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Review: Evaluating existing policies to address overweight and obesity in the Anglophone Caribbean. 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Observed referral and patient-flow measures remain explicitly unreported in this wave.", "reported_design_need": "The White Paper calls for a defined referral system spanning primary health care, secondary care and private facilities and records that the system was not working well." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Government of Saint Lucia, Ministry of Health, Wellness and Elderly Affairs. Saint Lucia White Paper on Universal Health Coverage, version 22 July 2024.", "country_ids": [ "LCA" ], "coverage_domains": [ "hospital_organization", "networks", "observed_referral", "patient_flows", "primary_care", "referral_design" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "A defined referral system between PHC facilities", "institution": null, "locator": { "locator_type": "pdf_sections", "source_word_anchor": "A defined referral system between PHC facilities", "source_word_count": 7 }, "material_id": "material:47293eb7cc925bd5a9af8afe", "notes": [ "Do not infer network membership, gatekeeping, counter-referral, completion, or volume from the proposed referral design." ], "origin": "candidate-analytical-mappings", "period": "White Paper version dated 22 July 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": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "response_sha256": "1b5ab0499c12a8e91a0d795d26cfc055c92738d7b5025f460f2753cc9faae46c" }, "statement": "The White Paper supports a stated need for formal referral links, not a claim that a national referral network is operating as designed.", "tags": [], "territory": "Saint Lucia", "title": "A referral-system need is not a measured network", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents1.worldbank.org/curated/en/099080724165027120/pdf/P1766621debc940421a5621d7371e88f280.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "Saint Lucia UHC White Paper", "mapping_group": "decision_rights_and_autonomy", "mapping_id": "candidate-mapping:LCA:decision-autonomy:facility-autonomy-boundary", "source_projection_ids": [ "country-improvement-source:LCA:world-bank-uhc-white-paper-2024" ], "support_state": "candidate_supported", "target_slot": "facility-autonomy-boundary", "target_view": "autonomy", "typed_fields": { "autonomy_boundary": "The White Paper identifies increased facility-level, primary-care and hospital autonomy as an organizational-reform topic.", "boundary": "It does not report a current, standardized autonomy level or a provider-by-function authority table." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Government of Saint Lucia, Ministry of Health, Wellness and Elderly Affairs. Saint Lucia White Paper on Universal Health Coverage, version 22 July 2024.", "country_ids": [ "LCA" ], "coverage_domains": [ "autonomy", "decision_rights", "hospital_organization", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "Increased autonomy (facility-level, PHC, hospital)", "institution": null, "locator": { "locator_type": "pdf_sections", "source_word_anchor": "Increased autonomy (facility-level, PHC, hospital)", "source_word_count": 5 }, "material_id": "material:e427256b215a0c94f9cee44a", "notes": [ "Keep autonomy unclassified unless a current legal or administrative decision-rights source is added." ], "origin": "candidate-analytical-mappings", "period": "White Paper version dated 22 July 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": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "response_sha256": "1b5ab0499c12a8e91a0d795d26cfc055c92738d7b5025f460f2753cc9faae46c" }, "statement": "The White Paper names autonomy as a reform topic but does not support a categorical autonomy rating for primary-care facilities or hospitals.", "tags": [], "territory": "Saint Lucia", "title": "Facility autonomy remains unclassified", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents1.worldbank.org/curated/en/099080724165027120/pdf/P1766621debc940421a5621d7371e88f280.