{ "schema_version": "1.0.0", "display_policy": "all_display_eligible_evidence_is_public_and_reviewable_by_annotation", "country": { "iso3": "LBY", "name": "Libya", "aliases": [ "Libya" ], "type": "country", "who_region": "EMR", "who_region_source": "EMR", "wb_region": "Middle East, North Africa, Afghanistan & Pakistan", "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": 18, "all_material_records": 26, "library_document_candidates": 3, "candidate_queue_records": 22, "current_public_projection_records": 1 }, "availability": [ { "domain": "actors", "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": "government_responsibilities", "period_id": "current-structure", "display_status": "evidence_displayed", "material_record_count": 10, "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": 3, "exact_context_count": 1, "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": 6, "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": 4, "exact_context_count": 3, "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": 19, "exact_context_count": 8, "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": 10, "exact_context_count": 7, "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": 3, "exact_context_count": 2, "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": 4, "exact_context_count": 1, "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": 4, "exact_context_count": 3, "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": 10, "exact_context_count": 6, "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": 6, "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": 6, "exact_context_count": 3, "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": 16, "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": 5, "exact_context_count": 2, "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": 9, "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": 2, "exact_context_count": 1, "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:LBY:actors-functions:historical-provider-structure", "country_id": "LBY", "mapping_group": "actors_and_functions", "target_view": "public-private", "target_slot": "historical-provider-structure", "support_state": "candidate_supported", "annotation_state": "open", "mapping_basis": "WHO 2007 Health Systems Profile and World Bank 2009 public expenditure review", "source_projection_ids": [ "country-improvement-source:LBY:who-health-systems-profile-2007", "country-improvement-source:LBY:world-bank-public-expenditure-review-2009" ], "typed_fields": { "reported": "The 2007 WHO Health Systems Profile reports public-sector organization, while the 2009 World Bank review describes public and private provision across three care levels in its historical account.", "boundary": "Neither historical review establishes current provider-market composition, ownership shares, hospital management or operating arrangements." }, "analytical_objects": { "provider_organizations": [ { "label": "Historical provider arrangement", "ownership": "The 2009 review described public and private provision; the 2007 profile described public-sector hospital management", "scope": "Libya, historical pre-2011 descriptions; current composition is not determined", "display_claim_ids": [ "display-claim:af4d96693f13d7e86682f415" ], "display_source_ids": [ "display-source:LBY:7f3eb094da8584a0aad186ff", "display-source:LBY:f1bd5c5e9d835124617c0c3f" ], "source_version_ids": [ "display-source-version:94e9fcb3cfaa57c101a67a53", "display-source-version:8124562544aae7e960794afb" ], "display_evidence_object_id": "display-claim:af4d96693f13d7e86682f415" } ] }, "title": "Historical public-private delivery description", "statement": "The 2007 WHO profile and 2009 World Bank review provide only historical organizational and public-private delivery context.", "citation": "World Health Organization Regional Office for the Eastern Mediterranean, Health Systems Profile - Libya, 2007; World Bank, Socialist People's Libyan Arab Jamahiriya: A Public Expenditure Review, Volume II, 2009.", "url": "https://www.ecoi.net/en/file/local/1060276/1228_1216906368_libya.pdf", "locator": "WHO Health Systems Profile physical PDF page 29, section 4.2: 'All hospitals are managed by secretariats of health at Shabiat'; World Bank review physical PDF page 114, section 6.17: 'The health system operates on three main levels'.", "period": "WHO profile 2007 and World Bank report 2009; both historical pre-2011 descriptions", "territory": "Libya", "evidence_mode_candidate": "reported", "verification_source_layer": "review_literature", "source_version": { "file_sha256": "fffc57817b1d71b6cfbeaa6c10ead8c2b5f535832b9b7dffe449da25c62e6e45", "response_sha256": "fffc57817b1d71b6cfbeaa6c10ead8c2b5f535832b9b7dffe449da25c62e6e45", "hash_verified": true }, "coverage_domains": [ "ownership", "primary_care", "hospital_organization", "market_structure", "utilization" ], "source_references": [ { "title": "Health Systems Profile - Libya", "citation": "World Health Organization Regional Office for the Eastern Mediterranean. Health Systems Profile - Libya. Eastern Mediterranean Regional Health Systems Observatory; 2007.", "url": "https://www.ecoi.net/en/file/local/1060276/1228_1216906368_libya.pdf", "locator": { "locator_type": "pdf_page_section", "physical_pdf_pages": [ 29 ], "sections": [ "4 HEALTH SYSTEM ORGANIZATION", "4.2 Public Health Care System" ], "source_word_anchor": "All hospitals are managed by secretariats of health at Shabiat", "source_word_count": 10 }, "source_version": { "file_sha256": "fffc57817b1d71b6cfbeaa6c10ead8c2b5f535832b9b7dffe449da25c62e6e45", "response_sha256": "fffc57817b1d71b6cfbeaa6c10ead8c2b5f535832b9b7dffe449da25c62e6e45", "detected_media_type": "application/pdf", "hash_verified": true, "retrieved_at": "2026-08-21" }, "source_projection_id": "country-improvement-source:LBY:who-health-systems-profile-2007", "display_source_id": "display-source:LBY:7f3eb094da8584a0aad186ff", "source_version_id": "display-source-version:94e9fcb3cfaa57c101a67a53" }, { "title": "Socialist People's Libyan Arab Jamahiriya: A Public Expenditure Review, Volume II: Main Report", "citation": "World Bank. Socialist People's Libyan Arab Jamahiriya: A Public Expenditure Review, Volume II: Main Report. Report No. 45019-LY. 30 September 2009.", "url": "https://documents1.worldbank.org/curated/en/627191468055513565/pdf/450190ESW0v20P0374322B00PUBLIC00PER.pdf", "locator": { "locator_type": "pdf_page_section", "physical_pdf_pages": [ 113, 114, 117 ], "sections": [ "6. The Health Sector", "The Institutional Framework and its Accountability", "Health services delivery" ], "source_word_anchor": "The health system operates on three main levels", "source_word_count": 8 }, "source_version": { "file_sha256": "e49f3bc0499871129e510bb78d7d99d85f790d28367ca0170860bd6d3ccf27d4", "response_sha256": "e49f3bc0499871129e510bb78d7d99d85f790d28367ca0170860bd6d3ccf27d4", "detected_media_type": "application/pdf", "hash_verified": true, "retrieved_at": "2026-08-21" }, "source_projection_id": "country-improvement-source:LBY:world-bank-public-expenditure-review-2009", "display_source_id": "display-source:LBY:f1bd5c5e9d835124617c0c3f", "source_version_id": "display-source-version:8124562544aae7e960794afb" } ], "display_source_ids": [ "display-source:LBY:7f3eb094da8584a0aad186ff", "display-source:LBY:f1bd5c5e9d835124617c0c3f" ], "source_version_ids": [ "display-source-version:94e9fcb3cfaa57c101a67a53", "display-source-version:8124562544aae7e960794afb" ], "display_claim_ids": [ "display-claim:e8217e91aba4d0ff86d3f8a7", "display-claim:af4d96693f13d7e86682f415" ], "display_evidence_object_id": "display-claim:e8217e91aba4d0ff86d3f8a7", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:LBY:actors-functions:who-moh-framework", "country_id": "LBY", "mapping_group": "actors_and_functions", "target_view": "functions", "target_slot": "who-moh-framework", "support_state": "candidate_supported", "annotation_state": "open", "mapping_basis": "WHO announcement of signed Strategic Collaboration Framework", "source_projection_ids": [ "country-improvement-source:LBY:who-moh-collaboration-framework-2026" ], "typed_fields": { "formal": "WHO and Libya's Ministry of Health signed a 2026-2027 framework for technical cooperation in health-system reform and primary-care strengthening.", "boundary": "The announcement does not identify a complete operating actor map or transfer of formal domestic decision rights." }, "analytical_objects": { "graph_nodes": [ { "node_id": "lby:ministry-of-health", "label": "Ministry of Health", "family": "national", "display_claim_ids": [ "display-claim:15fea5685371a110a0650eaa" ], "display_source_ids": [ "display-source:LBY:d4471a22f52238b0438695a5" ], "source_version_ids": [ "display-source-version:acf240b01c73f073c0e9ec0d" ], "display_evidence_object_id": "display-claim:15fea5685371a110a0650eaa" }, { "node_id": "lby:who", "label": "World Health Organization", "family": "national", "display_claim_ids": [ "display-claim:86b9d608888880f29140c915" ], "display_source_ids": [ "display-source:LBY:d4471a22f52238b0438695a5" ], "source_version_ids": [ "display-source-version:acf240b01c73f073c0e9ec0d" ], "display_evidence_object_id": "display-claim:86b9d608888880f29140c915" } ], "graph_edges": [ { "source_node_id": "lby:ministry-of-health", "target_node_id": "lby:who", "relationship": "signed 2026-2027 technical cooperation framework with", "relationship_family": "governance", "display_claim_ids": [ "display-claim:6e6ddafbf437ba617a84a11f" ], "display_source_ids": [ "display-source:LBY:d4471a22f52238b0438695a5" ], "source_version_ids": [ "display-source-version:acf240b01c73f073c0e9ec0d" ], "display_evidence_object_id": "display-claim:6e6ddafbf437ba617a84a11f" } ], "function_assignments": [ { "actor_label": "Ministry of Health and World Health Organization", "function_label": "Technical cooperation roadmap for listed health-system priorities", "role": "Signed framework stated in WHO announcement", "actor_family": "national", "display_claim_ids": [ "display-claim:142ef2b3bb53fb0e9576ca4a" ], "display_source_ids": [ "display-source:LBY:d4471a22f52238b0438695a5" ], "source_version_ids": [ "display-source-version:acf240b01c73f073c0e9ec0d" ], "display_evidence_object_id": "display-claim:142ef2b3bb53fb0e9576ca4a" } ] }, "title": "WHO and Ministry technical-cooperation framework", "statement": "A WHO announcement documents a signed 2026-2027 framework for Ministry-WHO technical cooperation, without defining the full domestic operating structure.", "citation": "WHO EMRO, WHO and Libya's Ministry of Health Sign Strategic Collaboration Framework to Strengthen the National Health System, 5 May 2026.", "url": "https://www.emro.who.int/lby/libya-news/who-and-libyas-ministry-of-health-sign-strategic-collaboration-framework-to-strengthen-the-national-health-system.html?format=html", "locator": "Fulltext: 'Tripoli, Libya – 5 May 2026' and 'signed a Strategic Collaboration Framework for 2026-2027'.", "period": "2026-2027 framework signed 5 May 2026", "territory": "Libya", "evidence_mode_candidate": "formal", "verification_source_layer": "official", "source_version": { "response_sha256": "8842127f264084088fd4f3b1585ce87f3cdb69fd3e312da1b176c8743e727075", "detected_media_type": "text/html", "hash_verified": true, "retrieved_at": "2026-08-21" }, "coverage_domains": [ "actors", "government_responsibilities", "primary_care", "governance", "reform_history" ], "source_references": [ { "title": "WHO and Libya's Ministry of Health Sign Strategic Collaboration Framework to Strengthen the National Health System", "citation": "World Health Organization Eastern Mediterranean Regional Office. WHO and Libya's Ministry of Health Sign Strategic Collaboration Framework to Strengthen the National Health System. 5 May 2026.", "url": "https://www.emro.who.int/lby/libya-news/who-and-libyas-ministry-of-health-sign-strategic-collaboration-framework-to-strengthen-the-national-health-system.html?format=html", "locator": { "locator_type": "web_page_anchor", "sections": [ "Fulltext" ], "source_word_anchor": "signed a Strategic Collaboration Framework for 2026–2027", "source_word_count": 7 }, "source_version": { "response_sha256": "8842127f264084088fd4f3b1585ce87f3cdb69fd3e312da1b176c8743e727075", "detected_media_type": "text/html", "hash_verified": true, "retrieved_at": "2026-08-21" }, "source_projection_id": "country-improvement-source:LBY:who-moh-collaboration-framework-2026", "display_source_id": "display-source:LBY:d4471a22f52238b0438695a5", "source_version_id": "display-source-version:acf240b01c73f073c0e9ec0d" } ], "display_source_ids": [ "display-source:LBY:d4471a22f52238b0438695a5" ], "source_version_ids": [ "display-source-version:acf240b01c73f073c0e9ec0d" ], "display_claim_ids": [ "display-claim:308b6b4349c3c2f4f549dca3", "display-claim:15fea5685371a110a0650eaa", "display-claim:86b9d608888880f29140c915", "display-claim:6e6ddafbf437ba617a84a11f", "display-claim:142ef2b3bb53fb0e9576ca4a" ], "display_evidence_object_id": "display-claim:308b6b4349c3c2f4f549dca3", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:LBY:decision-autonomy:reported-municipal-district-management", "country_id": "LBY", "mapping_group": "decision_rights_and_autonomy", "target_view": "decisions", "target_slot": "reported-municipal-district-management", "support_state": "candidate_supported", "annotation_state": "open", "mapping_basis": "2021 rapid mixed-methods primary-care assessment", "source_projection_ids": [ "country-improvement-source:LBY:rapid-primary-care-assessment-2024" ], "typed_fields": { "reported": "The assessment reports that municipalities manage public primary-care facilities and district secretariats manage hospitals, including specialized hospitals.", "boundary": "This reported 2021 assessment description is not a current legal decision-rights register and does not specify all authority lines." }, "analytical_objects": { "decision_cells": [ { "decision_id": "lby-primary-care-facility-management", "decision_label": "Management of public primary-care facilities", "actor_label": "Municipality (Baladya)", "actor_family": "subnational", "role": "Reported management role in the assessment", "constraint": "The source does not provide a complete legal allocation or current implementation verification.", "display_claim_ids": [ "display-claim:e1ab2b2ca6b1c7296745e99b" ], "display_source_ids": [ "display-source:LBY:f673488426d4a25303f5082f" ], "source_version_ids": [ "display-source-version:c35a8235c3d65cd30966fc4b" ], "display_evidence_object_id": "display-claim:e1ab2b2ca6b1c7296745e99b" }, { "decision_id": "lby-hospital-management", "decision_label": "Management of hospitals including specialized hospitals", "actor_label": "District secretariat of health", "actor_family": "subnational", "role": "Reported management role in the assessment", "constraint": "The source does not enumerate operational, staffing, financial or procurement authority.", "display_claim_ids": [ "display-claim:d0b4121f1f184d24dd6e2b8e" ], "display_source_ids": [ "display-source:LBY:f673488426d4a25303f5082f" ], "source_version_ids": [ "display-source-version:c35a8235c3d65cd30966fc4b" ], "display_evidence_object_id": "display-claim:d0b4121f1f184d24dd6e2b8e" } ] }, "title": "Reported municipal and district management roles", "statement": "The 2021 assessment reports municipal management of public primary-care facilities and district-secretariat management of hospitals, without providing a legal or current authority matrix.", "citation": "Allen et al., A rapid mixed-methods assessment of Libya's primary care system, 2024.", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC11167861/fullTextXML", "locator": "Findings, System, Governance and leadership: 'The Municipality (Baladya) manages the primary care facilities'.", "period": "Assessment commissioned in 2021; article published 2024", "territory": "Libya's public primary-care and hospital system", "evidence_mode_candidate": "reported", "verification_source_layer": "research_literature", "source_version": { "response_sha256": "3d6f5707a8bcd59eabc61e33052c31af920b48cdc2cf2eb16d783e9b34b17f0c", "detected_media_type": "application/xml", "hash_verified": true, "retrieved_at": "2026-08-21" }, "coverage_domains": [ "actors", "government_responsibilities", "decision_rights", "primary_care", "hospital_organization", "governance" ], "source_references": [ { "title": "A rapid mixed-methods assessment of Libya's primary care system", "citation": "Allen LN, Wild CEK, Loffreda G, et al. A rapid mixed-methods assessment of Libya's primary care system. BMC Health Services Research. 