          "actors",
          "governance",
          "government_responsibilities",
          "primary_care",
          "service_delivery"
        ],
        "url_verification_status": "verified",
        "source_version": {
          "file_sha256": null,
          "text_sha256": null,
          "response_sha256": "0294278e752a17e002ccd714f74bc85e000d3f93fd892c13df35a22718527ff8",
          "page_count": null
        },
        "locator": null,
        "display_status": "shown_in_full",
        "review_channel": "text_anchored_annotation",
        "verification_requirements": []
      }
    ],
    "candidate_facts": [],
    "exact_contexts": []
  },
  "evidence_scorecard": {
    "country_id": "GNQ",
    "audit_passed": true,
    "preparation_stage": "direct_typed_mapping",
    "preparation_stage_label": "Explicit analytical mappings",
    "scores": {
      "analytical_mapping_groups": {
        "denominator": 5,
        "numerator": 5,
        "score": 100,
        "unit": "explicit analytical object groups"
      },
      "controlled_domain_leads": {
        "denominator": 17,
        "numerator": 17,
        "score": 100,
        "unit": "controlled domains with displayed candidate leads"
      },
      "material_locator_coverage": {
        "denominator": 28,
        "numerator": 26,
        "score": 93,
        "unit": "material records with an exact locator"
      },
      "material_url_coverage": {
        "denominator": 28,
        "numerator": 28,
        "score": 100,
        "unit": "material records with at least one public URL"
      },
      "material_version_coverage": {
        "denominator": 28,
        "numerator": 28,
        "score": 100,
        "unit": "material records with an immutable source version"
      },
      "source_layer_presence": {
        "denominator": 3,
        "numerator": 3,
        "score": 100,
        "unit": "displayed candidate-source layers"
      }
    },
    "represented_domain_ids": [
      "actors",
      "government_responsibilities",
      "ownership",
      "decision_rights",
      "autonomy",
      "primary_care",
      "hospital_organization",
      "referral_design",
      "observed_referral",
      "networks",
      "facility_data",
      "utilization",
      "patient_flows",
      "governance",
      "market_structure",
      "reform_history",
      "authoritative_review"
    ],
    "missing_domain_ids": [],
    "direct_typed_domain_ids": [
      "actors",
      "government_responsibilities",
      "ownership",
      "decision_rights",
      "autonomy",
      "primary_care",
      "hospital_organization",
      "referral_design",
      "observed_referral",
      "networks",
      "facility_data",
      "utilization",
      "patient_flows",
      "governance",
      "market_structure",
      "reform_history",
      "authoritative_review"
    ],
    "priority_actions": [
      {
        "action_id": "annotate-country-synthesis",
        "detail": "All six preparation dimensions meet the target. Every source-linked finding and supporting material remains open for correction, qualification, and additional evidence through annotations.",
        "label": "Review and annotate the country synthesis"
      }
    ],
    "review_ready_material_ids": [
      "material:cf49a1ae10a89049bcad8504",
      "material:a5d3d5670a278ae5dc9ed36a",
      "material:a5a758e4d9640d1005450c73",
      "material:87d61ad79b6f5605fc052dc1",
      "material:849d49468e0539ffbe6fa994"
    ],
    "full_scorecard_url": "https://wb-works.site/tools/health-organization/data/evidence-scorecards.json"
  },
  "materials": [
    {
      "analytical_mapping": {
        "mapping_basis": "World Bank Country Economic Memorandum",
        "mapping_group": "decision_rights_and_autonomy",
        "mapping_id": "candidate-mapping:GNQ:decision-autonomy:reported-strategy-role",
        "source_projection_ids": [
          "country-improvement-source:GNQ:world-bank-economic-memorandum-2025"
        ],
        "support_state": "candidate_supported",
        "target_slot": "reported-strategy-role",
        "target_view": "decisions",
        "typed_fields": {
          "boundary": "This reported role does not establish approvals, implementation discretion or provider rights by decision domain.",
          "decision_right": "The reported central level oversees national policy and defines application guidelines."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank, Equatorial Guinea Country Economic Memorandum, 2025.",
      "country_ids": [
        "GNQ"
      ],
      "coverage_domains": [
        "actors",
        "decision_rights",
        "governance",
        "government_responsibilities"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "Access and coverage of essential health services, p. 122."
      },
      "material_id": "material:8a70249e0070dc22bf561a33",
      "notes": [],
      "origin": "candidate-analytical-mappings",
      "period": "Published 2025; mixed underlying dates",
      "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": "f50befabc2b32e9d2cffbf052e13a2a482bfb674c859a05bb9f8416cdb105ac8"
      },
      "statement": "The source supports the Ministry's reported policy-guidance role, not a categorical decentralization score.",
      "tags": [],
      "territory": "Equatorial Guinea",
      "title": "A reported strategic role is not a full decision matrix",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://documents1.worldbank.org/curated/en/099022425125016157/pdf/P179634-51ac0256-0971-4233-81ed-59d5a9ec7a1e.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "World Bank Country Economic Memorandum",
        "mapping_group": "delivery_and_referrals",
        "mapping_id": "candidate-mapping:GNQ:delivery-referrals:reported-three-level-model",
        "source_projection_ids": [
          "country-improvement-source:GNQ:world-bank-economic-memorandum-2025"
        ],
        "support_state": "candidate_supported",
        "target_slot": "reported-three-level-model",
        "target_view": "delivery",
        "typed_fields": {
          "boundary": "The source notes data limitations and does not demonstrate patient adherence, gatekeeping or patient choice.",
          "delivery_design": "The memorandum reports a three-level delivery model and names public health posts, centers and hospitals."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank, Equatorial Guinea Country Economic Memorandum, 2025.",
      "country_ids": [
        "GNQ"
      ],
      "coverage_domains": [
        "facility_data",
        "governance",
        "hospital_organization",
        "networks",
        "primary_care",
        "referral_design"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "Access and coverage of essential health services, p. 122."