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "Saint Lucia UHC White Paper, World Development Indicators, a 2026 Government statement, and a five-site study", "mapping_group": "relationships_and_networks", "mapping_id": "candidate-mapping:LCA:relationships-networks:public-private-delivery-boundary", "source_projection_ids": [ "country-improvement-source:LCA:world-bank-uhc-white-paper-2024", "country-improvement-source:LCA:world-bank-hospital-beds-series-2026", "country-improvement-source:LCA:government-st-jude-commissioning-2026", "country-improvement-source:LCA:health-equity-facility-study-2015" ], "support_state": "candidate_supported", "target_slot": "public-private-delivery-boundary", "target_view": "public-private", "typed_fields": { "boundary": "These sources do not establish a current national ownership share by beds, visits, admissions, workforce or expenditure.", "observed_study_scope": "A 2015 study used three named private and two named public facilities as study sites.", "reported_delivery_context": "The White Paper reports public, private and non-government delivery; 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Improving cardiovascular health in primary care in Saint Lucia through the HEARTS Initiative. Revista Panamericana de Salud Pública. 2022;46:e128.", "country_ids": [ "LCA" ], "coverage_domains": [ "facility_data", "primary_care", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "six demonstration sites", "institution": null, "locator": { "locator_type": "xml_sections", "source_word_anchor": "six demonstration sites", "source_word_count": 3 }, "material_id": "material:03849db180bcfb6a0baea816", "notes": [ "Retain the six-site and hypertension-specific boundaries." ], "origin": "candidate-analytical-mappings", "period": "January 2020 to December 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": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "a6c8c918e6ae79b2778626999a8a6baeaddcc04478e0de4267425532ea14b549" }, "statement": "The observed HEARTS results describe six demonstration sites, not a national primary-care performance estimate.", "tags": [], "territory": "Six demonstration sites in Saint Lucia", "title": "Observed HEARTS results are demonstration-site evidence", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC9440734/fullTextXML" } ] }, { "analytical_mapping": { "mapping_basis": "HEARTS primary-care implementation study and cancer-care access pilot study", "mapping_group": "delivery_and_referrals", "mapping_id": "candidate-mapping:LCA:delivery-referrals:hearts-flow-measurement-boundary", "source_projection_ids": [ "country-improvement-source:LCA:hearts-primary-care-study-2022", "country-improvement-source:LCA:cancer-care-access-pilot-study-2021" ], "support_state": "candidate_supported", "target_slot": "hearts-flow-measurement-boundary", "target_view": "referrals", "typed_fields": { "boundary": "Neither study reports national referral completion, transitions between facilities, counter-referral, or national patient-flow volumes.", "observed_measure_scope": "The HEARTS study observed blood-pressure control and hypertension-registry coverage at six demonstration services; the cancer pilot recorded care experiences of 50 sampled survivors." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ragoonath N, et al. Improving cardiovascular health in primary care in Saint Lucia through the HEARTS Initiative. Revista Panamericana de Salud Pública. 2022;46:e128; Auguste A, et al. Difficulties in Accessing Cancer Care in a Small Island State. International Journal of Environmental Research and Public Health. 2021;18(9):4770.", "country_ids": [ "LCA" ], "coverage_domains": [ "facility_data", "primary_care", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "56% of survivors traveled out-of-country for treatment", "institution": null, "locator": { "locator_type": "xml_sources", "source_word_anchor": "56% of survivors traveled out-of-country for treatment", "source_word_count": 7 }, "material_id": "material:5b2db7742b8d1a8584c3ee3a", "notes": [ "Do not transform registry coverage, survivor-reported access, out-of-country treatment, or sampled pathways into referrals, completions, admissions, transfers, or a national patient-flow measure." ], "origin": "candidate-analytical-mappings", "period": "Cancer pilot published 2021; HEARTS intervention and monitoring January 2020 to December 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": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "a6c8c918e6ae79b2778626999a8a6baeaddcc04478e0de4267425532ea14b549" }, "statement": "The observed studies provide bounded service and care-access findings, not national referral-completion or inter-facility patient-flow measures.", "tags": [], "territory": "Six HEARTS demonstration sites and 50 sampled cancer survivors in Saint Lucia", "title": "Observed studies are not national referral-flow measures", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC9440734/fullTextXML" }, { "kind": "source_reference", "source": "Difficulties in Accessing Cancer