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"https://www.ebi.ac.uk/europepmc/webservices/rest/PMC10123605/fullTextXML" } ] }, { "analytical_mapping": { "mapping_basis": "source_scope_boundary", "mapping_group": "decision_rights_and_autonomy", "mapping_id": "candidate-mapping:IRQ:decision-autonomy:provider-autonomy-unclassified", "source_projection_ids": [ "country-improvement-source:IRQ:constitution-2005", "country-improvement-source:IRQ:phc-utilization-literature-review-2023" ], "support_state": "candidate_supported", "target_slot": "provider-autonomy-unclassified", "target_view": "autonomy", "typed_fields": { "boundary": "The cited constitutional text and literature review do not establish current categorical autonomy for primary-care providers or hospitals." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Republic of Iraq, 2005; Al Janabi, 2023.", "country_ids": [ "IRQ" ], "coverage_domains": [ "autonomy", "decision_rights", "governance", "hospital_organization", "primary_care" ], 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support a current autonomy score for primary-care providers or hospitals.", "tags": [], "territory": "Iraq", "title": "Provider autonomy remains unclassified", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC10123605/fullTextXML" }, { "kind": "source_reference", "source": "Constitution of Iraq, 2005", "url": "https://www.constituteproject.org/constitution/Iraq_2005.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "official_indicator_scope_boundary", "mapping_group": "delivery_and_referrals", "mapping_id": "candidate-mapping:IRQ:delivery-referrals:market-boundary", "source_projection_ids": [ "country-improvement-source:IRQ:worldbank-beds-2026", "country-improvement-source:IRQ:worldbank-oop-2026" ], "support_state": "candidate_supported", "target_slot": "market-boundary", "target_view": "public-private", "typed_fields": { "boundary": "Neither establishes public-private provider composition, ownership shares or referral patterns.", "observed": "National bed-density and out-of-pocket-expenditure series are available." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank WDI, retrieved 2026.", "country_ids": [ "IRQ" ], "coverage_domains": [ "facility_data", "market_structure", "ownership", "patient_flows", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": null, "institution": null, "locator": { "description": "SH.MED.BEDS.ZS and SH.XPD.OOPC.CH.ZS APIs." }, "material_id": "material:ee3d0a702ca3edd756746e8a", "notes": [], "origin": "candidate-analytical-mappings", "period": "Dated national series", "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" ], 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"country-improvement-source:IRQ:phc-utilization-literature-review-2023" ], "support_state": "candidate_supported", "target_slot": "reported-phc-referral-design", "target_view": "referrals", "typed_fields": { "boundary": "This does not demonstrate current national referral completion or a uniform system across all governorates.", "reported": "The review reports PHC referral arrangements and reported gaps in feedback mechanisms." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Al Janabi, 2023.", "country_ids": [ "IRQ" ], "coverage_domains": [ "governance", "networks", "observed_referral", "patient_flows", "primary_care", "referral_design" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "3.1 Primary Health Centers." }, "material_id": "material:dd0ca129d010ff9e7f412b08", "notes": [], "origin": "candidate-analytical-mappings", "period": "Literature 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"availability": {}, "citation": "Al Janabi T. Barriers to the Utilization of Primary Health Centers (PHCs) in Iraq. Epidemiologia. 2023;4(2):121-133. doi:10.3390/epidemiologia4020013.", "country_ids": [ "IRQ" ], "coverage_domains": [ "actors", "authoritative_review", "facility_data", "governance", "government_responsibilities", "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": "reported", "excerpt": "64% of these centers reported a lack of a feedback mechanism", "institution": "Epidemiologia", "locator": { "locator_type": "xml_sections", "source_word_anchor": "64% of these centers reported a lack of a feedback mechanism", "source_word_count": 11 }, "material_id": "material:3b407e5c17c1e5720afcf2af", "notes": [ "This is literature review evidence, not a new nationally representative survey. Keep each underlying study's place and period distinct from national current conditions." ], "origin": "country-evidence-improvement-sources", "period": "Desk review searched through 21 January 2023; cited facility and utilization findings span earlier years and are not a current national estimate.", "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": "application/xml", "response_sha256": "2adcdedef92721e0aef86e5370aeca3abbe2ece169c713c1588f0d1d552a05a4" }, "statement": "This literature review reports a preventive primary-care orientation, referral arrangements with reported feedback gaps, and variation in public and private primary-care use, while retaining the limits of its underlying sources.", "tags": [], "territory": "Iraq, with evidence in the article drawn from national and governorate-specific material; reported estimates retain their cited source settings.", "title": "Barriers to the Utilization of Primary Health Centers (PHCs) in Iraq", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC10123605/fullTextXML" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Al-Dahir S, Hasan TA, Khalil A, Moss WJ, Talaat KR, Knoll MD, Burnham G. Changes in healthcare seeking behaviors among caretakers of children in the previously occupied ISIS territory: Hadeetha, Anbar, Iraq: a cross-sectional survey of 415 households. Conflict and Health. 