      },
      "material_id": "material:0889b847f00c9ac1648b0619",
      "notes": [],
      "origin": "candidate-analytical-mappings",
      "period": "Published 2025; mixed underlying dates",
      "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": "f50befabc2b32e9d2cffbf052e13a2a482bfb674c859a05bb9f8416cdb105ac8"
      },
      "statement": "The World Bank synthesis describes levels of care, without implying that every patient follows a verified referral pathway.",
      "tags": [],
      "territory": "Equatorial Guinea",
      "title": "A three-level delivery model is reported",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://documents1.worldbank.org/curated/en/099022425125016157/pdf/P179634-51ac0256-0971-4233-81ed-59d5a9ec7a1e.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "Plan, World Bank synthesis, WHO profiles and district assessment, literature and input APIs",
        "mapping_group": "time_and_reform",
        "mapping_id": "candidate-mapping:GNQ:time-reform:time-separated-evidence",
        "source_projection_ids": [
          "country-improvement-source:GNQ:national-health-development-plan-2021-2025",
          "country-improvement-source:GNQ:world-bank-economic-memorandum-2025",
          "country-improvement-source:GNQ:who-country-results-2024",
          "country-improvement-source:GNQ:who-country-cooperation-strategy-at-a-glance-2017",
          "country-improvement-source:GNQ:health-care-system-country-brief-2023",
          "country-improvement-source:GNQ:bata-malaria-care-seeking-study-2016",
          "country-improvement-source:GNQ:world-bank-beds-2026",
          "country-improvement-source:GNQ:world-bank-physicians-2026"
        ],
        "support_state": "candidate_supported",
        "target_slot": "time-separated-evidence",
        "target_view": "reforms",
        "typed_fields": {
          "boundary": "Older and setting-bound evidence is not silently displayed as current nationwide practice.",
          "time_boundary": "Formal planning, historical and current reported syntheses, local observed research, district assessment and API inputs have distinct periods and evidence modes."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Ministry of Health and Social Welfare plan; World Bank, WHO, country brief, research and WDI sources.",
      "country_ids": [
        "GNQ"
      ],
      "coverage_domains": [
        "actors",
        "authoritative_review",
        "facility_data",
        "governance",
        "government_responsibilities",
        "market_structure",
        "patient_flows",
        "reform_history",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "Plan; World Bank p. 122; WHO 2017 health-policy sections; WHO district-assessment section; and linked sources."
      },
      "material_id": "material:181bb7736235aa1b4c295bea",
      "notes": [],
      "origin": "candidate-analytical-mappings",
      "period": "2004-2026 source periods",
      "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": "ae57ac1268fc21aaa31e89f893e3c302489a1e85f933f948368af3649b316c17"
      },
      "statement": "The timeline retains the separate periods and evidence modes of formal planning, historical and current reports, observed local research and national input series.",
      "tags": [],
      "territory": "Equatorial Guinea",
      "title": "Evidence stays time-separated",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://www.guineasalud.org/archivos/Protocolos/Plan.pdf"
        },
        {
          "kind": "source_reference",
          "source": "Equatorial Guinea Country Economic Memorandum",
          "url": "https://documents1.worldbank.org/curated/en/099022425125016157/pdf/P179634-51ac0256-0971-4233-81ed-59d5a9ec7a1e.pdf"
        },
        {
          "kind": "source_reference",
          "source": "WHO Results Report 2024-2025: Equatorial Guinea",
          "url": "https://www.who.int/about/accountability/results/who-results-report-2024-2025/country-profile/2024/equatorial-guinea"
        },
        {
          "kind": "source_reference",
          "source": "WHO country cooperation strategy at a glance: Equatorial Guinea",
          "url": "https://iris.who.int/server/api/core/bitstreams/6e9835de-fdbb-41f1-b985-f9468f766f9c/content"
        },
        {
          "kind": "source_reference",
          "source": "The Health Care System in Equatorial Guinea",
          "url": "https://media.suub.uni-bremen.de/entities/publication/25377f77-f962-4760-bd2b-f758d6e8a1b1"
        },
        {
          "kind": "source_reference",
          "source": "Determinants of delay in malaria care-seeking behaviour for children in Bata district",
          "url": "https://eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi?db=pmc&id=PMC4818441"
        },
        {
          "kind": "source_reference",
          "source": "Hospital beds per 1,000 people, Equatorial Guinea",
          "url": "https://api.worldbank.org/v2/country/GNQ/indicator/SH.MED.BEDS.ZS?format=json"
        },
        {
          "kind": "source_reference",
          "source": "Physicians per 1,000 people, Equatorial Guinea",
          "url": "https://api.worldbank.org/v2/country/GNQ/indicator/SH.MED.PHYS.ZS?format=json"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "World Development Indicators APIs",
        "mapping_group": "delivery_and_referrals",
        "mapping_id": "candidate-mapping:GNQ:delivery-referrals:input-series",
        "source_projection_ids": [
          "country-improvement-source:GNQ:world-bank-beds-2026",
          "country-improvement-source:GNQ:world-bank-physicians-2026"
        ],
        "support_state": "candidate_supported",
        "target_slot": "input-series",
        "target_view": "delivery",
        "typed_fields": {
          "boundary": "Aggregate inputs do not establish ownership, activity, referral completion, network membership or autonomy.",
          "inputs": "National hospital-bed and physician-density series are available as dated aggregate inputs."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank World Development Indicators, SH.MED.BEDS.ZS and SH.MED.PHYS.ZS, retrieved 2026.",
      "country_ids": [
        "GNQ"
      ],
      "coverage_domains": [
        "facility_data",
        "hospital_organization",
        "market_structure",
        "patient_flows",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "API resources SH.MED.BEDS.ZS and SH.MED.PHYS.ZS."
      },
      "material_id": "material:29ae484241f1f3045eca8d7e",
      "notes": [],
      "origin": "candidate-analytical-mappings",
      "period": "Retrieved 2026-08-21",
      "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/json",
        "response_sha256": "1d1abba46919eeeeecc33cb0b724465f8f405a011d14e3902e3537d639d85c37"
      },
      "statement": "Bed and physician density can be visualized without inferring provider ownership or patient movement.",
      "tags": [],
      "territory": "Equatorial Guinea",
      "title": "Inputs are separate from organization claims",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://api.worldbank.org/v2/country/GNQ/indicator/SH.MED.BEDS.ZS?format=json"
        },
        {
          "kind": "source_reference",
          "source": "Physicians per 1,000 people, Equatorial Guinea",
          "url": "https://api.worldbank.org/v2/country/GNQ/indicator/SH.MED.PHYS.ZS?format=json"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "Bata malaria care-seeking study and healthcare-worker interview study",
        "mapping_group": "delivery_and_referrals",
        "mapping_id": "candidate-mapping:GNQ:delivery-referrals:bata-observed-boundary",
        "source_projection_ids": [
          "country-improvement-source:GNQ:bata-malaria-care-seeking-study-2016",
          "country-improvement-source:GNQ:healthcare-obstacles-study-2015"
        ],
        "support_state": "candidate_supported",
        "target_slot": "bata-observed-boundary",
        "target_view": "referrals",
        "typed_fields": {
          "boundary": "Neither source produces national all-condition referral completion, bypass or counter-referral rates.",
          "formal_observed": "Observed evidence concerns malaria care-seeking and interview perspectives in defined study contexts."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Custodio et al., Bata malaria care-seeking study, 2016; Healthcare obstacles and barriers study, 2015.",
      "country_ids": [
        "GNQ"
      ],
      "coverage_domains": [
        "hospital_organization",
        "observed_referral",
        "patient_flows",
        "primary_care",
        "referral_design",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "observed",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "Study area and population; interview study methods and results."