Care in a Small Island State: A Community-Based Pilot Study of Cancer Survivors in Saint Lucia", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC8124473/fullTextXML" } ] }, { "analytical_mapping": { "mapping_basis": "PAHO Health in the Americas country profile and World Bank Project Appraisal Document", "mapping_group": "time_and_reform", "mapping_id": "candidate-mapping:LCA:time-reform:hssp-public-primary-care-target", "source_projection_ids": [ "country-improvement-source:LCA:paho-health-in-americas-2024", "country-improvement-source:LCA:world-bank-project-appraisal-document-2018" ], "support_state": "candidate_supported", "target_slot": "hssp-public-primary-care-target", "target_view": "reforms", "typed_fields": { "boundary": "Project descriptions and targets do not demonstrate enrolment, protocol adherence, clinical outcomes or a completed national organizational reform.", "reported_reform": "PAHO reports HSSP registration and protocol-treatment aims for public primary health care facilities; the Project Appraisal Document describes planned supply-side investments and primary-care integration." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Pan American Health Organization. Saint Lucia - Country Profile. Health in the Americas. 2024; World Bank. Saint Lucia Health System Strengthening Project: Project Appraisal Document (P166783). 2018.", "country_ids": [ "LCA" ], "coverage_domains": [ "facility_data", "government_responsibilities", "hospital_organization", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "at least 60% of people living with diabetes or hypertension", "institution": null, "locator": { "locator_type": "web_and_pdf_sections", "source_word_anchor": "at least 60% of people living with diabetes or hypertension", "source_word_count": 10 }, "material_id": "material:789dc9980c2248c8e07f2f39", "notes": [ "Retain target and planned-input language. Do not report project objectives or appraisal-document arrangements as achieved reform effects." ], "origin": "candidate-analytical-mappings", "period": "Project Appraisal Document published 2018; profile published 2024; project targets as reported", "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 and application/pdf", "response_sha256": "a7eacf6199249d4ac26f9f086c46290bd320342610ee6fbe206a875a05d10b5c" }, "statement": "PAHO reports stated Health System Strengthening Project targets, and the Project Appraisal Document records planned inputs, without treating either as achieved outcomes.", "tags": [], "territory": "Saint Lucia", "title": "PAHO reports a primary-care reform target", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://hia.paho.org/en/country-profiles/saint-lucia" }, { "kind": "source_reference", "source": "Saint Lucia Health System Strengthening Project: Project Appraisal Document", "url": "https://documents.worldbank.org/curated/en/675171538364617142/pdf/St-Lucia-PAD-09072018.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "Government Terms of Reference for strategic-plan development", "mapping_group": "time_and_reform", "mapping_id": "candidate-mapping:LCA:time-reform:strategic-plan-procurement", "source_projection_ids": [ "country-improvement-source:LCA:government-strategic-plan-procurement-2024" ], "support_state": "candidate_supported", "target_slot": "strategic-plan-procurement", "target_view": "reforms", "typed_fields": { "boundary": "The Terms of Reference are evidence of a planned process only; they do not prove publication, adoption or implementation of a new strategy.", "formal_process": "The Government Terms of Reference assign a consultant to lead a participatory strategic-planning process with the Ministry Corporate Planning Unit and stakeholders." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Government of Saint Lucia, Ministry of Health, Wellness and Elderly Affairs. Terms of Reference: Development of a Strategic Plan for Ministry of Health, Wellness and Elderly Affairs.", "country_ids": [ "LCA" ], "coverage_domains": [ "actors", "governance", "government_responsibilities", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "new strategic plan for the period 2024 – 2030", "institution": null, "locator": { "locator_type": "docx_sections", "source_word_anchor": "new strategic plan for the period 2024 – 2030", "source_word_count": 8 }, "material_id": "material:92a5d18b2ea8e462bb3b2dbb", "notes": [ "Do not label this Terms-of-Reference process a completed or current strategy without a separately verified final document." ], "origin": "candidate-analytical-mappings", "period": "Terms of Reference for a