{
  "schema_version": "1.0.0",
  "display_policy": "all_display_eligible_evidence_is_public_and_reviewable_by_annotation",
  "country": {
    "iso3": "MHL",
    "name": "Marshall Islands",
    "aliases": [
      "Marshall Islands"
    ],
    "type": "country",
    "who_region": "WPR",
    "who_region_source": "WPR",
    "wb_region": "East Asia & Pacific",
    "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": 2,
    "candidate_facts": 0,
    "exact_contexts": 0,
    "source_linked_analytical_mappings": 10,
    "source_linked_analytical_object_rows": 64,
    "all_material_records": 73,
    "library_document_candidates": 48,
    "candidate_queue_records": 23,
    "current_public_projection_records": 2
  },
  "availability": [
    {
      "domain": "actors",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 8,
      "exact_context_count": 5,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "government_responsibilities",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 11,
      "exact_context_count": 8,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "ownership",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 4,
      "exact_context_count": 4,
      "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": 8,
      "exact_context_count": 8,
      "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": 7,
      "exact_context_count": 7,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "primary_care",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 21,
      "exact_context_count": 16,
      "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": 8,
      "exact_context_count": 8,
      "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": 11,
      "exact_context_count": 11,
      "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": 8,
      "exact_context_count": 8,
      "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": 12,
      "exact_context_count": 12,
      "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": 12,
      "exact_context_count": 12,
      "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": 8,
      "exact_context_count": 8,
      "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": 9,
      "exact_context_count": 9,
      "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": 18,
      "exact_context_count": 15,
      "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": 6,
      "exact_context_count": 6,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "reform_history",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 8,
      "exact_context_count": 8,
      "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": 20,
      "exact_context_count": 20,
      "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:MHL:actors-functions:public-private-service-mix",
      "country_id": "MHL",
      "mapping_group": "actors_and_functions",
      "target_view": "public-private",
      "target_slot": "reported-public-private-service-mix",
      "support_state": "candidate_supported",
      "annotation_state": "open",
      "mapping_basis": "World Bank PHC assessment, Introduction",
      "source_projection_ids": [
        "country-improvement-source:MHL:world-bank-phc-assessment-2024"
      ],
      "typed_fields": {
        "reported_market_structure": "Basic public health care is reported available to residents; private clinics are reported available, while most of the population uses the public system.",
        "patient_access": "The report describes a small service copay and voluntary supplemental insurance for additional off-island options.",
        "boundary": "No current provider count, utilization share, contract map, or patient-choice study is provided."
      },
      "analytical_objects": {
        "graph_nodes": [
          {
            "node_id": "mhl:public-system",
            "label": "Public health-care system",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:9c7c39488a80b128065da7ab"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c"
            ],
            "display_evidence_object_id": "display-claim:9c7c39488a80b128065da7ab"
          },
          {
            "node_id": "mhl:private-clinics",
            "label": "Private clinics",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:c2da3d357ae66c5366536076"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c"
            ],
            "display_evidence_object_id": "display-claim:c2da3d357ae66c5366536076"
          },
          {
            "node_id": "mhl:supplemental-insurance",
            "label": "Supplemental insurance",
            "family": "purchaser",
            "display_claim_ids": [
              "display-claim:630a0f6a0ec3fa8744e4d318"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c"
            ],
            "display_evidence_object_id": "display-claim:630a0f6a0ec3fa8744e4d318"
          }
        ],
        "graph_edges": [
          {
            "source_node_id": "mhl:supplemental-insurance",
            "target_node_id": "mhl:public-system",
            "relationship": "reported to offer better options for off-island care",
            "relationship_family": "purchasing",
            "display_claim_ids": [
              "display-claim:e8dba711e7a412ca43d79360"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c"
            ],
            "display_evidence_object_id": "display-claim:e8dba711e7a412ca43d79360"
          },
          {
            "source_node_id": "mhl:private-clinics",
            "target_node_id": "mhl:public-system",
            "relationship": "reported parallel provider availability with public-system predominance",
            "relationship_family": "network",
            "display_claim_ids": [
              "display-claim:a01b49746835ae19a05115d7"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c"
            ],
            "display_evidence_object_id": "display-claim:a01b49746835ae19a05115d7"
          }
        ],
        "provider_delivery_observations": [
          {
            "label": "Public-system predominance",
            "observation": "The assessment reports that most people use the public system despite private-clinic availability.",
            "scope": "National reported service mix; no share is quantified.",
            "display_claim_ids": [
              "display-claim:0049b715ea2303a4c56f4dda"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c"
            ],
            "display_evidence_object_id": "display-claim:0049b715ea2303a4c56f4dda"
          },
          {
            "label": "Off-island coverage option",
            "observation": "Voluntary supplemental insurance is reported to offer better off-island care options.",
            "scope": "Residents described by the 2024 assessment.",
            "display_claim_ids": [
              "display-claim:ad91dd14d31b1914bfa8482f"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c"
            ],
            "display_evidence_object_id": "display-claim:ad91dd14d31b1914bfa8482f"
          }
        ],
        "provider_organizations": [
          {
            "label": "Private clinics",
            "ownership": "Private",
            "scope": "National availability reported without facility count or geographic distribution",
            "display_claim_ids": [
              "display-claim:bc8bb388ef82b742d1278032"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c"
            ],
            "display_evidence_object_id": "display-claim:bc8bb388ef82b742d1278032"
          },
          {
            "label": "Public health-care system",
            "ownership": "Public-system provision",
            "scope": "Basic care reported for residents",
            "display_claim_ids": [
              "display-claim:9e2bc6500c58a3a34a64001a"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c"
            ],
            "display_evidence_object_id": "display-claim:9e2bc6500c58a3a34a64001a"
          }
        ]
      },
      "title": "Reported public and private service mix",
      "statement": "The assessment reports basic public care for residents, private-clinic availability and predominant public-system use. It does not quantify market shares or document patient choice at provider level.",
      "excerpt": "There are private clinics available, but most",
      "citation": "World Bank, The Primary Health Care System of the Republic of the Marshall Islands, 2024, Introduction.",
      "url": "https://documents1.worldbank.org/curated/en/099121523194155037/pdf/P1598650e39db8048080d8013c44af6a5a8.pdf",
      "locator": "PDF physical pages 20-21, Introduction, section on mixed delivery.",
      "period": "Assessment completed in 2023; published 2024",
      "territory": "Republic of the Marshall Islands, national service mix",
      "evidence_mode_candidate": "reported",
      "verification_source_layer": "grey_literature",
      "coverage_domains": [
        "actors",
        "ownership",
        "market_structure",
        "utilization",
        "patient_flows",
        "primary_care",
        "hospital_organization",
        "authoritative_review"
      ],
      "review_requirements": [
        "Do not infer private-provider ownership, contracts, clinical scope, or market share beyond the report's bounded description."
      ],
      "source_references": [
        {
          "title": "The Primary Health Care System of the Republic of the Marshall Islands",
          "citation": "World Bank. The Primary Health Care System of the Republic of the Marshall Islands: A Primary Health Care Performance Initiative Assessment. 2024.",
          "url": "https://documents1.worldbank.org/curated/en/099121523194155037/pdf/P1598650e39db8048080d8013c44af6a5a8.pdf",
          "locator": {
            "locator_type": "pdf_page_set_anchor",
            "physical_pdf_pages": [
              20,
              40,
              45,
              49
            ],
            "sections": [
              "Introduction",
              "Governance",
              "Inputs",
              "Population Health Management"
            ],
            "source_word_anchor": "two hospitals, one in Majuro, one in Ebeye",
            "source_word_count": 8
          },
          "source_version": {
            "file_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
            "response_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MHL:world-bank-phc-assessment-2024",
          "display_source_id": "display-source:MHL:a0916574edebb1b4e36d9b07",
          "source_version_id": "display-source-version:e2554b7802c3bfb3f55c0c9c"
        }
      ],
      "source_version": {
        "file_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
        "response_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
        "detected_media_type": "application/pdf",
        "hash_verified": true,
        "retrieved_at": "2026-08-22"
      },
      "display_source_ids": [
        "display-source:MHL:a0916574edebb1b4e36d9b07"
      ],
      "source_version_ids": [
        "display-source-version:e2554b7802c3bfb3f55c0c9c"
      ],
      "display_claim_ids": [
        "display-claim:b6a61a76b934849f5a6b510b",
        "display-claim:9c7c39488a80b128065da7ab",
        "display-claim:c2da3d357ae66c5366536076",
        "display-claim:630a0f6a0ec3fa8744e4d318",
        "display-claim:e8dba711e7a412ca43d79360",
        "display-claim:a01b49746835ae19a05115d7",
        "display-claim:0049b715ea2303a4c56f4dda",
        "display-claim:ad91dd14d31b1914bfa8482f",
        "display-claim:bc8bb388ef82b742d1278032",
        "display-claim:9e2bc6500c58a3a34a64001a"
      ],
      "display_evidence_object_id": "display-claim:b6a61a76b934849f5a6b510b",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:MHL:actors-functions:public-service-architecture",
      "country_id": "MHL",
      "mapping_group": "actors_and_functions",
      "target_view": "functions",
      "target_slot": "national-service-architecture",
      "support_state": "candidate_supported",
      "annotation_state": "open",
      "mapping_basis": "World Bank PHC assessment, Introduction",
      "source_projection_ids": [
        "country-improvement-source:MHL:world-bank-phc-assessment-2024"
      ],
      "typed_fields": {
        "reported_arrangement": "The assessment describes Ministry collaboration with community health councils, two hospitals in Majuro and Ebeye, and 56 health care centers across atolls and islands.",
        "boundary": "The assessment does not provide a legal delegation instrument or a complete operating chart for every facility."
      },
      "analytical_objects": {
        "graph_nodes": [
          {
            "node_id": "mhl:mohhs",
            "label": "Ministry of Health and Human Services",
            "family": "national",
            "display_claim_ids": [
              "display-claim:3f8cf522d0b03080edbd71c9"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c"
            ],
            "display_evidence_object_id": "display-claim:3f8cf522d0b03080edbd71c9"
          },
          {
            "node_id": "mhl:community-health-councils",
            "label": "Community health councils",
            "family": "community",
            "display_claim_ids": [
              "display-claim:cbce495d74d85ecc9785fd4b"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c"
            ],
            "display_evidence_object_id": "display-claim:cbce495d74d85ecc9785fd4b"
          },
          {
            "node_id": "mhl:majuro-hospital",
            "label": "Majuro hospital",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:9275e0597d3a3d745a792f09"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c"
            ],
            "display_evidence_object_id": "display-claim:9275e0597d3a3d745a792f09"
          },
          {
            "node_id": "mhl:ebeye-hospital",
            "label": "Ebeye hospital",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:d55ea3812a54e73de7db1b82"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c"
            ],
            "display_evidence_object_id": "display-claim:d55ea3812a54e73de7db1b82"
          },
          {
            "node_id": "mhl:health-centers",
            "label": "Health care centers",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:69531387cc96b0f244404a18"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c"
            ],
            "display_evidence_object_id": "display-claim:69531387cc96b0f244404a18"
          }
        ],
        "graph_edges": [
          {
            "source_node_id": "mhl:mohhs",
            "target_node_id": "mhl:community-health-councils",
            "relationship": "reported to collaborate in providing health-care services",
            "relationship_family": "governance",
            "display_claim_ids": [
              "display-claim:33802d3fbf06ae696b911eb6"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c"
            ],
            "display_evidence_object_id": "display-claim:33802d3fbf06ae696b911eb6"
          },
          {
            "source_node_id": "mhl:mohhs",
            "target_node_id": "mhl:majuro-hospital",
            "relationship": "reported national service-delivery component",
            "relationship_family": "operations",
            "display_claim_ids": [
              "display-claim:c79fb3baceb323ebb8f6db9a"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c"
            ],
            "display_evidence_object_id": "display-claim:c79fb3baceb323ebb8f6db9a"
          },
          {
            "source_node_id": "mhl:mohhs",
            "target_node_id": "mhl:ebeye-hospital",
            "relationship": "reported national service-delivery component",
            "relationship_family": "operations",
            "display_claim_ids": [
              "display-claim:40a57b4d60cfa1e780e19c34"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c"
            ],
            "display_evidence_object_id": "display-claim:40a57b4d60cfa1e780e19c34"
          }
        ],
        "function_assignments": [
          {
            "actor_label": "Health care centers",
            "function_label": "Health promotion, prevention and essential clinical care",
            "role": "Reported delivery role",
            "actor_family": "provider",
            "display_claim_ids": [
              "display-claim:493738d108982cc0508d3ed3"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c"
            ],
            "display_evidence_object_id": "display-claim:493738d108982cc0508d3ed3"
          },
          {
            "actor_label": "Majuro and Ebeye hospitals",
            "function_label": "Primary, secondary and limited tertiary care",
            "role": "Reported delivery role",
            "actor_family": "provider",
            "display_claim_ids": [
              "display-claim:156762ded815f4a252e91c22"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c"
            ],
            "display_evidence_object_id": "display-claim:156762ded815f4a252e91c22"
          }
        ],
        "provider_organizations": [
          {
            "label": "Majuro and Ebeye hospitals",
            "ownership": "Public-system hospitals in the reported Ministry service structure",
            "scope": "National system, Majuro and Ebeye",
            "display_claim_ids": [
              "display-claim:1e6112d9e61216d79a71743d"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c"
            ],
            "display_evidence_object_id": "display-claim:1e6112d9e61216d79a71743d"
          },
          {
            "label": "Health care centers",
            "ownership": "Reported public service-delivery network",
            "scope": "56 centers across atolls and islands",
            "display_claim_ids": [
              "display-claim:937dcbc5da9a6062dfe500bc"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c"
            ],
            "display_evidence_object_id": "display-claim:937dcbc5da9a6062dfe500bc"
          }
        ]
      },
      "title": "Reported public service-delivery architecture",
      "statement": "A World Bank assessment describes a Ministry-linked public service architecture of community health councils, two hospitals and 56 health care centers. It does not establish every facility's legal owner or managerial authority.",
      "excerpt": "two hospitals, one in Majuro, one in Ebeye",
      "citation": "World Bank, The Primary Health Care System of the Republic of the Marshall Islands, 2024, Introduction.",
      "url": "https://documents1.worldbank.org/curated/en/099121523194155037/pdf/P1598650e39db8048080d8013c44af6a5a8.pdf",
      "locator": "PDF physical page 20, Introduction.",
      "period": "Assessment completed in 2023; published 2024",
      "territory": "Republic of the Marshall Islands, including Majuro, Ebeye and neighboring islands",
      "evidence_mode_candidate": "reported",
      "verification_source_layer": "grey_literature",
      "coverage_domains": [
        "actors",
        "government_responsibilities",
        "ownership",
        "primary_care",
        "hospital_organization",
        "facility_data",
        "governance",
        "authoritative_review"
      ],
      "review_requirements": [
        "Do not infer statutory ownership, provider autonomy, or a full accountability chain from this assessment."
      ],
      "source_references": [
        {
          "title": "The Primary Health Care System of the Republic of the Marshall Islands",
          "citation": "World Bank. The Primary Health Care System of the Republic of the Marshall Islands: A Primary Health Care Performance Initiative Assessment. 2024.",
          "url": "https://documents1.worldbank.org/curated/en/099121523194155037/pdf/P1598650e39db8048080d8013c44af6a5a8.pdf",
          "locator": {
            "locator_type": "pdf_page_set_anchor",
            "physical_pdf_pages": [
              20,
              40,
              45,
              49
            ],
            "sections": [
              "Introduction",
              "Governance",
              "Inputs",
              "Population Health Management"
            ],
            "source_word_anchor": "two hospitals, one in Majuro, one in Ebeye",
            "source_word_count": 8
          },
          "source_version": {
            "file_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
            "response_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MHL:world-bank-phc-assessment-2024",
          "display_source_id": "display-source:MHL:a0916574edebb1b4e36d9b07",
          "source_version_id": "display-source-version:e2554b7802c3bfb3f55c0c9c"
        }
      ],
      "source_version": {
        "file_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
        "response_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
        "detected_media_type": "application/pdf",
        "hash_verified": true,
        "retrieved_at": "2026-08-22"
      },
      "display_source_ids": [
        "display-source:MHL:a0916574edebb1b4e36d9b07"
      ],
      "source_version_ids": [
        "display-source-version:e2554b7802c3bfb3f55c0c9c"
      ],
      "display_claim_ids": [
        "display-claim:2fd282a8f25842bb15641462",
        "display-claim:3f8cf522d0b03080edbd71c9",
        "display-claim:cbce495d74d85ecc9785fd4b",
        "display-claim:9275e0597d3a3d745a792f09",
        "display-claim:d55ea3812a54e73de7db1b82",
        "display-claim:69531387cc96b0f244404a18",
        "display-claim:33802d3fbf06ae696b911eb6",
        "display-claim:c79fb3baceb323ebb8f6db9a",
        "display-claim:40a57b4d60cfa1e780e19c34",
        "display-claim:493738d108982cc0508d3ed3",
        "display-claim:156762ded815f4a252e91c22",
        "display-claim:1e6112d9e61216d79a71743d",
        "display-claim:937dcbc5da9a6062dfe500bc"
      ],
      "display_evidence_object_id": "display-claim:2fd282a8f25842bb15641462",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:MHL:decision-autonomy:facility-resource-boundaries",
      "country_id": "MHL",
      "mapping_group": "decision_rights_and_autonomy",
      "target_view": "autonomy",
      "target_slot": "facility-resource-autonomy-boundaries",
      "support_state": "candidate_supported",
      "annotation_state": "open",
      "mapping_basis": "World Bank PHC assessment, Inputs",
      "source_projection_ids": [
        "country-improvement-source:MHL:world-bank-phc-assessment-2024"
      ],
      "typed_fields": {
        "reported_autonomy_boundary": "A main-office budget is reported available to facilities, but no amount is specified for each facility; neighboring-island facilities are reported unable to use funds without clear budget, fund flow or supply access.",
        "accountability_boundary": "The source reports financing and logistics constraints rather than formal delegated powers or audited accountability arrangements.",
        "boundary": "No conclusion can be drawn on workforce, procurement, capital, service-mix, or hospital financial autonomy."