2024;18:64. doi:10.1186/s13031-024-00622-4.", "country_ids": [ "IRQ" ], "coverage_domains": [ "actors", "authoritative_review", "facility_data", "governance", "government_responsibilities", "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": "Physicians were primary healthcare providers in the post-conflict period for 79%", "institution": "Conflict and Health", "locator": { "locator_type": "xml_sections", "source_word_anchor": "Physicians were primary healthcare providers in the post-conflict period for 79%", "source_word_count": 11 }, "material_id": "material:d691b4c717a42959599aece3", "notes": [ "This is primary research, not a review. Do not generalize its Hadeetha findings to Iraq or treat provider-use patterns as a national referral-compliance measure." ], "origin": "country-evidence-improvement-sources", "period": "Conflict period 2014 to 2017 compared with a household survey conducted February to April 2021; not a national current patient-flow estimate.", "publication_date": null, "publication_year": 2024, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "9b21f86a667b20cf096dfe3109781cc3c901822aac0bfd5e3664800443b33a1c" }, "statement": "This primary cross-sectional household study reports health-seeking experiences and provider use in Hadeetha across conflict and post-conflict periods, with findings bounded to its sampled district and population.", "tags": [], "territory": "Hadeetha district, Anbar Governorate, Iraq; children aged 12 to 72 months registered in three primary health centers and four subcenters.", "title": "Changes in healthcare seeking behaviors among caretakers of children in the previously occupied ISIS territory: Hadeetha, Anbar, Iraq: a cross-sectional survey of 415 households", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC11495094/fullTextXML" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Republic of Iraq. Constitution of Iraq. 2005.", "country_ids": [ "IRQ" ], "coverage_domains": [ "actors", "authoritative_review", "autonomy", "decision_rights", "governance", "government_responsibilities", "ownership", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "Individuals and entities have the right to build hospitals", "institution": "Republic of Iraq", "locator": { "locator_type": "pdf_page_anchor", "source_word_anchor": "Individuals and entities have the right to build hospitals", "source_word_count": 9 }, "material_id": "material:86168d12e7bf26fedb8f19b7", "notes": [ "Treat Article 31 as formal constitutional authority only; do not infer provider ownership shares, management powers or referral compliance." ], "origin": "country-evidence-improvement-sources", "period": "Constitution adopted in 2005; this source does not establish implementation or current provider-management arrangements.", "publication_date": null, "publication_year": 2005, "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": "01a6f227be660ec65e8ebdff9959f9568cd8f0e5aa02c02dff0904f548af42b1", "response_sha256": "01a6f227be660ec65e8ebdff9959f9568cd8f0e5aa02c02dff0904f548af42b1" }, "statement": "Article 31 establishes a constitutional health-care right, directs the State to provide prevention and treatment through hospitals and health institutions, and permits private facilities under State supervision.", "tags": [], "territory": "Iraq; constitutional provisions apply nationally, while implementation arrangements remain subject to law and subnational cooperation.", "title": "Constitution of Iraq, 2005", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.constituteproject.org/constitution/Iraq_2005.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Health Organization Regional Office for the Eastern Mediterranean. Country Cooperation Strategy for WHO and Iraq 2012-2017. 2012.", "country_ids": [ "IRQ" ], "coverage_domains": [ "actors", "authoritative_review", "governance", "government_responsibilities", "hospital_organization", "market_structure", "ownership", "primary_care", "referral_design", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "The Ministry of Health is the main provider of health care", "institution": "World Health Organization Regional Office for the Eastern Mediterranean", "locator": { "locator_type": "pdf_page_anchor", "source_word_anchor": "The Ministry of Health is the main provider of health care", "source_word_count": 11 }, "material_id": "material:4d89c42d74235a3eb9ab90c7", "notes": [ "Treat this as a dated WHO strategy report; do not infer current ownership shares, management authority, implementation or referral completion." ], "origin": "country-evidence-improvement-sources", "period": "Published 2012; reported service-delivery figures refer to 2010 and are not current ownership or utilization estimates.", "publication_date": null, "publication_year": 2012, "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": "b593803c835eacd6593f102a52a746de5e1686a7adfa69af890b223dea8b6d06", "response_sha256": "b593803c835eacd6593f102a52a746de5e1686a7adfa69af890b223dea8b6d06" }, "statement": "The 2012 WHO strategy describes the Ministry as the main provider and notes private curative services, using 2010 delivery figures that do not establish current sector shares.", "tags": [], "territory": "Iraq; the strategy describes national health-system arrangements and WHO technical cooperation.", "title": "Country Cooperation Strategy for WHO and Iraq, 2012-2017", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://applications.emro.who.int/docs/CCS_Iraq_2012_EN_14959.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Health Organization. HeRAMS Iraq Baseline Report 2023, Part 1: Operational Status of the Health System. 