      },
      "material_id": "material:9bf6ae84e4c03b71be3c8d25",
      "notes": [],
      "origin": "candidate-analytical-mappings",
      "period": "2013 and 2015 studies",
      "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": [
        "research_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "text/xml",
        "response_sha256": "a387a3de76616ecbbdb7b5615fa61943411be861f4ca31b681989c0c411a4c3e"
      },
      "statement": "Observed evidence is kept separate from formal referral design and is not generalized to a national pathway.",
      "tags": [],
      "territory": "Defined Equatorial Guinea study settings",
      "title": "Observed care evidence remains setting-bound",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi?db=pmc&id=PMC4818441"
        },
        {
          "kind": "source_reference",
          "source": "Healthcare in Equatorial Guinea, West Africa: obstacles and barriers to care",
          "url": "https://eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi?db=pmc&id=PMC4407943"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "Displayed plan and World Bank synthesis",
        "mapping_group": "decision_rights_and_autonomy",
        "mapping_id": "candidate-mapping:GNQ:decision-autonomy:unclassified",
        "source_projection_ids": [
          "country-improvement-source:GNQ:national-health-development-plan-2021-2025",
          "country-improvement-source:GNQ:world-bank-economic-memorandum-2025"
        ],
        "support_state": "candidate_supported",
        "target_slot": "unclassified",
        "target_view": "autonomy",
        "typed_fields": {
          "autonomy_boundary": "The sources do not provide a provider-by-function decision-right table.",
          "boundary": "Provider autonomy remains visible as unclassified rather than imputed from the hierarchical description."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Ministry of Health and Social Welfare, National Health Development Plan 2021-2025; World Bank Country Economic Memorandum, 2025.",
      "country_ids": [
        "GNQ"
      ],
      "coverage_domains": [
        "autonomy",
        "decision_rights",
        "governance",
        "hospital_organization",
        "primary_care"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "Plan governance and service-delivery sections; World Bank p. 122."
      },
      "material_id": "material:67f4dd0b78ad5415a4156995",
      "notes": [],
      "origin": "candidate-analytical-mappings",
      "period": "2021-2025 plan and 2025 synthesis",
      "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": "ae57ac1268fc21aaa31e89f893e3c302489a1e85f933f948368af3649b316c17"
      },
      "statement": "The accessible sources do not justify categorical autonomy ratings for primary-care facilities or hospitals.",
      "tags": [],
      "territory": "Equatorial Guinea",
      "title": "Provider autonomy remains unclassified",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://documents1.worldbank.org/curated/en/099022425125016157/pdf/P179634-51ac0256-0971-4233-81ed-59d5a9ec7a1e.pdf"
        },
        {
          "kind": "source_reference",
          "source": "National Health Development Plan 2021-2025",
          "url": "https://www.guineasalud.org/archivos/Protocolos/Plan.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "Country-system brief and Bata study",
        "mapping_group": "relationships_and_networks",
        "mapping_id": "candidate-mapping:GNQ:relationships-networks:public-private-boundary",
        "source_projection_ids": [
          "country-improvement-source:GNQ:health-care-system-country-brief-2023",
          "country-improvement-source:GNQ:bata-malaria-care-seeking-study-2016"
        ],
        "support_state": "candidate_supported",
        "target_slot": "public-private-boundary",
        "target_view": "public-private",
        "typed_fields": {
          "architecture": "The country brief covers a system under public responsibility; the Bata study documents public and private facilities in one district.",
          "boundary": "Neither source supplies a current national ownership or activity denominator."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Ballester Otero et al., The Health Care System in Equatorial Guinea, 2023; Custodio et al., Bata malaria care-seeking study, 2016.",
      "country_ids": [
        "GNQ"
      ],
      "coverage_domains": [
        "facility_data",
        "hospital_organization",
        "market_structure",
        "ownership",
        "primary_care",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "observed",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "Country-brief abstract; Bata study area and population."
      },
      "material_id": "material:264459b8e4d6cb9dbf13abb3",
      "notes": [],
      "origin": "candidate-analytical-mappings",
      "period": "2013 local study; 2023 country brief",
      "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": [
        "research_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "dd9a7231465237f220d66d870e7d448fd4daa4b92585e6676bbd2bd1b8df4d46"
      },
      "statement": "Available evidence identifies public and private facilities in Bata district but cannot support a national ownership pie chart or delivery-dominance claim.",
      "tags": [],
      "territory": "Bata district and national review",
      "title": "Public and private provision is locally documented",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi?db=pmc&id=PMC4818441"
        },
        {
          "kind": "source_reference",
          "source": "The Health Care System in Equatorial Guinea",
          "url": "https://media.suub.uni-bremen.de/entities/publication/25377f77-f962-4760-bd2b-f758d6e8a1b1"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "National Health Development Plan 2021-2025",
        "mapping_group": "relationships_and_networks",
        "mapping_id": "candidate-mapping:GNQ:relationships-networks:formal-referral-objective",
        "source_projection_ids": [
          "country-improvement-source:GNQ:national-health-development-plan-2021-2025"
        ],
        "support_state": "candidate_supported",
        "target_slot": "formal-referral-objective",
        "target_view": "referrals",
        "typed_fields": {
          "boundary": "A plan objective is not evidence of network membership, counter-referral practice or completed referrals.",
          "network": "The plan includes referral and counter-referral strengthening within its formal service-delivery agenda."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Ministry of Health and Social Welfare, National Health Development Plan 2021-2025.",
      "country_ids": [
        "GNQ"
      ],
      "coverage_domains": [
        "governance",
        "hospital_organization",
        "networks",
        "primary_care",
        "referral_design"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "formal",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "Service delivery and patient referral and counter-referral, pp. 22-23."