      },
      "analytical_objects": {
        "autonomy_cells": [
          {
            "dimension": "Financial management",
            "provider_group": "Primary care",
            "authority_label": "Main-office budget reported available to facilities",
            "counterpart": "No facility-specific amount, clear fund flow, or supply access reported for neighboring-island facilities.",
            "display_claim_ids": [
              "display-claim:10605808851fdab5ea041969"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c"
            ],
            "display_evidence_object_id": "display-claim:10605808851fdab5ea041969"
          },
          {
            "dimension": "Procurement",
            "provider_group": "Primary care",
            "authority_label": "No delegated procurement authority documented",
            "counterpart": "Supply-access constraints are reported, not a procurement decision-right allocation.",
            "display_claim_ids": [
              "display-claim:7be84aca6bf946a4a71db0a6"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c"
            ],
            "display_evidence_object_id": "display-claim:7be84aca6bf946a4a71db0a6"
          }
        ],
        "provider_delivery_observations": [
          {
            "label": "Neighboring-island resource constraint",
            "observation": "Facilities are reported unable to use funds without clear budget, flow of funds, or supply access.",
            "scope": "Neighboring islands in the 2023 assessment.",
            "display_claim_ids": [
              "display-claim:4615c6066428b991a2078249"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c"
            ],
            "display_evidence_object_id": "display-claim:4615c6066428b991a2078249"
          }
        ]
      },
      "title": "Reported facility resource constraints and autonomy limits",
      "statement": "The assessment documents facility resource constraints, not a formal autonomy regime. Main-office budgets are reported available, while neighboring-island facilities face unclear fund flow and supply access.",
      "excerpt": "A main office budget is available to all facilities",
      "citation": "World Bank, The Primary Health Care System of the Republic of the Marshall Islands, 2024, Inputs.",
      "url": "https://documents1.worldbank.org/curated/en/099121523194155037/pdf/P1598650e39db8048080d8013c44af6a5a8.pdf",
      "locator": "PDF physical page 46, Inputs.",
      "period": "Assessment completed in 2023; published 2024",
      "territory": "Republic of the Marshall Islands, with neighboring-island facility context",
      "evidence_mode_candidate": "reported",
      "verification_source_layer": "grey_literature",
      "coverage_domains": [
        "autonomy",
        "decision_rights",
        "primary_care",
        "facility_data",
        "governance",
        "government_responsibilities",
        "authoritative_review"
      ],
      "review_requirements": [
        "Do not infer a facility's actual purchasing, staffing, capital, or clinical autonomy from these constraints."
      ],
      "source_references": [
        {
          "title": "The Primary Health Care System of the Republic of the Marshall Islands",
          "citation": "World Bank. The Primary Health Care System of the Republic of the Marshall Islands: A Primary Health Care Performance Initiative Assessment. 2024.",
          "url": "https://documents1.worldbank.org/curated/en/099121523194155037/pdf/P1598650e39db8048080d8013c44af6a5a8.pdf",
          "locator": {
            "locator_type": "pdf_page_set_anchor",
            "physical_pdf_pages": [
              20,
              40,
              45,
              49
            ],
            "sections": [
              "Introduction",
              "Governance",
              "Inputs",
              "Population Health Management"
            ],
            "source_word_anchor": "two hospitals, one in Majuro, one in Ebeye",
            "source_word_count": 8
          },
          "source_version": {
            "file_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
            "response_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MHL:world-bank-phc-assessment-2024",
          "display_source_id": "display-source:MHL:a0916574edebb1b4e36d9b07",
          "source_version_id": "display-source-version:e2554b7802c3bfb3f55c0c9c"
        }
      ],
      "source_version": {
        "file_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
        "response_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
        "detected_media_type": "application/pdf",
        "hash_verified": true,
        "retrieved_at": "2026-08-22"
      },
      "display_source_ids": [
        "display-source:MHL:a0916574edebb1b4e36d9b07"
      ],
      "source_version_ids": [
        "display-source-version:e2554b7802c3bfb3f55c0c9c"
      ],
      "display_claim_ids": [
        "display-claim:474e8bf991f86dd3e4ef2e6e",
        "display-claim:10605808851fdab5ea041969",
        "display-claim:7be84aca6bf946a4a71db0a6",
        "display-claim:4615c6066428b991a2078249"
      ],
      "display_evidence_object_id": "display-claim:474e8bf991f86dd3e4ef2e6e",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:MHL:decision-autonomy:phc-planning-and-oversight",
      "country_id": "MHL",
      "mapping_group": "decision_rights_and_autonomy",
      "target_view": "decisions",
      "target_slot": "phc-planning-and-oversight",
      "support_state": "candidate_supported",
      "annotation_state": "open",
      "mapping_basis": "World Bank PHC assessment, Governance",
      "source_projection_ids": [
        "country-improvement-source:MHL:world-bank-phc-assessment-2024"
      ],
      "typed_fields": {
        "reported_decision_rights": "National indicators are reported to drive budget planning and strategic reform; the deputy secretary oversees PHC while supervising public-health programmes.",
        "accountability_boundary": "The assessment reports siloed coordination and limited contact between coordinating authorities and clinical staff.",
        "boundary": "This does not establish statutory authority, budget-signing rights, or the authority of named offices over individual facilities."
      },
      "analytical_objects": {
        "decision_cells": [
          {
            "decision_id": "mhl:strategic-planning",
            "decision_label": "Strategic planning and reform",
            "actor_label": "Ministry strategic planning process",
            "actor_family": "national",
            "role": "Reported indicator-informed planning",
            "constraint": "Assessment reports fragmented PHC legal framework and siloed programme coordination.",
            "display_claim_ids": [
              "display-claim:9b223718df5de87c484244af"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c"
            ],
            "display_evidence_object_id": "display-claim:9b223718df5de87c484244af"
          },
          {
            "decision_id": "mhl:phc-oversight",
            "decision_label": "PHC oversight",
            "actor_label": "Deputy secretary",
            "actor_family": "national",
            "role": "Reported PHC oversight while supervising public health programmes",
            "constraint": "PHC focus is not reported as a separate integrated supervisory structure.",
            "display_claim_ids": [
              "display-claim:4cd12e0328dd326a3656397c"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c"
            ],
            "display_evidence_object_id": "display-claim:4cd12e0328dd326a3656397c"
          }
        ],
        "function_assignments": [
          {
            "actor_label": "National key performance indicators",
            "function_label": "Inform budget planning and strategic reform",
            "role": "Reported planning input",
            "actor_family": "national",
            "display_claim_ids": [
              "display-claim:1262c8f3ec2774c120b207b1"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c"
            ],
            "display_evidence_object_id": "display-claim:1262c8f3ec2774c120b207b1"
          }
        ],
        "graph_nodes": [
          {
            "node_id": "mhl:deputy-secretary",
            "label": "Deputy secretary",
            "family": "national",
            "display_claim_ids": [
              "display-claim:fe4dd8bc67ed78c2224ed098"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c"
            ],
            "display_evidence_object_id": "display-claim:fe4dd8bc67ed78c2224ed098"
          },
          {
            "node_id": "mhl:public-health-programmes",
            "label": "Public health programmes",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:f810977b13bb16d90d49008d"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c"
            ],
            "display_evidence_object_id": "display-claim:f810977b13bb16d90d49008d"
          }
        ],
        "graph_edges": [
          {
            "source_node_id": "mhl:deputy-secretary",
            "target_node_id": "mhl:public-health-programmes",
            "relationship": "reported to supervise public health programmes",
            "relationship_family": "governance",
            "display_claim_ids": [
              "display-claim:6ee1abd6b5d5cc0680acca61"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c"
            ],
            "display_evidence_object_id": "display-claim:6ee1abd6b5d5cc0680acca61"
          }
        ]
      },
      "title": "Reported PHC planning and oversight",
      "statement": "The assessment reports national indicators informing planning and a deputy secretary overseeing PHC and public-health programmes. It also reports fragmentation and coordination gaps, so this is not a complete decision-rights map.",
      "excerpt": "drive budget planning and strategic reform",
      "citation": "World Bank, The Primary Health Care System of the Republic of the Marshall Islands, 2024, Governance.",
      "url": "https://documents1.worldbank.org/curated/en/099121523194155037/pdf/P1598650e39db8048080d8013c44af6a5a8.pdf",
      "locator": "PDF physical pages 40-41, Governance.",
      "period": "Assessment completed in 2023; published 2024",
      "territory": "Republic of the Marshall Islands, national PHC governance",
      "evidence_mode_candidate": "reported",
      "verification_source_layer": "grey_literature",
      "coverage_domains": [
        "decision_rights",
        "governance",
        "government_responsibilities",
        "autonomy",
        "primary_care",
        "reform_history",
        "authoritative_review"
      ],
      "review_requirements": [
        "Do not treat reported oversight as a legal mandate or evidence of uniform implementation."
      ],
      "source_references": [
        {
          "title": "The Primary Health Care System of the Republic of the Marshall Islands",
          "citation": "World Bank. The Primary Health Care System of the Republic of the Marshall Islands: A Primary Health Care Performance Initiative Assessment. 2024.",
          "url": "https://documents1.worldbank.org/curated/en/099121523194155037/pdf/P1598650e39db8048080d8013c44af6a5a8.pdf",
          "locator": {
            "locator_type": "pdf_page_set_anchor",
            "physical_pdf_pages": [
              20,
              40,
              45,
              49
            ],
            "sections": [
              "Introduction",
              "Governance",
              "Inputs",
              "Population Health Management"
            ],
            "source_word_anchor": "two hospitals, one in Majuro, one in Ebeye",
            "source_word_count": 8
          },
          "source_version": {
            "file_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
            "response_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MHL:world-bank-phc-assessment-2024",
          "display_source_id": "display-source:MHL:a0916574edebb1b4e36d9b07",
          "source_version_id": "display-source-version:e2554b7802c3bfb3f55c0c9c"
        }
      ],
      "source_version": {
        "file_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
        "response_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
        "detected_media_type": "application/pdf",
        "hash_verified": true,
        "retrieved_at": "2026-08-22"
      },
      "display_source_ids": [
        "display-source:MHL:a0916574edebb1b4e36d9b07"
      ],
      "source_version_ids": [
        "display-source-version:e2554b7802c3bfb3f55c0c9c"
      ],
      "display_claim_ids": [
        "display-claim:5d3ad3428284aa35cbc8666f",
        "display-claim:9b223718df5de87c484244af",
        "display-claim:4cd12e0328dd326a3656397c",
        "display-claim:1262c8f3ec2774c120b207b1",
        "display-claim:fe4dd8bc67ed78c2224ed098",
        "display-claim:f810977b13bb16d90d49008d",
        "display-claim:6ee1abd6b5d5cc0680acca61"
      ],
      "display_evidence_object_id": "display-claim:5d3ad3428284aa35cbc8666f",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:MHL:delivery-referrals:neighboring-island-to-hospital-pathway",
      "country_id": "MHL",
      "mapping_group": "delivery_and_referrals",
      "target_view": "delivery",
      "target_slot": "neighboring-island-to-hospital-pathway",
      "support_state": "candidate_supported",
      "annotation_state": "open",
      "mapping_basis": "World Bank PHC assessment, Introduction and Inputs; World Bank public expenditure review, paragraphs 448-449",
      "source_projection_ids": [
        "country-improvement-source:MHL:world-bank-phc-assessment-2024",
        "country-improvement-source:MHL:world-bank-country-economic-memorandum-2021",
        "country-improvement-source:MHL:tb-free-ebeye-study-2024"
      ],
      "typed_fields": {
        "reported_pathway": "Health centers are reported to communicate with Majuro Hospital by radio; patients needing extensive tertiary care are reported referred overseas.",
        "observed_program_pathway": "A 2024 Ebeye intervention transported sputum daily to the Ebeye Hospital laboratory and provided disease-specific clinical referral on site.",
        "boundary": "These sources do not establish a universal gatekeeping rule, transfer protocol, patient choice pattern, or referral completion rate."
      },
      "analytical_objects": {
        "graph_nodes": [
          {
            "node_id": "mhl:neighboring-island-centers",
            "label": "Neighboring-island health care centers",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:6905c693729f5a6c4673f6d9"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07",
              "display-source:MHL:b977b537631a436b31949718",
              "display-source:MHL:caa9d799241afeeb09aa9831"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c",
              "display-source-version:03a0d9aae99b1f9901dc8f86",
              "display-source-version:1416e38231059aae78ee2c28"
            ],
            "display_evidence_object_id": "display-claim:6905c693729f5a6c4673f6d9"
          },
          {
            "node_id": "mhl:majuro-hospital-pathway",
            "label": "Majuro hospital",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:c0e283f97af5ef70b2835e9a"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07",
              "display-source:MHL:b977b537631a436b31949718",
              "display-source:MHL:caa9d799241afeeb09aa9831"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c",
              "display-source-version:03a0d9aae99b1f9901dc8f86",
              "display-source-version:1416e38231059aae78ee2c28"
            ],
            "display_evidence_object_id": "display-claim:c0e283f97af5ef70b2835e9a"
          },
          {
            "node_id": "mhl:ebeye-case-finding",
            "label": "Ebeye integrated case-finding activity",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:c4d756f1ce814103982d9cc7"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07",
              "display-source:MHL:b977b537631a436b31949718",
              "display-source:MHL:caa9d799241afeeb09aa9831"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c",
              "display-source-version:03a0d9aae99b1f9901dc8f86",
              "display-source-version:1416e38231059aae78ee2c28"
            ],
            "display_evidence_object_id": "display-claim:c4d756f1ce814103982d9cc7"
          },
          {
            "node_id": "mhl:ebeye-hospital-laboratory",
            "label": "Ebeye Hospital laboratory",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:ac2ddc7316a5c1d5b8be8635"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07",
              "display-source:MHL:b977b537631a436b31949718",
              "display-source:MHL:caa9d799241afeeb09aa9831"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c",
              "display-source-version:03a0d9aae99b1f9901dc8f86",
              "display-source-version:1416e38231059aae78ee2c28"
            ],
            "display_evidence_object_id": "display-claim:ac2ddc7316a5c1d5b8be8635"
          },
          {
            "node_id": "mhl:overseas-tertiary-care",
            "label": "Overseas tertiary care",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:56f4763acbfc6b4bb7485654"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07",
              "display-source:MHL:b977b537631a436b31949718",
              "display-source:MHL:caa9d799241afeeb09aa9831"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c",
              "display-source-version:03a0d9aae99b1f9901dc8f86",
              "display-source-version:1416e38231059aae78ee2c28"
            ],
            "display_evidence_object_id": "display-claim:56f4763acbfc6b4bb7485654"
          }
        ],
        "graph_edges": [
          {
            "source_node_id": "mhl:neighboring-island-centers",
            "target_node_id": "mhl:majuro-hospital-pathway",
            "relationship": "reported radio communication pathway",
            "relationship_family": "referral",
            "display_claim_ids": [
              "display-claim:35868908c17f0bd5df5e12c9"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07",
              "display-source:MHL:b977b537631a436b31949718",
              "display-source:MHL:caa9d799241afeeb09aa9831"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c",
              "display-source-version:03a0d9aae99b1f9901dc8f86",
              "display-source-version:1416e38231059aae78ee2c28"
            ],
            "display_evidence_object_id": "display-claim:35868908c17f0bd5df5e12c9"
          },
          {
            "source_node_id": "mhl:neighboring-island-centers",
            "target_node_id": "mhl:overseas-tertiary-care",
            "relationship": "reported escalation for extensive tertiary care",
            "relationship_family": "referral",
            "display_claim_ids": [
              "display-claim:6267a4c666eaf1d0e1082ca9"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07",
              "display-source:MHL:b977b537631a436b31949718",
              "display-source:MHL:caa9d799241afeeb09aa9831"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c",
              "display-source-version:03a0d9aae99b1f9901dc8f86",
              "display-source-version:1416e38231059aae78ee2c28"
            ],
            "display_evidence_object_id": "display-claim:6267a4c666eaf1d0e1082ca9"
          },
          {
            "source_node_id": "mhl:ebeye-case-finding",
            "target_node_id": "mhl:ebeye-hospital-laboratory",
            "relationship": "observed daily sputum transport for one TB intervention",
            "relationship_family": "network",
            "display_claim_ids": [
              "display-claim:b1595c3f84f7b4e27c756524"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07",
              "display-source:MHL:b977b537631a436b31949718",
              "display-source:MHL:caa9d799241afeeb09aa9831"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c",
              "display-source-version:03a0d9aae99b1f9901dc8f86",
              "display-source-version:1416e38231059aae78ee2c28"
            ],
            "display_evidence_object_id": "display-claim:b1595c3f84f7b4e27c756524"
          }
        ],
        "provider_delivery_observations": [
          {
            "label": "Remote-island connectivity",
            "observation": "Health center information is reported communicated to Majuro Hospital by radio.",
            "scope": "National assessment description, not a measure of message reliability or referral completion.",
            "display_claim_ids": [
              "display-claim:65b5ad54483b01031857f11f"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07",
              "display-source:MHL:b977b537631a436b31949718",
              "display-source:MHL:caa9d799241afeeb09aa9831"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c",
              "display-source-version:03a0d9aae99b1f9901dc8f86",
              "display-source-version:1416e38231059aae78ee2c28"
            ],
            "display_evidence_object_id": "display-claim:65b5ad54483b01031857f11f"
          },
          {
            "label": "Ebeye TB intervention pathway",
            "observation": "Sputum was transported daily to the Ebeye Hospital laboratory.",
            "scope": "Integrated case-finding intervention; disease-specific and not a national pathway.",
            "display_claim_ids": [
              "display-claim:f64e59aee723a9902d972128"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07",
              "display-source:MHL:b977b537631a436b31949718",
              "display-source:MHL:caa9d799241afeeb09aa9831"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c",
              "display-source-version:03a0d9aae99b1f9901dc8f86",
              "display-source-version:1416e38231059aae78ee2c28"
            ],
            "display_evidence_object_id": "display-claim:f64e59aee723a9902d972128"
          }
        ]
      },
      "title": "Reported neighboring-island and hospital pathways",
      "statement": "The assessment describes radio communication from health centers to Majuro Hospital and overseas escalation for extensive tertiary care. A 2024 Ebeye study documents a narrower laboratory pathway for one intervention.",
      "excerpt": "Information between health care centers is communicated to Majuro Hospital",
      "citation": "World Bank, The Primary Health Care System of the Republic of the Marshall Islands, 2024, Introduction; Brostrom et al., 2024, Methods.",
      "url": "https://documents1.worldbank.org/curated/en/099121523194155037/pdf/P1598650e39db8048080d8013c44af6a5a8.pdf",
      "locator": "World Bank PDF physical page 20, Introduction; Brostrom et al. web section Methods.",
      "period": "Assessment completed in 2023; intervention article published 2024",
      "territory": "Republic of the Marshall Islands, with Ebeye-specific intervention evidence",
      "evidence_mode_candidate": "reported",
      "verification_source_layer": "grey_literature",
      "coverage_domains": [
        "primary_care",
        "hospital_organization",
        "referral_design",
        "observed_referral",
        "patient_flows",
        "networks",
        "facility_data",
        "utilization",
        "authoritative_review"
      ],
      "review_requirements": [
        "Do not infer transfer frequency, timely access, clinical appropriateness, or an operating nationwide referral protocol."