2023.", "country_ids": [ "IRQ" ], "coverage_domains": [ "authoritative_review", "facility_data", "hospital_organization", "networks", "patient_flows", "primary_care", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "assessment of 3478 health facilities across the Governorates", "institution": "World Health Organization", "locator": { "locator_type": "pdf_page_anchor", "source_word_anchor": "assessment of 3478 health facilities across the Governorates", "source_word_count": 8 }, "material_id": "material:5b5ed2ebd910c5ab6f06cae4", "notes": [ "Treat Part 1 as a non-final operational assessment for its 16 listed governorates; do not generalize it to all Iraq or infer ownership, management authority or completed patient pathways." ], "origin": "country-evidence-improvement-sources", "period": "HeRAMS deployed from July 2022; Part 1 analysis uses data collected through 8 November 2022 and is labelled non-final.", "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": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "2a1a4bb487c38bc5a29bd701d060c913f0a9db2294eef62599bfa4eae5d38c25", "response_sha256": "2a1a4bb487c38bc5a29bd701d060c913f0a9db2294eef62599bfa4eae5d38c25" }, "statement": "WHO reports assessment of 3,478 health facilities across 16 named governorates, using data collected through 8 November 2022; the non-final Part 1 report does not cover all Iraq.", "tags": [], "territory": "Iraq; Part 1 assesses 16 named governorates and explicitly excludes the three governorates covered by Part 2.", "title": "HeRAMS Iraq Baseline Report 2023, Part 1: Operational Status of the Health System", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://cdn.who.int/media/docs/default-source/documents/emergencies/herams/herams-iraq-baseline-report-2023-part1-operational-status-of-the-health-system.pdf?sfvrsn=9996bccb_1&download=true" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank. World Development Indicators, Hospital beds per 1,000 people, Iraq. Retrieved 2026-08-21.", "country_ids": [ "IRQ" ], "coverage_domains": [ "authoritative_review", "facility_data", "hospital_organization", "market_structure", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "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:468a111caa5a11b1c0962454", "notes": [ "Bed density is not evidence of hospital ownership, management authority, service quality or referral completion." ], "origin": "country-evidence-improvement-sources", "period": "Dated indicator API retrieved 2026-08-21; individual observations retain their reported years.", "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": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/json", "response_sha256": "a4886eda3fd1d3fb5317fa1ec030f63172ee4f3d6bc6daa227081e23cc26c414" }, "statement": "The World Bank API provides a dated national hospital-bed-density series for Iraq.", "tags": [], "territory": "National series for Iraq.", "title": "Hospital beds per 1,000 people, Iraq", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://api.worldbank.org/v2/country/IRQ/indicator/SH.MED.BEDS.ZS?format=json" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank. World Development Indicators, Out-of-pocket expenditure as a share of current health expenditure, Iraq. Retrieved 2026-08-21.", "country_ids": [ "IRQ" ], "coverage_domains": [ "authoritative_review", "market_structure", "ownership", "patient_flows", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "Out-of-pocket expenditure as a share", "institution": "World Bank", "locator": { "locator_type": "api_resource", "source_word_anchor": "Out-of-pocket expenditure as a share", "source_word_count": 5 }, "material_id": "material:2b8c8077af3f89d5b727ccd7", "notes": [ "An expenditure series is not a provider-market, ownership or patient-pathway measure." ], "origin": "country-evidence-improvement-sources", "period": "Dated indicator API retrieved 2026-08-21; individual observations retain their reported years.", "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": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/json", "response_sha256": "2cf776d4c5652a8ea90612e527a38ee18c067f9f65503140f2a7f3cd52d9ab9e" }, "statement": "The World Bank API provides a dated national out-of-pocket-expenditure series for Iraq.", "tags": [], "territory": "National series for Iraq.", "title": "Out-of-pocket expenditure as a share of current health expenditure, Iraq", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://api.worldbank.org/v2/country/IRQ/indicator/SH.XPD.OOPC.CH.ZS?format=json" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank. World Development Indicators, Physicians per 1,000 people, Iraq. Retrieved 2026-08-21.", "country_ids": [ "IRQ" ], "coverage_domains": [ "authoritative_review", "facility_data", "hospital_organization", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "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:47b5bf69d3ce39257be76fd2", "notes": [ "Physician density does not allocate staffing authority or establish delivery-sector shares." ], "origin": "country-evidence-improvement-sources", "period": "Dated indicator API retrieved 2026-08-21; individual observations retain their reported years.", "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": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/json", "response_sha256": "3f460bf56a2cd1edaca5e3541ad97702651e64b92be83ec48276e002c771e720" }, "statement": "The World Bank API provides a dated national physician-density series for Iraq.", "tags": [], "territory": "National series for Iraq.", "title": "Physicians per 1,000 people, Iraq", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://api.worldbank.org/v2/country/IRQ/indicator/SH.MED.PHYS.ZS?format=json" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Progress and scenario-based projections of health service availability and coverage towards UHC in the post-conflict and post-pandemic Iraq: a Bayesian hierarchical regression approach. 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