proposed 2024-2030 strategic plan", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/vnd.openxmlformats-officedocument.wordprocessingml.document", "file_sha256": "6c1c5574d3c183b7d37bbb7c364f4e63869440065721b0edfdd5527eb9d8a4ac", "response_sha256": "6c1c5574d3c183b7d37bbb7c364f4e63869440065721b0edfdd5527eb9d8a4ac" }, "statement": "The formal Terms of Reference support a strategic-planning process, not a claim that a 2024-2030 strategy was adopted or implemented.", "tags": [], "territory": "Saint Lucia", "title": "Strategic-plan Terms of Reference are not plan implementation", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.govt.lc/media.govt.lc/www/Vacancies/Consultancies/tor---strategic-plan-for-health---clean-version.docx" } ] }, { "analytical_mapping": { "mapping_basis": "Saint Lucia UHC White Paper", "mapping_group": "actors_and_functions", "mapping_id": "candidate-mapping:LCA:actors-functions:uhc-ministry-stewardship", "source_projection_ids": [ "country-improvement-source:LCA:world-bank-uhc-white-paper-2024" ], "support_state": "candidate_supported", "target_slot": "uhc-ministry-stewardship", "target_view": "functions", "typed_fields": { "boundary": "This account does not allocate all operational, staffing, budget, procurement or capital decisions among Ministry units, hospitals and primary-care facilities.", "reported_function": "The White Paper states that the Ministry operates under a Minister and sets out a UHC governance and implementation design." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Government of Saint Lucia, Ministry of Health, Wellness and Elderly Affairs. Saint Lucia White Paper on Universal Health Coverage, version 22 July 2024.", "country_ids": [ "LCA" ], "coverage_domains": [ "actors", "governance", "government_responsibilities" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "The MOHWE operates under the guidance of a Minister", "institution": null, "locator": { "locator_type": "pdf_sections", "source_word_anchor": "The MOHWE operates under the guidance of a Minister", "source_word_count": 9 }, "material_id": "material:a93b75b6d601b55a253548e6", "notes": [ "Treat this as reported policy design, not a complete current function allocation." ], "origin": "candidate-analytical-mappings", "period": "White Paper version dated 22 July 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": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "response_sha256": "1b5ab0499c12a8e91a0d795d26cfc055c92738d7b5025f460f2753cc9faae46c" }, "statement": "The White Paper identifies Ministry stewardship in the stated UHC design, without supplying a complete operational responsibility map.", "tags": [], "territory": "Saint Lucia", "title": "The UHC paper identifies Ministry stewardship", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents1.worldbank.org/curated/en/099080724165027120/pdf/P1766621debc940421a5621d7371e88f280.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "Saint Lucia UHC White Paper", "mapping_group": "decision_rights_and_autonomy", "mapping_id": "candidate-mapping:LCA:decision-autonomy:uhc-governance-design", "source_projection_ids": [ "country-improvement-source:LCA:world-bank-uhc-white-paper-2024" ], "support_state": "candidate_supported", "target_slot": "uhc-governance-design", "target_view": "decisions", "typed_fields": { "boundary": "A proposed committee role does not demonstrate that the committee was constituted or allocate provider-level decision rights.", "proposed_design": "The White Paper reports a proposed UHC Committee role for overall strategic direction and oversight in its implementation design." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Government of Saint Lucia, Ministry of Health, Wellness and Elderly Affairs. Saint Lucia White Paper on Universal Health Coverage, version 22 July 2024.", "country_ids": [ "LCA" ], "coverage_domains": [ "actors", "decision_rights", "governance" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "The UHC Committee will be responsible for stating the overall strategic direction and oversight", "institution": null, "locator": { "locator_type": "pdf_sections", "source_word_anchor": "The UHC Committee will be responsible for stating the overall strategic direction and oversight", "source_word_count": 13 }, "material_id": "material:2eb2a35a7b73ec4c341d6eb3", "notes": [ "Do not treat proposed oversight as evidence of current implementation or provider-level decision rights." ], "origin": "candidate-analytical-mappings", "period": "White Paper version dated 22 July 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": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "response_sha256": "1b5ab0499c12a8e91a0d795d26cfc055c92738d7b5025f460f2753cc9faae46c" }, "statement": "The White Paper assigns overall UHC strategic direction and oversight to a proposed committee, not a verified provider decision-right matrix.", "tags": [], "territory": "Saint Lucia", "title": "UHC oversight is a proposed governance design", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents1.worldbank.org/curated/en/099080724165027120/pdf/P1766621debc940421a5621d7371e88f280.