2024;24:721. doi:10.1186/s12913-024-11121-w.", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC11167861/fullTextXML", "locator": { "locator_type": "xml_sections", "sections": [ "Methods: Approach", "Findings: System: Governance and leadership", "Findings: Service delivery" ], "source_word_anchor": "The Municipality (Baladya) manages the primary care facilities", "source_word_count": 8 }, "source_version": { "response_sha256": "3d6f5707a8bcd59eabc61e33052c31af920b48cdc2cf2eb16d783e9b34b17f0c", "detected_media_type": "application/xml", "hash_verified": true, "retrieved_at": "2026-08-21" }, "source_projection_id": "country-improvement-source:LBY:rapid-primary-care-assessment-2024", "display_source_id": "display-source:LBY:f673488426d4a25303f5082f", "source_version_id": "display-source-version:c35a8235c3d65cd30966fc4b" } ], "display_source_ids": [ "display-source:LBY:f673488426d4a25303f5082f" ], "source_version_ids": [ "display-source-version:c35a8235c3d65cd30966fc4b" ], "display_claim_ids": [ "display-claim:cc37608c0e77a6511d882bc5", "display-claim:e1ab2b2ca6b1c7296745e99b", "display-claim:d0b4121f1f184d24dd6e2b8e" ], "display_evidence_object_id": "display-claim:cc37608c0e77a6511d882bc5", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:LBY:decision-autonomy:reported-primary-care-autonomy", "country_id": "LBY", "mapping_group": "decision_rights_and_autonomy", "target_view": "autonomy", "target_slot": "reported-primary-care-autonomy", "support_state": "candidate_supported", "annotation_state": "open", "mapping_basis": "2021 rapid mixed-methods primary-care assessment", "source_projection_ids": [ "country-improvement-source:LBY:rapid-primary-care-assessment-2024" ], "typed_fields": { "reported": "The assessment reports that primary-care facilities had no autonomy to change personnel structure and did not have high control over funds.", "boundary": "These reported findings are limited to the assessment period and primary-care facilities; they do not classify hospital autonomy or provide a current national score." }, "analytical_objects": { "autonomy_cells": [ { "dimension": "Workforce", "provider_group": "Primary care", "authority_label": "Reported as no autonomy to change personnel structure", "counterpart": "The assessment is bounded to its 2021 primary-care evidence and does not classify hospitals.", "display_claim_ids": [ "display-claim:c61637782b0e57e52b41d975" ], "display_source_ids": [ "display-source:LBY:f673488426d4a25303f5082f" ], "source_version_ids": [ "display-source-version:c35a8235c3d65cd30966fc4b" ], "display_evidence_object_id": "display-claim:c61637782b0e57e52b41d975" }, { "dimension": "Financial management", "provider_group": "Primary care", "authority_label": "Reported as not having a high degree of control over funds", "counterpart": "This does not establish a uniform current facility-finance arrangement.", "display_claim_ids": [ "display-claim:acfb1049e20d24d4147136a1" ], "display_source_ids": [ "display-source:LBY:f673488426d4a25303f5082f" ], "source_version_ids": [ "display-source-version:c35a8235c3d65cd30966fc4b" ], "display_evidence_object_id": "display-claim:acfb1049e20d24d4147136a1" } ] }, "title": "Reported primary-care autonomy constraints", "statement": "The assessment reports limited personnel and financial autonomy for primary-care facilities, without supporting a current hospital-autonomy classification.", "citation": "Allen et al., A rapid mixed-methods assessment of Libya's primary care system, 2024.", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC11167861/fullTextXML", "locator": "Findings, Human resources and Facility funds: 'PHC facilities have no autonomy in changing their personnel structure' and 'Facilities do not have a high degree of control over their funds'.", "period": "Assessment commissioned in 2021; article published 2024", "territory": "Libya's public primary-care facilities", "evidence_mode_candidate": "reported", "verification_source_layer": "research_literature", "source_version": { "response_sha256": "3d6f5707a8bcd59eabc61e33052c31af920b48cdc2cf2eb16d783e9b34b17f0c", "detected_media_type": "application/xml", "hash_verified": true, "retrieved_at": "2026-08-21" }, "coverage_domains": [ "autonomy", "decision_rights", "primary_care", "governance" ], "source_references": [ { "title": "A rapid mixed-methods assessment of Libya's primary care system", "citation": "Allen LN, Wild CEK, Loffreda G, et al. A rapid mixed-methods assessment of Libya's primary care system. BMC Health Services Research. 2024;24:721. doi:10.1186/s12913-024-11121-w.", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC11167861/fullTextXML", "locator": { "locator_type": "xml_sections", "sections": [ "Methods: Approach", "Findings: System: Governance and leadership", "Findings: Service delivery" ], "source_word_anchor": "The Municipality (Baladya) manages the primary care facilities", "source_word_count": 8 }, "source_version": { "response_sha256": "3d6f5707a8bcd59eabc61e33052c31af920b48cdc2cf2eb16d783e9b34b17f0c", "detected_media_type": "application/xml", "hash_verified": true, "retrieved_at": "2026-08-21" }, "source_projection_id": "country-improvement-source:LBY:rapid-primary-care-assessment-2024", "display_source_id": "display-source:LBY:f673488426d4a25303f5082f", "source_version_id": "display-source-version:c35a8235c3d65cd30966fc4b" } ], "display_source_ids": [ "display-source:LBY:f673488426d4a25303f5082f" ], "source_version_ids": [ "display-source-version:c35a8235c3d65cd30966fc4b" ], "display_claim_ids": [ "display-claim:c9242c00c26ef56e32591104", "display-claim:c61637782b0e57e52b41d975", "display-claim:acfb1049e20d24d4147136a1" ], "display_evidence_object_id": "display-claim:c9242c00c26ef56e32591104", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:LBY:delivery-referrals:dated-national-capacity-series", "country_id": "LBY", "mapping_group": "delivery_and_referrals", "target_view": "delivery", "target_slot": "dated-national-capacity-series", "support_state": "candidate_supported", "annotation_state": "open", "mapping_basis": "dated World Development Indicators APIs", "source_projection_ids": [ "country-improvement-source:LBY:world-bank-hospital-beds-2026", "country-improvement-source:LBY:world-bank-physicians-2026", "country-improvement-source:LBY:world-bank-nurses-midwives-2026" ], "typed_fields": { "observed": "The retrieved APIs provide dated national hospital-bed, physician-density and nurse-and-midwife-density series. The latest non-null retrieved bed observation is 2022, while the latest retrieved physician and nurse-and-midwife observations are 2017.", "boundary": "These indicators are not measures of ownership, management authority, referral completion, service quality, facility readiness or patient flow." }, "analytical_objects": { "provider_delivery_observations": [ { "label": "National capacity series", "observation": "Dated hospital-bed, physician-density and nurse-and-midwife-density series are available from the World Bank APIs.", "scope": "National Libya series; observations retain their source years.", "display_claim_ids": [ "display-claim:ea2caf206f4c5329b83c92a6" ], "display_source_ids": [ "display-source:LBY:22a6770e1047fe98901fb36f", "display-source:LBY:13a30469c028c63365a78167", "display-source:LBY:fa0553f77835459158b53613" ], "source_version_ids": [ "display-source-version:8279a6f19ea42fad4ad78bee", "display-source-version:52986dae07d6fde1fab51954", "display-source-version:b899cf2be5d38c36eebc06b5" ], "display_evidence_object_id": "display-claim:ea2caf206f4c5329b83c92a6" } ] }, "title": "Dated national capacity context", "statement": "World Bank APIs provide dated national bed-, physician-, and nurse-and-midwife-density series without a provider-organization or care-pathway denominator.", "citation": "World Bank WDI, Hospital beds, Physicians, and Nurses and midwives (per 1,000 people), Libya; retrieved 2026-08-21 to 2026-08-22.", "url": "https://api.worldbank.org/v2/country/LBY/indicator/SH.MED.BEDS.ZS?format=json", "locator": "SH.MED.BEDS.ZS, 2022 observation; SH.MED.PHYS.ZS and SH.MED.NUMW.P3, 2017 observations.", "period": "Dated national indicator series retrieved 2026-08-21 to 2026-08-22", "territory": "Libya", "evidence_mode_candidate": "observed", "verification_source_layer": "grey_literature", "source_version": { "response_sha256": "de17fd5b4cd0f330875c3475c234c55708befe84bd0da77ff8da999bff8a1f40", "hash_verified": true }, "coverage_domains": [ "facility_data", "hospital_organization", "primary_care", "utilization", "patient_flows" ], "source_references": [ { "title": "Hospital beds (per 1,000 people), Libya", "citation": "World Bank. World Development Indicators, Hospital beds (per 1,000 people), Libya. Retrieved 2026-08-21.", "url": "https://api.worldbank.org/v2/country/LBY/indicator/SH.MED.BEDS.ZS?format=json", "locator": { "locator_type": "api_resource", "sections": [ "SH.MED.BEDS.ZS", "2022 observation" ], "source_word_anchor": "Hospital beds (per 1,000 people)", "source_word_count": 5 }, "source_version": { "response_sha256": "de17fd5b4cd0f330875c3475c234c55708befe84bd0da77ff8da999bff8a1f40", "detected_media_type": "application/json", "hash_verified": true, "retrieved_at": "2026-08-21" }, "source_projection_id": "country-improvement-source:LBY:world-bank-hospital-beds-2026", "display_source_id": "display-source:LBY:22a6770e1047fe98901fb36f", "source_version_id": "display-source-version:8279a6f19ea42fad4ad78bee" }, { "title": "Physicians (per 1,000 people), Libya", "citation": "World Bank. World Development Indicators, Physicians (per 1,000 people), Libya. Retrieved 2026-08-21.", "url": "https://api.worldbank.org/v2/country/LBY/indicator/SH.MED.PHYS.ZS?format=json", "locator": { "locator_type": "api_resource", "sections": [ "SH.MED.PHYS.ZS", "2017 observation" ], "source_word_anchor": "Physicians (per 1,000 people)", "source_word_count": 4 }, "source_version": { "response_sha256": "5ffa6c77009ac3c30e6a576f70f4f619e9424b6382a2aca0fbad78b60e6547a9", "detected_media_type": "application/json", "hash_verified": true, "retrieved_at": "2026-08-21" }, "source_projection_id": "country-improvement-source:LBY:world-bank-physicians-2026", "display_source_id": "display-source:LBY:13a30469c028c63365a78167", "source_version_id": "display-source-version:52986dae07d6fde1fab51954" }, { "title": "Nurses and midwives (per 1,000 people), Libya", "citation": "World Bank. World Development Indicators, Nurses and midwives (per 1,000 people), Libya. Retrieved 2026-08-22.", "url": "https://api.worldbank.org/v2/country/LBY/indicator/SH.MED.NUMW.P3?format=json", "locator": { "locator_type": "api_resource", "sections": [ "SH.MED.NUMW.P3", "2017 observation" ], "source_word_anchor": "Nurses and midwives (per 1,000 people)", "source_word_count": 6 }, "source_version": { "response_sha256": "700c6b1c7d422834c132c24ee9a757212bceabb15641a055f594701318c4dbb1", "detected_media_type": "application/json", "hash_verified": true, "retrieved_at": "2026-08-22" }, "source_projection_id": "country-improvement-source:LBY:world-bank-nurses-midwives-2026", "display_source_id": "display-source:LBY:fa0553f77835459158b53613", "source_version_id": "display-source-version:b899cf2be5d38c36eebc06b5" } ], "display_source_ids": [ "display-source:LBY:22a6770e1047fe98901fb36f", "display-source:LBY:13a30469c028c63365a78167", "display-source:LBY:fa0553f77835459158b53613" ], "source_version_ids": [ "display-source-version:8279a6f19ea42fad4ad78bee", "display-source-version:52986dae07d6fde1fab51954", "display-source-version:b899cf2be5d38c36eebc06b5" ], "display_claim_ids": [ "display-claim:754518f30000c70a9b541bc4", "display-claim:ea2caf206f4c5329b83c92a6" ], "display_evidence_object_id": "display-claim:754518f30000c70a9b541bc4", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:LBY:delivery-referrals:provider-market-boundary", "country_id": "LBY", "mapping_group": "delivery_and_referrals", "target_view": "public-private", "target_slot": "provider-market-boundary", "support_state": "candidate_supported", "annotation_state": "open", "mapping_basis": "dated World Bank historical review and local-government forum perspective", "source_projection_ids": [ "country-improvement-source:LBY:world-bank-public-expenditure-review-2009", "country-improvement-source:LBY:world-bank-local-government-forum-2021" ], "typed_fields": { "reported": "The 2009 review describes historical public and private provision. The 2021 forum proceedings discuss a proposed intergovernmental division of central and local functions.", "boundary": "Neither source establishes a current national ownership share, market composition, contracting arrangement or active division of authority." }, "analytical_objects": { "provider_organizations": [ { "label": "Current provider-market composition", "ownership": "Not determined from the cited historical review and forum perspective", "scope": "Libya", "display_claim_ids": [ "display-claim:1322fd871ea3f66d26e0ea45" ], "display_source_ids": [ "display-source:LBY:f1bd5c5e9d835124617c0c3f", "display-source:LBY:c981d1d46fdd98eb4731230b" ], "source_version_ids": [ "display-source-version:8124562544aae7e960794afb", "display-source-version:e740d23035c1796e4887a9c4" ], "display_evidence_object_id": "display-claim:1322fd871ea3f66d26e0ea45" } ] }, "title": "Current provider-market composition remains unclassified", "statement": "Historical and perspective sources do not support a current national public-private ownership or market-composition claim.", "citation": "World Bank, Public Expenditure Review, 2009; Schaeffer, Lassoued and Ouelhazi, Proceedings of the Libya Local Government Forum, 2021.", "url": "https://documents1.worldbank.org/curated/en/889311615360771327/pdf/Proceedings-of-the-Libya-Local-Government-Forum.pdf", "locator": "Public Expenditure Review physical PDF page 114, section 6.17; Local Government Forum physical PDF page 34, Paper 13.", "period": "2009 review and 2019 forum revised for publication in 2021", "territory": "Libya", "evidence_mode_candidate": "reported", "verification_source_layer": "grey_literature", "source_version": { "file_sha256": "31283afe21a358d5e3b575a96e4dcfe269cc60c312628695b0455ae92481049c", "hash_verified": true }, "coverage_domains": [ "ownership", "market_structure", "government_responsibilities", "decision_rights", "governance" ], "source_references": [ { "title": "Socialist People's Libyan Arab Jamahiriya: A Public Expenditure Review, Volume II: Main Report", "citation": "World Bank. Socialist People's Libyan Arab Jamahiriya: A Public Expenditure Review, Volume II: Main Report. Report No. 45019-LY. 30 September 2009.", "url": "https://documents1.worldbank.org/curated/en/627191468055513565/pdf/450190ESW0v20P0374322B00PUBLIC00PER.pdf", "locator": { "locator_type": "pdf_page_section", "physical_pdf_pages": [ 113, 114, 117 ], "sections": [ "6. The Health Sector", "The Institutional Framework and its Accountability", "Health services delivery" ], "source_word_anchor": "The health system operates on three main levels", "source_word_count": 8 }, "source_version": { "file_sha256": "e49f3bc0499871129e510bb78d7d99d85f790d28367ca0170860bd6d3ccf27d4", "response_sha256": "e49f3bc0499871129e510bb78d7d99d85f790d28367ca0170860bd6d3ccf27d4", "detected_media_type": "application/pdf", "hash_verified": true, "retrieved_at": "2026-08-21" }, "source_projection_id": "country-improvement-source:LBY:world-bank-public-expenditure-review-2009", "display_source_id": "display-source:LBY:f1bd5c5e9d835124617c0c3f", "source_version_id": "display-source-version:8124562544aae7e960794afb" }, { "title": "Proceedings of the Libya Local Government Forum", "citation": "Schaeffer M, Lassoued M, Ouelhazi Z, eds. Proceedings of the Libya Local Government Forum. Tunis, 14-16 September 2019; revised for publication January 2021. World Bank.", "url": "https://documents1.worldbank.org/curated/en/889311615360771327/pdf/Proceedings-of-the-Libya-Local-Government-Forum.pdf", "locator": { "locator_type": "pdf_page_section", "physical_pdf_pages": [ 34 ], "sections": [ "Paper 13: Service Delivery Perspectives in a Decentralized Environment", "Perspectives on the Health Care Sector, the Case of Libya" ], "source_word_anchor": "there is a very large central role to be played", "source_word_count": 10 }, "source_version": { "file_sha256": "31283afe21a358d5e3b575a96e4dcfe269cc60c312628695b0455ae92481049c", "response_sha256": "31283afe21a358d5e3b575a96e4dcfe269cc60c312628695b0455ae92481049c", "detected_media_type": "application/pdf", "hash_verified": true, "retrieved_at": "2026-08-21" }, "source_projection_id": "country-improvement-source:LBY:world-bank-local-government-forum-2021", "display_source_id": "display-source:LBY:c981d1d46fdd98eb4731230b", "source_version_id": "display-source-version:e740d23035c1796e4887a9c4" } ], "display_source_ids": [ "display-source:LBY:f1bd5c5e9d835124617c0c3f", "display-source:LBY:c981d1d46fdd98eb4731230b" ], "source_version_ids": [ "display-source-version:8124562544aae7e960794afb", "display-source-version:e740d23035c1796e4887a9c4" ], "display_claim_ids": [ "display-claim:c5c60027c772cdf9e3bce0f4", "display-claim:1322fd871ea3f66d26e0ea45" ], "display_evidence_object_id": "display-claim:c5c60027c772cdf9e3bce0f4", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:LBY:relationships-networks:referral-observation-boundary", "country_id": "LBY", "mapping_group": "relationships_and_networks", "target_view": "referrals", "target_slot": "referral-observation-boundary", "support_state": "candidate_supported", "annotation_state": "open", "mapping_basis": "source-scope boundary in rapid mixed-methods primary-care assessment", "source_projection_ids": [ "country-improvement-source:LBY:rapid-primary-care-assessment-2024" ], "typed_fields": { "boundary": "The assessment describes pathway design and continuity concerns, but does not provide a nationally representative observed referral completion, travel, wait-time or patient-flow series." }, "analytical_objects": { "provider_delivery_observations": [ { "label": "Observed referral-flow measure", "observation": "Not determined from the cited assessment", "scope": "No nationally representative referral-completion or patient-flow denominator is reported in the cited assessment.", "display_claim_ids": [ "display-claim:b7b73133e680419dd5143cd6" ], "display_source_ids": [ "display-source:LBY:f673488426d4a25303f5082f" ], "source_version_ids": [ "display-source-version:c35a8235c3d65cd30966fc4b" ], "display_evidence_object_id": "display-claim:b7b73133e680419dd5143cd6" } ] }, "title": "Observed referral flow remains unmeasured in this wave", "statement": "This source set supports a reported pathway description, not an observed national referral-flow estimate.", "citation": "Allen et al., A rapid mixed-methods assessment of Libya's primary care system, 2024.", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC11167861/fullTextXML", "locator": "Findings, Service delivery; the assessment reports pathway features but no national referral-completion denominator.", "period": "Assessment commissioned in 2021; article published 2024", "territory": "Libya", "evidence_mode_candidate": "reported", "verification_source_layer": "research_literature", "source_version": { "response_sha256": "3d6f5707a8bcd59eabc61e33052c31af920b48cdc2cf2eb16d783e9b34b17f0c", "detected_media_type": "application/xml", "hash_verified": true, "retrieved_at": "2026-08-21" }, "coverage_domains": [ "observed_referral", "patient_flows", "utilization", "facility_data" ], "source_references": [ { "title": "A rapid mixed-methods assessment of Libya's primary care system", "citation": "Allen LN, Wild CEK, Loffreda G, et al. A rapid mixed-methods assessment of Libya's primary care system. BMC Health Services Research. 2024;24:721. doi:10.1186/s12913-024-11121-w.", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC11167861/fullTextXML", "locator": { "locator_type": "xml_sections", "sections": [ "Methods: Approach", "Findings: System: Governance and leadership", "Findings: Service delivery" ], "source_word_anchor": "The Municipality (Baladya) manages the primary care facilities", "source_word_count": 8 }, "source_version": { "response_sha256": "3d6f5707a8bcd59eabc61e33052c31af920b48cdc2cf2eb16d783e9b34b17f0c", "detected_media_type": "application/xml", "hash_verified": true, "retrieved_at": "2026-08-21" }, "source_projection_id": "country-improvement-source:LBY:rapid-primary-care-assessment-2024", "display_source_id": "display-source:LBY:f673488426d4a25303f5082f", "source_version_id": "display-source-version:c35a8235c3d65cd30966fc4b" } ], "display_source_ids": [ "display-source:LBY:f673488426d4a25303f5082f" ], "source_version_ids": [ "display-source-version:c35a8235c3d65cd30966fc4b" ], "display_claim_ids": [ "display-claim:6eb24033bf5cd6542b925fc0", "display-claim:b7b73133e680419dd5143cd6" ], "display_evidence_object_id": "display-claim:6eb24033bf5cd6542b925fc0", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:LBY:relationships-networks:reported-open-access-pathway", "country_id": "LBY", "mapping_group": "relationships_and_networks", "target_view": "referrals", "target_slot": "reported-open-access-pathway", "support_state": "candidate_supported", "annotation_state": "open", "mapping_basis": "2021 rapid mixed-methods primary-care assessment", "source_projection_ids": [ "country-improvement-source:LBY:rapid-primary-care-assessment-2024" ], "typed_fields": { "reported": "The assessment reports that patients could present to virtually any public or private facility and care level without referral or registration, and notes weak continuity and feedback to primary-care teams.", "boundary": "This is not an observed nationally representative patient-flow or referral-completion measure." }, "analytical_objects": { "graph_nodes": [ { "node_id": "lby:primary-care-facilities", "label": "Primary-care facilities", "family": "provider", "display_claim_ids": [ "display-claim:89c84450eb342b346750cd23" ], "display_source_ids": [ "display-source:LBY:f673488426d4a25303f5082f" ], "source_version_ids": [ "display-source-version:c35a8235c3d65cd30966fc4b" ], "display_evidence_object_id": "display-claim:89c84450eb342b346750cd23" }, { "node_id": "lby:secondary-care", "label": "Secondary care", "family": "provider", "display_claim_ids": [ "display-claim:4abca19f735907d40e49d5bb" ], "display_source_ids": [ "display-source:LBY:f673488426d4a25303f5082f" ], "source_version_ids": [ "display-source-version:c35a8235c3d65cd30966fc4b" ], "display_evidence_object_id": "display-claim:4abca19f735907d40e49d5bb" } ], "graph_edges": [ { "source_node_id": "lby:primary-care-facilities", "target_node_id": "lby:secondary-care", "relationship": "reported weak feedback after referrals to", "relationship_family": "referral", "display_claim_ids": [ "display-claim:6a9ad5854b850b18335a67f3" ], "display_source_ids": [ "display-source:LBY:f673488426d4a25303f5082f" ], "source_version_ids": [ "display-source-version:c35a8235c3d65cd30966fc4b" ], "display_evidence_object_id": "display-claim:6a9ad5854b850b18335a67f3" } ] }, "title": "Reported open-access pathway and weak continuity", "statement": "The assessment reports an open-access pathway and weak primary-secondary feedback, but supplies no national observed referral-completion denominator.", "citation": "Allen et al., A rapid mixed-methods assessment of Libya's primary care system, 2024.", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC11167861/fullTextXML", "locator": "Findings, Service delivery: 'Patients are able to present to virtually any public or private facility' and 'secondary care is not expected to inform PHC teams'.", "period": "Assessment commissioned in 2021; article published 2024", "territory": "Libya's public and private care pathway as assessed in 2021", "evidence_mode_candidate": "reported", "verification_source_layer": "research_literature", "source_version": { "response_sha256": "3d6f5707a8bcd59eabc61e33052c31af920b48cdc2cf2eb16d783e9b34b17f0c", "detected_media_type": "application/xml", "hash_verified": true, "retrieved_at": "2026-08-21" }, "coverage_domains": [ "primary_care", "referral_design", "observed_referral", "networks", "patient_flows", "utilization" ], "source_references": [ { "title": "A rapid mixed-methods assessment of Libya's primary care system", "citation": "Allen LN, Wild CEK, Loffreda G, et al. A rapid mixed-methods assessment of Libya's primary care system. BMC Health Services Research. 2024;24:721. doi:10.1186/s12913-024-11121-w.", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC11167861/fullTextXML", "locator": { "locator_type": "xml_sections", "sections": [ "Methods: Approach", "Findings: System: Governance and leadership", "Findings: Service delivery" ], "source_word_anchor": "The Municipality (Baladya) manages the primary care facilities", "source_word_count": 8 }, "source_version": { "response_sha256": "3d6f5707a8bcd59eabc61e33052c31af920b48cdc2cf2eb16d783e9b34b17f0c", "detected_media_type": "application/xml", "hash_verified": true, "retrieved_at": "2026-08-21" }, "source_projection_id": "country-improvement-source:LBY:rapid-primary-care-assessment-2024", "display_source_id": "display-source:LBY:f673488426d4a25303f5082f", "source_version_id": "display-source-version:c35a8235c3d65cd30966fc4b" } ], "display_source_ids": [ "display-source:LBY:f673488426d4a25303f5082f" ], "source_version_ids": [ "display-source-version:c35a8235c3d65cd30966fc4b" ], "display_claim_ids": [ "display-claim:31b882337ae187e3270650b3", "display-claim:89c84450eb342b346750cd23", "display-claim:4abca19f735907d40e49d5bb", "display-claim:6a9ad5854b850b18335a67f3" ], "display_evidence_object_id": "display-claim:31b882337ae187e3270650b3", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:LBY:time-reform:formal-reported-observed-separation", "country_id": "LBY", "mapping_group": "time_and_reform", "target_view": "reforms", "target_slot": "formal-reported-observed-separation", "support_state": "candidate_supported", "annotation_state": "open", "mapping_basis": "evidence-mode and temporal-scope separation", "source_projection_ids": [ "country-improvement-source:LBY:who-moh-collaboration-framework-2026", "country-improvement-source:LBY:who-country-office-annual-report-2021", "country-improvement-source:LBY:world-bank-public-expenditure-review-2009", "country-improvement-source:LBY:world-bank-local-government-forum-2021", "country-improvement-source:LBY:rapid-primary-care-assessment-2024", "country-improvement-source:LBY:world-bank-hospital-beds-2026", "country-improvement-source:LBY:world-bank-physicians-2026", "country-improvement-source:LBY:world-bank-current-health-expenditure-2026" ], "typed_fields": { "formal": "The WHO announcement records a signed 2026-2027 Ministry-WHO framework.", "reported": "The WHO annual report, World Bank reports and rapid assessment provide time-bounded reported descriptions, proposals and review findings.", "observed": "The World Bank APIs provide dated national capacity and aggregate-expenditure measurements, with the retrieved non-null observations retaining their source years.", "boundary": "Formal, reported and observed materials have different periods, territories and inferential scope; none is converted to a canonical claim." }, "analytical_objects": { "reform_events": [ { "event_id": "lby-evidence-mode-separation", "label": "Formal, reported and observed evidence separation", "year": 2026, "status": "The wave preserves signed framework evidence, dated reported accounts and dated indicator observations as non-interchangeable candidate evidence.", "display_claim_ids": [ "display-claim:4226a3dcee255d337215a9b4" ], "display_source_ids": [ "display-source:LBY:d4471a22f52238b0438695a5", "display-source:LBY:aefd76dbd6eb8f78bfc92648", "display-source:LBY:f1bd5c5e9d835124617c0c3f", "display-source:LBY:c981d1d46fdd98eb4731230b", "display-source:LBY:f673488426d4a25303f5082f", "display-source:LBY:22a6770e1047fe98901fb36f", "display-source:LBY:13a30469c028c63365a78167", "display-source:LBY:90a1a81e8473dad86796a552" ], "source_version_ids": [ "display-source-version:acf240b01c73f073c0e9ec0d", "display-source-version:21d771dd20d5b7f3abd65c58", "display-source-version:8124562544aae7e960794afb", "display-source-version:e740d23035c1796e4887a9c4", "display-source-version:c35a8235c3d65cd30966fc4b", "display-source-version:8279a6f19ea42fad4ad78bee", "display-source-version:52986dae07d6fde1fab51954", "display-source-version:236ad9952a0740f35bbdfff8" ], "display_evidence_object_id": "display-claim:4226a3dcee255d337215a9b4" } ] }, "title": "Formal, reported and observed evidence remain separate", "statement": "The Libya wave keeps the signed framework, reported historical and review material, and observed indicator series separate rather than merging them into a current system claim.", "citation": "WHO EMRO, Strategic Collaboration Framework announcement, 5 May 2026; WHO EMRO, Annual Report 2021 (published 2022); World Bank, 2009 and 2021; Allen et al., 2024; World Bank WDI, retrieved 2026-08-21 to 2026-08-22.", "url": "https://www.emro.who.int/lby/libya-news/who-and-libyas-ministry-of-health-sign-strategic-collaboration-framework-to-strengthen-the-national-health-system.html?format=html", "locator": "Framework Fulltext: 'Tripoli, Libya – 5 May 2026' and 'signed a Strategic Collaboration Framework for 2026-2027'; WHO annual report physical PDF page 13; World Bank review physical PDF pages 113-117; Local Government Forum physical PDF page 34; rapid assessment Methods and Findings; SH.MED.BEDS.ZS, SH.MED.PHYS.ZS and SH.XPD.CHEX.GD.ZS APIs.", "period": "2009-2026 source periods; individual observations and assessments retain their stated dates", "territory": "Libya, with each source's stated national or assessment scope retained", "evidence_mode_candidate": "reported", "verification_source_layer": "research_literature", "source_version": { "response_sha256": "8842127f264084088fd4f3b1585ce87f3cdb69fd3e312da1b176c8743e727075", "detected_media_type": "text/html", "hash_verified": true, "retrieved_at": "2026-08-21" }, "coverage_domains": [ "authoritative_review", "reform_history", "governance", "observed_referral", "facility_data", "utilization", "market_structure" ], "source_references": [ { "title": "WHO and Libya's Ministry of Health Sign Strategic Collaboration Framework to Strengthen the National Health System", "citation": "World Health Organization Eastern Mediterranean Regional Office. WHO and Libya's Ministry of Health Sign Strategic Collaboration Framework to Strengthen the National Health System. 5 May 2026.", "url": "https://www.emro.who.int/lby/libya-news/who-and-libyas-ministry-of-health-sign-strategic-collaboration-framework-to-strengthen-the-national-health-system.html?format=html", "locator": { "locator_type": "web_page_anchor", "sections": [ "Fulltext" ], "source_word_anchor": "signed a Strategic Collaboration Framework for 2026–2027", "source_word_count": 7 }, "source_version": { "response_sha256": "8842127f264084088fd4f3b1585ce87f3cdb69fd3e312da1b176c8743e727075", "detected_media_type": "text/html", "hash_verified": true, "retrieved_at": "2026-08-21" }, "source_projection_id": "country-improvement-source:LBY:who-moh-collaboration-framework-2026", "display_source_id": "display-source:LBY:d4471a22f52238b0438695a5", "source_version_id": "display-source-version:acf240b01c73f073c0e9ec0d" }, { "title": "Annual Report 2021", "citation": "World Health Organization Regional Office for the Eastern Mediterranean. Annual Report 2021. Cairo: WHO EMRO; 2022.", "url": "https://applications.emro.who.int/docs/9789290211099-eng.pdf", "locator": { "locator_type": "pdf_page_section", "physical_pdf_pages": [ 13 ], "sections": [ "Health care workforce" ], "source_word_anchor": "the Ministry of Health published its strategy", "source_word_count": 7 }, "source_version": { "file_sha256": "41cc8408a6d75708fd0dbbfefae1a0a371007faafa5e55bef1b1b3514c7b3116", "response_sha256": "41cc8408a6d75708fd0dbbfefae1a0a371007faafa5e55bef1b1b3514c7b3116", "detected_media_type": "application/pdf", "hash_verified": true, "retrieved_at": "2026-08-21" }, "source_projection_id": "country-improvement-source:LBY:who-country-office-annual-report-2021", "display_source_id": "display-source:LBY:aefd76dbd6eb8f78bfc92648", "source_version_id": "display-source-version:21d771dd20d5b7f3abd65c58" }, { "title": "Socialist People's Libyan Arab Jamahiriya: A Public Expenditure Review, Volume II: Main Report", "citation": "World Bank. Socialist People's Libyan Arab Jamahiriya: A Public Expenditure Review, Volume II: Main Report. Report No. 45019-LY. 30 September 2009.", "url": "https://documents1.worldbank.org/curated/en/627191468055513565/pdf/450190ESW0v20P0374322B00PUBLIC00PER.pdf", "locator": { "locator_type": "pdf_page_section", "physical_pdf_pages": [ 113, 114, 117 ], "sections": [ "6. The Health Sector", "The Institutional Framework and its Accountability", "Health services delivery" ], "source_word_anchor": "The health system operates on three main levels", "source_word_count": 8 }, "source_version": { "file_sha256": "e49f3bc0499871129e510bb78d7d99d85f790d28367ca0170860bd6d3ccf27d4", "response_sha256": "e49f3bc0499871129e510bb78d7d99d85f790d28367ca0170860bd6d3ccf27d4", "detected_media_type": "application/pdf", "hash_verified": true, "retrieved_at": "2026-08-21" }, "source_projection_id": "country-improvement-source:LBY:world-bank-public-expenditure-review-2009", "display_source_id": "display-source:LBY:f1bd5c5e9d835124617c0c3f", "source_version_id": "display-source-version:8124562544aae7e960794afb" }, { "title": "Proceedings of the Libya Local Government Forum", "citation": "Schaeffer M, Lassoued M, Ouelhazi Z, eds. Proceedings of the Libya Local Government Forum. Tunis, 14-16 September 2019; revised for publication January 2021. World Bank.", "url": "https://documents1.worldbank.org/curated/en/889311615360771327/pdf/Proceedings-of-the-Libya-Local-Government-Forum.pdf", "locator": { "locator_type": "pdf_page_section", "physical_pdf_pages": [ 34 ], "sections": [ "Paper 13: Service Delivery Perspectives in a Decentralized Environment", "Perspectives on the Health Care Sector, the Case of Libya" ], "source_word_anchor": "there is a very large central role to be played", "source_word_count": 10 }, "source_version": { "file_sha256": "31283afe21a358d5e3b575a96e4dcfe269cc60c312628695b0455ae92481049c", "response_sha256": "31283afe21a358d5e3b575a96e4dcfe269cc60c312628695b0455ae92481049c", "detected_media_type": "application/pdf", "hash_verified": true, "retrieved_at": "2026-08-21" }, "source_projection_id": "country-improvement-source:LBY:world-bank-local-government-forum-2021", "display_source_id": "display-source:LBY:c981d1d46fdd98eb4731230b", "source_version_id": "display-source-version:e740d23035c1796e4887a9c4" }, { "title": "A rapid mixed-methods assessment of Libya's primary care system", "citation": "Allen LN, Wild CEK, Loffreda G, et al. A rapid mixed-methods assessment of Libya's primary care system. BMC Health Services Research. 2024;24:721. doi:10.1186/s12913-024-11121-w.", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC11167861/fullTextXML", "locator": { "locator_type": "xml_sections", "sections": [ "Methods: Approach", "Findings: System: Governance and leadership", "Findings: Service delivery" ], "source_word_anchor": "The Municipality (Baladya) manages the primary care facilities", "source_word_count": 8 }, "source_version": { "response_sha256": "3d6f5707a8bcd59eabc61e33052c31af920b48cdc2cf2eb16d783e9b34b17f0c", "detected_media_type": "application/xml", "hash_verified": true, "retrieved_at": "2026-08-21" }, "source_projection_id": "country-improvement-source:LBY:rapid-primary-care-assessment-2024", "display_source_id": "display-source:LBY:f673488426d4a25303f5082f", "source_version_id": "display-source-version:c35a8235c3d65cd30966fc4b" }, { "title": "Hospital beds (per 1,000 people), Libya", "citation": "World Bank. World Development Indicators, Hospital beds (per 1,000 people), Libya. Retrieved 2026-08-21.", "url": "https://api.worldbank.org/v2/country/LBY/indicator/SH.MED.BEDS.ZS?format=json", "locator": { "locator_type": "api_resource", "sections": [ "SH.MED.BEDS.ZS", "2022 observation" ], "source_word_anchor": "Hospital beds (per 1,000 people)", "source_word_count": 5 }, "source_version": { "response_sha256": "de17fd5b4cd0f330875c3475c234c55708befe84bd0da77ff8da999bff8a1f40", "detected_media_type": "application/json", "hash_verified": true, "retrieved_at": "2026-08-21" }, "source_projection_id": "country-improvement-source:LBY:world-bank-hospital-beds-2026", "display_source_id": "display-source:LBY:22a6770e1047fe98901fb36f", "source_version_id": "display-source-version:8279a6f19ea42fad4ad78bee" }, { "title": "Physicians (per 1,000 people), Libya", "citation": "World Bank. World Development Indicators, Physicians (per 1,000 people), Libya. Retrieved 2026-08-21.", "url": "https://api.worldbank.org/v2/country/LBY/indicator/SH.MED.PHYS.ZS?format=json", "locator": { "locator_type": "api_resource", "sections": [ "SH.MED.PHYS.ZS", "2017 observation" ], "source_word_anchor": "Physicians (per 1,000 people)", "source_word_count": 4 }, "source_version": { "response_sha256": "5ffa6c77009ac3c30e6a576f70f4f619e9424b6382a2aca0fbad78b60e6547a9", "detected_media_type": "application/json", "hash_verified": true, "retrieved_at": "2026-08-21" }, "source_projection_id": "country-improvement-source:LBY:world-bank-physicians-2026", "display_source_id": "display-source:LBY:13a30469c028c63365a78167", "source_version_id": "display-source-version:52986dae07d6fde1fab51954" }, { "title": "Current health expenditure (% of GDP), Libya", "citation": "World Bank. World Development Indicators, Current health expenditure (% of GDP), Libya. Retrieved 2026-08-22.", "url": "https://api.worldbank.org/v2/country/LBY/indicator/SH.XPD.CHEX.GD.ZS?format=json", "locator": { "locator_type": "api_resource", "sections": [ "SH.XPD.CHEX.GD.ZS", "2023 observation" ], "source_word_anchor": "Current health expenditure (% of GDP)", "source_word_count": 6 }, "source_version": { "response_sha256": "459a240a4b5cc304808559a2c1c89559ddb4eac99288d479ca43d29d647cccf7", "detected_media_type": "application/json", "hash_verified": true, "retrieved_at": "2026-08-22" }, "source_projection_id": "country-improvement-source:LBY:world-bank-current-health-expenditure-2026", "display_source_id": "display-source:LBY:90a1a81e8473dad86796a552", "source_version_id": "display-source-version:236ad9952a0740f35bbdfff8" } ], "display_source_ids": [ "display-source:LBY:d4471a22f52238b0438695a5", "display-source:LBY:aefd76dbd6eb8f78bfc92648", "display-source:LBY:f1bd5c5e9d835124617c0c3f", "display-source:LBY:c981d1d46fdd98eb4731230b", "display-source:LBY:f673488426d4a25303f5082f", "display-source:LBY:22a6770e1047fe98901fb36f", "display-source:LBY:13a30469c028c63365a78167", "display-source:LBY:90a1a81e8473dad86796a552" ], "source_version_ids": [ "display-source-version:acf240b01c73f073c0e9ec0d", "display-source-version:21d771dd20d5b7f3abd65c58", "display-source-version:8124562544aae7e960794afb", "display-source-version:e740d23035c1796e4887a9c4", "display-source-version:c35a8235c3d65cd30966fc4b", "display-source-version:8279a6f19ea42fad4ad78bee", "display-source-version:52986dae07d6fde1fab51954", "display-source-version:236ad9952a0740f35bbdfff8" ], "display_claim_ids": [ "display-claim:1e92c6c377056df2cf374233", "display-claim:4226a3dcee255d337215a9b4" ], "display_evidence_object_id": "display-claim:1e92c6c377056df2cf374233", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:LBY:time-reform:reported-workforce-strategy", "country_id": "LBY", "mapping_group": "time_and_reform", "target_view": "reforms", "target_slot": "reported-workforce-strategy", "support_state": "candidate_supported", "annotation_state": "open", "mapping_basis": "WHO country-office annual report and WHO-MOH framework announcement", "source_projection_ids": [ "country-improvement-source:LBY:who-country-office-annual-report-2021", "country-improvement-source:LBY:who-moh-collaboration-framework-2026" ], "typed_fields": { "reported": "WHO Annual Report 2021, published 2022, describes a Ministry workforce strategy for 2022-2030 and intended initial municipal implementation.", "formal": "WHO's 2026 announcement records a signed 2026-2027 Ministry-WHO technical-cooperation framework.", "boundary": "Neither source verifies implementation or outcome of the workforce strategy or framework." }, "analytical_objects": { "reform_events": [ { "event_id": "lby-workforce-strategy-2022-2030", "label": "Reported Ministry workforce strategy", "year": 2022, "status": "WHO's 2021 annual report describes a strategy spanning 2022-2030; implementation is not established by this source.", "display_claim_ids": [ "display-claim:f135332135e4d92d89a795f1" ], "display_source_ids": [ "display-source:LBY:aefd76dbd6eb8f78bfc92648", "display-source:LBY:d4471a22f52238b0438695a5" ], "source_version_ids": [ "display-source-version:21d771dd20d5b7f3abd65c58", "display-source-version:acf240b01c73f073c0e9ec0d" ], "display_evidence_object_id": "display-claim:f135332135e4d92d89a795f1" }, { "event_id": "lby-who-moh-framework-2026-2027", "label": "WHO-Ministry Strategic Collaboration Framework", "year": 2026, "status": "WHO announcement records a signed framework for 2026-2027; delivery results are not established by the announcement.", "display_claim_ids": [ "display-claim:20388385c2ad22d1c2c44d89" ], "display_source_ids": [ "display-source:LBY:aefd76dbd6eb8f78bfc92648", "display-source:LBY:d4471a22f52238b0438695a5" ], "source_version_ids": [ "display-source-version:21d771dd20d5b7f3abd65c58", "display-source-version:acf240b01c73f073c0e9ec0d" ], "display_evidence_object_id": "display-claim:20388385c2ad22d1c2c44d89" } ] }, "title": "Reported workforce strategy and signed cooperation framework", "statement": "The wave distinguishes a WHO-reported 2022-2030 workforce strategy from the separately documented 2026-2027 WHO-Ministry framework, without assuming implementation.", "citation": "WHO EMRO, Strategic Collaboration Framework announcement, 5 May 2026; WHO EMRO, Annual Report 2021 (published 2022).", "url": "https://www.emro.who.int/lby/libya-news/who-and-libyas-ministry-of-health-sign-strategic-collaboration-framework-to-strengthen-the-national-health-system.html?format=html", "locator": "Framework Fulltext: 'Tripoli, Libya – 5 May 2026' and 'signed a Strategic Collaboration Framework for 2026-2027'; Annual Report physical PDF page 13, Health care workforce.", "period": "2022-2030 reported strategy and 2026-2027 signed framework", "territory": "Libya", "evidence_mode_candidate": "reported", "verification_source_layer": "official", "source_version": { "response_sha256": "8842127f264084088fd4f3b1585ce87f3cdb69fd3e312da1b176c8743e727075", "detected_media_type": "text/html", "hash_verified": true, "retrieved_at": "2026-08-21" }, "coverage_domains": [ "reform_history", "actors", "government_responsibilities", "facility_data", "governance" ], "source_references": [ { "title": "Annual Report 2021", "citation": "World Health Organization Regional Office for the Eastern Mediterranean. Annual Report 2021. Cairo: WHO EMRO; 2022.", "url": "https://applications.emro.who.int/docs/9789290211099-eng.pdf", "locator": { "locator_type": "pdf_page_section", "physical_pdf_pages": [ 13 ], "sections": [ "Health care workforce" ], "source_word_anchor": "the Ministry of Health published its strategy", "source_word_count": 7 }, "source_version": { "file_sha256": "41cc8408a6d75708fd0dbbfefae1a0a371007faafa5e55bef1b1b3514c7b3116", "response_sha256": "41cc8408a6d75708fd0dbbfefae1a0a371007faafa5e55bef1b1b3514c7b3116", "detected_media_type": "application/pdf", "hash_verified": true, "retrieved_at": "2026-08-21" }, "source_projection_id": "country-improvement-source:LBY:who-country-office-annual-report-2021", "display_source_id": "display-source:LBY:aefd76dbd6eb8f78bfc92648", "source_version_id": "display-source-version:21d771dd20d5b7f3abd65c58" }, { "title": "WHO and Libya's Ministry of Health Sign Strategic Collaboration Framework to Strengthen the National Health System", "citation": "World Health Organization Eastern Mediterranean Regional Office. WHO and Libya's Ministry of Health Sign Strategic Collaboration Framework to Strengthen the National Health System. 