      },
      "material_id": "material:f9910696b472c3fb43654ada",
      "notes": [],
      "origin": "candidate-analytical-mappings",
      "period": "2021-2025",
      "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": "ae57ac1268fc21aaa31e89f893e3c302489a1e85f933f948368af3649b316c17"
      },
      "statement": "The plan supports a formal referral and counter-referral objective, not a measured national pathway.",
      "tags": [],
      "territory": "Equatorial Guinea",
      "title": "Referral strengthening is a formal objective",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://www.guineasalud.org/archivos/Protocolos/Plan.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "National Health Development Plan 2021-2025",
        "mapping_group": "actors_and_functions",
        "mapping_id": "candidate-mapping:GNQ:actors-functions:formal-plan",
        "source_projection_ids": [
          "country-improvement-source:GNQ:national-health-development-plan-2021-2025"
        ],
        "support_state": "candidate_supported",
        "target_slot": "formal-plan",
        "target_view": "functions",
        "typed_fields": {
          "boundary": "A plan does not allocate every operational function or show implementation.",
          "function": "The plan is a formal Ministry of Health and Social Welfare strategy for 2021-2025."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Ministry of Health and Social Welfare, National Health Development Plan 2021-2025.",
      "country_ids": [
        "GNQ"
      ],
      "coverage_domains": [
        "actors",
        "governance",
        "government_responsibilities",
        "hospital_organization",
        "primary_care",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "formal",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "Health system organization; service delivery; referral and counter-referral."
      },
      "material_id": "material:8fc56a910f76435a6c9fdc06",
      "notes": [],
      "origin": "candidate-analytical-mappings",
      "period": "2021-2025",
      "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": "ae57ac1268fc21aaa31e89f893e3c302489a1e85f933f948368af3649b316c17"
      },
      "statement": "The 2021-2025 plan sets a formal delivery and governance agenda; it is not an implementation audit.",
      "tags": [],
      "territory": "Equatorial Guinea",
      "title": "The national plan describes formal direction",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://www.guineasalud.org/archivos/Protocolos/Plan.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "World Bank Country Economic Memorandum and Public Expenditure Review",
        "mapping_group": "actors_and_functions",
        "mapping_id": "candidate-mapping:GNQ:actors-functions:administrative-levels",
        "source_projection_ids": [
          "country-improvement-source:GNQ:world-bank-economic-memorandum-2025",
          "country-improvement-source:GNQ:world-bank-public-expenditure-review-2010"
        ],
        "support_state": "candidate_supported",
        "target_slot": "administrative-levels",
        "target_view": "functions",
        "typed_fields": {
          "boundary": "The reported hierarchy is not a complete legal authority register.",
          "function": "The memorandum reports central, intermediate and peripheral Ministry administrative levels."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank, Equatorial Guinea Country Economic Memorandum, 2025; Equatorial Guinea Public Expenditure Review, 2010.",
      "country_ids": [
        "GNQ"
      ],
      "coverage_domains": [
        "actors",
        "governance",
        "government_responsibilities",
        "hospital_organization",
        "primary_care"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "Country Economic Memorandum, Access and coverage of essential health services, p. 122; Public Expenditure Review, Chapter 5, Section 5.9, p. 81."
      },
      "material_id": "material:cf6e46797177941980ee5118",
      "notes": [],
      "origin": "candidate-analytical-mappings",
      "period": "Public Expenditure Review uses 2008-2009 information; memorandum published 2025 with mixed underlying dates",
      "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": "f50befabc2b32e9d2cffbf052e13a2a482bfb674c859a05bb9f8416cdb105ac8"
      },
      "statement": "World Bank reports describe central, intermediate and peripheral levels, while the specific legal allocation of every decision remains unverified here.",
      "tags": [],
      "territory": "Equatorial Guinea",
      "title": "Three administrative levels are reported",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://documents1.worldbank.org/curated/en/099022425125016157/pdf/P179634-51ac0256-0971-4233-81ed-59d5a9ec7a1e.pdf"
        },
        {
          "kind": "source_reference",
          "source": "Equatorial Guinea: Public Expenditure Review",
          "url": "https://documents1.worldbank.org/curated/en/887101468028497242/pdf/516560ESW0GQ0P00disclosed0120130110.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Custodio E et al. Determinants of delay in malaria care-seeking behaviour for children 15 years and under in Bata district, Equatorial Guinea. Malaria Journal. 2016. https://eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi?db=pmc&id=PMC4818441",
      "country_ids": [
        "GNQ"
      ],
      "coverage_domains": [
        "authoritative_review",
        "facility_data",
        "hospital_organization",
        "market_structure",
        "networks",
        "observed_referral",
        "ownership",
        "patient_flows",
        "primary_care",
        "referral_design",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "observed",
      "excerpt": "network of ten health centres and one regional hospital",
      "institution": "Malaria Journal",
      "locator": {
        "locator_type": "xml_sections",
        "source_word_anchor": "network of ten health centres",
        "source_word_count": 5
      },
      "material_id": "material:a5a758e4d9640d1005450c73",
      "notes": [
        "The Bata malaria study is not a national facility census, nationwide referral-flow measure or current private-sector denominator."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Cross-sectional study, June-August 2013; published 2016",
      "publication_date": null,
      "publication_year": 2016,
      "record_kind": "country_improvement_source_lead",
      "record_kind_label": "Country Improvement Source Lead",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "research_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "text/xml",
        "response_sha256": "a387a3de76616ecbbdb7b5615fa61943411be861f4ca31b681989c0c411a4c3e"
      },
      "statement": "The Bata-district study describes local public and private facility availability and malaria care-seeking in its defined study setting.",
      "tags": [],
      "territory": "Bata district, Equatorial Guinea",
      "title": "Determinants of delay in malaria care-seeking behaviour for children in Bata district",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi?db=pmc&id=PMC4818441"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank. Equatorial Guinea Country Economic Memorandum. 2025. https://documents1.worldbank.org/curated/en/099022425125016157/pdf/P179634-51ac0256-0971-4233-81ed-59d5a9ec7a1e.pdf",
      "country_ids": [
        "GNQ"
      ],
      "coverage_domains": [
        "actors",
        "authoritative_review",
        "autonomy",
        "decision_rights",
        "facility_data",
        "governance",
        "government_responsibilities",
        "hospital_organization",
        "market_structure",
        "networks",
        "ownership",
        "patient_flows",
        "primary_care",
        "referral_design",
        "reform_history",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "The health sector is governed by the MoHW",
      "institution": "World Bank",
      "locator": {
        "locator_type": "pdf_page_section",
        "source_word_anchor": "The health sector is governed by the MoHW",
        "source_word_count": 8
      },
      "material_id": "material:3d31df3d1f3c76407b1a61c6",
      "notes": [
        "This is a World Bank synthesis, not a legal delegation instrument or an observed national patient-flow dataset."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Country Economic Memorandum published 2025; underlying health information has mixed dates",
      "publication_date": null,