      ],
      "source_references": [
        {
          "title": "The Primary Health Care System of the Republic of the Marshall Islands",
          "citation": "World Bank. The Primary Health Care System of the Republic of the Marshall Islands: A Primary Health Care Performance Initiative Assessment. 2024.",
          "url": "https://documents1.worldbank.org/curated/en/099121523194155037/pdf/P1598650e39db8048080d8013c44af6a5a8.pdf",
          "locator": {
            "locator_type": "pdf_page_set_anchor",
            "physical_pdf_pages": [
              20,
              40,
              45,
              49
            ],
            "sections": [
              "Introduction",
              "Governance",
              "Inputs",
              "Population Health Management"
            ],
            "source_word_anchor": "two hospitals, one in Majuro, one in Ebeye",
            "source_word_count": 8
          },
          "source_version": {
            "file_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
            "response_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MHL:world-bank-phc-assessment-2024",
          "display_source_id": "display-source:MHL:a0916574edebb1b4e36d9b07",
          "source_version_id": "display-source-version:e2554b7802c3bfb3f55c0c9c"
        },
        {
          "title": "Republic of the Marshall Islands Country Economic Memorandum and Public Expenditure Review",
          "citation": "World Bank. Republic of the Marshall Islands Country Economic Memorandum and Public Expenditure Review. 2021.",
          "url": "https://openknowledge.worldbank.org/bitstreams/33882feb-80f1-52ce-abba-ce810b4dc5d7/download",
          "locator": {
            "locator_type": "pdf_page_set_anchor",
            "physical_pdf_pages": [
              216,
              217,
              218,
              224
            ],
            "sections": [
              "Health: Managing the Build-up of Rising Spending Pressures",
              "Efficiency of public health spending"
            ],
            "source_word_anchor": "In the absence of gate keeping mechanisms",
            "source_word_count": 7
          },
          "source_version": {
            "file_sha256": "aa45a66408035b0bc07a38b0f36558594f77dca28d66622eddca04c2a4bb5dd3",
            "response_sha256": "aa45a66408035b0bc07a38b0f36558594f77dca28d66622eddca04c2a4bb5dd3",
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MHL:world-bank-country-economic-memorandum-2021",
          "display_source_id": "display-source:MHL:b977b537631a436b31949718",
          "source_version_id": "display-source-version:03a0d9aae99b1f9901dc8f86"
        },
        {
          "title": "TB-free Ebeye: Results from integrated TB and noncommunicable disease case finding",
          "citation": "Brostrom RJ, Largen A, Nasa JN, et al. TB-free Ebeye: Results from integrated TB and noncommunicable disease case finding in Ebeye, Marshall Islands. Journal of Clinical Tuberculosis and Other Mycobacterial Diseases. 2024.",
          "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10863304/",
          "locator": {
            "locator_type": "web_heading_and_paragraph",
            "sections": [
              "Methods",
              "Screening and referral procedures"
            ],
            "source_word_anchor": "Sputum samples were transported daily to the Ebeye Hospital",
            "source_word_count": 9
          },
          "source_version": {
            "response_sha256": "0ef0fbae9899556e55e1137cb260438f111fd2743d20f3fd52e90f3f8ceb8b8a",
            "detected_media_type": "text/html",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MHL:tb-free-ebeye-study-2024",
          "display_source_id": "display-source:MHL:caa9d799241afeeb09aa9831",
          "source_version_id": "display-source-version:1416e38231059aae78ee2c28"
        }
      ],
      "source_version": {
        "file_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
        "response_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
        "detected_media_type": "application/pdf",
        "hash_verified": true,
        "retrieved_at": "2026-08-22"
      },
      "display_source_ids": [
        "display-source:MHL:a0916574edebb1b4e36d9b07",
        "display-source:MHL:b977b537631a436b31949718",
        "display-source:MHL:caa9d799241afeeb09aa9831"
      ],
      "source_version_ids": [
        "display-source-version:e2554b7802c3bfb3f55c0c9c",
        "display-source-version:03a0d9aae99b1f9901dc8f86",
        "display-source-version:1416e38231059aae78ee2c28"
      ],
      "display_claim_ids": [
        "display-claim:f12aa6427f9ff66d86e636fb",
        "display-claim:6905c693729f5a6c4673f6d9",
        "display-claim:c0e283f97af5ef70b2835e9a",
        "display-claim:c4d756f1ce814103982d9cc7",
        "display-claim:ac2ddc7316a5c1d5b8be8635",
        "display-claim:56f4763acbfc6b4bb7485654",
        "display-claim:35868908c17f0bd5df5e12c9",
        "display-claim:6267a4c666eaf1d0e1082ca9",
        "display-claim:b1595c3f84f7b4e27c756524",
        "display-claim:65b5ad54483b01031857f11f",
        "display-claim:f64e59aee723a9902d972128"
      ],
      "display_evidence_object_id": "display-claim:f12aa6427f9ff66d86e636fb",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:MHL:delivery-referrals:observed-wealth-and-residence-access",
      "country_id": "MHL",
      "mapping_group": "delivery_and_referrals",
      "target_view": "referrals",
      "target_slot": "observed-access-inequities",
      "support_state": "candidate_supported",
      "annotation_state": "open",
      "mapping_basis": "World Bank PHC assessment, Results: Equity",
      "source_projection_ids": [
        "country-improvement-source:MHL:world-bank-phc-assessment-2024",
        "country-improvement-source:MHL:who-data-country-profile-2026"
      ],
      "typed_fields": {
        "observed_access_fact": "In HIES 2019, 48% of households in the poorest wealth quintile sought care when needed, compared with 57% in the wealthiest quintile.",
        "observed_delivery_fact": "In ICNHS 2017, four or more prenatal visits were reported for 70% of urban and 57% of rural women; skilled-birth-attendant delivery was 98% and 66%, respectively.",
        "boundary": "These household-survey access and maternal-service indicators are not referral rates, provider-choice measures, or causal estimates."
      },
      "analytical_objects": {
        "provider_delivery_observations": [
          {
            "label": "Care-seeking by wealth quintile",
            "observation": "48% of households in the poorest quintile and 57% in the wealthiest quintile sought care when needed.",
            "scope": "HIES 2019; denominator is households in each wealth quintile.",
            "display_claim_ids": [
              "display-claim:737e2835108b27f52866bf3e"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07",
              "display-source:MHL:4bfb2beb1a52175f4d38c819"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c",
              "display-source-version:61d37a61fe20817d6dccc885"
            ],
            "display_evidence_object_id": "display-claim:737e2835108b27f52866bf3e"
          },
          {
            "label": "Maternal services by residence",
            "observation": "Four or more prenatal visits: 70% urban and 57% rural; skilled-birth-attendant delivery: 98% urban and 66% rural.",
            "scope": "ICNHS 2017; denominators are women by reported residence in the survey figures.",
            "display_claim_ids": [
              "display-claim:12946c0c8a666a1f95949955"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07",
              "display-source:MHL:4bfb2beb1a52175f4d38c819"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c",
              "display-source-version:61d37a61fe20817d6dccc885"
            ],
            "display_evidence_object_id": "display-claim:12946c0c8a666a1f95949955"
          }
        ]
      },
      "title": "Observed inequities in care seeking and maternal service coverage",
      "statement": "Survey results show lower care seeking among households in the poorest versus wealthiest quintile and lower selected maternal-service coverage in rural versus urban residence. They do not reveal referral completion or provider choice.",
      "excerpt": "48 percent of households in the poorest wealth quintile",
      "citation": "World Bank, The Primary Health Care System of the Republic of the Marshall Islands, 2024, Results: Equity, Figures 7 and 10.",
      "url": "https://documents1.worldbank.org/curated/en/099121523194155037/pdf/P1598650e39db8048080d8013c44af6a5a8.pdf",
      "locator": "PDF physical pages 37 and 39, Results: Equity, Figures 7 and 10.",
      "period": "HIES 2019 and ICNHS 2017, reported in 2024 assessment",
      "territory": "Republic of the Marshall Islands, national household survey indicators by wealth quintile and residence",
      "evidence_mode_candidate": "observed",
      "verification_source_layer": "grey_literature",
      "coverage_domains": [
        "utilization",
        "patient_flows",
        "facility_data",
        "primary_care",
        "observed_referral",
        "referral_design",
        "authoritative_review"
      ],
      "review_requirements": [
        "Preserve denominators and survey periods. Do not relabel these as referral rates or facility utilization counts."
      ],
      "source_references": [
        {
          "title": "The Primary Health Care System of the Republic of the Marshall Islands",
          "citation": "World Bank. The Primary Health Care System of the Republic of the Marshall Islands: A Primary Health Care Performance Initiative Assessment. 2024.",
          "url": "https://documents1.worldbank.org/curated/en/099121523194155037/pdf/P1598650e39db8048080d8013c44af6a5a8.pdf",
          "locator": {
            "locator_type": "pdf_page_set_anchor",
            "physical_pdf_pages": [
              20,
              40,
              45,
              49
            ],
            "sections": [
              "Introduction",
              "Governance",
              "Inputs",
              "Population Health Management"
            ],
            "source_word_anchor": "two hospitals, one in Majuro, one in Ebeye",
            "source_word_count": 8
          },
          "source_version": {
            "file_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
            "response_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MHL:world-bank-phc-assessment-2024",
          "display_source_id": "display-source:MHL:a0916574edebb1b4e36d9b07",
          "source_version_id": "display-source-version:e2554b7802c3bfb3f55c0c9c"
        },
        {
          "title": "Marshall Islands health data overview",
          "citation": "World Health Organization. Marshall Islands health data overview. Accessed 22 August 2026.",
          "url": "https://data.who.int/countries/584",
          "locator": {
            "locator_type": "web_heading_and_paragraph",
            "sections": [
              "Marshall Islands"
            ],
            "source_word_anchor": "Health data overview for the Republic",
            "source_word_count": 6
          },
          "source_version": {
            "response_sha256": "66c2a2b2c156abd170338fe1c1933764f43cb92fa73645d5dfe8b3b8e9a87457",
            "detected_media_type": "text/html",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MHL:who-data-country-profile-2026",
          "display_source_id": "display-source:MHL:4bfb2beb1a52175f4d38c819",
          "source_version_id": "display-source-version:61d37a61fe20817d6dccc885"
        }
      ],
      "source_version": {
        "file_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
        "response_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
        "detected_media_type": "application/pdf",
        "hash_verified": true,
        "retrieved_at": "2026-08-22"
      },
      "display_source_ids": [
        "display-source:MHL:a0916574edebb1b4e36d9b07",
        "display-source:MHL:4bfb2beb1a52175f4d38c819"
      ],
      "source_version_ids": [
        "display-source-version:e2554b7802c3bfb3f55c0c9c",
        "display-source-version:61d37a61fe20817d6dccc885"
      ],
      "display_claim_ids": [
        "display-claim:bbcd38ad944a5bb6752be0e5",
        "display-claim:737e2835108b27f52866bf3e",
        "display-claim:12946c0c8a666a1f95949955"
      ],
      "display_evidence_object_id": "display-claim:bbcd38ad944a5bb6752be0e5",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:MHL:relationships-networks:community-and-cross-government-coordination",
      "country_id": "MHL",
      "mapping_group": "relationships_and_networks",
      "target_view": "delivery",
      "target_slot": "community-and-cross-government-coordination",
      "support_state": "candidate_supported",
      "annotation_state": "open",
      "mapping_basis": "World Bank PHC assessment, Governance; WHO country work page",
      "source_projection_ids": [
        "country-improvement-source:MHL:world-bank-phc-assessment-2024",
        "country-improvement-source:MHL:who-country-work-page-2026"
      ],
      "typed_fields": {
        "reported_network": "The assessment reports Ministry collaboration with community health councils and cross-government engagement, but says roles are defined around individuals rather than organizations.",
        "integration_boundary": "The assessment reports that engagement and quality-result sharing are not systematic across programmes and divisions.",
        "boundary": "WHO's country page describes remote-island service constraints but does not identify operational governance agreements."
      },
      "analytical_objects": {
        "graph_nodes": [
          {
            "node_id": "mhl:community-health-councils-network",
            "label": "Community health councils",
            "family": "community",
            "display_claim_ids": [
              "display-claim:2ee04de53ec5b29916be83a2"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07",
              "display-source:MHL:7417bbdad6a081a5b35392c0"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c",
              "display-source-version:312454fb324bbd7d3bffe31c"
            ],
            "display_evidence_object_id": "display-claim:2ee04de53ec5b29916be83a2"
          },
          {
            "node_id": "mhl:mohhs-network",
            "label": "Ministry of Health and Human Services",
            "family": "national",
            "display_claim_ids": [
              "display-claim:180070c9fa53581e8161e813"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07",
              "display-source:MHL:7417bbdad6a081a5b35392c0"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c",
              "display-source-version:312454fb324bbd7d3bffe31c"
            ],
            "display_evidence_object_id": "display-claim:180070c9fa53581e8161e813"
          },
          {
            "node_id": "mhl:other-government-actors",
            "label": "Other government actors",
            "family": "national",
            "display_claim_ids": [
              "display-claim:d6ee655ee12b39ac92f27ec1"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07",
              "display-source:MHL:7417bbdad6a081a5b35392c0"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c",
              "display-source-version:312454fb324bbd7d3bffe31c"
            ],
            "display_evidence_object_id": "display-claim:d6ee655ee12b39ac92f27ec1"
          }
        ],
        "graph_edges": [
          {
            "source_node_id": "mhl:mohhs-network",
            "target_node_id": "mhl:community-health-councils-network",
            "relationship": "reported collaboration in health-care service provision",
            "relationship_family": "network",
            "display_claim_ids": [
              "display-claim:ea59ed2d33122d686591a011"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07",
              "display-source:MHL:7417bbdad6a081a5b35392c0"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c",
              "display-source-version:312454fb324bbd7d3bffe31c"
            ],
            "display_evidence_object_id": "display-claim:ea59ed2d33122d686591a011"
          },
          {
            "source_node_id": "mhl:mohhs-network",
            "target_node_id": "mhl:other-government-actors",
            "relationship": "reported cross-government engagement for actions",
            "relationship_family": "governance",
            "display_claim_ids": [
              "display-claim:ca32d4032077526aa96c0159"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07",
              "display-source:MHL:7417bbdad6a081a5b35392c0"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c",
              "display-source-version:312454fb324bbd7d3bffe31c"
            ],
            "display_evidence_object_id": "display-claim:ca32d4032077526aa96c0159"
          }
        ],
        "provider_delivery_observations": [
          {
            "label": "Coordination limitation",
            "observation": "Roles are reported as based on individuals rather than organizations, with accountability and transparency gaps.",
            "scope": "National governance assessment.",
            "display_claim_ids": [
              "display-claim:4157f72a8d7979894c98402a"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07",
              "display-source:MHL:7417bbdad6a081a5b35392c0"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c",
              "display-source-version:312454fb324bbd7d3bffe31c"
            ],
            "display_evidence_object_id": "display-claim:4157f72a8d7979894c98402a"
          }
        ]
      },
      "title": "Community and cross-government coordination",
      "statement": "Reported Ministry collaboration with community health councils and cross-government engagement supports a network view, but the assessment identifies uneven organizational role definition and accountability limits.",
      "excerpt": "The MHHS works collaboratively with community health councils",
      "citation": "World Bank, The Primary Health Care System of the Republic of the Marshall Islands, 2024, Introduction and Governance; WHO, Our work in Marshall Islands.",
      "url": "https://documents1.worldbank.org/curated/en/099121523194155037/pdf/P1598650e39db8048080d8013c44af6a5a8.pdf",
      "locator": "World Bank PDF physical pages 20 and 42; WHO page, Health system and health situation.",
      "period": "World Bank assessment completed in 2023; WHO page accessed 22 August 2026",
      "territory": "Republic of the Marshall Islands, national system including remote islands and atolls",
      "evidence_mode_candidate": "reported",
      "verification_source_layer": "grey_literature",
      "coverage_domains": [
        "actors",
        "networks",
        "governance",
        "government_responsibilities",
        "primary_care",
        "facility_data",
        "authoritative_review"
      ],
      "review_requirements": [
        "Do not infer a formal interagency agreement, universal community-council coverage, or implementation quality."