5 May 2026.", "url": "https://www.emro.who.int/lby/libya-news/who-and-libyas-ministry-of-health-sign-strategic-collaboration-framework-to-strengthen-the-national-health-system.html?format=html", "locator": { "locator_type": "web_page_anchor", "sections": [ "Fulltext" ], "source_word_anchor": "signed a Strategic Collaboration Framework for 2026–2027", "source_word_count": 7 }, "source_version": { "response_sha256": "8842127f264084088fd4f3b1585ce87f3cdb69fd3e312da1b176c8743e727075", "detected_media_type": "text/html", "hash_verified": true, "retrieved_at": "2026-08-21" }, "source_projection_id": "country-improvement-source:LBY:who-moh-collaboration-framework-2026", "display_source_id": "display-source:LBY:d4471a22f52238b0438695a5", "source_version_id": "display-source-version:acf240b01c73f073c0e9ec0d" } ], "display_source_ids": [ "display-source:LBY:aefd76dbd6eb8f78bfc92648", "display-source:LBY:d4471a22f52238b0438695a5" ], "source_version_ids": [ "display-source-version:21d771dd20d5b7f3abd65c58", "display-source-version:acf240b01c73f073c0e9ec0d" ], "display_claim_ids": [ "display-claim:f4869794c976da4aaa0d2090", "display-claim:f135332135e4d92d89a795f1", "display-claim:20388385c2ad22d1c2c44d89" ], "display_evidence_object_id": "display-claim:f4869794c976da4aaa0d2090", "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:LBY:3fdebd326861ad9ebab2", "evidence_layer": "candidate_source_metadata", "evidence_layers": [ "candidate_source_metadata" ], "source_layers": [ "candidate_source_metadata" ], "source_type": "candidate source metadata", "display_eligible": true, "title": "Proceedings of the Libya Local Government Forum", "citation": "World Bank Documents and Reports. Proceedings of the Libya Local Government Forum. World Bank Documents and Reports; 2021. https://documents.worldbank.org/curated/en/889311615360771327/pdf/Proceedings-of-the-Libya-Local-Government-Forum.pdf", "citation_string": "World Bank Documents and Reports. Proceedings of the Libya Local Government Forum. World Bank Documents and Reports; 2021. https://documents.worldbank.org/curated/en/889311615360771327/pdf/Proceedings-of-the-Libya-Local-Government-Forum.pdf", "citation_status": "supplied", "citation_provenance": "source metadata", "url": "https://documents.worldbank.org/curated/en/889311615360771327/pdf/Proceedings-of-the-Libya-Local-Government-Forum.pdf", "publication_year": 2021, "source_families": [ "global_literature" ], "channels": [ "grey_library" ], "verification_source_layer": "grey_literature", "coverage_domains": [ "governance", "primary_care" ], "url_verification_status": null, "source_version": { "file_sha256": null, "text_sha256": null, "response_sha256": null, "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": "LBY", "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": 26, "numerator": 25, "score": 96, "unit": "material records with an exact locator" }, "material_url_coverage": { "denominator": 26, "numerator": 26, "score": 100, "unit": "material records with at least one public URL" }, "material_version_coverage": { "denominator": 26, "numerator": 26, "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:f2a4c98402cf5e63a1cce5da", "material:d14967f3b9d0606a1067d461", "material:cce033f10efe9e8f6a7b2099", "material:ca6de0fe8d527ec71cb8a639", "material:c9af37823949b4727886a697" ], "full_scorecard_url": "https://wb-works.site/tools/health-organization/data/evidence-scorecards.json" }, "materials": [ { "analytical_mapping": { "mapping_basis": "dated World Bank historical review and local-government forum perspective", "mapping_group": "delivery_and_referrals", "mapping_id": "candidate-mapping:LBY:delivery-referrals:provider-market-boundary", "source_projection_ids": [ "country-improvement-source:LBY:world-bank-public-expenditure-review-2009", "country-improvement-source:LBY:world-bank-local-government-forum-2021" ], "support_state": "candidate_supported", "target_slot": "provider-market-boundary", "target_view": "public-private", "typed_fields": { "boundary": "Neither source establishes a current national ownership share, market composition, contracting arrangement or active division of authority.", "reported": "The 2009 review describes historical public and private provision. The 2021 forum proceedings discuss a proposed intergovernmental division of central and local functions." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank, Public Expenditure Review, 2009; Schaeffer, Lassoued and Ouelhazi, Proceedings of the Libya Local Government Forum, 2021.", "country_ids": [ "LBY" ], "coverage_domains": [ "decision_rights", "governance", "government_responsibilities", "market_structure", "ownership" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "Public Expenditure Review physical PDF page 114, section 6.17; Local Government Forum physical PDF page 34, Paper 13." }, "material_id": "material:5bc26b11a763b265548d0bd5", "notes": [], "origin": "candidate-analytical-mappings", "period": "2009 review and 2019 forum revised for publication in 2021", "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": { "file_sha256": "31283afe21a358d5e3b575a96e4dcfe269cc60c312628695b0455ae92481049c" }, "statement": "Historical and perspective sources do not support a current national public-private ownership or market-composition claim.", "tags": [], "territory": "Libya", "title": "Current provider-market composition remains unclassified", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents1.worldbank.org/curated/en/889311615360771327/pdf/Proceedings-of-the-Libya-Local-Government-Forum.pdf" }, { "kind": "source_reference", "source": "Socialist People's Libyan Arab Jamahiriya: A Public Expenditure Review, Volume II: Main Report", "url": "https://documents1.worldbank.org/curated/en/627191468055513565/pdf/450190ESW0v20P0374322B00PUBLIC00PER.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "dated World Development Indicators APIs", "mapping_group": "delivery_and_referrals", "mapping_id": "candidate-mapping:LBY:delivery-referrals:dated-national-capacity-series", "source_projection_ids": [ "country-improvement-source:LBY:world-bank-hospital-beds-2026", "country-improvement-source:LBY:world-bank-physicians-2026", "country-improvement-source:LBY:world-bank-nurses-midwives-2026" ], "support_state": "candidate_supported", "target_slot": "dated-national-capacity-series", "target_view": "delivery", "typed_fields": { "boundary": "These indicators are not measures of ownership, management authority, referral completion, service quality, facility readiness or patient flow.", "observed": "The retrieved APIs provide dated national hospital-bed, physician-density and nurse-and-midwife-density series. The latest non-null retrieved bed observation is 2022, while the latest retrieved physician and nurse-and-midwife observations are 2017." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank WDI, Hospital beds, Physicians, and Nurses and midwives (per 1,000 people), Libya; retrieved 2026-08-21 to 2026-08-22.", "country_ids": [ "LBY" ], "coverage_domains": [ "facility_data", "hospital_organization", "patient_flows", "primary_care", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": null, "institution": null, "locator": { "description": "SH.MED.BEDS.ZS, 2022 observation; SH.MED.PHYS.ZS and SH.MED.NUMW.P3, 2017 observations." }, "material_id": "material:5de0c8920a7b3a4bb395738c", "notes": [], "origin": "candidate-analytical-mappings", "period": "Dated national indicator series retrieved 2026-08-21 to 2026-08-22", "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": { "response_sha256": "de17fd5b4cd0f330875c3475c234c55708befe84bd0da77ff8da999bff8a1f40" }, "statement": "World Bank APIs provide dated national bed-, physician-, and nurse-and-midwife-density series without a provider-organization or care-pathway denominator.", "tags": [], "territory": "Libya", "title": "Dated national capacity context", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://api.worldbank.org/v2/country/LBY/indicator/SH.MED.BEDS.ZS?format=json" }, { "kind": "source_reference", "source": "Physicians (per 1,000 people), Libya", "url": "https://api.worldbank.org/v2/country/LBY/indicator/SH.MED.PHYS.ZS?format=json" }, { "kind": "source_reference", "source": "Nurses and midwives (per 1,000 people), Libya", "url": "https://api.worldbank.org/v2/country/LBY/indicator/SH.MED.NUMW.P3?format=json" } ] }, { "analytical_mapping": { "mapping_basis": "evidence-mode and temporal-scope separation", "mapping_group": "time_and_reform", "mapping_id": "candidate-mapping:LBY:time-reform:formal-reported-observed-separation", "source_projection_ids": [ "country-improvement-source:LBY:who-moh-collaboration-framework-2026", "country-improvement-source:LBY:who-country-office-annual-report-2021", "country-improvement-source:LBY:world-bank-public-expenditure-review-2009", "country-improvement-source:LBY:world-bank-local-government-forum-2021", "country-improvement-source:LBY:rapid-primary-care-assessment-2024", "country-improvement-source:LBY:world-bank-hospital-beds-2026", "country-improvement-source:LBY:world-bank-physicians-2026", "country-improvement-source:LBY:world-bank-current-health-expenditure-2026" ], "support_state": "candidate_supported", "target_slot": "formal-reported-observed-separation", "target_view": "reforms", "typed_fields": { "boundary": "Formal, reported and observed materials have different periods, territories and inferential scope; none is converted to a canonical claim.", "formal": "The WHO announcement records a signed 2026-2027 Ministry-WHO framework.", "observed": "The World Bank APIs provide dated national capacity and aggregate-expenditure measurements, with the retrieved non-null observations retaining their source years.", "reported": "The WHO annual report, World Bank reports and rapid assessment provide time-bounded reported descriptions, proposals and review findings." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "WHO EMRO, Strategic Collaboration Framework announcement, 5 May 2026; WHO EMRO, Annual Report 2021 (published 2022); World Bank, 2009 and 2021; Allen et al., 2024; World Bank WDI, retrieved 2026-08-21 to 2026-08-22.", "country_ids": [ "LBY" ], "coverage_domains": [ "authoritative_review", "facility_data", "governance", "market_structure", "observed_referral", "reform_history", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "Framework Fulltext: 'Tripoli, Libya – 5 May 2026' and 'signed a Strategic Collaboration Framework for 2026-2027'; WHO annual report physical PDF page 13; World Bank review physical PDF pages 113-117; Local Government Forum physical PDF page 34; rapid assessment Methods and Findings; SH.MED.BEDS.ZS, SH.MED.PHYS.ZS and SH.XPD.CHEX.GD.ZS APIs." }, "material_id": "material:607f80fc358bec7d7c77bc2b", "notes": [], "origin": "candidate-analytical-mappings", "period": "2009-2026 source periods; individual observations and assessments retain their stated 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": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "8842127f264084088fd4f3b1585ce87f3cdb69fd3e312da1b176c8743e727075" }, "statement": "The Libya wave keeps the signed framework, reported historical and review material, and observed indicator series separate rather than merging them into a current system claim.", "tags": [], "territory": "Libya, with each source's stated national or assessment scope retained", "title": "Formal, reported and observed evidence remain separate", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.emro.who.int/lby/libya-news/who-and-libyas-ministry-of-health-sign-strategic-collaboration-framework-to-strengthen-the-national-health-system.html?format=html" }, { "kind": "source_reference", "source": "Annual Report 2021", "url": "https://applications.emro.who.int/docs/9789290211099-eng.pdf" }, { "kind": "source_reference", "source": "Socialist People's Libyan Arab Jamahiriya: A Public Expenditure Review, Volume II: Main Report", "url": "https://documents1.worldbank.org/curated/en/627191468055513565/pdf/450190ESW0v20P0374322B00PUBLIC00PER.pdf" }, { "kind": "source_reference", "source": "Proceedings of the Libya Local Government Forum", "url": "https://documents1.worldbank.org/curated/en/889311615360771327/pdf/Proceedings-of-the-Libya-Local-Government-Forum.pdf" }, { "kind": "source_reference", "source": "A rapid mixed-methods assessment of Libya's primary care system", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC11167861/fullTextXML" }, { "kind": "source_reference", "source": "Hospital beds (per 1,000 people), Libya", "url": "https://api.worldbank.org/v2/country/LBY/indicator/SH.MED.BEDS.ZS?format=json" }, { "kind": "source_reference", "source": "Physicians (per 1,000 people), Libya", "url": "https://api.worldbank.org/v2/country/LBY/indicator/SH.MED.PHYS.ZS?format=json" }, { "kind": "source_reference", "source": "Current health expenditure (% of GDP), Libya", "url": "https://api.worldbank.org/v2/country/LBY/indicator/SH.XPD.CHEX.GD.ZS?format=json" } ] }, { "analytical_mapping": { "mapping_basis": "WHO 2007 Health Systems Profile and World Bank 2009 public expenditure review", "mapping_group": "actors_and_functions", "mapping_id": "candidate-mapping:LBY:actors-functions:historical-provider-structure", "source_projection_ids": [ "country-improvement-source:LBY:who-health-systems-profile-2007", "country-improvement-source:LBY:world-bank-public-expenditure-review-2009" ], "support_state": "candidate_supported", "target_slot": "historical-provider-structure", "target_view": "public-private", "typed_fields": { "boundary": "Neither historical review establishes current provider-market composition, ownership shares, hospital management or operating arrangements.", "reported": "The 2007 WHO Health Systems Profile reports public-sector organization, while the 2009 World Bank review describes public and private provision across three care levels in its historical account." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Health Organization Regional Office for the Eastern Mediterranean, Health Systems Profile - Libya, 2007; World Bank, Socialist People's Libyan Arab Jamahiriya: A Public Expenditure Review, Volume II, 2009.", "country_ids": [ "LBY" ], "coverage_domains": [ "hospital_organization", "market_structure", "ownership", "primary_care", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "WHO Health Systems Profile physical PDF page 29, section 4.2: 'All hospitals are managed by secretariats of health at Shabiat'; World Bank review physical PDF page 114, section 6.17: 'The health system operates on three main levels'." }, "material_id": "material:55eac2cbd3f9a2e9e14871df", "notes": [], "origin": "candidate-analytical-mappings", "period": "WHO profile 2007 and World Bank report 2009; both historical pre-2011 descriptions", "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": [ "review_literature" ], "source_system": null, "source_version": { "file_sha256": "fffc57817b1d71b6cfbeaa6c10ead8c2b5f535832b9b7dffe449da25c62e6e45", "response_sha256": "fffc57817b1d71b6cfbeaa6c10ead8c2b5f535832b9b7dffe449da25c62e6e45" }, "statement": "The 2007 WHO profile and 2009 World Bank review provide only historical organizational and public-private delivery context.", "tags": [], "territory": "Libya", "title": "Historical public-private delivery description", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ecoi.net/en/file/local/1060276/1228_1216906368_libya.pdf" }, { "kind": "source_reference", "source": "Socialist People's Libyan Arab Jamahiriya: A Public Expenditure Review, Volume II: Main Report", "url": "https://documents1.worldbank.org/curated/en/627191468055513565/pdf/450190ESW0v20P0374322B00PUBLIC00PER.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "source-scope boundary in rapid mixed-methods primary-care assessment", "mapping_group": "relationships_and_networks", "mapping_id": "candidate-mapping:LBY:relationships-networks:referral-observation-boundary", "source_projection_ids": [ "country-improvement-source:LBY:rapid-primary-care-assessment-2024" ], "support_state": "candidate_supported", "target_slot": "referral-observation-boundary", "target_view": "referrals", "typed_fields": { "boundary": "The assessment describes pathway design and continuity concerns, but does not provide a nationally representative observed referral completion, travel, wait-time or patient-flow series." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Allen et al., A rapid mixed-methods assessment of Libya's primary care system, 2024.", "country_ids": [ "LBY" ], "coverage_domains": [ "facility_data", "observed_referral", "patient_flows", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "Findings, Service delivery; the assessment reports pathway features but no national referral-completion denominator." }, "material_id": "material:58dd6a7ba11480d739b42cd1", "notes": [], "origin": "candidate-analytical-mappings", "period": "Assessment commissioned in 2021; article published 2024", "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": "application/xml", "response_sha256": "3d6f5707a8bcd59eabc61e33052c31af920b48cdc2cf2eb16d783e9b34b17f0c" }, "statement": "This source set supports a reported pathway description, not an observed national referral-flow estimate.", "tags": [], "territory": "Libya", "title": "Observed referral flow remains unmeasured in this wave", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC11167861/fullTextXML" } ] }, { "analytical_mapping": { "mapping_basis": "2021 rapid mixed-methods primary-care assessment", "mapping_group": "decision_rights_and_autonomy", "mapping_id": "candidate-mapping:LBY:decision-autonomy:reported-municipal-district-management", "source_projection_ids": [ "country-improvement-source:LBY:rapid-primary-care-assessment-2024" ], "support_state": "candidate_supported", "target_slot": "reported-municipal-district-management", "target_view": "decisions", "typed_fields": { "boundary": "This reported 2021 assessment description is not a current legal decision-rights register and does not specify all authority lines.", "reported": "The assessment reports that municipalities manage public primary-care facilities and district secretariats manage hospitals, including specialized hospitals." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Allen et al., A rapid mixed-methods assessment of Libya's primary care system, 2024.", "country_ids": [ "LBY" ], "coverage_domains": [ "actors", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "Findings, System, Governance and leadership: 'The Municipality (Baladya) manages the primary care facilities'." }, "material_id": "material:fd789585546e9733b602d11f", "notes": [], "origin": "candidate-analytical-mappings", "period": "Assessment commissioned in 2021; article published 2024", "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": "application/xml", "response_sha256": "3d6f5707a8bcd59eabc61e33052c31af920b48cdc2cf2eb16d783e9b34b17f0c" }, "statement": "The 2021 assessment reports municipal management of public primary-care facilities and district-secretariat management of hospitals, without providing a legal or current authority matrix.", "tags": [], "territory": "Libya's public primary-care and hospital system", "title": "Reported municipal and district management roles", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC11167861/fullTextXML" } ] }, { "analytical_mapping": { "mapping_basis": "2021 rapid mixed-methods primary-care assessment", "mapping_group": "relationships_and_networks", "mapping_id": "candidate-mapping:LBY:relationships-networks:reported-open-access-pathway", "source_projection_ids": [ "country-improvement-source:LBY:rapid-primary-care-assessment-2024" ], "support_state": "candidate_supported", "target_slot": "reported-open-access-pathway", "target_view": "referrals", "typed_fields": { "boundary": "This is not an observed nationally representative patient-flow or referral-completion measure.", "reported": "The assessment reports that patients could present to virtually any public or private facility and care level without referral or registration, and notes weak continuity and feedback to primary-care teams." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Allen et al., A rapid mixed-methods assessment of Libya's primary care system, 2024.", "country_ids": [ "LBY" ], "coverage_domains": [ "networks", "observed_referral", "patient_flows", "primary_care", "referral_design", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "Findings, Service delivery: 'Patients are able to present to virtually any public or private facility' and 'secondary care is not expected to inform PHC teams'." }, "material_id": "material:ef7d72b38f141ae80ed3d15e", "notes": [], "origin": "candidate-analytical-mappings", "period": "Assessment commissioned in 2021; article published 2024", "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": "application/xml", "response_sha256": "3d6f5707a8bcd59eabc61e33052c31af920b48cdc2cf2eb16d783e9b34b17f0c" }, "statement": "The assessment reports an open-access pathway and weak primary-secondary feedback, but supplies no national observed referral-completion denominator.", "tags": [], "territory": "Libya's public and private care pathway as assessed in 2021", "title": "Reported open-access pathway and weak continuity", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC11167861/fullTextXML" } ] }, { "analytical_mapping": { "mapping_basis": "2021 rapid mixed-methods primary-care assessment", "mapping_group": "decision_rights_and_autonomy", "mapping_id": "candidate-mapping:LBY:decision-autonomy:reported-primary-care-autonomy", "source_projection_ids": [ "country-improvement-source:LBY:rapid-primary-care-assessment-2024" ], "support_state": "candidate_supported", "target_slot": "reported-primary-care-autonomy", "target_view": "autonomy", "typed_fields": { "boundary": "These reported findings are limited to the assessment period and primary-care facilities; they do not classify hospital autonomy or provide a current national score.", "reported": "The assessment reports that primary-care facilities had no autonomy to change personnel structure and did not have high control over funds." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Allen et al., A rapid mixed-methods assessment of Libya's primary care system, 2024.", "country_ids": [ "LBY" ], "coverage_domains": [ "autonomy", "decision_rights", "governance", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "Findings, Human resources and Facility funds: 'PHC facilities have no autonomy in changing their personnel structure' and 'Facilities do not have a high degree of control over their funds'." }, "material_id": "material:b91f6b7d8737d2c33960e946", "notes": [], "origin": "candidate-analytical-mappings", "period": "Assessment commissioned in 2021; article published 2024", "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": "application/xml", "response_sha256": "3d6f5707a8bcd59eabc61e33052c31af920b48cdc2cf2eb16d783e9b34b17f0c" }, "statement": "The assessment reports limited personnel and financial autonomy for primary-care facilities, without supporting a current hospital-autonomy classification.", "tags": [], "territory": "Libya's public primary-care facilities", "title": "Reported primary-care autonomy constraints", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC11167861/fullTextXML" } ] }, { "analytical_mapping": { "mapping_basis": "WHO country-office annual report and WHO-MOH framework announcement", "mapping_group": "time_and_reform", "mapping_id": "candidate-mapping:LBY:time-reform:reported-workforce-strategy", "source_projection_ids": [ "country-improvement-source:LBY:who-country-office-annual-report-2021", "country-improvement-source:LBY:who-moh-collaboration-framework-2026" ], "support_state": "candidate_supported", "target_slot": "reported-workforce-strategy", "target_view": "reforms", "typed_fields": { "boundary": "Neither source verifies implementation or outcome of the workforce strategy or framework.", "formal": "WHO's 2026 announcement records a signed 2026-2027 Ministry-WHO technical-cooperation framework.", "reported": "WHO Annual Report 2021, published 2022, describes a Ministry workforce strategy for 2022-2030 and intended initial municipal implementation." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "WHO EMRO, Strategic Collaboration Framework announcement, 5 May 2026; WHO EMRO, Annual Report 2021 (published 2022).", "country_ids": [ "LBY" ], "coverage_domains": [ "actors", "facility_data", "governance", "government_responsibilities", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "Framework Fulltext: 'Tripoli, Libya – 5 May 2026' and 'signed a Strategic Collaboration Framework for 2026-2027'; Annual Report physical PDF page 13, Health care workforce." }, "material_id": "material:8db7b1265fbe1ae02ebaefa8", "notes": [], "origin": "candidate-analytical-mappings", "period": "2022-2030 reported strategy and 2026-2027 signed framework", "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": "text/html", "response_sha256": "8842127f264084088fd4f3b1585ce87f3cdb69fd3e312da1b176c8743e727075" }, "statement": "The wave distinguishes a WHO-reported 2022-2030 workforce strategy from the separately documented 2026-2027 WHO-Ministry framework, without assuming implementation.", "tags": [], "territory": "Libya", "title": "Reported workforce strategy and signed cooperation framework", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.emro.who.int/lby/libya-news/who-and-libyas-ministry-of-health-sign-strategic-collaboration-framework-to-strengthen-the-national-health-system.html?format=html" }, { "kind": "source_reference", "source": "Annual Report 2021", "url": "https://applications.emro.who.int/docs/9789290211099-eng.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "WHO announcement of signed Strategic Collaboration Framework", "mapping_group": "actors_and_functions", "mapping_id": "candidate-mapping:LBY:actors-functions:who-moh-framework", "source_projection_ids": [ "country-improvement-source:LBY:who-moh-collaboration-framework-2026" ], "support_state": "candidate_supported", "target_slot": "who-moh-framework", "target_view": "functions", "typed_fields": { "boundary": "The announcement does not identify a complete operating actor map or transfer of formal domestic decision rights.", "formal": "WHO and Libya's Ministry of Health signed a 2026-2027 framework for technical cooperation in health-system reform and primary-care strengthening." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "WHO EMRO, WHO and Libya's Ministry of Health Sign Strategic Collaboration Framework to Strengthen the National Health System, 5 May 2026.", "country_ids": [ "LBY" ], "coverage_domains": [ "actors", "governance", "government_responsibilities", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Fulltext: 'Tripoli, Libya – 5 May 2026' and 'signed a Strategic Collaboration Framework for 2026-2027'." }, "material_id": "material:7ff136534d24bf8fdf5ba7ed", "notes": [], "origin": "candidate-analytical-mappings", "period": "2026-2027 framework signed 5 May 2026", "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": "text/html", "response_sha256": "8842127f264084088fd4f3b1585ce87f3cdb69fd3e312da1b176c8743e727075" }, "statement": "A WHO announcement documents a signed 2026-2027 framework for Ministry-WHO technical cooperation, without defining the full domestic operating structure.", "tags": [], "territory": "Libya", "title": "WHO and Ministry technical-cooperation framework", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.emro.who.int/lby/libya-news/who-and-libyas-ministry-of-health-sign-strategic-collaboration-framework-to-strengthen-the-national-health-system.html?format=html" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Allen LN, Wild CEK, Loffreda G, et al. A rapid mixed-methods assessment of Libya's primary care system. BMC Health Services Research. 