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Government of Saint Lucia. Chief Medical Officer supports the advancement of full commissioning of St. Jude Hospital to deliver enhanced healthcare services. 11 June 2026. https://www.govt.lc/news/chief-medical-officer-supports-the-advancement-of-full-commissioning-of-st-jude-hospital-to-deliver-enhanced-healthcare-services", "country_ids": [ "LCA" ], "coverage_domains": [ "facility_data", "hospital_organization", "market_structure", "ownership", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "Tapion Hospital, which is our private facility", "institution": "Government of Saint Lucia", "locator": { "locator_type": "web_sections", "source_word_anchor": "Tapion Hospital, which is our private facility", "source_word_count": 7 }, "material_id": "material:80c47566a4dad691401b5851", "notes": [ "This is a government description of service organization, not a national ownership, activity, workforce, or expenditure census." ], "origin": "country-evidence-improvement-sources", "period": "Government statement published 11 June 2026", "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": "c116681ac5d41a513c9d175784d132a763f4d6bdedbd60fee5a5bc509bdf9ab1" }, "statement": "A Government statement describes two statutory hospitals, Tapion Hospital as private, and primary-care facilities ranging from Community Wellness Centres to district hospitals and polyclinics.", "tags": [], "territory": "Saint Lucia", "title": "Chief Medical Officer supports the advancement of full commissioning of St. Jude Hospital to deliver enhanced healthcare services", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.govt.lc/news/chief-medical-officer-supports-the-advancement-of-full-commissioning-of-st-jude-hospital-to-deliver-enhanced-healthcare-services" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Auguste A, et al. Difficulties in Accessing Cancer Care in a Small Island State: A Community-Based Pilot Study of Cancer Survivors in Saint Lucia. International Journal of Environmental Research and Public Health. 2021;18(9):4770. doi:10.3390/ijerph18094770. https://www.ebi.ac.uk/europepmc/webservices/rest/PMC8124473/fullTextXML", "country_ids": [ "LCA" ], "coverage_domains": [ "hospital_organization", "observed_referral", "patient_flows", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "56% of survivors traveled out-of-country for treatment", "institution": "International Journal of Environmental Research and Public Health", "locator": { "locator_type": "xml_sections", "source_word_anchor": "56% of survivors traveled out-of-country for treatment", "source_word_count": 7 }, "material_id": "material:730a7498c11b7fa4db300e01", "notes": [ "The study uses a purposive and snowball sample of 50 survivors. Do not generalize its reported care pathways or out-of-country treatment to national referral volumes or completion rates." ], "origin": "country-evidence-improvement-sources", "period": "Pilot study published 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": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "2ebc494697c03281d549cbf8d3a4af022e2e2d6f673a25f4595e4b2c3c7bcd29" }, "statement": "The peer-reviewed pilot study reports care-pathway experiences of 50 sampled cancer survivors, including reported out-of-country treatment, without estimating national patient flows.", "tags": [], "territory": "Saint Lucia; 50 purposively and snowball sampled cancer survivors", "title": "Difficulties in Accessing Cancer Care in a Small Island State: A Community-Based Pilot Study of Cancer Survivors in Saint Lucia", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC8124473/fullTextXML" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank. World Development Indicators, Hospital beds per 1,000 people, Saint Lucia (indicator SH.MED.BEDS.ZS). Retrieved 2026-08-21. https://api.worldbank.org/v2/country/LCA/indicator/SH.MED.BEDS.ZS?format=json&per_page=100", "country_ids": [ "LCA" ], "coverage_domains": [ "facility_data", "hospital_organization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "Hospital