      ],
      "source_references": [
        {
          "title": "The Primary Health Care System of the Republic of the Marshall Islands",
          "citation": "World Bank. The Primary Health Care System of the Republic of the Marshall Islands: A Primary Health Care Performance Initiative Assessment. 2024.",
          "url": "https://documents1.worldbank.org/curated/en/099121523194155037/pdf/P1598650e39db8048080d8013c44af6a5a8.pdf",
          "locator": {
            "locator_type": "pdf_page_set_anchor",
            "physical_pdf_pages": [
              20,
              40,
              45,
              49
            ],
            "sections": [
              "Introduction",
              "Governance",
              "Inputs",
              "Population Health Management"
            ],
            "source_word_anchor": "two hospitals, one in Majuro, one in Ebeye",
            "source_word_count": 8
          },
          "source_version": {
            "file_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
            "response_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MHL:world-bank-phc-assessment-2024",
          "display_source_id": "display-source:MHL:a0916574edebb1b4e36d9b07",
          "source_version_id": "display-source-version:e2554b7802c3bfb3f55c0c9c"
        },
        {
          "title": "Our work in Marshall Islands",
          "citation": "World Health Organization. Our work in Marshall Islands. Accessed 22 August 2026.",
          "url": "https://www.who.int/marshallislands/our-work",
          "locator": {
            "locator_type": "web_heading_and_paragraph",
            "sections": [
              "Health system and health situation"
            ],
            "source_word_anchor": "Providing health care across remote islands and atolls",
            "source_word_count": 8
          },
          "source_version": {
            "response_sha256": "9aa0ea8186741b57857ba99f1a348c79096cf4e0c2e5040b2e5c3b9ae67544c5",
            "detected_media_type": "text/html",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MHL:who-country-work-page-2026",
          "display_source_id": "display-source:MHL:7417bbdad6a081a5b35392c0",
          "source_version_id": "display-source-version:312454fb324bbd7d3bffe31c"
        }
      ],
      "source_version": {
        "file_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
        "response_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
        "detected_media_type": "application/pdf",
        "hash_verified": true,
        "retrieved_at": "2026-08-22"
      },
      "display_source_ids": [
        "display-source:MHL:a0916574edebb1b4e36d9b07",
        "display-source:MHL:7417bbdad6a081a5b35392c0"
      ],
      "source_version_ids": [
        "display-source-version:e2554b7802c3bfb3f55c0c9c",
        "display-source-version:312454fb324bbd7d3bffe31c"
      ],
      "display_claim_ids": [
        "display-claim:7e5901e0e76d7c9ed5e1d58b",
        "display-claim:2ee04de53ec5b29916be83a2",
        "display-claim:180070c9fa53581e8161e813",
        "display-claim:d6ee655ee12b39ac92f27ec1",
        "display-claim:ea59ed2d33122d686591a011",
        "display-claim:ca32d4032077526aa96c0159",
        "display-claim:4157f72a8d7979894c98402a"
      ],
      "display_evidence_object_id": "display-claim:7e5901e0e76d7c9ed5e1d58b",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:MHL:relationships-networks:overseas-referral-network",
      "country_id": "MHL",
      "mapping_group": "relationships_and_networks",
      "target_view": "referrals",
      "target_slot": "overseas-referral-network",
      "support_state": "candidate_supported",
      "annotation_state": "open",
      "mapping_basis": "World Bank Country Economic Memorandum and Public Expenditure Review, paragraphs 449-450; WHO overseas medical referral policy brief",
      "source_projection_ids": [
        "country-improvement-source:MHL:world-bank-country-economic-memorandum-2021",
        "country-improvement-source:MHL:who-overseas-medical-referral-2020",
        "country-improvement-source:MHL:ebeye-ncd-systems-study-2013"
      ],
      "typed_fields": {
        "reported_referral_design": "The World Bank review reports that the Medical Referral Committee evaluates overseas-referral need and discusses Medical Records Information System limitations.",
        "historic_observation": "An Ebeye study reports 11, 18 and 14 overseas referrals in 2007, 2008 and 2009, respectively.",
        "boundary": "The historic Ebeye counts do not provide a current national referral volume, authorization standard, destination network, or completion rate."
      },
      "analytical_objects": {
        "graph_nodes": [
          {
            "node_id": "mhl:medical-referral-committee",
            "label": "Medical Referral Committee",
            "family": "national",
            "display_claim_ids": [
              "display-claim:22c0e34b4d5d2058f67d95b8"
            ],
            "display_source_ids": [
              "display-source:MHL:b977b537631a436b31949718",
              "display-source:MHL:8d8d297641bdb170db4672c9",
              "display-source:MHL:d7f8153160a85f44eb5fb745"
            ],
            "source_version_ids": [
              "display-source-version:03a0d9aae99b1f9901dc8f86",
              "display-source-version:d27ba296d52371e705daf887",
              "display-source-version:c40464b2d98cb05115cf8aed"
            ],
            "display_evidence_object_id": "display-claim:22c0e34b4d5d2058f67d95b8"
          },
          {
            "node_id": "mhl:overseas-providers",
            "label": "Overseas providers",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:7ecaf86058e782128a8d2ba7"
            ],
            "display_source_ids": [
              "display-source:MHL:b977b537631a436b31949718",
              "display-source:MHL:8d8d297641bdb170db4672c9",
              "display-source:MHL:d7f8153160a85f44eb5fb745"
            ],
            "source_version_ids": [
              "display-source-version:03a0d9aae99b1f9901dc8f86",
              "display-source-version:d27ba296d52371e705daf887",
              "display-source-version:c40464b2d98cb05115cf8aed"
            ],
            "display_evidence_object_id": "display-claim:7ecaf86058e782128a8d2ba7"
          },
          {
            "node_id": "mhl:meris",
            "label": "Medical Records Information System",
            "family": "national",
            "display_claim_ids": [
              "display-claim:72c5a76d6d21662381ecc38c"
            ],
            "display_source_ids": [
              "display-source:MHL:b977b537631a436b31949718",
              "display-source:MHL:8d8d297641bdb170db4672c9",
              "display-source:MHL:d7f8153160a85f44eb5fb745"
            ],
            "source_version_ids": [
              "display-source-version:03a0d9aae99b1f9901dc8f86",
              "display-source-version:d27ba296d52371e705daf887",
              "display-source-version:c40464b2d98cb05115cf8aed"
            ],
            "display_evidence_object_id": "display-claim:72c5a76d6d21662381ecc38c"
          }
        ],
        "graph_edges": [
          {
            "source_node_id": "mhl:medical-referral-committee",
            "target_node_id": "mhl:overseas-providers",
            "relationship": "reported to evaluate need for overseas referral",
            "relationship_family": "referral",
            "display_claim_ids": [
              "display-claim:a442b66b3fe9f24bf2178c86"
            ],
            "display_source_ids": [
              "display-source:MHL:b977b537631a436b31949718",
              "display-source:MHL:8d8d297641bdb170db4672c9",
              "display-source:MHL:d7f8153160a85f44eb5fb745"
            ],
            "source_version_ids": [
              "display-source-version:03a0d9aae99b1f9901dc8f86",
              "display-source-version:d27ba296d52371e705daf887",
              "display-source-version:c40464b2d98cb05115cf8aed"
            ],
            "display_evidence_object_id": "display-claim:a442b66b3fe9f24bf2178c86"
          },
          {
            "source_node_id": "mhl:meris",
            "target_node_id": "mhl:medical-referral-committee",
            "relationship": "reported referral documentation system with incomplete financial data",
            "relationship_family": "accountability",
            "display_claim_ids": [
              "display-claim:ef2c7a81651bf94d509e2327"
            ],
            "display_source_ids": [
              "display-source:MHL:b977b537631a436b31949718",
              "display-source:MHL:8d8d297641bdb170db4672c9",
              "display-source:MHL:d7f8153160a85f44eb5fb745"
            ],
            "source_version_ids": [
              "display-source-version:03a0d9aae99b1f9901dc8f86",
              "display-source-version:d27ba296d52371e705daf887",
              "display-source-version:c40464b2d98cb05115cf8aed"
            ],
            "display_evidence_object_id": "display-claim:ef2c7a81651bf94d509e2327"
          }
        ],
        "function_assignments": [
          {
            "actor_label": "Medical Referral Committee",
            "function_label": "Evaluate need for overseas referral",
            "role": "Reported referral review function",
            "actor_family": "national",
            "display_claim_ids": [
              "display-claim:b0427b1bf17d79e9d8dc93ce"
            ],
            "display_source_ids": [
              "display-source:MHL:b977b537631a436b31949718",
              "display-source:MHL:8d8d297641bdb170db4672c9",
              "display-source:MHL:d7f8153160a85f44eb5fb745"
            ],
            "source_version_ids": [
              "display-source-version:03a0d9aae99b1f9901dc8f86",
              "display-source-version:d27ba296d52371e705daf887",
              "display-source-version:c40464b2d98cb05115cf8aed"
            ],
            "display_evidence_object_id": "display-claim:b0427b1bf17d79e9d8dc93ce"
          }
        ],
        "provider_delivery_observations": [
          {
            "label": "Historic Ebeye overseas referrals",
            "observation": "11 referrals in 2007, 18 in 2008 and 14 in 2009.",
            "scope": "Ebeye study; counts are annual referrals, not a national rate or current volume.",
            "display_claim_ids": [
              "display-claim:2d69941adedd5722385c7228"
            ],
            "display_source_ids": [
              "display-source:MHL:b977b537631a436b31949718",
              "display-source:MHL:8d8d297641bdb170db4672c9",
              "display-source:MHL:d7f8153160a85f44eb5fb745"
            ],
            "source_version_ids": [
              "display-source-version:03a0d9aae99b1f9901dc8f86",
              "display-source-version:d27ba296d52371e705daf887",
              "display-source-version:c40464b2d98cb05115cf8aed"
            ],
            "display_evidence_object_id": "display-claim:2d69941adedd5722385c7228"
          }
        ]
      },
      "title": "Reported overseas-referral network and bounded historic Ebeye counts",
      "statement": "The review describes committee-evaluated overseas referral and record-system limitations. A separate Ebeye study gives historic annual counts only, so national volume and referral performance remain unmeasured here.",
      "excerpt": "the Medical Referral Committee evaluates the need to refer",
      "citation": "World Bank, Republic of the Marshall Islands Country Economic Memorandum and Public Expenditure Review, 2021, paragraph 450; Ichiho et al., 2013, Medical Referrals.",
      "url": "https://openknowledge.worldbank.org/bitstreams/33882feb-80f1-52ce-abba-ce810b4dc5d7/download",
      "locator": "World Bank PDF physical page 217, paragraph 450; Ichiho et al. web section Medical Referrals.",
      "period": "World Bank review published 2021; Ebeye observed counts 2007-2009",
      "territory": "Republic of the Marshall Islands, with Ebeye-specific historic observation",
      "evidence_mode_candidate": "reported",
      "verification_source_layer": "grey_literature",
      "coverage_domains": [
        "referral_design",
        "observed_referral",
        "patient_flows",
        "networks",
        "decision_rights",
        "governance",
        "authoritative_review"
      ],
      "review_requirements": [
        "Do not infer current overseas-referral eligibility, funding, destinations, waiting time, or outcomes."
      ],
      "source_references": [
        {
          "title": "Republic of the Marshall Islands Country Economic Memorandum and Public Expenditure Review",
          "citation": "World Bank. Republic of the Marshall Islands Country Economic Memorandum and Public Expenditure Review. 2021.",
          "url": "https://openknowledge.worldbank.org/bitstreams/33882feb-80f1-52ce-abba-ce810b4dc5d7/download",
          "locator": {
            "locator_type": "pdf_page_set_anchor",
            "physical_pdf_pages": [
              216,
              217,
              218,
              224
            ],
            "sections": [
              "Health: Managing the Build-up of Rising Spending Pressures",
              "Efficiency of public health spending"
            ],
            "source_word_anchor": "In the absence of gate keeping mechanisms",
            "source_word_count": 7
          },
          "source_version": {
            "file_sha256": "aa45a66408035b0bc07a38b0f36558594f77dca28d66622eddca04c2a4bb5dd3",
            "response_sha256": "aa45a66408035b0bc07a38b0f36558594f77dca28d66622eddca04c2a4bb5dd3",
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MHL:world-bank-country-economic-memorandum-2021",
          "display_source_id": "display-source:MHL:b977b537631a436b31949718",
          "source_version_id": "display-source-version:03a0d9aae99b1f9901dc8f86"
        },
        {
          "title": "Overseas medical referral: the health system challenges for Pacific Island Countries",
          "citation": "World Health Organization. Overseas medical referral: the health system challenges for Pacific Island Countries. Policy brief, 2020.",
          "url": "https://apo.who.int/publications/i/item/9789290227700",
          "locator": {
            "locator_type": "web_heading_and_paragraph",
            "sections": [
              "Overview"
            ],
            "source_word_anchor": "overseas medical referral is one solution",
            "source_word_count": 6
          },
          "source_version": {
            "response_sha256": "ea448c284caaaa22bef66e300b2b0d0d8c50b2cb9933fc95ba64f9e7c62618a9",
            "detected_media_type": "text/html",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MHL:who-overseas-medical-referral-2020",
          "display_source_id": "display-source:MHL:8d8d297641bdb170db4672c9",
          "source_version_id": "display-source-version:d27ba296d52371e705daf887"
        },
        {
          "title": "An Assessment of Non-Communicable Diseases, Diabetes, and Related Risk Factors in Ebeye Island",
          "citation": "Ichiho HM, Seremai J, Trinidad R, et al. An Assessment of Non-Communicable Diseases, Diabetes, and Related Risk Factors in the Republic of the Marshall Islands, Kwajalein Atoll, Ebeye Island: A Systems Perspective. Hawai'i Journal of Medicine & Public Health. 2013.",
          "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC3689463/",
          "locator": {
            "locator_type": "web_heading_and_paragraph",
            "sections": [
              "Medical Referrals",
              "Health Insurance",
              "Description of Clinical Services"
            ],
            "source_word_anchor": "Patients who were not able to receive necessary medical care",
            "source_word_count": 10
          },
          "source_version": {
            "response_sha256": "92eb4fd86261d8760d1f5cd76443aa69c85d7c686766b392e4993be95c7c3cd8",
            "detected_media_type": "text/html",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MHL:ebeye-ncd-systems-study-2013",
          "display_source_id": "display-source:MHL:d7f8153160a85f44eb5fb745",
          "source_version_id": "display-source-version:c40464b2d98cb05115cf8aed"
        }
      ],
      "source_version": {
        "file_sha256": "aa45a66408035b0bc07a38b0f36558594f77dca28d66622eddca04c2a4bb5dd3",
        "response_sha256": "aa45a66408035b0bc07a38b0f36558594f77dca28d66622eddca04c2a4bb5dd3",
        "detected_media_type": "application/pdf",
        "hash_verified": true,
        "retrieved_at": "2026-08-22"
      },
      "display_source_ids": [
        "display-source:MHL:b977b537631a436b31949718",
        "display-source:MHL:8d8d297641bdb170db4672c9",
        "display-source:MHL:d7f8153160a85f44eb5fb745"
      ],
      "source_version_ids": [
        "display-source-version:03a0d9aae99b1f9901dc8f86",
        "display-source-version:d27ba296d52371e705daf887",
        "display-source-version:c40464b2d98cb05115cf8aed"
      ],
      "display_claim_ids": [
        "display-claim:1c82dd2cd928994bb6e61296",
        "display-claim:22c0e34b4d5d2058f67d95b8",
        "display-claim:7ecaf86058e782128a8d2ba7",
        "display-claim:72c5a76d6d21662381ecc38c",
        "display-claim:a442b66b3fe9f24bf2178c86",
        "display-claim:ef2c7a81651bf94d509e2327",
        "display-claim:b0427b1bf17d79e9d8dc93ce",
        "display-claim:2d69941adedd5722385c7228"
      ],
      "display_evidence_object_id": "display-claim:1c82dd2cd928994bb6e61296",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:MHL:time-reform:financing-fragmentation-and-primary-care-recommendations",
      "country_id": "MHL",
      "mapping_group": "time_and_reform",
      "target_view": "functions",
      "target_slot": "financing-fragmentation-and-primary-care-recommendations",
      "support_state": "candidate_supported",
      "annotation_state": "open",
      "mapping_basis": "World Bank Country Economic Memorandum and Public Expenditure Review, paragraphs 447-460; World Bank Pacific PER page",
      "source_projection_ids": [
        "country-improvement-source:MHL:world-bank-country-economic-memorandum-2021",
        "country-improvement-source:MHL:world-bank-pacific-per-page-2023"
      ],
      "typed_fields": {
        "reported_problem": "The review reports that grant restrictions can limit resource allocation responsiveness and describes fragmented health financing.",
        "reform_recommendation": "The review recommends strengthening neighboring-island primary care, health-assistant support and referral-system revision.",
        "boundary": "This is an external review's analysis and recommendation, not a confirmed change in budget rules, service functions, or referral policy."