2024;24:721. doi:10.1186/s12913-024-11121-w.", "country_ids": [ "LBY" ], "coverage_domains": [ "actors", "authoritative_review", "autonomy", "decision_rights", "facility_data", "governance", "government_responsibilities", "hospital_organization", "networks", "observed_referral", "ownership", "patient_flows", "primary_care", "referral_design", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "The Municipality (Baladya) manages the primary care facilities", "institution": "BMC Health Services Research", "locator": { "locator_type": "xml_sections", "source_word_anchor": "The Municipality (Baladya) manages the primary care facilities", "source_word_count": 8 }, "material_id": "material:28d1e635e1720e8244774ae8", "notes": [ "This is a genuine review-containing mixed-methods assessment, not a current legal register or nationally representative patient-flow study. Preserve its 2021 assessment period and do not convert interview or review findings into formal authority." ], "origin": "country-evidence-improvement-sources", "period": "Rapid assessment commissioned in 2021; published 2024. Its document review covered national documents published since 2011.", "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": "3d6f5707a8bcd59eabc61e33052c31af920b48cdc2cf2eb16d783e9b34b17f0c" }, "statement": "The mixed-methods review reports a municipal primary-care and district-hospital management description, low primary-care facility autonomy, and an open-access pathway with weak continuity; findings remain bounded to its 2021 assessment and inputs.", "tags": [], "territory": "Libya's public primary-care system; interviews involved six senior policymakers in spring 2021 and the article distinguishes cited national material from interview findings.", "title": "A rapid mixed-methods assessment of Libya's primary care system", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC11167861/fullTextXML" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Health Organization Regional Office for the Eastern Mediterranean. Annual Report 2021. Cairo: WHO EMRO; 2022.", "country_ids": [ "LBY" ], "coverage_domains": [ "actors", "facility_data", "governance", "government_responsibilities", "market_structure", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "the Ministry of Health published its strategy", "institution": "World Health Organization Regional Office for the Eastern Mediterranean", "locator": { "locator_type": "pdf_page_section", "source_word_anchor": "the Ministry of Health published its strategy", "source_word_count": 7 }, "material_id": "material:4e45a7f425909f164dd569b7", "notes": [ "This annual report describes a reported strategy and intended scale-up, not verified implementation in every municipality or a current staffing distribution." ], "origin": "country-evidence-improvement-sources", "period": "Annual Report 2021, published 2022; it reports a Ministry workforce strategy spanning 2022-2030.", "publication_date": null, "publication_year": 2022, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "41cc8408a6d75708fd0dbbfefae1a0a371007faafa5e55bef1b1b3514c7b3116", "response_sha256": "41cc8408a6d75708fd0dbbfefae1a0a371007faafa5e55bef1b1b3514c7b3116" }, "statement": "The WHO annual report states that, with WHO support, the Ministry of Health published a 2022-2030 workforce strategy and describes its planned initial implementation in five municipalities.", "tags": [], "territory": "Libya; the reported strategy envisaged initial implementation in five selected municipalities before national scale-up.", "title": "Annual Report 2021", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://applications.emro.who.int/docs/9789290211099-eng.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank. World Development Indicators, Current health expenditure (% of GDP), Libya. Retrieved 2026-08-22.", "country_ids": [ "LBY" ], "coverage_domains": [ "governance", "reform_history", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "Current health expenditure (% of GDP)", "institution": "World Bank", "locator": { "locator_type": "api_resource", "source_word_anchor": "Current health expenditure (% of GDP)", "source_word_count": 6 }, "material_id": "material:c9af37823949b4727886a697", "notes": [ "This aggregate expenditure indicator does not establish public financing share, purchasing arrangements, allocation authority, provider payment, benefit coverage or service use." ], "origin": "country-evidence-improvement-sources", "period": "Dated series retrieved 2026-08-22; latest non-null observation in the retrieved response is 2023.", "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": "459a240a4b5cc304808559a2c1c89559ddb4eac99288d479ca43d29d647cccf7" }, "statement": "The World Bank API supplies a dated national current-health-expenditure-as-GDP series for Libya, including a 2023 observation; it does not identify purchaser or provider arrangements.", "tags": [], "territory": "National indicator series for Libya.", "title": "Current health expenditure (% of GDP), Libya", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://api.worldbank.org/v2/country/LBY/indicator/SH.XPD.CHEX.GD.ZS?format=json" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Health Organization Regional Office for the Eastern Mediterranean. Health Systems Profile - Libya. Eastern Mediterranean Regional Health Systems Observatory; 2007.", "country_ids": [ "LBY" ], "coverage_domains": [ "actors", "governance", "government_responsibilities", "hospital_organization", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "All hospitals are managed by secretariats of health at Shabiat", "institution": "World Health Organization Regional Office for the Eastern Mediterranean, Eastern Mediterranean Regional Health Systems Observatory", "locator": { "locator_type": "pdf_page_section", "source_word_anchor": "All hospitals are managed by secretariats of health at Shabiat", "source_word_count": 10 }, "material_id": "material:f2a4c98402cf5e63a1cce5da", "notes": [ "Treat this as a historical Health Systems Profile. Do not infer current hospital management, legal authority, ownership shares, provider autonomy, or post-2011 implementation." ], "origin": "country-evidence-improvement-sources", "period": "Health Systems Profile published 2007; organization description predates the 2011 conflict.", "publication_date": null, "publication_year": 2007, "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/pdf", "file_sha256": "fffc57817b1d71b6cfbeaa6c10ead8c2b5f535832b9b7dffe449da25c62e6e45", "response_sha256": "fffc57817b1d71b6cfbeaa6c10ead8c2b5f535832b9b7dffe449da25c62e6e45" }, "statement": "The Health Systems Profile reports historical public-sector organization, including Shabiat-level management of most hospitals and specified centrally run exceptions; it is not current authority or implementation evidence.", "tags": [], "territory": "Libya; the profile documents the pre-2011 health-system organization.", "title": "Health Systems Profile - Libya", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ecoi.net/en/file/local/1060276/1228_1216906368_libya.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank. World Development Indicators, Hospital beds (per 1,000 people), Libya. Retrieved 2026-08-21.", "country_ids": [ "LBY" ], "coverage_domains": [ "facility_data", "hospital_organization", "patient_flows", "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:cce033f10efe9e8f6a7b2099", "notes": [ "Bed density does not establish bed ownership, service quality, provider management, referral completion, patient flows or a current facility census." ], "origin": "country-evidence-improvement-sources", "period": "Dated series retrieved 2026-08-21; latest non-null observation in the retrieved response is 2022.", "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": "de17fd5b4cd0f330875c3475c234c55708befe84bd0da77ff8da999bff8a1f40" }, "statement": "The World Bank API supplies a dated national hospital-bed-density series for Libya, including a 2022 observation; it is a capacity indicator rather than an organization or pathway measure.", "tags": [], "territory": "National indicator series for Libya.", "title": "Hospital beds (per 1,000 people), Libya", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://api.worldbank.org/v2/country/LBY/indicator/SH.MED.BEDS.ZS?format=json" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank. World Development Indicators, Nurses and midwives (per 1,000 people), Libya. Retrieved 2026-08-22.", "country_ids": [ "LBY" ], "coverage_domains": [ "facility_data", "hospital_organization", "primary_care", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "Nurses and midwives (per 1,000 people)", "institution": "World Bank", "locator": { "locator_type": "api_resource", "source_word_anchor": "Nurses and midwives (per 1,000 people)", "source_word_count": 6 }, "material_id": "material:2b862da953d529b0c0fa19a8", "notes": [ "Nurse-and-midwife density does not establish staffing distribution, employer, clinical role, facility readiness, referral completion or current service quality." ], "origin": "country-evidence-improvement-sources", "period": "Dated series retrieved 2026-08-22; latest non-null observation in the retrieved response is 2017.", "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": "700c6b1c7d422834c132c24ee9a757212bceabb15641a055f594701318c4dbb1" }, "statement": "The World Bank API supplies a dated national nurse-and-midwife-density series for Libya, with the latest non-null observation in the retrieved response dated 2017.", "tags": [], "territory": "National indicator series for Libya.", "title": "Nurses and midwives (per 1,000 people), Libya", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://api.worldbank.org/v2/country/LBY/indicator/SH.MED.NUMW.P3?format=json" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank. World Development Indicators, Physicians (per 1,000 people), Libya. Retrieved 2026-08-21.", "country_ids": [ "LBY" ], "coverage_domains": [ "facility_data", "hospital_organization", "primary_care", "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:d14967f3b9d0606a1067d461", "notes": [ "Physician density does not allocate staffing authority, establish workforce availability by facility type, or establish a current service-delivery composition." ], "origin": "country-evidence-improvement-sources", "period": "Dated series retrieved 2026-08-21; latest non-null observation in the retrieved response is 2017.", "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": "5ffa6c77009ac3c30e6a576f70f4f619e9424b6382a2aca0fbad78b60e6547a9" }, "statement": "The World Bank API supplies a dated national physician-density series for Libya, with the latest non-null observation in the retrieved response dated 2017.", "tags": [], "territory": "National indicator series for Libya.", "title": "Physicians (per 1,000 people), Libya", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://api.worldbank.org/v2/country/LBY/indicator/SH.MED.PHYS.ZS?format=json" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Schaeffer M, Lassoued M, Ouelhazi Z, eds. Proceedings of the Libya Local Government Forum. Tunis, 14-16 September 2019; revised for publication January 2021. World Bank.", "country_ids": [ "LBY" ], "coverage_domains": [ "actors", "autonomy", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "networks", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "there is a very large central role to be played", "institution": "World Bank", "locator": { "locator_type": "pdf_page_section", "source_word_anchor": "there is a very large central role to be played", "source_word_count": 10 }, "material_id": "material:500be673e9a0a4207616e84b", "notes": [ "Treat the forum paper as a dated perspective and proposed division of functions. It does not demonstrate that any stated local or central role was implemented or uniformly applied." ], "origin": "country-evidence-improvement-sources", "period": "Forum held 14-16 September 2019; proceedings revised for publication January 2021.", "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": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "31283afe21a358d5e3b575a96e4dcfe269cc60c312628695b0455ae92481049c", "response_sha256": "31283afe21a358d5e3b575a96e4dcfe269cc60c312628695b0455ae92481049c" }, "statement": "The proceedings describe a decentralization perspective in which central and local health functions require intergovernmental coordination, while discussing conflict-era service-delivery conditions.", "tags": [], "territory": "Libya; the health-sector paper is a decentralization perspective, not an enacted current authority register.", "title": "Proceedings of the Libya Local Government Forum", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents1.worldbank.org/curated/en/889311615360771327/pdf/Proceedings-of-the-Libya-Local-Government-Forum.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank. Socialist People's Libyan Arab Jamahiriya: A Public Expenditure Review, Volume II: Main Report. Report No. 45019-LY. 30 September 2009.", "country_ids": [ "LBY" ], "coverage_domains": [ "actors", "autonomy", "decision_rights", "facility_data", "governance", "government_responsibilities", "hospital_organization", "market_structure", "networks", "patient_flows", "primary_care", "referral_design", "reform_history", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "The health system operates on three main levels", "institution": "World Bank", "locator": { "locator_type": "pdf_page_section", "source_word_anchor": "The health system operates on three main levels", "source_word_count": 8 }, "material_id": "material:ca6de0fe8d527ec71cb8a639", "notes": [ "Do not project this 2009 pre-conflict institutional description, facility count, legal arrangement, referral finding, autonomy observation or public-private composition into current Libya." ], "origin": "country-evidence-improvement-sources", "period": "World Bank report dated 30 September 2009; health-sector descriptions cite predominantly 2005-2008 material.", "publication_date": null, "publication_year": 2009, "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": "e49f3bc0499871129e510bb78d7d99d85f790d28367ca0170860bd6d3ccf27d4", "response_sha256": "e49f3bc0499871129e510bb78d7d99d85f790d28367ca0170860bd6d3ccf27d4" }, "statement": "The 2009 review describes a three-level public and private delivery arrangement and contemporaneous uncertainty about functions, authority and accountability; it is historical context only.", "tags": [], "territory": "Libya; the report describes the pre-2011 system and its cited administrative arrangements.", "title": "Socialist People's Libyan Arab Jamahiriya: A Public Expenditure Review, Volume II: Main Report", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents1.worldbank.org/curated/en/627191468055513565/pdf/450190ESW0v20P0374322B00PUBLIC00PER.