beds (per 1,000 people)", "institution": "World Bank, World Development Indicators", "locator": { "locator_type": "api_resource", "source_word_anchor": "Hospital beds (per 1,000 people)", "source_word_count": 5 }, "material_id": "material:93c89d5bbcafc02c246852d5", "notes": [ "An aggregate bed-density series is not a facility census, ownership distribution, hospital decision-right allocation, or referral-flow measure." ], "origin": "country-evidence-improvement-sources", "period": "API retrieved 2026-08-21; latest non-null observation varies by series", "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": "72d3fe878a1efd37038f4a4de305e22414575cd3e28ace1673984301d4e513fa" }, "statement": "The World Bank API returns Saint Lucia's national hospital-bed-density series.", "tags": [], "territory": "Saint Lucia", "title": "Hospital beds per 1,000 people, Saint Lucia", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://api.worldbank.org/v2/country/LCA/indicator/SH.MED.BEDS.ZS?format=json&per_page=100" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ragoonath N, et al. Improving cardiovascular health in primary care in Saint Lucia through the HEARTS Initiative. Revista Panamericana de Salud Pública. 2022;46:e128. doi:10.26633/RPSP.2022.128. https://www.ebi.ac.uk/europepmc/webservices/rest/PMC9440734/fullTextXML", "country_ids": [ "LCA" ], "coverage_domains": [ "facility_data", "primary_care", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "six demonstration sites", "institution": "Revista Panamericana de Salud Pública / Pan American Journal of Public Health", "locator": { "locator_type": "xml_sections", "source_word_anchor": "six demonstration sites", "source_word_count": 3 }, "material_id": "material:dc1f3031915e0c51f05e7127", "notes": [ "The observed results are limited to six demonstration facilities and hypertension registry participants. The article does not measure national referral completion, cross-facility patient flows, or system-wide primary-care performance." ], "origin": "country-evidence-improvement-sources", "period": "January 2020 to December 2021 intervention and monitoring period", "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": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "a6c8c918e6ae79b2778626999a8a6baeaddcc04478e0de4267425532ea14b549" }, "statement": "The peer-reviewed study reports a HEARTS intervention in six demonstration primary health care facilities and observed blood-pressure-control and hypertension-registry results for patients accessing those services.", "tags": [], "territory": "Saint Lucia; six demonstration primary health care facilities", "title": "Improving cardiovascular health in primary care in Saint Lucia through the HEARTS Initiative", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC9440734/fullTextXML" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Holden K, et al. Reducing Health Disparities and Improving Health Equity in Saint Lucia. International Journal of Environmental Research and Public Health. 2015;13(1):37. doi:10.3390/ijerph13010037. https://www.ebi.ac.uk/europepmc/webservices/rest/PMC4730428/fullTextXML", "country_ids": [ "LCA" ], "coverage_domains": [ "facility_data", "market_structure", "ownership", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "The public health care facilities that were study sites", "institution": "International Journal of Environmental Research and Public Health", "locator": { "locator_type": "xml_sections", "source_word_anchor": "The public health care facilities that were study sites", "source_word_count": 9 }, "material_id": "material:857d9f5128e514024b83a5bd", "notes": [ "The five named study sites are not a national facility list or a denominator for ownership, utilization, workforce, or market-share estimates." ], "origin": "country-evidence-improvement-sources", "period": "Study published 2015", "publication_date": null, "publication_year": 2015, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "d3142da9709e5fc75e73e734784bf570d00a4275c5edfb1629237d079c1fdebe" }, "statement": "The peer-reviewed study recruited at three named private and two named public facilities, documenting a five-site study sample rather than a national provider distribution.", "tags": [], "territory": "Saint Lucia; five named study facilities in Castries and Vieux Fort", "title": "Reducing Health Disparities and Improving Health Equity in Saint Lucia", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC4730428/fullTextXML" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "McIntosh C, et al. Review: Evaluating existing policies to address overweight and obesity in the Anglophone Caribbean: A narrative review of Barbados, Grenada, St. Lucia, and Trinidad & Tobago. Obesity Pillars. 