      },
      "analytical_objects": {
        "graph_nodes": [
          {
            "node_id": "mhl:domestic-health-resources",
            "label": "Domestic health resources",
            "family": "national",
            "display_claim_ids": [
              "display-claim:3e218b24b650e784f8679fa3"
            ],
            "display_source_ids": [
              "display-source:MHL:b977b537631a436b31949718",
              "display-source:MHL:403fe0be3ee820e570b8cf5b"
            ],
            "source_version_ids": [
              "display-source-version:03a0d9aae99b1f9901dc8f86",
              "display-source-version:619ec3c079729e0615996799"
            ],
            "display_evidence_object_id": "display-claim:3e218b24b650e784f8679fa3"
          },
          {
            "node_id": "mhl:external-health-grants",
            "label": "External health grants",
            "family": "purchaser",
            "display_claim_ids": [
              "display-claim:a3888ba79101554e4d5ccc24"
            ],
            "display_source_ids": [
              "display-source:MHL:b977b537631a436b31949718",
              "display-source:MHL:403fe0be3ee820e570b8cf5b"
            ],
            "source_version_ids": [
              "display-source-version:03a0d9aae99b1f9901dc8f86",
              "display-source-version:619ec3c079729e0615996799"
            ],
            "display_evidence_object_id": "display-claim:a3888ba79101554e4d5ccc24"
          },
          {
            "node_id": "mhl:neighboring-island-primary-care",
            "label": "Neighboring-island primary care",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:39fe8fa29b09f1dae99fdb8b"
            ],
            "display_source_ids": [
              "display-source:MHL:b977b537631a436b31949718",
              "display-source:MHL:403fe0be3ee820e570b8cf5b"
            ],
            "source_version_ids": [
              "display-source-version:03a0d9aae99b1f9901dc8f86",
              "display-source-version:619ec3c079729e0615996799"
            ],
            "display_evidence_object_id": "display-claim:39fe8fa29b09f1dae99fdb8b"
          }
        ],
        "graph_edges": [
          {
            "source_node_id": "mhl:external-health-grants",
            "target_node_id": "mhl:domestic-health-resources",
            "relationship": "reported grant restrictions can limit allocation responsiveness",
            "relationship_family": "purchasing",
            "display_claim_ids": [
              "display-claim:fea58b676e6c8197f75aada8"
            ],
            "display_source_ids": [
              "display-source:MHL:b977b537631a436b31949718",
              "display-source:MHL:403fe0be3ee820e570b8cf5b"
            ],
            "source_version_ids": [
              "display-source-version:03a0d9aae99b1f9901dc8f86",
              "display-source-version:619ec3c079729e0615996799"
            ],
            "display_evidence_object_id": "display-claim:fea58b676e6c8197f75aada8"
          },
          {
            "source_node_id": "mhl:domestic-health-resources",
            "target_node_id": "mhl:neighboring-island-primary-care",
            "relationship": "review recommends strengthened primary-care delivery and support",
            "relationship_family": "operations",
            "display_claim_ids": [
              "display-claim:53a37cb0b39fa6bde9e6c583"
            ],
            "display_source_ids": [
              "display-source:MHL:b977b537631a436b31949718",
              "display-source:MHL:403fe0be3ee820e570b8cf5b"
            ],
            "source_version_ids": [
              "display-source-version:03a0d9aae99b1f9901dc8f86",
              "display-source-version:619ec3c079729e0615996799"
            ],
            "display_evidence_object_id": "display-claim:53a37cb0b39fa6bde9e6c583"
          }
        ],
        "reform_events": [
          {
            "event_id": "mhl:per-recommendations-2021",
            "label": "Public expenditure review primary-care and referral recommendations",
            "year": 2021,
            "status": "Published recommendations, not verified implementation",
            "display_claim_ids": [
              "display-claim:fcbee287b79a37a519d93f57"
            ],
            "display_source_ids": [
              "display-source:MHL:b977b537631a436b31949718",
              "display-source:MHL:403fe0be3ee820e570b8cf5b"
            ],
            "source_version_ids": [
              "display-source-version:03a0d9aae99b1f9901dc8f86",
              "display-source-version:619ec3c079729e0615996799"
            ],
            "display_evidence_object_id": "display-claim:fcbee287b79a37a519d93f57"
          }
        ]
      },
      "title": "Financing fragmentation and proposed primary-care reforms",
      "statement": "The 2021 review identifies financing fragmentation and recommends strengthening neighboring-island primary care and revising referral arrangements. These are reported analysis and recommendations, not confirmed reforms.",
      "excerpt": "Rigidities in health financing sources determine expenditure priorities",
      "citation": "World Bank, Republic of the Marshall Islands Country Economic Memorandum and Public Expenditure Review, 2021, paragraphs 447-460.",
      "url": "https://openknowledge.worldbank.org/bitstreams/33882feb-80f1-52ce-abba-ce810b4dc5d7/download",
      "locator": "PDF physical pages 216-224, paragraphs 447-460.",
      "period": "Review published 2021; analysis principally FY2013-FY2019",
      "territory": "Republic of the Marshall Islands, national health financing and neighboring-island primary care",
      "evidence_mode_candidate": "reported",
      "verification_source_layer": "grey_literature",
      "coverage_domains": [
        "reform_history",
        "government_responsibilities",
        "decision_rights",
        "autonomy",
        "primary_care",
        "referral_design",
        "networks",
        "governance",
        "market_structure",
        "authoritative_review"
      ],
      "review_requirements": [
        "Do not represent recommendations as adopted policies, implemented functions, or measured efficiency gains."
      ],
      "source_references": [
        {
          "title": "Republic of the Marshall Islands Country Economic Memorandum and Public Expenditure Review",
          "citation": "World Bank. Republic of the Marshall Islands Country Economic Memorandum and Public Expenditure Review. 2021.",
          "url": "https://openknowledge.worldbank.org/bitstreams/33882feb-80f1-52ce-abba-ce810b4dc5d7/download",
          "locator": {
            "locator_type": "pdf_page_set_anchor",
            "physical_pdf_pages": [
              216,
              217,
              218,
              224
            ],
            "sections": [
              "Health: Managing the Build-up of Rising Spending Pressures",
              "Efficiency of public health spending"
            ],
            "source_word_anchor": "In the absence of gate keeping mechanisms",
            "source_word_count": 7
          },
          "source_version": {
            "file_sha256": "aa45a66408035b0bc07a38b0f36558594f77dca28d66622eddca04c2a4bb5dd3",
            "response_sha256": "aa45a66408035b0bc07a38b0f36558594f77dca28d66622eddca04c2a4bb5dd3",
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MHL:world-bank-country-economic-memorandum-2021",
          "display_source_id": "display-source:MHL:b977b537631a436b31949718",
          "source_version_id": "display-source-version:03a0d9aae99b1f9901dc8f86"
        },
        {
          "title": "2023 Public Expenditure Review for Nine Pacific Island Countries",
          "citation": "World Bank. 2023 Public Expenditure Review for Nine Pacific Island Countries. Accessed 22 August 2026.",
          "url": "https://www.worldbank.org/en/country/pacificislands/brief/2023-public-expenditure-review-per-for-nine-pacific-island-countries",
          "locator": {
            "locator_type": "web_heading_and_paragraph",
            "sections": [
              "2023 Public Expenditure Review for Nine Pacific Island Countries"
            ],
            "source_word_anchor": "Public Expenditure Review for Nine Pacific Island Countries",
            "source_word_count": 8
          },
          "source_version": {
            "response_sha256": "d23e7a0674793c6008a10eace3250ea70f631416f3f4e5f8ea42909cedd91d86",
            "detected_media_type": "text/html",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MHL:world-bank-pacific-per-page-2023",
          "display_source_id": "display-source:MHL:403fe0be3ee820e570b8cf5b",
          "source_version_id": "display-source-version:619ec3c079729e0615996799"
        }
      ],
      "source_version": {
        "file_sha256": "aa45a66408035b0bc07a38b0f36558594f77dca28d66622eddca04c2a4bb5dd3",
        "response_sha256": "aa45a66408035b0bc07a38b0f36558594f77dca28d66622eddca04c2a4bb5dd3",
        "detected_media_type": "application/pdf",
        "hash_verified": true,
        "retrieved_at": "2026-08-22"
      },
      "display_source_ids": [
        "display-source:MHL:b977b537631a436b31949718",
        "display-source:MHL:403fe0be3ee820e570b8cf5b"
      ],
      "source_version_ids": [
        "display-source-version:03a0d9aae99b1f9901dc8f86",
        "display-source-version:619ec3c079729e0615996799"
      ],
      "display_claim_ids": [
        "display-claim:74321c198e7dc61b9c145ba1",
        "display-claim:3e218b24b650e784f8679fa3",
        "display-claim:a3888ba79101554e4d5ccc24",
        "display-claim:39fe8fa29b09f1dae99fdb8b",
        "display-claim:fea58b676e6c8197f75aada8",
        "display-claim:53a37cb0b39fa6bde9e6c583",
        "display-claim:fcbee287b79a37a519d93f57"
      ],
      "display_evidence_object_id": "display-claim:74321c198e7dc61b9c145ba1",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:MHL:time-reform:phc-governance-and-quality-priorities",
      "country_id": "MHL",
      "mapping_group": "time_and_reform",
      "target_view": "reforms",
      "target_slot": "phc-governance-and-quality-priorities",
      "support_state": "candidate_supported",
      "annotation_state": "open",
      "mapping_basis": "World Bank PHC assessment, Executive Summary and Governance; WHO Results Report country profile",
      "source_projection_ids": [
        "country-improvement-source:MHL:world-bank-phc-assessment-2024",
        "country-improvement-source:MHL:who-results-country-profile-2024",
        "country-improvement-source:MHL:who-wpro-results-2024"
      ],
      "typed_fields": {
        "reported_reform_direction": "The 2024 assessment recommends integrating PHC into sector governance, strengthening quality-management infrastructure and enhancing workforce capacity.",
        "reported_status": "These are assessment recommendations and WHO programme-reporting areas, not evidence that reforms were enacted nationally.",
        "boundary": "No legal commencement date, implementation coverage, budget execution, or outcome evaluation is established."
      },
      "analytical_objects": {
        "reform_events": [
          {
            "event_id": "mhl:phc-assessment-2023",
            "label": "National PHC assessment validation workshop",
            "year": 2023,
            "status": "Reported assessment process completed in October 2023",
            "display_claim_ids": [
              "display-claim:c25888be7d5e5372f1ff55b6"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07",
              "display-source:MHL:29ad416a971a9f12a600265e",
              "display-source:MHL:ec488b75a1912481898c8b78"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c",
              "display-source-version:05b146d5898208164a246918",
              "display-source-version:599a376b005caaba8771dc8f"
            ],
            "display_evidence_object_id": "display-claim:c25888be7d5e5372f1ff55b6"
          },
          {
            "event_id": "mhl:phc-recommendations-2024",
            "label": "PHC governance, quality and workforce recommendations",
            "year": 2024,
            "status": "Published recommendations, not verified implementation",
            "display_claim_ids": [
              "display-claim:b7ac57fdfe0835442d14e91b"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07",
              "display-source:MHL:29ad416a971a9f12a600265e",
              "display-source:MHL:ec488b75a1912481898c8b78"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c",
              "display-source-version:05b146d5898208164a246918",
              "display-source-version:599a376b005caaba8771dc8f"
            ],
            "display_evidence_object_id": "display-claim:b7ac57fdfe0835442d14e91b"
          }
        ],
        "function_assignments": [
          {
            "actor_label": "PHC focal point within the Ministry",
            "function_label": "Proposed coordination of PHC",
            "role": "Assessment recommendation",
            "actor_family": "national",
            "display_claim_ids": [
              "display-claim:1da9b8c2502431e4158978c5"
            ],
            "display_source_ids": [
              "display-source:MHL:a0916574edebb1b4e36d9b07",
              "display-source:MHL:29ad416a971a9f12a600265e",
              "display-source:MHL:ec488b75a1912481898c8b78"
            ],
            "source_version_ids": [
              "display-source-version:e2554b7802c3bfb3f55c0c9c",
              "display-source-version:05b146d5898208164a246918",
              "display-source-version:599a376b005caaba8771dc8f"
            ],
            "display_evidence_object_id": "display-claim:1da9b8c2502431e4158978c5"
          }
        ]
      },
      "title": "PHC governance and quality reform priorities",
      "statement": "A 2024 assessment recommends stronger PHC governance, quality management and workforce capacity after an October 2023 national validation process. The material describes priorities, not completed reform effects.",
      "excerpt": "Integrate PHC into health care sector governance",
      "citation": "World Bank, The Primary Health Care System of the Republic of the Marshall Islands, 2024, Executive Summary; WHO Results Report country profile 2024.",
      "url": "https://documents1.worldbank.org/curated/en/099121523194155037/pdf/P1598650e39db8048080d8013c44af6a5a8.pdf",
      "locator": "World Bank PDF physical pages 14 and 25; WHO country profile, Highlighted results.",
      "period": "National validation workshop October 2023; assessment published 2024",
      "territory": "Republic of the Marshall Islands, national PHC reform priorities",
      "evidence_mode_candidate": "reported",
      "verification_source_layer": "grey_literature",
      "coverage_domains": [
        "reform_history",
        "governance",
        "decision_rights",
        "autonomy",
        "primary_care",
        "networks",
        "authoritative_review"
      ],
      "review_requirements": [
        "Keep recommendation status explicit. Do not present proposed mechanisms as implemented arrangements."
      ],
      "source_references": [
        {
          "title": "The Primary Health Care System of the Republic of the Marshall Islands",
          "citation": "World Bank. The Primary Health Care System of the Republic of the Marshall Islands: A Primary Health Care Performance Initiative Assessment. 2024.",
          "url": "https://documents1.worldbank.org/curated/en/099121523194155037/pdf/P1598650e39db8048080d8013c44af6a5a8.pdf",
          "locator": {
            "locator_type": "pdf_page_set_anchor",
            "physical_pdf_pages": [
              20,
              40,
              45,
              49
            ],
            "sections": [
              "Introduction",
              "Governance",
              "Inputs",
              "Population Health Management"
            ],
            "source_word_anchor": "two hospitals, one in Majuro, one in Ebeye",
            "source_word_count": 8
          },
          "source_version": {
            "file_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
            "response_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MHL:world-bank-phc-assessment-2024",
          "display_source_id": "display-source:MHL:a0916574edebb1b4e36d9b07",
          "source_version_id": "display-source-version:e2554b7802c3bfb3f55c0c9c"
        },
        {
          "title": "Marshall Islands: WHO Results Report country profile 2024",
          "citation": "World Health Organization. Marshall Islands: WHO Results Report country profile 2024. Accessed 22 August 2026.",
          "url": "https://www.who.int/about/accountability/results/who-results-report-2024-2025/country-profile/2024/marshall-islands",
          "locator": {
            "locator_type": "web_heading_and_paragraph",
            "sections": [
              "Marshall Islands",
              "Highlighted results"
            ],
            "source_word_anchor": "Improved access to quality essential health services",
            "source_word_count": 7
          },
          "source_version": {
            "response_sha256": "ed99a28da4f7d82f47f2862cf2fe484610cc32e7f5bafe926171c77eac8c1e5b",
            "detected_media_type": "text/html",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MHL:who-results-country-profile-2024",
          "display_source_id": "display-source:MHL:29ad416a971a9f12a600265e",
          "source_version_id": "display-source-version:05b146d5898208164a246918"
        },
        {
          "title": "Marshall Islands: WHO Results Report Western Pacific Region profile 2024",
          "citation": "World Health Organization. Marshall Islands: WHO Results Report Western Pacific Region profile 2024. Accessed 22 August 2026.",
          "url": "https://www.who.int/about/accountability/results/who-results-report-2024-2025/region-WPRO/2024/marshall-islands",
          "locator": {
            "locator_type": "web_heading_and_paragraph",
            "sections": [
              "Highlighted results",
              "Integration of noncommunicable disease prevention and control in primary health care"
            ],
            "source_word_anchor": "limited types of services, insufficient outreach and inadequate referral systems",
            "source_word_count": 9
          },
          "source_version": {
            "response_sha256": "2e704ec27864915de42faf29ffdcbb96fce8abee57807e409de128a886e9c446",
            "detected_media_type": "text/html",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MHL:who-wpro-results-2024",
          "display_source_id": "display-source:MHL:ec488b75a1912481898c8b78",
          "source_version_id": "display-source-version:599a376b005caaba8771dc8f"
        }
      ],
      "source_version": {
        "file_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
        "response_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
        "detected_media_type": "application/pdf",
        "hash_verified": true,
        "retrieved_at": "2026-08-22"
      },
      "display_source_ids": [
        "display-source:MHL:a0916574edebb1b4e36d9b07",
        "display-source:MHL:29ad416a971a9f12a600265e",
        "display-source:MHL:ec488b75a1912481898c8b78"
      ],
      "source_version_ids": [
        "display-source-version:e2554b7802c3bfb3f55c0c9c",
        "display-source-version:05b146d5898208164a246918",
        "display-source-version:599a376b005caaba8771dc8f"
      ],
      "display_claim_ids": [
        "display-claim:00ab5013ee8104f502a822e5",
        "display-claim:c25888be7d5e5372f1ff55b6",
        "display-claim:b7ac57fdfe0835442d14e91b",
        "display-claim:1da9b8c2502431e4158978c5"
      ],
      "display_evidence_object_id": "display-claim:00ab5013ee8104f502a822e5",
      "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:MHL:c2b3874351db051f4127",
        "evidence_layer": "candidate_corpus_page_locator",
        "evidence_layers": [
          "candidate_corpus_page_locator"
        ],
        "source_layers": [
          "candidate_corpus_page_locator"
        ],
        "source_type": "candidate corpus source",
        "display_eligible": true,
        "title": "Pacific regional strategy",
        "citation": "Pacific regional strategy. 2000. https://documents1.worldbank.org/curated/en/797421468774275109/pdf/multi-page.pdf",
        "citation_string": "Pacific regional strategy. 2000. https://documents1.worldbank.org/curated/en/797421468774275109/pdf/multi-page.pdf",
        "citation_status": "machine_formatted_from_title_year_url",
        "citation_provenance": "machine formatted from source title, publication year, and URL",
        "url": "https://documents1.worldbank.org/curated/en/797421468774275109/pdf/multi-page.pdf",
        "publication_year": 2000,
        "source_families": [
          "global_corpus"
        ],
        "channels": [
          "corpus_excerpt_queue"
        ],
        "verification_source_layer": "grey_literature",
        "coverage_domains": [],
        "url_verification_status": null,
        "source_version": {
          "file_sha256": "ebca611eb201123bcd61561a96f6df6ede924fe44ed85659f7f087a2a340b4bf",
          "text_sha256": "2dde732b6845c604d49f81d0ccffe4f3453346e520f837a6648cadcebc77dae3",
          "response_sha256": null,
          "page_count": null
        },
        "locator": {
          "physical_pdf_page": 3,
          "source_word_anchor": "Social Diversity 10 C Governance 12 D Basic Human Indicators 12 E"
        },
        "display_status": "shown_in_full",
        "review_channel": "text_anchored_annotation",
        "verification_requirements": []
      },
      {
        "candidate_source_id": "candidate-source:MHL:cb5b34140f6b1981725d",
        "evidence_layer": "candidate_source_metadata",
        "evidence_layers": [
          "candidate_source_metadata"
        ],
        "source_layers": [
          "candidate_source_metadata"
        ],
        "source_type": "candidate source metadata",
        "display_eligible": true,
        "title": "Pacific Islands-WHO multi-country cooperation strategy 2024-2029",
        "citation": "WHO Regional Office for the Western Pacific. Pacific Islands-WHO multi-country cooperation strategy 2024-2029. 2024. https://www.who.int/westernpacific/publications/i/item/9789290620587",
        "citation_string": "WHO Regional Office for the Western Pacific. Pacific Islands-WHO multi-country cooperation strategy 2024-2029. 2024. https://www.who.int/westernpacific/publications/i/item/9789290620587",
        "citation_status": "supplied",
        "citation_provenance": "source metadata",
        "url": "https://www.who.int/westernpacific/publications/i/item/9789290620587",
        "publication_year": 2024,
        "source_families": [
          "WHO_WPRO"
        ],
        "channels": [
          "targeted_official"
        ],
        "verification_source_layer": "official",
        "coverage_domains": [
          "actors",
          "governance",
          "government_responsibilities",
          "primary_care",
          "service_delivery"
        ],
        "url_verification_status": "verified",
        "source_version": {
          "file_sha256": null,
          "text_sha256": null,
          "response_sha256": "0e36703f0192ec38e436b0d20d008b29e78a08ca2887cab3fc5a079818c82c2b",
          "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": "MHL",
    "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": 73,
        "numerator": 69,
        "score": 95,
        "unit": "material records with an exact locator"
      },
      "material_url_coverage": {
        "denominator": 73,
        "numerator": 73,
        "score": 100,