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Health Organization Eastern Mediterranean Regional Office. WHO and Libya's Ministry of Health Sign Strategic Collaboration Framework to Strengthen the National Health System. 5 May 2026.", "country_ids": [ "LBY" ], "coverage_domains": [ "actors", "governance", "government_responsibilities", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "signed a Strategic Collaboration Framework for 2026–2027", "institution": "World Health Organization Eastern Mediterranean Regional Office", "locator": { "locator_type": "web_page_anchor", "source_word_anchor": "signed a Strategic Collaboration Framework for 2026–2027", "source_word_count": 7 }, "material_id": "material:a7c2cf0584c19476234606de", "notes": [ "The announcement establishes a signed collaboration framework, not implementation, a statutory allocation of powers, or an observed service-delivery outcome." ], "origin": "country-evidence-improvement-sources", "period": "Framework signed 5 May 2026 for 2026-2027.", "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": "text/html", "response_sha256": "8842127f264084088fd4f3b1585ce87f3cdb69fd3e312da1b176c8743e727075" }, "statement": "WHO and Libya's Ministry of Health signed a 2026-2027 Strategic Collaboration Framework for technical cooperation, including health-system reform and primary-care strengthening.", "tags": [], "territory": "Libya", "title": "WHO and Libya's Ministry of Health Sign Strategic Collaboration Framework to Strengthen the National Health System", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.emro.who.int/lby/libya-news/who-and-libyas-ministry-of-health-sign-strategic-collaboration-framework-to-strengthen-the-national-health-system.html?format=html" } ] }, { "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank Documents and Reports. Proceedings of the Libya Local Government Forum. World Bank Documents and Reports; 2021. https://documents.worldbank.org/curated/en/889311615360771327/pdf/Proceedings-of-the-Libya-Local-Government-Forum.pdf", "country_ids": [ "LBY" ], "coverage_domains": [ "governance", "primary_care" ], "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": 6, "source_word_anchor": "Environment Perspectives on the Health Sector the Case of Libya 149 Zied", "source_word_count": 12 }, "material_id": "candidate-source:LBY:3fdebd326861ad9ebab2", "notes": [ "Public source projection retained as a distinct stage record.", "Immutable source-version metadata was retrieved from this exact public source URL in the priority traceability audit.", "A recoverable source locator was retrieved from this exact public source URL in the priority traceability audit." ], "origin": "current-public-source-projection", "period": null, "publication_date": null, "publication_year": 2021, "record_kind": "displayed_source_projection", "record_kind_label": "Displayed source projection", "screening": { "page_locator_linked_from_priority_acquisition": true, "previous_visibility": "previously_projected", "source_version_linked_from_priority_acquisition": true }, "source_layers": [ "candidate_source_metadata", "grey_literature" ], "source_system": "global_literature", "source_version": { "detected_media_type": "application/pdf", "page_count": 266, "response_sha256": "31283afe21a358d5e3b575a96e4dcfe269cc60c312628695b0455ae92481049c" }, "statement": null, "tags": [ "grey_library" ], "territory": null, "title": "Proceedings of the Libya Local Government Forum", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents.worldbank.org/curated/en/889311615360771327/pdf/Proceedings-of-the-Libya-Local-Government-Forum.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": { "url_status": "available" }, "citation": "World Bank Documents and Reports. Proceedings of the Libya Local Government Forum. World Bank Documents and Reports; 2021. https://documents.worldbank.org/curated/en/889311615360771327/pdf/Proceedings-of-the-Libya-Local-Government-Forum.pdf", "country_ids": [ "LBY" ], "coverage_domains": [ "governance", "primary_care" ], "display_status": "shown_in_full", "document_type": "technical report", "evidence_mode": null, "excerpt": null, "institution": "World Bank Documents and Reports", "locator": { "paragraph_index_on_page": 1, "physical_pdf_page": 6, "source_word_anchor": "Environment Perspectives on the Health Sector the Case of Libya 149 Zied", "source_word_count": 12 }, "material_id": "material:0d5defcf631f553833f2e97a", "notes": [ "Catalogue lead displayed in full for source and claim annotation.", "Catalogue geography, title matching, and taxonomy tags require human confirmation.", "No source bytes, exact locator, or atomic claim has been reviewed by the Health Organization registry.", "Grey literature does not by itself establish current formal authority.", "Catalogue ISO3 jurisdiction and an explicit metadata country alias in the title both matched.", "Catalogue document type: technical report.", "Catalogue has the Organization control-knob tag.", "Catalogue has organization-relevant topic tags: primary_care.", "Source family: global_literature.", "Title signal: governance.", "Published in 2020 or later.", "Immutable source-version metadata was retrieved from this exact public source URL in the priority traceability audit.", "A recoverable source locator was retrieved from this exact public source URL in the priority traceability audit." ], "origin": "global-grey-source-leads", "period": null, "publication_date": "2021-01-01", "publication_year": 2021, "record_kind": "grey_literature_source_lead", "record_kind_label": "Grey Literature Source Lead", "screening": { "candidate_status": "candidate", "page_locator_linked_from_priority_acquisition": true, "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "unreviewed", "source_version_linked_from_priority_acquisition": true, "status": "candidate", "triage_status": "new" }, "source_layers": [ "global_literature" ], "source_system": "global_literature", "source_version": { "detected_media_type": "application/pdf", "page_count": 266, "response_sha256": "31283afe21a358d5e3b575a96e4dcfe269cc60c312628695b0455ae92481049c" }, "statement": null, "tags": [ "Catalogue ISO3 jurisdiction and an explicit metadata country alias in the title both matched.", "Catalogue document type: technical report.", "Catalogue has organization-relevant topic tags: primary_care.", "Catalogue has the Organization control-knob tag.", "Published in 2020 or later.", "Source family: global_literature.", "Title signal: governance.", "catalogue_iso3_match", "catalogue_topic:primary_care", "explicit_country_alias", "grey_literature", "health_system_organization", "title:governance", "title_country_alias_match" ], "territory": null, "title": "Proceedings of the Libya Local Government Forum", "urls": [ { "kind": "stable_url", "source": "not supplied", "url": "https://documents.worldbank.org/curated/en/889311615360771327/pdf/Proceedings-of-the-Libya-Local-Government-Forum.pdf" }, { "kind": "catalogue", "source": "not supplied", "url": "https://search.worldbank.org/api/v3/wds" }, { "kind": "file", "source": "not supplied", "url": "https://documents.worldbank.org/curated/en/889311615360771327/text/Proceedings-of-the-Libya-Local-Government-Forum.txt" }, { "kind": "landing", "source": "not supplied", "url": "https://documents.worldbank.org/curated/en/889311615360771327" }, { "kind": "source", "source": "not supplied", "url": "https://documents.worldbank.org/" } ] }, { "annotation_status": "open", "authors": [], "availability": { "download_status": "Availability or relevance uncertain", "downloaded": false, "extracted": false, "text_pages": null, "text_words": null }, "citation": "Proceedings of the Libya Local Government Forum. 2021. https://search.worldbank.org/api/v3/wds", "country_ids": [ "LBY" ], "coverage_domains": [ "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": { "paragraph_index_on_page": 1, "physical_pdf_page": 6, "source_word_anchor": "Environment Perspectives on the Health Sector the Case of Libya 149 Zied", "source_word_count": 12 }, "material_id": "material:1e9785d92746a890bd743d19", "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 priority traceability audit.", "A recoverable source locator was retrieved from this exact public source URL in the priority traceability audit." ], "origin": "global-health-systems-library", "period": null, "publication_date": "2021-01-01", "publication_year": 2021, "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_priority_acquisition": true, "previous_visibility": "previously_not_projected_unless_selected", "source_version_linked_from_priority_acquisition": true }, "source_layers": [ "global_literature" ], "source_system": "Global Health Systems Library", "source_version": { "detected_media_type": "application/pdf", "page_count": 266, "response_sha256": "31283afe21a358d5e3b575a96e4dcfe269cc60c312628695b0455ae92481049c" }, "statement": null, "tags": [ "control_knob:organization", "health_system_topic:primary_care", "service_area:primary_care", "who_building_block:leadership_governance", "who_building_block:service_delivery" ], "territory": "national", "title": "Proceedings of the Libya Local Government Forum", "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/889311615360771327/pdf/Proceedings-of-the-Libya-Local-Government-Forum.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/889311615360771327/text/Proceedings-of-the-Libya-Local-Government-Forum.txt" }, { "kind": "landing", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/curated/en/889311615360771327" } ] }, { "annotation_status": "open", "authors": [], "availability": { "download_status": "Availability or relevance uncertain", "downloaded": false, "extracted": false, "text_pages": null, "text_words": null }, "citation": "Socialist people's Libyan Arab Jamahiriya : a public expenditure review (Vol. 1 of 3) : Synthesis. 2009. https://search.worldbank.org/api/v3/wds", "country_ids": [ "LBY" ], "coverage_domains": [ "leadership_governance", "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": { "paragraph_index_on_page": 1, "physical_pdf_page": 6, "source_word_anchor": "OF EDUCATION 25 IMPROVING HEALTH SERVICES FOR ALL 27 INCREASING THE EFFICIENCY", "source_word_count": 12 }, "material_id": "material:c5520b5dd44d08e010112fbf", "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": "2009-09-30", "publication_year": 2009, "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": 45, "response_sha256": "fd17f37e0fb5a590f3e2a13db9541d1ddbadaefc08108a4e4b6e8ae354e7df54" }, "statement": null, "tags": [ "control_knob:organization", "document_type:public_expenditure_review", "health_system_topic:primary_care", "service_area:primary_care", "who_building_block:leadership_governance", "who_building_block:service_delivery" ], "territory": "national", "title": "Socialist people's Libyan Arab Jamahiriya : a public expenditure review (Vol. 1 of 3) : Synthesis", "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/142381468270643468/text/450190ESW0v10P0374322B00PUBLIC00PER.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/142381468270643468" }, { "kind": "file", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/curated/en/142381468270643468/pdf/450190ESW0v10P0374322B00PUBLIC00PER.pdf" } ] }, { "annotation_status": "open", "authors": [], "availability": { "download_status": "Availability or relevance uncertain", "downloaded": false, "extracted": false, "text_pages": null, "text_words": null }, "citation": "ليبيا- تقرير اقتصادي قطري. 2006. https://search.worldbank.org/api/v3/wds", "country_ids": [ "LBY" ], "coverage_domains": [ "leadership_governance" ], "display_status": "shown_in_full", "document_type": "unknown", "evidence_mode": null, "excerpt": null, "institution": "World Bank Documents and Reports", "locator": null, "material_id": "material:9bd3b93a7142d087640d0b95", "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": "2006-06-11", "publication_year": 2006, "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": 158, "response_sha256": "67cf947960cabd87b8cc7f84810822d1995f2413576b9cc78ffc7cc4c0e7e8b3" }, "statement": null, "tags": [ "control_knob:organization", "who_building_block:leadership_governance" ], "territory": "national", "title": "ليبيا- تقرير اقتصادي قطري", "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/783721468055513025/text/302950ARABIC0L101OFFICIAL0USE0ONLY1.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/783721468055513025" }, { "kind": "file", "source": "World Bank Documents and Reports", "url": "https://documents.worldbank.org/curated/en/783721468055513025/pdf/302950ARABIC0L101OFFICIAL0USE0ONLY1.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank Documents and Reports. Proceedings of the Libya Local Government Forum. World Bank Documents and Reports; 2021. https://documents.worldbank.org/curated/en/889311615360771327/pdf/Proceedings-of-the-Libya-Local-Government-Forum.pdf", "country_ids": [ "LBY" ], "coverage_domains": [ "governance", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "paragraph_index_on_page": 1, "physical_pdf_page": 6, "source_word_anchor": "Environment Perspectives on the Health Sector the Case of Libya 149 Zied", "source_word_count": 12 }, "material_id": "material:70df4b8406220dd45277fb41", "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.", "Immutable source-version metadata was retrieved from this exact public source URL in the priority traceability audit.", "A recoverable source locator was retrieved from this exact public source URL in the priority traceability audit." ], "origin": "global-source-triage-queue", "period": null, "publication_date": null, "publication_year": 2021, "record_kind": "source_triage_record", "record_kind_label": "Source Triage Record", "screening": { "page_locator_linked_from_priority_acquisition": true, "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review", "source_version_linked_from_priority_acquisition": true }, "source_layers": [ "global_literature" ], "source_system": "global_literature", "source_version": { "detected_media_type": "application/pdf", "page_count": 266, "response_sha256": "31283afe21a358d5e3b575a96e4dcfe269cc60c312628695b0455ae92481049c" }, "statement": null, "tags": [], "territory": null, "title": "Proceedings of the Libya Local Government Forum", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents.worldbank.org/curated/en/889311615360771327/pdf/Proceedings-of-the-Libya-Local-Government-Forum.pdf" } ] } ] }