      "publication_year": 2025,
      "record_kind": "country_improvement_source_lead",
      "record_kind_label": "Country Improvement Source Lead",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "grey_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "application/pdf",
        "file_sha256": "f50befabc2b32e9d2cffbf052e13a2a482bfb674c859a05bb9f8416cdb105ac8"
      },
      "statement": "The memorandum describes the Ministry's three administrative levels and a three-level service-delivery model, while noting shortcomings in decentralization and recent service-data limitations.",
      "tags": [],
      "territory": "Equatorial Guinea",
      "title": "Equatorial Guinea Country Economic Memorandum",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://documents1.worldbank.org/curated/en/099022425125016157/pdf/P179634-51ac0256-0971-4233-81ed-59d5a9ec7a1e.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank. Equatorial Guinea: Public Expenditure Review. Report No. 51656-GQ. 2010. https://documents1.worldbank.org/curated/en/887101468028497242/pdf/516560ESW0GQ0P00disclosed0120130110.pdf",
      "country_ids": [
        "GNQ"
      ],
      "coverage_domains": [
        "actors",
        "authoritative_review",
        "autonomy",
        "decision_rights",
        "facility_data",
        "governance",
        "government_responsibilities",
        "hospital_organization",
        "market_structure",
        "networks",
        "primary_care",
        "referral_design",
        "reform_history",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "policy and budget implementation is highly centralized",
      "institution": "World Bank",
      "locator": {
        "locator_type": "pdf_page_section",
        "source_word_anchor": "policy and budget implementation is highly centralized",
        "source_word_count": 7
      },
      "material_id": "material:a5d3d5670a278ae5dc9ed36a",
      "notes": [
        "This review describes 2008-2009 conditions. Do not use it to classify current facility autonomy or current service delivery."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Review published 2010 using available information from 2008-2009",
      "publication_date": null,
      "publication_year": 2010,
      "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": "430dd6695806f1e677e9e30db57b895cfe8ff07aeccfd8c7bacf6a5fe0a191f3",
        "page_count": 162,
        "response_sha256": "430dd6695806f1e677e9e30db57b895cfe8ff07aeccfd8c7bacf6a5fe0a191f3"
      },
      "statement": "The review reports three administrative levels and highly centralized policy and budget implementation.",
      "tags": [],
      "territory": "Equatorial Guinea national public health system",
      "title": "Equatorial Guinea: Public Expenditure Review",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://documents1.worldbank.org/curated/en/887101468028497242/pdf/516560ESW0GQ0P00disclosed0120130110.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "K. E. R. et al. Healthcare in Equatorial Guinea, West Africa: obstacles and barriers to care. Journal of Health Services Research and Policy. 2015. https://eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi?db=pmc&id=PMC4407943",
      "country_ids": [
        "GNQ"
      ],
      "coverage_domains": [
        "actors",
        "authoritative_review",
        "facility_data",
        "governance",
        "hospital_organization",
        "networks",
        "observed_referral",
        "patient_flows",
        "primary_care",
        "referral_design",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "observed",
      "excerpt": "healthcare system remains relatively understudied",
      "institution": "Journal of Health Services Research and Policy",
      "locator": {
        "locator_type": "xml_sections",
        "source_word_anchor": "healthcare system remains relatively understudied",
        "source_word_count": 5
      },
      "material_id": "material:849d49468e0539ffbe6fa994",
      "notes": [
        "Interview evidence is setting-bound and historical. It does not establish national care pathways, current organization or authority allocation."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Interviews reported in 2015",
      "publication_date": null,
      "publication_year": 2015,
      "record_kind": "country_improvement_source_lead",
      "record_kind_label": "Country Improvement Source Lead",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "research_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "text/xml",
        "response_sha256": "efdd1149507d44d8400e9e798dfdb07f6e6e10c894ca80601e07a7e40d46ce2c"
      },
      "statement": "The interview study reports healthcare-worker perspectives on obstacles and barriers to care in a system it identifies as underexplored.",
      "tags": [],
      "territory": "Study participants in Equatorial Guinea",
      "title": "Healthcare in Equatorial Guinea, West Africa: obstacles and barriers to care",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi?db=pmc&id=PMC4407943"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank. World Development Indicators, Hospital beds per 1,000 people, Equatorial Guinea. Retrieved 2026-08-21. https://api.worldbank.org/v2/country/GNQ/indicator/SH.MED.BEDS.ZS?format=json",
      "country_ids": [
        "GNQ"
      ],
      "coverage_domains": [
        "facility_data",
        "hospital_organization",
        "market_structure",
        "patient_flows",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "Hospital beds per 1,000 people",
      "institution": "World Bank",
      "locator": {
        "locator_type": "api_resource",
        "source_word_anchor": "Hospital beds per 1,000 people",
        "source_word_count": 5
      },
      "material_id": "material:283b41f985bfdd28e331b093",
      "notes": [
        "Bed density is an aggregate input indicator, not an ownership, network, referral or autonomy measure."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "API retrieved 2026-08-21; latest non-null observation varies",
      "publication_date": null,
      "publication_year": 2026,
      "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/json",
        "response_sha256": "1d1abba46919eeeeecc33cb0b724465f8f405a011d14e3902e3537d639d85c37"
      },
      "statement": "The World Bank API returns a national hospital-bed-density series for Equatorial Guinea.",
      "tags": [],
      "territory": "Equatorial Guinea",
      "title": "Hospital beds per 1,000 people, Equatorial Guinea",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://api.worldbank.org/v2/country/GNQ/indicator/SH.MED.BEDS.ZS?format=json"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Ministry of Health and Social Welfare, Equatorial Guinea. National Health Development Plan 2021-2025. https://www.guineasalud.org/archivos/Protocolos/Plan.pdf",
      "country_ids": [
        "GNQ"
      ],
      "coverage_domains": [
        "actors",
        "authoritative_review",
        "decision_rights",
        "governance",
        "government_responsibilities",
        "hospital_organization",
        "networks",
        "primary_care",
        "referral_design",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "formal",
      "excerpt": "The National Health Development Plan 2021 2025",
      "institution": "Ministry of Health and Social Welfare, Equatorial Guinea",
      "locator": {
        "locator_type": "pdf_page_section",
        "source_word_anchor": "The National Health Development Plan",
        "source_word_count": 5
      },
      "material_id": "material:cf49a1ae10a89049bcad8504",
      "notes": [
        "This is a formal plan for 2021-2025. It does not by itself prove current implementation, observed referral completion or provider-level autonomy."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "2021-2025 plan",
      "publication_date": null,
      "publication_year": 2021,
      "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": "ae57ac1268fc21aaa31e89f893e3c302489a1e85f933f948368af3649b316c17"
      },
      "statement": "The plan sets out formal health-sector priorities, a three-level delivery model and referral and counter-referral objectives.",
      "tags": [],
      "territory": "Equatorial Guinea",
      "title": "National Health Development Plan 2021-2025",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://www.guineasalud.org/archivos/Protocolos/Plan.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank. World Development Indicators, Physicians per 1,000 people, Equatorial Guinea. Retrieved 2026-08-21. https://api.worldbank.org/v2/country/GNQ/indicator/SH.MED.PHYS.ZS?format=json",