        "unit": "material records with at least one public URL"
      },
      "material_version_coverage": {
        "denominator": 73,
        "numerator": 73,
        "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:f7b28f166f9724ad93d4106f",
      "material:f1d1ff63542ceea4c6015909",
      "material:dd144ac7b07dc7b6b95f63f2",
      "material:d844cb131e8cce4adc40566c",
      "material:d5ae0d176f9b20b49e6855c6"
    ],
    "full_scorecard_url": "https://wb-works.site/tools/health-organization/data/evidence-scorecards.json"
  },
  "materials": [
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Downloaded successfully",
        "downloaded": true,
        "extracted": true,
        "source_bytes_verified": true,
        "text_pages": 141,
        "text_words": 60682
      },
      "citation": "Enhancing the role of government in the Pacific Island economies. 1998. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "FJI",
        "KIR",
        "MHL",
        "PLW",
        "SLB",
        "TON",
        "VUT",
        "WSM"
      ],
      "coverage_domains": [
        "fiscal_space_budget",
        "health_financing",
        "leadership_governance",
        "pooling_insurance",
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 6,
        "source_word_anchor": "Government Current Expenditure on Health 1990-96 27 3 3 Government Expenditure on",
        "source_word_count": 12
      },
      "material_id": "material:4d117701f47ca4c1d31fa2d9",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Immutable corpus file and extracted-text hashes are linked to this document.",
        "A machine-validated physical-page locator is linked to this document for annotation."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "1998-10-31",
      "publication_year": 1998,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "corpus_retrieval_verified": true,
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "page_anchor_linked": true,
        "previous_visibility": "previously_not_projected_unless_selected"
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "file_sha256": "0062212763f9a9fb3cf0406783aa3302c7b96032fad18f7559ad0607842e59f1",
        "page_count": 141,
        "text_sha256": "f64019429d3947b0fe6dc73f349e76094a4c5bd711e5223463fe8c317b626edc"
      },
      "statement": null,
      "tags": [
        "control_knob:financing",
        "control_knob:organization",
        "control_knob:regulation",
        "health_system_topic:fiscal_space_budget",
        "health_system_topic:pooling_insurance",
        "service_area:hospital_care",
        "service_area:infectious_disease",
        "who_building_block:health_financing",
        "who_building_block:leadership_governance",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Enhancing the role of government in the Pacific Island economies",
      "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/507081468774841431/text/multi-page.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/507081468774841431"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/507081468774841431/pdf/multi-page.pdf"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents1.worldbank.org/curated/en/507081468774841431/pdf/multi-page.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Downloaded successfully",
        "downloaded": true,
        "extracted": true,
        "source_bytes_verified": true,
        "text_pages": 71,
        "text_words": 28195
      },
      "citation": "Pacific regional strategy. 2000. https://documents.worldbank.org/curated/en/797421468774275109",
      "country_ids": [
        "FJI",
        "KIR",
        "MHL",
        "PLW",
        "SLB",
        "TON",
        "VUT",
        "WSM"
      ],
      "coverage_domains": [
        "leadership_governance"
      ],
      "display_status": "shown_in_full",
      "document_type": "national health strategy",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 7,
        "source_word_anchor": "focus on education and health measures to address the remoteness and isolation",
        "source_word_count": 12
      },
      "material_id": "material:672420af229cee68472130e9",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Immutable corpus file and extracted-text hashes are linked to this document.",
        "A machine-validated physical-page locator is linked to this document for annotation."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2000-05-31",
      "publication_year": 2000,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "corpus_retrieval_verified": true,
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.7,
        "page_anchor_linked": true,
        "previous_visibility": "previously_not_projected_unless_selected"
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "file_sha256": "ebca611eb201123bcd61561a96f6df6ede924fe44ed85659f7f087a2a340b4bf",
        "page_count": 71,
        "text_sha256": "2dde732b6845c604d49f81d0ccffe4f3453346e520f837a6648cadcebc77dae3"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "control_knob:regulation",
        "population_group:rural_remote",
        "service_area:infectious_disease",
        "service_area:maternal_reproductive",
        "who_building_block:leadership_governance"
      ],
      "territory": "national",
      "title": "Pacific regional strategy",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/797421468774275109"
        },
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/797421468774275109/text/multi-page.txt"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/797421468774275109/pdf/multi-page.pdf"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents1.worldbank.org/curated/en/797421468774275109/pdf/multi-page.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Downloaded successfully",
        "downloaded": true,
        "extracted": true,
        "source_bytes_verified": true,
        "text_pages": 395,
        "text_words": 191258
      },
      "citation": "Health priorities and options in the World Bank's Pacific member countries. 1994. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "FJI",
        "KIR",
        "MHL",
        "SLB",
        "TON",
        "VUT",
        "WSM"
      ],
      "coverage_domains": [
        "accreditation_quality",
        "fiscal_space_budget",
        "health_financing",
        "health_information",
        "health_information_systems",
        "health_workforce",
        "hospital_referral",
        "leadership_governance",
        "medical_products_vaccines_technologies",
        "pooling_insurance",
        "primary_care",
        "public_private_mix",
        "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": 12,
        "source_word_anchor": "Expenditures Budgets of the Ministry of Health Family Planning and Social Welfare",
        "source_word_count": 12
      },
      "material_id": "material:b41e0314c710a3a38d3a8136",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Immutable corpus file and extracted-text hashes are linked to this document.",
        "A machine-validated physical-page locator is linked to this document for annotation."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "1994-10-31",
      "publication_year": 1994,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "corpus_retrieval_verified": true,
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "page_anchor_linked": true,
        "previous_visibility": "previously_not_projected_unless_selected"
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "file_sha256": "5d5d7dd1caa0e783ef9302420eed5a82e7bbbcebcb3bd915058cd2b335cba10f",
        "page_count": 395,
        "text_sha256": "88bc3d3f0bffba0c9a21b7be7186faebc14be31070faf7944e0f3f32b36f7507"
      },
      "statement": null,
      "tags": [
        "control_knob:financing",
        "control_knob:organization",
        "control_knob:persuasion_behaviour",
        "control_knob:regulation",
        "health_system_topic:accreditation_quality",
        "health_system_topic:fiscal_space_budget",
        "health_system_topic:health_information",
        "health_system_topic:health_workforce",
        "health_system_topic:hospital_referral",
        "health_system_topic:pooling_insurance",
        "health_system_topic:primary_care",
        "health_system_topic:public_private_mix",
        "health_system_topic:service_delivery",
        "population_group:children",
        "population_group:maternal",
        "population_group:rural_remote",
        "service_area:cross_cutting",
        "service_area:emergency",
        "service_area:hospital_care",
        "service_area:immunization",
        "service_area:infectious_disease",
        "service_area:maternal_reproductive",
        "service_area:ncd",
        "service_area:primary_care",
        "who_building_block:health_financing",
        "who_building_block:health_information_systems",
        "who_building_block:health_workforce",
        "who_building_block:leadership_governance",
        "who_building_block:medical_products_vaccines_technologies",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Health priorities and options in the World Bank's Pacific member countries",
      "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/423571468777017180/text/multi0page.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/423571468777017180"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents1.worldbank.org/curated/en/423571468777017180/pdf/multi0page.pdf"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/423571468777017180/pdf/multi0page.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Health priorities and options in the World Bank's Pacific member countries. 1994. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "FJI",
        "KIR",
        "MHL",
        "TON",
        "VUT",
        "WSM"
      ],
      "coverage_domains": [
        "health_financing",
        "pooling_insurance",
        "primary_care",
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "working paper",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": null,
      "material_id": "material:63907aef12848cab1ca31b44",
      "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": "1994-08-31",
      "publication_year": 1994,
      "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": 398,
        "response_sha256": "19fed205342a16cc485fb4f791e13540fef9d3b92ddad26d939d2a7bd40889f2"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:pooling_insurance",
        "health_system_topic:primary_care",
        "health_system_topic:service_delivery",
        "population_group:children",
        "service_area:cross_cutting",
        "service_area:infectious_disease",
        "service_area:primary_care",
        "who_building_block:health_financing",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Health priorities and options in the World Bank's Pacific member countries",
      "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/855011492797488879/text/multi0page.txt"
        },
        {
          "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/855011492797488879/pdf/multi0page.pdf"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/855011492797488879"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "World Bank PHC assessment, Governance; WHO country work page",
        "mapping_group": "relationships_and_networks",
        "mapping_id": "candidate-mapping:MHL:relationships-networks:community-and-cross-government-coordination",
        "source_projection_ids": [
          "country-improvement-source:MHL:world-bank-phc-assessment-2024",
          "country-improvement-source:MHL:who-country-work-page-2026"
        ],
        "support_state": "candidate_supported",
        "target_slot": "community-and-cross-government-coordination",
        "target_view": "delivery",
        "typed_fields": {
          "boundary": "WHO's country page describes remote-island service constraints but does not identify operational governance agreements.",
          "integration_boundary": "The assessment reports that engagement and quality-result sharing are not systematic across programmes and divisions.",
          "reported_network": "The assessment reports Ministry collaboration with community health councils and cross-government engagement, but says roles are defined around individuals rather than organizations."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank, The Primary Health Care System of the Republic of the Marshall Islands, 2024, Introduction and Governance; WHO, Our work in Marshall Islands.",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "actors",
        "authoritative_review",
        "facility_data",
        "governance",
        "government_responsibilities",
        "networks",
        "primary_care"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "The MHHS works collaboratively with community health councils",
      "institution": null,
      "locator": {
        "description": "World Bank PDF physical pages 20 and 42; WHO page, Health system and health situation."
      },
      "material_id": "material:bd9a2e8268ef983e5b3b38ac",
      "notes": [
        "Do not infer a formal interagency agreement, universal community-council coverage, or implementation quality."
      ],
      "origin": "candidate-analytical-mappings",
      "period": "World Bank assessment completed in 2023; WHO page accessed 22 August 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": [
        "grey_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "application/pdf",
        "file_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
        "response_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb"
      },
      "statement": "Reported Ministry collaboration with community health councils and cross-government engagement supports a network view, but the assessment identifies uneven organizational role definition and accountability limits.",
      "tags": [],
      "territory": "Republic of the Marshall Islands, national system including remote islands and atolls",
      "title": "Community and cross-government coordination",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://documents1.worldbank.org/curated/en/099121523194155037/pdf/P1598650e39db8048080d8013c44af6a5a8.pdf"
        },
        {
          "kind": "source_reference",
          "source": "Our work in Marshall Islands",
          "url": "https://www.who.int/marshallislands/our-work"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "World Bank Country Economic Memorandum and Public Expenditure Review, paragraphs 447-460; World Bank Pacific PER page",
        "mapping_group": "time_and_reform",
        "mapping_id": "candidate-mapping:MHL:time-reform:financing-fragmentation-and-primary-care-recommendations",
        "source_projection_ids": [
          "country-improvement-source:MHL:world-bank-country-economic-memorandum-2021",
          "country-improvement-source:MHL:world-bank-pacific-per-page-2023"
        ],
        "support_state": "candidate_supported",
        "target_slot": "financing-fragmentation-and-primary-care-recommendations",
        "target_view": "functions",
        "typed_fields": {
          "boundary": "This is an external review's analysis and recommendation, not a confirmed change in budget rules, service functions, or referral policy.",
          "reform_recommendation": "The review recommends strengthening neighboring-island primary care, health-assistant support and referral-system revision.",
          "reported_problem": "The review reports that grant restrictions can limit resource allocation responsiveness and describes fragmented health financing."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank, Republic of the Marshall Islands Country Economic Memorandum and Public Expenditure Review, 2021, paragraphs 447-460.",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "authoritative_review",
        "autonomy",
        "decision_rights",
        "governance",
        "government_responsibilities",
        "market_structure",
        "networks",
        "primary_care",
        "referral_design",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "Rigidities in health financing sources determine expenditure priorities",
      "institution": null,
      "locator": {
        "description": "PDF physical pages 216-224, paragraphs 447-460."
      },
      "material_id": "material:8f4a0d7904c42a449f3e9278",
      "notes": [
        "Do not represent recommendations as adopted policies, implemented functions, or measured efficiency gains."
      ],
      "origin": "candidate-analytical-mappings",
      "period": "Review published 2021; analysis principally FY2013-FY2019",
      "publication_date": null,
      "publication_year": null,
      "record_kind": "candidate_analytical_mapping",
      "record_kind_label": "Candidate Analytical Mapping",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "grey_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "application/pdf",
        "file_sha256": "aa45a66408035b0bc07a38b0f36558594f77dca28d66622eddca04c2a4bb5dd3",
        "response_sha256": "aa45a66408035b0bc07a38b0f36558594f77dca28d66622eddca04c2a4bb5dd3"
      },
      "statement": "The 2021 review identifies financing fragmentation and recommends strengthening neighboring-island primary care and revising referral arrangements. These are reported analysis and recommendations, not confirmed reforms.",
      "tags": [],
      "territory": "Republic of the Marshall Islands, national health financing and neighboring-island primary care",
      "title": "Financing fragmentation and proposed primary-care reforms",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://openknowledge.worldbank.org/bitstreams/33882feb-80f1-52ce-abba-ce810b4dc5d7/download"
        },
        {
          "kind": "source_reference",
          "source": "2023 Public Expenditure Review for Nine Pacific Island Countries",
          "url": "https://www.worldbank.org/en/country/pacificislands/brief/2023-public-expenditure-review-per-for-nine-pacific-island-countries"
        },
        {
          "kind": "resolved_document",
          "source": "single-country score-improvement acquisition",
          "url": "https://documents1.worldbank.org/curated/en/099051623182514230/pdf/P177734088f2b607808394012fd677c310d.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "World Bank PHC assessment, Results: Equity",
        "mapping_group": "delivery_and_referrals",
        "mapping_id": "candidate-mapping:MHL:delivery-referrals:observed-wealth-and-residence-access",
        "source_projection_ids": [
          "country-improvement-source:MHL:world-bank-phc-assessment-2024",
          "country-improvement-source:MHL:who-data-country-profile-2026"
        ],
        "support_state": "candidate_supported",
        "target_slot": "observed-access-inequities",
        "target_view": "referrals",
        "typed_fields": {
          "boundary": "These household-survey access and maternal-service indicators are not referral rates, provider-choice measures, or causal estimates.",
          "observed_access_fact": "In HIES 2019, 48% of households in the poorest wealth quintile sought care when needed, compared with 57% in the wealthiest quintile.",
          "observed_delivery_fact": "In ICNHS 2017, four or more prenatal visits were reported for 70% of urban and 57% of rural women; skilled-birth-attendant delivery was 98% and 66%, respectively."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank, The Primary Health Care System of the Republic of the Marshall Islands, 2024, Results: Equity, Figures 7 and 10.",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "authoritative_review",
        "facility_data",
        "observed_referral",
        "patient_flows",
        "primary_care",
        "referral_design",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "observed",
      "excerpt": "48 percent of households in the poorest wealth quintile",
      "institution": null,
      "locator": {
        "description": "PDF physical pages 37 and 39, Results: Equity, Figures 7 and 10."
      },
      "material_id": "material:88cc6279b997a4a4a54e0ca1",
      "notes": [
        "Preserve denominators and survey periods. Do not relabel these as referral rates or facility utilization counts."
      ],
      "origin": "candidate-analytical-mappings",
      "period": "HIES 2019 and ICNHS 2017, reported in 2024 assessment",
      "publication_date": null,
      "publication_year": null,
      "record_kind": "candidate_analytical_mapping",
      "record_kind_label": "Candidate Analytical Mapping",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "grey_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "application/pdf",
        "file_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
        "response_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb"
      },
      "statement": "Survey results show lower care seeking among households in the poorest versus wealthiest quintile and lower selected maternal-service coverage in rural versus urban residence. They do not reveal referral completion or provider choice.",
      "tags": [],
      "territory": "Republic of the Marshall Islands, national household survey indicators by wealth quintile and residence",
      "title": "Observed inequities in care seeking and maternal service coverage",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://documents1.worldbank.org/curated/en/099121523194155037/pdf/P1598650e39db8048080d8013c44af6a5a8.pdf"
        },
        {
          "kind": "source_reference",
          "source": "Marshall Islands health data overview",
          "url": "https://data.who.int/countries/584"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "World Bank PHC assessment, Executive Summary and Governance; WHO Results Report country profile",
        "mapping_group": "time_and_reform",
        "mapping_id": "candidate-mapping:MHL:time-reform:phc-governance-and-quality-priorities",
        "source_projection_ids": [
          "country-improvement-source:MHL:world-bank-phc-assessment-2024",
          "country-improvement-source:MHL:who-results-country-profile-2024",
          "country-improvement-source:MHL:who-wpro-results-2024"
        ],
        "support_state": "candidate_supported",
        "target_slot": "phc-governance-and-quality-priorities",
        "target_view": "reforms",
        "typed_fields": {
          "boundary": "No legal commencement date, implementation coverage, budget execution, or outcome evaluation is established.",
          "reported_reform_direction": "The 2024 assessment recommends integrating PHC into sector governance, strengthening quality-management infrastructure and enhancing workforce capacity.",
          "reported_status": "These are assessment recommendations and WHO programme-reporting areas, not evidence that reforms were enacted nationally."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank, The Primary Health Care System of the Republic of the Marshall Islands, 2024, Executive Summary; WHO Results Report country profile 2024.",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "authoritative_review",
        "autonomy",
        "decision_rights",
        "governance",
        "networks",
        "primary_care",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "Integrate PHC into health care sector governance",
      "institution": null,
      "locator": {
        "description": "World Bank PDF physical pages 14 and 25; WHO country profile, Highlighted results."
      },
      "material_id": "material:d844cb131e8cce4adc40566c",
      "notes": [
        "Keep recommendation status explicit. Do not present proposed mechanisms as implemented arrangements."