2023;8:100060. doi:10.1016/j.obpill.2023.100060. https://www.ebi.ac.uk/europepmc/webservices/rest/PMC10662106/fullTextXML", "country_ids": [ "LCA" ], "coverage_domains": [ "authoritative_review", "governance", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "This systematic review explored existing policies", "institution": "Obesity Pillars", "locator": { "locator_type": "xml_sections", "source_word_anchor": "This systematic review explored existing policies", "source_word_count": 6 }, "material_id": "material:403722d09621e222fc8680c3", "notes": [ "This is a regional narrative review with a specific policy topic. It does not establish a complete Saint Lucia health-system organization, current provider network membership, or delivery performance." ], "origin": "country-evidence-improvement-sources", "period": "Literature and policy review published 2023", "publication_date": null, "publication_year": 2023, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "review_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/xml", "response_sha256": "881e4186500916f2f4dffcb82f6695cb21ca3f5d8de4e8d8e186631f427a6174" }, "statement": "This genuine narrative review evaluates policy materials for Saint Lucia and three Anglophone Caribbean comparators; it describes a policy-review scope rather than current operational health-service authority.", "tags": [], "territory": "Barbados, Grenada, Saint Lucia, and Trinidad and Tobago; Saint Lucia is one review setting", "title": "Review: Evaluating existing policies to address overweight and obesity in the Anglophone Caribbean: A narrative review of Barbados, Grenada, St. Lucia, and Trinidad & Tobago", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC10662106/fullTextXML" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Pan American Health Organization. Saint Lucia - Country Profile. Health in the Americas. 2024. https://hia.paho.org/en/country-profiles/saint-lucia", "country_ids": [ "LCA" ], "coverage_domains": [ "facility_data", "governance", "government_responsibilities", "hospital_organization", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "The Government Health System Strengthening Project, with World Bank financing", "institution": "Pan American Health Organization", "locator": { "locator_type": "web_sections", "source_word_anchor": "The Government Health System Strengthening Project, with World Bank financing", "source_word_count": 9 }, "material_id": "material:591eef5544b3bf00ab941bec", "notes": [ "The profile compiles indicators and reform descriptions with varying reference years. It does not establish current provider decision rights, ownership shares, or observed referral completion." ], "origin": "country-evidence-improvement-sources", "period": "Indicators use their separately stated reference years; profile published 2024", "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": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "a7eacf6199249d4ac26f9f086c46290bd320342610ee6fbe206a875a05d10b5c" }, "statement": "PAHO reports that the World Bank-financed Health System Strengthening Project includes registration to a national health scheme and treatment targets in public primary health care facilities, while describing the Owen King European Union Hospital and the former Victoria Hospital's respiratory role.", "tags": [], "territory": "Saint Lucia", "title": "Saint Lucia - Country Profile", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://hia.paho.org/en/country-profiles/saint-lucia" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank. Saint Lucia Health System Strengthening Project: Project Appraisal Document (P166783). 2018. https://documents.worldbank.org/curated/en/675171538364617142/pdf/St-Lucia-PAD-09072018.pdf", "country_ids": [ "LCA" ], "coverage_domains": [ "government_responsibilities", "hospital_organization", "primary_care", "referral_design", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "primary care services, which serve as the first point of contact", "institution": "World Bank", "locator": { "locator_type": "pdf_pages_and_sections", "source_word_anchor": "primary care services, which serve as the first point of contact", "source_word_count": 11 }, "material_id": "material:9a04f0283f2e06403004e774", "notes": [ "This appraisal document records planned project design. 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