      "country_ids": [
        "GNQ"
      ],
      "coverage_domains": [
        "facility_data",
        "hospital_organization",
        "patient_flows",
        "primary_care",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "Physicians per 1,000 people",
      "institution": "World Bank",
      "locator": {
        "locator_type": "api_resource",
        "source_word_anchor": "Physicians per 1,000 people",
        "source_word_count": 4
      },
      "material_id": "material:66a13879e57723bc9c00bdb5",
      "notes": [
        "Physician density does not establish employment, decision rights, ownership, patient choice or observed referral flows."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "API retrieved 2026-08-21; latest non-null observation varies",
      "publication_date": null,
      "publication_year": 2026,
      "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/json",
        "response_sha256": "9fa10eef9c18b5c5264b2475a8b48162a72daed6561fe51b372259b51c3044cc"
      },
      "statement": "The World Bank API returns a national physician-density series for Equatorial Guinea.",
      "tags": [],
      "territory": "Equatorial Guinea",
      "title": "Physicians per 1,000 people, Equatorial Guinea",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://api.worldbank.org/v2/country/GNQ/indicator/SH.MED.PHYS.ZS?format=json"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Ballester Otero CL, Moron-Nozaleda MG, Cobos Munoz D, Ondo Ndoho FA. The Health Care System in Equatorial Guinea. CRC 1342 Social Policy Country Briefs 33. 2023. https://media.suub.uni-bremen.de/entities/publication/25377f77-f962-4760-bd2b-f758d6e8a1b1",
      "country_ids": [
        "GNQ"
      ],
      "coverage_domains": [
        "actors",
        "authoritative_review",
        "governance",
        "government_responsibilities",
        "hospital_organization",
        "market_structure",
        "networks",
        "ownership",
        "primary_care",
        "referral_design",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "current organization of the health care system",
      "institution": "University of Bremen, CRC 1342 Social Policy Country Briefs",
      "locator": {
        "locator_type": "repository_record",
        "source_word_anchor": "current organization of the health care system",
        "source_word_count": 7
      },
      "material_id": "material:75e410a0a7f887a7a1d61d85",
      "notes": [
        "This is a country-system review. The repository record is used here; claims requiring page-level detail should be checked in the linked full report."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Country brief published 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": [
        "review_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "dd9a7231465237f220d66d870e7d448fd4daa4b92585e6676bbd2bd1b8df4d46"
      },
      "statement": "The country brief describes the emergence, reforms and current organization of a health-care system under public responsibility.",
      "tags": [],
      "territory": "Equatorial Guinea",
      "title": "The Health Care System in Equatorial Guinea",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://media.suub.uni-bremen.de/entities/publication/25377f77-f962-4760-bd2b-f758d6e8a1b1"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Health Organization. WHO Results Report 2024-2025: Equatorial Guinea country profile. https://www.who.int/about/accountability/results/who-results-report-2024-2025/country-profile/2024/equatorial-guinea",
      "country_ids": [
        "GNQ"
      ],
      "coverage_domains": [
        "actors",
        "authoritative_review",
        "facility_data",
        "governance",
        "government_responsibilities",
        "hospital_organization",
        "primary_care",
        "reform_history",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "rapid assessment was carried out in 2024",
      "institution": "World Health Organization",
      "locator": {
        "locator_type": "web_page_section",
        "source_word_anchor": "rapid assessment was carried out in 2024",
        "source_word_count": 7
      },
      "material_id": "material:87d61ad79b6f5605fc052dc1",
      "notes": [
        "The country-results narrative summarizes an assessment. It does not allocate formal decision rights or produce a national facility census."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "District rapid assessment in 2024, reported for 2024-2025",
      "publication_date": null,
      "publication_year": 2025,
      "record_kind": "country_improvement_source_lead",
      "record_kind_label": "Country Improvement Source Lead",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "official"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "a56bff5610b40be45afe5836326318efa26f2d6c4c2a345863d578bf41dabee9"
      },
      "statement": "WHO reports a 2024 rapid assessment in ten health districts that considered infrastructure, human resources and clinical activities in relation to implementation of the 2021-2025 plan.",
      "tags": [],
      "territory": "Ten health districts assessed in Equatorial Guinea",
      "title": "WHO Results Report 2024-2025: Equatorial Guinea",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://www.who.int/about/accountability/results/who-results-report-2024-2025/country-profile/2024/equatorial-guinea"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Health Organization. WHO country cooperation strategy at a glance: Equatorial Guinea. 2017. https://iris.who.int/server/api/core/bitstreams/6e9835de-fdbb-41f1-b985-f9468f766f9c/content",
      "country_ids": [
        "GNQ"
      ],
      "coverage_domains": [
        "actors",
        "authoritative_review",
        "governance",
        "government_responsibilities",
        "primary_care",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "operationalization of health districts",
      "institution": "World Health Organization",
      "locator": {
        "locator_type": "pdf_page_section",
        "source_word_anchor": "operationalization of health districts",
        "source_word_count": 4
      },
      "material_id": "material:2e7eb62c2c78489d7f6ba432",
      "notes": [
        "This historical WHO profile reports commitments and past indicators. It does not establish current district functionality or current implementation."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Profile published 2017; health-system policy history and indicators span 2004-2016",
      "publication_date": null,
      "publication_year": 2017,
      "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": "b471338ae31caeb22bb598486b2b12e82e53f58bfc68ccaa9adde0be19db7cd9",
        "page_count": 2,
        "response_sha256": "b471338ae31caeb22bb598486b2b12e82e53f58bfc68ccaa9adde0be19db7cd9"
      },
      "statement": "WHO's 2017 profile reports a commitment to reform through operationalizing health districts.",
      "tags": [],
      "territory": "Equatorial Guinea",
      "title": "WHO country cooperation strategy at a glance: Equatorial Guinea",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://iris.who.int/server/api/core/bitstreams/6e9835de-fdbb-41f1-b985-f9468f766f9c/content"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Health Organization. WHO country cooperation strategy at a glance: Equatorial Guinea. 2017. https://www.who.int/publications/i/item/WHO-CCU-17.01-Equatorial-Guinea",
      "country_ids": [
        "GNQ"
      ],
      "coverage_domains": [
        "actors",
        "governance",
        "government_responsibilities",
        "primary_care",
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "candidate source metadata",
      "evidence_mode": null,
      "excerpt": null,
      "institution": null,
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 2,
        "source_response_sha256": "b471338ae31caeb22bb598486b2b12e82e53f58bfc68ccaa9adde0be19db7cd9",
        "source_url": "https://iris.who.int/server/api/core/bitstreams/6e9835de-fdbb-41f1-b985-f9468f766f9c/content",
        "source_word_anchor": "and technology leadership and governance in the health field STRATEGIC PRIORITY 3",
        "source_word_count": 12
      },
      "material_id": "candidate-source:GNQ:6d47f3117f22771f2367",
      "notes": [
        "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."