      ],
      "origin": "candidate-analytical-mappings",
      "period": "National validation workshop October 2023; assessment 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": [
        "grey_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "application/pdf",
        "file_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
        "response_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb"
      },
      "statement": "A 2024 assessment recommends stronger PHC governance, quality management and workforce capacity after an October 2023 national validation process. The material describes priorities, not completed reform effects.",
      "tags": [],
      "territory": "Republic of the Marshall Islands, national PHC reform priorities",
      "title": "PHC governance and quality reform priorities",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://documents1.worldbank.org/curated/en/099121523194155037/pdf/P1598650e39db8048080d8013c44af6a5a8.pdf"
        },
        {
          "kind": "source_reference",
          "source": "Marshall Islands: WHO Results Report country profile 2024",
          "url": "https://www.who.int/about/accountability/results/who-results-report-2024-2025/country-profile/2024/marshall-islands"
        },
        {
          "kind": "source_reference",
          "source": "Marshall Islands: WHO Results Report Western Pacific Region profile 2024",
          "url": "https://www.who.int/about/accountability/results/who-results-report-2024-2025/region-WPRO/2024/marshall-islands"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "World Bank PHC assessment, Governance",
        "mapping_group": "decision_rights_and_autonomy",
        "mapping_id": "candidate-mapping:MHL:decision-autonomy:phc-planning-and-oversight",
        "source_projection_ids": [
          "country-improvement-source:MHL:world-bank-phc-assessment-2024"
        ],
        "support_state": "candidate_supported",
        "target_slot": "phc-planning-and-oversight",
        "target_view": "decisions",
        "typed_fields": {
          "accountability_boundary": "The assessment reports siloed coordination and limited contact between coordinating authorities and clinical staff.",
          "boundary": "This does not establish statutory authority, budget-signing rights, or the authority of named offices over individual facilities.",
          "reported_decision_rights": "National indicators are reported to drive budget planning and strategic reform; the deputy secretary oversees PHC while supervising public-health programmes."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank, The Primary Health Care System of the Republic of the Marshall Islands, 2024, Governance.",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "authoritative_review",
        "autonomy",
        "decision_rights",
        "governance",
        "government_responsibilities",
        "primary_care",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "drive budget planning and strategic reform",
      "institution": null,
      "locator": {
        "description": "PDF physical pages 40-41, Governance."
      },
      "material_id": "material:220a04a29a042815f197b306",
      "notes": [
        "Do not treat reported oversight as a legal mandate or evidence of uniform implementation."
      ],
      "origin": "candidate-analytical-mappings",
      "period": "Assessment completed in 2023; 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": [
        "grey_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "application/pdf",
        "file_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
        "response_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb"
      },
      "statement": "The assessment reports national indicators informing planning and a deputy secretary overseeing PHC and public-health programmes. It also reports fragmentation and coordination gaps, so this is not a complete decision-rights map.",
      "tags": [],
      "territory": "Republic of the Marshall Islands, national PHC governance",
      "title": "Reported PHC planning and oversight",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://documents1.worldbank.org/curated/en/099121523194155037/pdf/P1598650e39db8048080d8013c44af6a5a8.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "World Bank PHC assessment, Inputs",
        "mapping_group": "decision_rights_and_autonomy",
        "mapping_id": "candidate-mapping:MHL:decision-autonomy:facility-resource-boundaries",
        "source_projection_ids": [
          "country-improvement-source:MHL:world-bank-phc-assessment-2024"
        ],
        "support_state": "candidate_supported",
        "target_slot": "facility-resource-autonomy-boundaries",
        "target_view": "autonomy",
        "typed_fields": {
          "accountability_boundary": "The source reports financing and logistics constraints rather than formal delegated powers or audited accountability arrangements.",
          "boundary": "No conclusion can be drawn on workforce, procurement, capital, service-mix, or hospital financial autonomy.",
          "reported_autonomy_boundary": "A main-office budget is reported available to facilities, but no amount is specified for each facility; neighboring-island facilities are reported unable to use funds without clear budget, fund flow or supply access."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank, The Primary Health Care System of the Republic of the Marshall Islands, 2024, Inputs.",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "authoritative_review",
        "autonomy",
        "decision_rights",
        "facility_data",
        "governance",
        "government_responsibilities",
        "primary_care"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "A main office budget is available to all facilities",
      "institution": null,
      "locator": {
        "description": "PDF physical page 46, Inputs."
      },
      "material_id": "material:f1d1ff63542ceea4c6015909",
      "notes": [
        "Do not infer a facility's actual purchasing, staffing, capital, or clinical autonomy from these constraints."
      ],
      "origin": "candidate-analytical-mappings",
      "period": "Assessment completed in 2023; 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": [
        "grey_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "application/pdf",
        "file_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
        "response_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb"
      },
      "statement": "The assessment documents facility resource constraints, not a formal autonomy regime. Main-office budgets are reported available, while neighboring-island facilities face unclear fund flow and supply access.",
      "tags": [],
      "territory": "Republic of the Marshall Islands, with neighboring-island facility context",
      "title": "Reported facility resource constraints and autonomy limits",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://documents1.worldbank.org/curated/en/099121523194155037/pdf/P1598650e39db8048080d8013c44af6a5a8.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "World Bank PHC assessment, Introduction and Inputs; World Bank public expenditure review, paragraphs 448-449",
        "mapping_group": "delivery_and_referrals",
        "mapping_id": "candidate-mapping:MHL:delivery-referrals:neighboring-island-to-hospital-pathway",
        "source_projection_ids": [
          "country-improvement-source:MHL:world-bank-phc-assessment-2024",
          "country-improvement-source:MHL:world-bank-country-economic-memorandum-2021",
          "country-improvement-source:MHL:tb-free-ebeye-study-2024"
        ],
        "support_state": "candidate_supported",
        "target_slot": "neighboring-island-to-hospital-pathway",
        "target_view": "delivery",
        "typed_fields": {
          "boundary": "These sources do not establish a universal gatekeeping rule, transfer protocol, patient choice pattern, or referral completion rate.",
          "observed_program_pathway": "A 2024 Ebeye intervention transported sputum daily to the Ebeye Hospital laboratory and provided disease-specific clinical referral on site.",
          "reported_pathway": "Health centers are reported to communicate with Majuro Hospital by radio; patients needing extensive tertiary care are reported referred overseas."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank, The Primary Health Care System of the Republic of the Marshall Islands, 2024, Introduction; Brostrom et al., 2024, Methods.",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "authoritative_review",
        "facility_data",
        "hospital_organization",
        "networks",
        "observed_referral",
        "patient_flows",
        "primary_care",
        "referral_design",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "Information between health care centers is communicated to Majuro Hospital",
      "institution": null,
      "locator": {
        "description": "World Bank PDF physical page 20, Introduction; Brostrom et al. web section Methods."
      },
      "material_id": "material:14e8a401baec892a7ff21b11",
      "notes": [
        "Do not infer transfer frequency, timely access, clinical appropriateness, or an operating nationwide referral protocol."
      ],
      "origin": "candidate-analytical-mappings",
      "period": "Assessment completed in 2023; intervention 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": [
        "grey_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "application/pdf",
        "file_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
        "response_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb"
      },
      "statement": "The assessment describes radio communication from health centers to Majuro Hospital and overseas escalation for extensive tertiary care. A 2024 Ebeye study documents a narrower laboratory pathway for one intervention.",
      "tags": [],
      "territory": "Republic of the Marshall Islands, with Ebeye-specific intervention evidence",
      "title": "Reported neighboring-island and hospital pathways",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://documents1.worldbank.org/curated/en/099121523194155037/pdf/P1598650e39db8048080d8013c44af6a5a8.pdf"
        },
        {
          "kind": "source_reference",
          "source": "Republic of the Marshall Islands Country Economic Memorandum and Public Expenditure Review",
          "url": "https://openknowledge.worldbank.org/bitstreams/33882feb-80f1-52ce-abba-ce810b4dc5d7/download"
        },
        {
          "kind": "source_reference",
          "source": "TB-free Ebeye: Results from integrated TB and noncommunicable disease case finding",
          "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10863304/"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "World Bank Country Economic Memorandum and Public Expenditure Review, paragraphs 449-450; WHO overseas medical referral policy brief",
        "mapping_group": "relationships_and_networks",
        "mapping_id": "candidate-mapping:MHL:relationships-networks:overseas-referral-network",
        "source_projection_ids": [
          "country-improvement-source:MHL:world-bank-country-economic-memorandum-2021",
          "country-improvement-source:MHL:who-overseas-medical-referral-2020",
          "country-improvement-source:MHL:ebeye-ncd-systems-study-2013"
        ],
        "support_state": "candidate_supported",
        "target_slot": "overseas-referral-network",
        "target_view": "referrals",
        "typed_fields": {
          "boundary": "The historic Ebeye counts do not provide a current national referral volume, authorization standard, destination network, or completion rate.",
          "historic_observation": "An Ebeye study reports 11, 18 and 14 overseas referrals in 2007, 2008 and 2009, respectively.",
          "reported_referral_design": "The World Bank review reports that the Medical Referral Committee evaluates overseas-referral need and discusses Medical Records Information System limitations."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank, Republic of the Marshall Islands Country Economic Memorandum and Public Expenditure Review, 2021, paragraph 450; Ichiho et al., 2013, Medical Referrals.",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "authoritative_review",
        "decision_rights",
        "governance",
        "networks",
        "observed_referral",
        "patient_flows",
        "referral_design"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "the Medical Referral Committee evaluates the need to refer",
      "institution": null,
      "locator": {
        "description": "World Bank PDF physical page 217, paragraph 450; Ichiho et al. web section Medical Referrals."
      },
      "material_id": "material:0729aa926ec9817ab5167aa5",
      "notes": [
        "Do not infer current overseas-referral eligibility, funding, destinations, waiting time, or outcomes."
      ],
      "origin": "candidate-analytical-mappings",
      "period": "World Bank review published 2021; Ebeye observed counts 2007-2009",
      "publication_date": null,
      "publication_year": null,
      "record_kind": "candidate_analytical_mapping",
      "record_kind_label": "Candidate Analytical Mapping",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "grey_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "application/pdf",
        "file_sha256": "aa45a66408035b0bc07a38b0f36558594f77dca28d66622eddca04c2a4bb5dd3",
        "response_sha256": "aa45a66408035b0bc07a38b0f36558594f77dca28d66622eddca04c2a4bb5dd3"
      },
      "statement": "The review describes committee-evaluated overseas referral and record-system limitations. A separate Ebeye study gives historic annual counts only, so national volume and referral performance remain unmeasured here.",
      "tags": [],
      "territory": "Republic of the Marshall Islands, with Ebeye-specific historic observation",
      "title": "Reported overseas-referral network and bounded historic Ebeye counts",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://openknowledge.worldbank.org/bitstreams/33882feb-80f1-52ce-abba-ce810b4dc5d7/download"
        },
        {
          "kind": "source_reference",
          "source": "Overseas medical referral: the health system challenges for Pacific Island Countries",
          "url": "https://apo.who.int/publications/i/item/9789290227700"
        },
        {
          "kind": "source_reference",
          "source": "An Assessment of Non-Communicable Diseases, Diabetes, and Related Risk Factors in Ebeye Island",
          "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC3689463/"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "World Bank PHC assessment, Introduction",
        "mapping_group": "actors_and_functions",
        "mapping_id": "candidate-mapping:MHL:actors-functions:public-private-service-mix",
        "source_projection_ids": [
          "country-improvement-source:MHL:world-bank-phc-assessment-2024"
        ],
        "support_state": "candidate_supported",
        "target_slot": "reported-public-private-service-mix",
        "target_view": "public-private",
        "typed_fields": {
          "boundary": "No current provider count, utilization share, contract map, or patient-choice study is provided.",
          "patient_access": "The report describes a small service copay and voluntary supplemental insurance for additional off-island options.",
          "reported_market_structure": "Basic public health care is reported available to residents; private clinics are reported available, while most of the population uses the public system."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank, The Primary Health Care System of the Republic of the Marshall Islands, 2024, Introduction.",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "actors",
        "authoritative_review",
        "hospital_organization",
        "market_structure",
        "ownership",
        "patient_flows",
        "primary_care",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "There are private clinics available, but most",
      "institution": null,
      "locator": {
        "description": "PDF physical pages 20-21, Introduction, section on mixed delivery."
      },
      "material_id": "material:7f45091e4894a7b7c537e598",
      "notes": [
        "Do not infer private-provider ownership, contracts, clinical scope, or market share beyond the report's bounded description."
      ],
      "origin": "candidate-analytical-mappings",
      "period": "Assessment completed in 2023; 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": [
        "grey_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "application/pdf",
        "file_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
        "response_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb"
      },
      "statement": "The assessment reports basic public care for residents, private-clinic availability and predominant public-system use. It does not quantify market shares or document patient choice at provider level.",
      "tags": [],
      "territory": "Republic of the Marshall Islands, national service mix",
      "title": "Reported public and private service mix",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://documents1.worldbank.org/curated/en/099121523194155037/pdf/P1598650e39db8048080d8013c44af6a5a8.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "World Bank PHC assessment, Introduction",
        "mapping_group": "actors_and_functions",
        "mapping_id": "candidate-mapping:MHL:actors-functions:public-service-architecture",
        "source_projection_ids": [
          "country-improvement-source:MHL:world-bank-phc-assessment-2024"
        ],
        "support_state": "candidate_supported",
        "target_slot": "national-service-architecture",
        "target_view": "functions",
        "typed_fields": {
          "boundary": "The assessment does not provide a legal delegation instrument or a complete operating chart for every facility.",
          "reported_arrangement": "The assessment describes Ministry collaboration with community health councils, two hospitals in Majuro and Ebeye, and 56 health care centers across atolls and islands."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank, The Primary Health Care System of the Republic of the Marshall Islands, 2024, Introduction.",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "actors",
        "authoritative_review",
        "facility_data",
        "governance",
        "government_responsibilities",
        "hospital_organization",
        "ownership",
        "primary_care"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "two hospitals, one in Majuro, one in Ebeye",
      "institution": null,
      "locator": {
        "description": "PDF physical page 20, Introduction."
      },
      "material_id": "material:7bb256484d4c6aeb80ec5cb2",
      "notes": [
        "Do not infer statutory ownership, provider autonomy, or a full accountability chain from this assessment."