      ],
      "origin": "current-public-source-projection",
      "period": null,
      "publication_date": null,
      "publication_year": 2017,
      "record_kind": "displayed_source_projection",
      "record_kind_label": "Displayed source projection",
      "screening": {
        "page_locator_linked_from_locator_gap_acquisition": true,
        "previous_visibility": "previously_projected"
      },
      "source_layers": [
        "candidate_source_metadata",
        "official"
      ],
      "source_system": "WHO_WHO_CCS",
      "source_version": {
        "response_sha256": "0294278e752a17e002ccd714f74bc85e000d3f93fd892c13df35a22718527ff8"
      },
      "statement": null,
      "tags": [
        "targeted_official"
      ],
      "territory": null,
      "title": "WHO country cooperation strategy at a glance: Equatorial Guinea",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://www.who.int/publications/i/item/WHO-CCU-17.01-Equatorial-Guinea"
        },
        {
          "kind": "resolved_document",
          "source": "locator-gap traceability audit",
          "url": "https://iris.who.int/server/api/core/bitstreams/6e9835de-fdbb-41f1-b985-f9468f766f9c/content"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Doing Business 2018 : reforming to create jobs - Equatorial Guinea. 2017. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "GNQ"
      ],
      "coverage_domains": [],
      "display_status": "shown_in_full",
      "document_type": "working paper",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 1,
        "source_word_anchor": "sane competent in good health and have no criminal record Are married",
        "source_word_count": 12
      },
      "material_id": "material:d035f937c0088ddb444b1808",
      "notes": [
        "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."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2017-11-01",
      "publication_year": 2017,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "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
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 63,
        "response_sha256": "52009b2128911b32d0e9975ac7041470a5b8946b63e8978718443ca5c60524b9"
      },
      "statement": null,
      "tags": [
        "control_knob:organization"
      ],
      "territory": "national",
      "title": "Doing Business 2018 : reforming to create jobs - Equatorial Guinea",
      "urls": [
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/934511509956137973/text/120915-WP-PUBLIC-DB18-GNQ.txt"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/934511509956137973"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/934511509956137973/pdf/120915-WP-PUBLIC-DB18-GNQ.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Doing Business 2019 : Training for Reform – Equatorial Guinea. 2018. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "GNQ"
      ],
      "coverage_domains": [],
      "display_status": "shown_in_full",
      "document_type": "working paper",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 5,
        "source_word_anchor": "sane competent in good health and have no criminal record Are married",
        "source_word_count": 12
      },
      "material_id": "material:219b9002c0c10a20adc2d676",
      "notes": [
        "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."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2018-10-31",
      "publication_year": 2018,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "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
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 56,
        "response_sha256": "278170416a26b5d839f2251ecbc5582037996630e03ce9cc2b6a63abb34f09aa"
      },
      "statement": null,
      "tags": [
        "control_knob:organization"
      ],
      "territory": "national",
      "title": "Doing Business 2019 : Training for Reform – Equatorial Guinea",
      "urls": [
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/214111541088636306/text/131650-WP-DB2019-PUBLIC-Equatorial-Guinea.txt"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/214111541088636306"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/214111541088636306/pdf/131650-WP-DB2019-PUBLIC-Equatorial-Guinea.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Doing business 2017 : equal opportunity for all - Equatorial Guinea. 2016. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "GNQ"
      ],
      "coverage_domains": [],
      "display_status": "shown_in_full",
      "document_type": "working paper",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": null,
      "material_id": "material:d91399aeb51d35dd097ce568",
      "notes": [
        "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."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2016-10-25",
      "publication_year": 2016,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 104,
        "response_sha256": "7c8e7afafad5d7ed56296800d79313a99afde2f064908c80de27c7f7c82eb26e"
      },
      "statement": null,
      "tags": [
        "control_knob:organization"
      ],
      "territory": "national",
      "title": "Doing business 2017 : equal opportunity for all - Equatorial Guinea",
      "urls": [
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/599421478520111734/pdf/109874-WP-DB17-PUBLIC-Equatorial-Guinea.pdf"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/599421478520111734/text/109874-WP-DB17-PUBLIC-Equatorial-Guinea.txt"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/599421478520111734"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Equatorial Guinea - Public Expenditure Issues. 1993. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "GNQ"
      ],
      "coverage_domains": [
        "fiscal_space_budget",
        "leadership_governance",
        "primary_care",
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "technical report",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": null,
      "material_id": "material:f58c327bb179a25447cf90e4",
      "notes": [
        "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."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "1993-10-05",
      "publication_year": 1993,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 69,
        "response_sha256": "16e8ca0e2a1c8659e5b74c492c77d153d129db42ed6ebc623cddd3031d1b5f0c"
      },
      "statement": null,
      "tags": [
        "control_knob:financing",
        "control_knob:organization",
        "health_system_topic:fiscal_space_budget",
        "health_system_topic:primary_care",
        "service_area:primary_care",
        "who_building_block:leadership_governance",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Equatorial Guinea - Public Expenditure Issues",
      "urls": [
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/720001688976536645/text/Equatorial-Guinea-Public-Expenditure-Issues.txt"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/720001688976536645"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/720001688976536645/pdf/Equatorial-Guinea-Public-Expenditure-Issues.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Equatorial Guinea : public expenditure review. 2010. https://documents.worldbank.org/curated/en/887101468028497242",
      "country_ids": [
        "GNQ"
      ],
      "coverage_domains": [
        "health_financing",
        "leadership_governance",
        "pooling_insurance",
        "primary_care",
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "public expenditure review",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "physical_pdf_page": 10,
        "source_word_anchor": "iv Figure 5 5 Ministry of Health and Social Welfare Expenditure by",
        "source_word_count": 12
      },
      "material_id": "material:8d1bd9b3881eed4e13cc1810",
      "notes": [
        "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."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2010-01-01",
      "publication_year": 2010,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "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
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 162,
        "response_sha256": "430dd6695806f1e677e9e30db57b895cfe8ff07aeccfd8c7bacf6a5fe0a191f3"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "control_knob:persuasion_behaviour",
        "document_type:public_expenditure_review",
        "health_system_topic:pooling_insurance",
        "health_system_topic:primary_care",
        "service_area:cross_cutting",
        "service_area:primary_care",
        "who_building_block:health_financing",
        "who_building_block:leadership_governance",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Equatorial Guinea : public expenditure review",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/887101468028497242"
        },
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/887101468028497242/text/516560ESW0GQ0P00disclosed0120130110.txt"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/887101468028497242/pdf/516560ESW0GQ0P00disclosed0120130110.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Health Organization. WHO country cooperation strategy at a glance: Equatorial Guinea. 2017. https://www.who.int/publications/i/item/WHO-CCU-17.01-Equatorial-Guinea",
      "country_ids": [
        "GNQ"
      ],
      "coverage_domains": [
        "actors",
        "governance",
        "government_responsibilities",
        "primary_care",
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": null,
      "excerpt": null,
      "institution": null,
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 2,
        "source_response_sha256": "b471338ae31caeb22bb598486b2b12e82e53f58bfc68ccaa9adde0be19db7cd9",
        "source_url": "https://iris.who.int/server/api/core/bitstreams/6e9835de-fdbb-41f1-b985-f9468f766f9c/content",
        "source_word_anchor": "and technology leadership and governance in the health field STRATEGIC PRIORITY 3",
        "source_word_count": 12
      },
      "material_id": "material:afd1d047d8fdb3a9b61f5f87",
      "notes": [
        "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."
      ],
      "origin": "global-source-triage-queue",
      "period": null,
      "publication_date": null,
      "publication_year": 2017,
      "record_kind": "source_triage_record",
      "record_kind_label": "Source Triage Record",
      "screening": {
        "page_locator_linked_from_locator_gap_acquisition": true,
        "previous_boundary_detected": true,
        "previous_visibility": "previously_not_projected",
        "review_status": "needs_review"
      },
      "source_layers": [
        "WHO_WHO_CCS"
      ],
      "source_system": "WHO_WHO_CCS",
      "source_version": {
        "response_sha256": "0294278e752a17e002ccd714f74bc85e000d3f93fd892c13df35a22718527ff8"
      },
      "statement": null,
      "tags": [],
      "territory": null,
      "title": "WHO country cooperation strategy at a glance: Equatorial Guinea",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://www.who.int/publications/i/item/WHO-CCU-17.01-Equatorial-Guinea"
        },
        {
          "kind": "resolved_document",
          "source": "locator-gap traceability audit",
          "url": "https://iris.who.int/server/api/core/bitstreams/6e9835de-fdbb-41f1-b985-f9468f766f9c/content"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Health Organization. WHO country cooperation strategy at a glance: Equatorial Guinea. 2017. https://www.who.int/publications/i/item/WHO-CCU-17.01-Equatorial-Guinea",
      "country_ids": [
        "GNQ"
      ],
      "coverage_domains": [
        "actors",
        "governance",
        "government_responsibilities",
        "primary_care",
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "country_cooperation_strategy_brief",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Health Organization",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 2,
        "source_response_sha256": "b471338ae31caeb22bb598486b2b12e82e53f58bfc68ccaa9adde0be19db7cd9",
        "source_url": "https://iris.who.int/server/api/core/bitstreams/6e9835de-fdbb-41f1-b985-f9468f766f9c/content",
        "source_word_anchor": "and technology leadership and governance in the health field STRATEGIC PRIORITY 3",
        "source_word_count": 12
      },
      "material_id": "material:baf145c261a0475cdbdc1279",
      "notes": [
        "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."
      ],
      "origin": "targeted-gap-source-leads",
      "period": null,
      "publication_date": "2017-05-01",
      "publication_year": 2017,
      "record_kind": "targeted_source_lead",
      "record_kind_label": "Targeted Source Lead",
      "screening": {
        "page_locator_linked_from_locator_gap_acquisition": true,
        "previous_boundary_detected": true,
        "previous_visibility": "previously_not_projected",
        "review_status": "unreviewed",
        "source_version_linked_from_locator_gap_acquisition": true,
        "status": "candidate"
      },
      "source_layers": [],
      "source_system": "WHO_WHO_CCS",
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "94583491bde2cfa64a91c9587181b70713d6ebc998ae38b7b2fafbb3857b2d9a"
      },
      "statement": null,
      "tags": [
        "health_system_design",
        "health_system_organization",
        "service_delivery"
      ],
      "territory": null,
      "title": "WHO country cooperation strategy at a glance: Equatorial Guinea",
      "urls": [
        {
          "kind": "stable_url",
          "source": "not supplied",
          "url": "https://www.who.int/publications/i/item/WHO-CCU-17.01-Equatorial-Guinea"
        },
        {
          "kind": "resolved_document",
          "source": "locator-gap traceability audit",
          "url": "https://iris.who.int/server/api/core/bitstreams/6e9835de-fdbb-41f1-b985-f9468f766f9c/content"
        }
      ]
    }
  ]
}