      ],
      "origin": "candidate-analytical-mappings",
      "period": "Assessment completed in 2023; 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": [
        "grey_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "application/pdf",
        "file_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
        "response_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb"
      },
      "statement": "A World Bank assessment describes a Ministry-linked public service architecture of community health councils, two hospitals and 56 health care centers. It does not establish every facility's legal owner or managerial authority.",
      "tags": [],
      "territory": "Republic of the Marshall Islands, including Majuro, Ebeye and neighboring islands",
      "title": "Reported public service-delivery architecture",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://documents1.worldbank.org/curated/en/099121523194155037/pdf/P1598650e39db8048080d8013c44af6a5a8.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Pacific regional strategy. 2000. https://documents1.worldbank.org/curated/en/797421468774275109/pdf/multi-page.pdf",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": null,
      "excerpt": "Social Diversity 10 C Governance 12 D Basic Human Indicators 12 E",
      "institution": null,
      "locator": {
        "physical_pdf_page": 3,
        "source_word_anchor": "Social Diversity 10 C Governance 12 D Basic Human Indicators 12 E",
        "source_word_count": 12
      },
      "material_id": "material:e04469859965ac196b24fcc8",
      "notes": [],
      "origin": "global-corpus-excerpt-queue",
      "period": null,
      "publication_date": null,
      "publication_year": 2000,
      "record_kind": "corpus_page_anchor",
      "record_kind_label": "Corpus Page Anchor",
      "screening": {
        "previous_boundary_detected": true,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [],
      "source_system": null,
      "source_version": {
        "detected_media_type": "application/pdf",
        "file_sha256": "ebca611eb201123bcd61561a96f6df6ede924fe44ed85659f7f087a2a340b4bf",
        "page_count": 71,
        "text_sha256": "2dde732b6845c604d49f81d0ccffe4f3453346e520f837a6648cadcebc77dae3"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "language:en",
        "source:World Bank Documents and Reports",
        "source_layer:global_literature"
      ],
      "territory": null,
      "title": "Pacific regional strategy",
      "urls": [
        {
          "kind": "stable_source_url",
          "source": "not supplied",
          "url": "https://documents1.worldbank.org/curated/en/797421468774275109/pdf/multi-page.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank. 2023 Public Expenditure Review for Nine Pacific Island Countries. Accessed 22 August 2026.",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "authoritative_review",
        "autonomy",
        "decision_rights",
        "governance",
        "government_responsibilities",
        "market_structure",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "Public Expenditure Review for Nine Pacific Island Countries",
      "institution": "World Bank",
      "locator": {
        "locator_type": "web_heading_and_paragraph",
        "source_word_anchor": "Public Expenditure Review for Nine Pacific Island Countries",
        "source_word_count": 8
      },
      "material_id": "material:f7b28f166f9724ad93d4106f",
      "notes": [
        "This landing page verifies the report scope and does not independently establish country findings."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Public Expenditure Review released 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": [
        "official"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "d23e7a0674793c6008a10eace3250ea70f631416f3f4e5f8ea42909cedd91d86"
      },
      "statement": "The World Bank identifies the Marshall Islands as one of nine Pacific Island Countries covered by the 2023 public expenditure review.",
      "tags": [],
      "territory": "Nine Pacific Island Countries, including the Republic of the Marshall Islands",
      "title": "2023 Public Expenditure Review for Nine Pacific Island Countries",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://www.worldbank.org/en/country/pacificislands/brief/2023-public-expenditure-review-per-for-nine-pacific-island-countries"
        },
        {
          "kind": "resolved_document",
          "source": "single-country score-improvement acquisition",
          "url": "https://documents1.worldbank.org/curated/en/099051623182514230/pdf/P177734088f2b607808394012fd677c310d.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Ichiho HM, Seremai J, Trinidad R, et al. An Assessment of Non-Communicable Diseases, Diabetes, and Related Risk Factors in the Republic of the Marshall Islands, Kwajalein Atoll, Ebeye Island: A Systems Perspective. Hawai'i Journal of Medicine & Public Health. 2013.",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "actors",
        "authoritative_review",
        "facility_data",
        "hospital_organization",
        "market_structure",
        "networks",
        "observed_referral",
        "ownership",
        "patient_flows",
        "primary_care",
        "referral_design",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "observed",
      "excerpt": "Patients who were not able to receive necessary medical care",
      "institution": "Hawai'i Journal of Medicine & Public Health",
      "locator": {
        "locator_type": "web_heading_and_paragraph",
        "source_word_anchor": "Patients who were not able to receive necessary medical care",
        "source_word_count": 10
      },
      "material_id": "material:d5ae0d176f9b20b49e6855c6",
      "notes": [
        "Do not generalize historic Ebeye observations to the whole country or to current referral volumes."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Facility and referral observations principally 2007 to 2010; article published May 2013",
      "publication_date": null,
      "publication_year": 2013,
      "record_kind": "country_improvement_source_lead",
      "record_kind_label": "Country Improvement Source Lead",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "research_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "92eb4fd86261d8760d1f5cd76443aa69c85d7c686766b392e4993be95c7c3cd8"
      },
      "statement": "The systems study reports Ebeye-specific clinical organization and small annual overseas-referral counts from the late 2000s.",
      "tags": [],
      "territory": "Ebeye Island, Kwajalein Atoll, Republic of the Marshall Islands",
      "title": "An Assessment of Non-Communicable Diseases, Diabetes, and Related Risk Factors in Ebeye Island",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC3689463/"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Health Organization. Marshall Islands health data overview. Accessed 22 August 2026.",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "authoritative_review",
        "facility_data",
        "governance",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "observed",
      "excerpt": "Health data overview for the Republic",
      "institution": "World Health Organization",
      "locator": {
        "locator_type": "web_heading_and_paragraph",
        "source_word_anchor": "Health data overview for the Republic",
        "source_word_count": 6
      },
      "material_id": "material:c3daaf237504070587695d42",
      "notes": [
        "Use only displayed indicators with their own stated period, denominator, and metadata."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "WHO country-data page accessed 22 August 2026; indicator periods vary 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": [
        "official"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "66c2a2b2c156abd170338fe1c1933764f43cb92fa73645d5dfe8b3b8e9a87457"
      },
      "statement": "WHO provides a country-level health data overview with series-specific periods and methods.",
      "tags": [],
      "territory": "Republic of the Marshall Islands, national indicator profile",
      "title": "Marshall Islands health data overview",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://data.who.int/countries/584"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Health Organization. Marshall Islands: WHO Results Report Western Pacific Region profile 2024. Accessed 22 August 2026.",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "authoritative_review",
        "governance",
        "networks",
        "primary_care",
        "referral_design",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "limited types of services, insufficient outreach and inadequate referral systems",
      "institution": "World Health Organization Regional Office for the Western Pacific",
      "locator": {
        "locator_type": "web_heading_and_paragraph",
        "source_word_anchor": "limited types of services, insufficient outreach and inadequate referral systems",
        "source_word_count": 9
      },
      "material_id": "material:67585351f2634b5018719c96",
      "notes": [
        "This regional discussion does not identify a Marshall Islands-specific implementation or performance measure."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "WHO Results Report 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": "2e704ec27864915de42faf29ffdcbb96fce8abee57807e409de128a886e9c446"
      },
      "statement": "The regional results report discusses primary care, outreach and referral-system constraints as regional service-delivery concerns.",
      "tags": [],
      "territory": "Western Pacific Region reporting context; country profile is Marshall Islands",
      "title": "Marshall Islands: WHO Results Report Western Pacific Region profile 2024",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://www.who.int/about/accountability/results/who-results-report-2024-2025/region-WPRO/2024/marshall-islands"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Health Organization. Marshall Islands: WHO Results Report country profile 2024. Accessed 22 August 2026.",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "authoritative_review",
        "facility_data",
        "governance",
        "primary_care",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "Improved access to quality essential health services",
      "institution": "World Health Organization",
      "locator": {
        "locator_type": "web_heading_and_paragraph",
        "source_word_anchor": "Improved access to quality essential health services",
        "source_word_count": 7
      },
      "material_id": "material:31668d1d866a4fb9c1e6ed0b",
      "notes": [
        "This is WHO programme reporting, not a statutory description of national institutional authority."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "WHO Results Report 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": "ed99a28da4f7d82f47f2862cf2fe484610cc32e7f5bafe926171c77eac8c1e5b"
      },
      "statement": "WHO's country profile identifies health-service access, essential medicines and governance among reportable areas.",
      "tags": [],
      "territory": "Republic of the Marshall Islands, WHO country programme reporting",
      "title": "Marshall Islands: WHO Results Report country profile 2024",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://www.who.int/about/accountability/results/who-results-report-2024-2025/country-profile/2024/marshall-islands"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Health Organization. Our work in Marshall Islands. Accessed 22 August 2026.",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "authoritative_review",
        "facility_data",
        "governance",
        "hospital_organization",
        "networks",
        "primary_care",
        "referral_design"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "Providing health care across remote islands and atolls",
      "institution": "World Health Organization",
      "locator": {
        "locator_type": "web_heading_and_paragraph",
        "source_word_anchor": "Providing health care across remote islands and atolls",
        "source_word_count": 8
      },
      "material_id": "material:1265cdfe706d30d4c5444665",
      "notes": [
        "This country summary is not a facility-level inventory or evidence of referral completion."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "WHO country page accessed 22 August 2026; cited health-system facts include 2020 and 2021 values",
      "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": "9aa0ea8186741b57857ba99f1a348c79096cf4e0c2e5040b2e5c3b9ae67544c5"
      },
      "statement": "WHO identifies remoteness, uneven service availability and shortages of equipment, supplies and facilities as health-system constraints.",
      "tags": [],
      "territory": "Republic of the Marshall Islands, national health system and remote islands and atolls",
      "title": "Our work in Marshall Islands",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://www.who.int/marshallislands/our-work"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Health Organization. Overseas medical referral: the health system challenges for Pacific Island Countries. Policy brief, 2020.",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "authoritative_review",
        "governance",
        "networks",
        "observed_referral",
        "patient_flows",
        "referral_design"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "overseas medical referral is one solution",
      "institution": "World Health Organization Regional Office for the Western Pacific",
      "locator": {
        "locator_type": "web_heading_and_paragraph",
        "source_word_anchor": "overseas medical referral is one solution",
        "source_word_count": 6
      },
      "material_id": "material:d254fa59163a6469a05d5442",
      "notes": [
        "Do not turn a regional policy brief into a Marshall Islands-specific referral volume, entitlement, or performance claim."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Policy brief published 21 July 2020",
      "publication_date": null,
      "publication_year": 2020,
      "record_kind": "country_improvement_source_lead",
      "record_kind_label": "Country Improvement Source Lead",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "review_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "ea448c284caaaa22bef66e300b2b0d0d8c50b2cb9933fc95ba64f9e7c62618a9"
      },
      "statement": "The policy brief reviews overseas medical referral as a continuing health-system component for Pacific Island Countries with limited domestic specialist services.",
      "tags": [],
      "territory": "Pacific Island Countries, including the Marshall Islands only as a regional context rather than a country case finding",
      "title": "Overseas medical referral: the health system challenges for Pacific Island Countries",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://apo.who.int/publications/i/item/9789290227700"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank. Republic of the Marshall Islands Country Economic Memorandum and Public Expenditure Review. 2021.",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "authoritative_review",
        "autonomy",
        "decision_rights",
        "facility_data",
        "governance",
        "government_responsibilities",
        "hospital_organization",
        "market_structure",
        "networks",
        "observed_referral",
        "patient_flows",
        "primary_care",
        "referral_design",
        "reform_history",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "In the absence of gate keeping mechanisms",
      "institution": "World Bank",
      "locator": {
        "locator_type": "pdf_page_set_anchor",
        "source_word_anchor": "In the absence of gate keeping mechanisms",
        "source_word_count": 7
      },
      "material_id": "material:1954e893d72376fe541adba0",
      "notes": [
        "Recommendations and interview-based findings do not establish current implementation or individual patient pathways."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Analysis published 2021; health expenditure and administrative evidence principally FY2013 to FY2019",
      "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": "aa45a66408035b0bc07a38b0f36558594f77dca28d66622eddca04c2a4bb5dd3",
        "response_sha256": "aa45a66408035b0bc07a38b0f36558594f77dca28d66622eddca04c2a4bb5dd3"
      },
      "statement": "The review analyzes health financing, organization of delivery, referral arrangements, and primary-care recommendations for the Marshall Islands.",
      "tags": [],
      "territory": "Republic of the Marshall Islands, national health financing and service-delivery system including outer islands",
      "title": "Republic of the Marshall Islands Country Economic Memorandum and Public Expenditure Review",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://openknowledge.worldbank.org/bitstreams/33882feb-80f1-52ce-abba-ce810b4dc5d7/download"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Brostrom RJ, Largen A, Nasa JN, et al. TB-free Ebeye: Results from integrated TB and noncommunicable disease case finding in Ebeye, Marshall Islands. Journal of Clinical Tuberculosis and Other Mycobacterial Diseases. 2024.",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "authoritative_review",
        "facility_data",
        "hospital_organization",
        "networks",
        "observed_referral",
        "patient_flows",
        "primary_care",
        "referral_design",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "observed",
      "excerpt": "Sputum samples were transported daily to the Ebeye Hospital",
      "institution": "Journal of Clinical Tuberculosis and Other Mycobacterial Diseases",
      "locator": {
        "locator_type": "web_heading_and_paragraph",
        "source_word_anchor": "Sputum samples were transported daily to the Ebeye Hospital",
        "source_word_count": 9
      },
      "material_id": "material:dd144ac7b07dc7b6b95f63f2",
      "notes": [
        "This describes one integrated case-finding intervention, not a general national referral pathway."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Integrated case finding described in article published 3 February 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": [
        "research_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "0ef0fbae9899556e55e1137cb260438f111fd2743d20f3fd52e90f3f8ceb8b8a"
      },
      "statement": "The study documents a disease-specific Ebeye pathway in which sputum was transported to the Ebeye Hospital laboratory and clinical referrals were provided on site.",
      "tags": [],
      "territory": "Ebeye Island, Kwajalein Atoll, Republic of the Marshall Islands",
      "title": "TB-free Ebeye: Results from integrated TB and noncommunicable disease case finding",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10863304/"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank. The Primary Health Care System of the Republic of the Marshall Islands: A Primary Health Care Performance Initiative Assessment. 2024.",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "actors",
        "authoritative_review",
        "autonomy",
        "decision_rights",
        "facility_data",
        "governance",
        "government_responsibilities",
        "hospital_organization",
        "market_structure",
        "networks",
        "observed_referral",
        "ownership",
        "patient_flows",
        "primary_care",
        "referral_design",
        "reform_history",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "two hospitals, one in Majuro, one in Ebeye",
      "institution": "World Bank, prepared in consultation with the Republic of the Marshall Islands Ministry of Health and Human Services",
      "locator": {
        "locator_type": "pdf_page_set_anchor",
        "source_word_anchor": "two hospitals, one in Majuro, one in Ebeye",
        "source_word_count": 8
      },
      "material_id": "material:54c02ddf168935d670dc0a22",
      "notes": [
        "This is a 2023 assessment and reported evidence, not a current facility census or formal legal allocation."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Assessment completed with national validation workshop in October 2023; 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": [
        "grey_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "application/pdf",
        "file_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb",
        "response_sha256": "26fabef028e9f3cb3282abd5429f3bf10e5415e2f7589cec05910d9be83859eb"
      },
      "statement": "The assessment describes the national primary-health-care system, its facilities, service mix, governance, resource constraints, and access indicators.",
      "tags": [],
      "territory": "Republic of the Marshall Islands, national system including Majuro, Ebeye and neighboring islands",
      "title": "The Primary Health Care System of the Republic of the Marshall Islands",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://documents1.worldbank.org/curated/en/099121523194155037/pdf/P1598650e39db8048080d8013c44af6a5a8.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "WHO Regional Office for the Western Pacific. Pacific Islands-WHO multi-country cooperation strategy 2024-2029. 2024. https://www.who.int/westernpacific/publications/i/item/9789290620587",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "actors",
        "governance",
        "government_responsibilities",
        "primary_care",
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "candidate source metadata",
      "evidence_mode": null,
      "excerpt": null,
      "institution": null,
      "locator": {
        "heading": "Overview",
        "html_text_block": 5,
        "locator_type": "html_text_anchor",
        "source_word_anchor": "and enhancing health and health system resilience",
        "source_word_count": 7
      },
      "material_id": "candidate-source:MHL:cb5b34140f6b1981725d",
      "notes": [
        "Public source projection retained as a distinct stage record.",
        "A recoverable source locator was retrieved from this exact public source URL in the locator-gap traceability audit."
      ],
      "origin": "current-public-source-projection",
      "period": null,
      "publication_date": null,
      "publication_year": 2024,
      "record_kind": "displayed_source_projection",
      "record_kind_label": "Displayed source projection",
      "screening": {
        "page_locator_linked_from_locator_gap_acquisition": true,
        "previous_visibility": "previously_projected"
      },
      "source_layers": [
        "candidate_source_metadata",
        "official"
      ],
      "source_system": "WHO_WPRO",
      "source_version": {
        "response_sha256": "0e36703f0192ec38e436b0d20d008b29e78a08ca2887cab3fc5a079818c82c2b"
      },
      "statement": null,
      "tags": [
        "targeted_official"
      ],
      "territory": null,
      "title": "Pacific Islands-WHO multi-country cooperation strategy 2024-2029",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://www.who.int/westernpacific/publications/i/item/9789290620587"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Pacific regional strategy. 2000. https://documents1.worldbank.org/curated/en/797421468774275109/pdf/multi-page.pdf",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [],
      "display_status": "shown_in_full",
      "document_type": "candidate corpus source",
      "evidence_mode": null,
      "excerpt": null,
      "institution": null,
      "locator": {
        "physical_pdf_page": 3,
        "source_word_anchor": "Social Diversity 10 C Governance 12 D Basic Human Indicators 12 E"
      },
      "material_id": "candidate-source:MHL:c2b3874351db051f4127",
      "notes": [
        "Public source projection retained as a distinct stage record."
      ],
      "origin": "current-public-source-projection",
      "period": null,
      "publication_date": null,
      "publication_year": 2000,
      "record_kind": "displayed_source_projection",
      "record_kind_label": "Displayed source projection",
      "screening": {
        "previous_visibility": "previously_projected"
      },
      "source_layers": [
        "candidate_corpus_page_locator",
        "grey_literature"
      ],
      "source_system": "global_corpus",
      "source_version": {
        "file_sha256": "ebca611eb201123bcd61561a96f6df6ede924fe44ed85659f7f087a2a340b4bf",
        "text_sha256": "2dde732b6845c604d49f81d0ccffe4f3453346e520f837a6648cadcebc77dae3"
      },
      "statement": null,
      "tags": [
        "corpus_excerpt_queue"
      ],
      "territory": null,
      "title": "Pacific regional strategy",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://documents1.worldbank.org/curated/en/797421468774275109/pdf/multi-page.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Appraisal Environmental and Social Review Summary (ESRS) - RMI COVID-19 Emergency Response Project - P173887. 2021. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "health system review",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 4,
        "source_word_anchor": "independent non-profit organization will contract the project administration consultant as well as",
        "source_word_count": 12
      },
      "material_id": "material:4ec2d5953e5ab931c532baff",
      "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": "2021-09-30",
      "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_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": 13,
        "response_sha256": "4835e98a54c907a0b2a10e3fd2979330adbe57a68927d4a00b274d79c3184cf0"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Appraisal Environmental and Social Review Summary (ESRS) - RMI COVID-19 Emergency Response Project - P173887",
      "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/164801633028704742/pdf/Appraisal-Environmental-and-Social-Review-Summary-ESRS-RMI-COVID-19-Emergency-Response-Project-P173887.pdf"
        },
        {
          "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/164801633028704742"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/164801633028704742/text/Appraisal-Environmental-and-Social-Review-Summary-ESRS-RMI-COVID-19-Emergency-Response-Project-P173887.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Appraisal Environmental and Social Review Summary (ESRS) - RMI COVID-19 Emergency Response Project - P173887. 2020. https://documents.worldbank.org/curated/en/622481586658792454",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "health system review",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 10,
        "source_word_anchor": "MOHHS The PIHOA will contract the project administration consultant as well as",
        "source_word_count": 12
      },
      "material_id": "material:f11af76ef7135c82654163eb",
      "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": "2020-04-12",
      "publication_year": 2020,
      "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": 15,
        "response_sha256": "d08988acc3404860478094cc1a1e1cf363dedaaa9a3c203f9e5ea23711c6375d"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Appraisal Environmental and Social Review Summary (ESRS) - RMI COVID-19 Emergency Response Project - P173887",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/622481586658792454"
        },
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/622481586658792454/text/Appraisal-Environmental-and-Social-Review-Summary-ESRS-RMI-COVID-19-Emergency-Response-Project-P173887.txt"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/622481586658792454/pdf/Appraisal-Environmental-and-Social-Review-Summary-ESRS-RMI-COVID-19-Emergency-Response-Project-P173887.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Disclosable Restructuring Paper - RMI COVID-19 Emergency Response Project - P173887. 2022. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 7,
        "source_word_anchor": "critical bottleneck to successful contract implementation PIHOA and MOHHS have raised the",
        "source_word_count": 12
      },
      "material_id": "material:6781fc5a8818c0535b6441ab",
      "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": "2022-08-15",
      "publication_year": 2022,
      "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": 14,
        "response_sha256": "6457c58edbc32546450bed547d4fbd9ba35e44734d8ab6fa527e6be631f2c59c"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Disclosable Restructuring Paper - RMI COVID-19 Emergency Response Project - P173887",
      "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/099130008152219030/pdf/P173887025542a0f30962d00e5a1939b729.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/099130008152219030/text/P173887025542a0f30962d00e5a1939b729.txt"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099130008152219030"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Disclosable Version of the ISR - RMI COVID-19 Emergency Response Project - P173887 - Sequence No : 01. 2020. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "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": 3,
        "source_word_anchor": "Current Rating Political and Governance Moderate Moderate Macroeconomic Moderate Moderate Sector Strategies",
        "source_word_count": 12
      },
      "material_id": "material:db4b39795e30e82bd9a5f708",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: project information or status.",
        "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": "2020-08-03",
      "publication_year": 2020,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "project_information_or_status",
        "machine_screening_state": "machine_flagged_administration",
        "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": 6,
        "response_sha256": "d71df00cbe41fc603a05090549d651ceeba4e8338759e3ea172ba120c0cefa93"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "control_knob:persuasion_behaviour",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Disclosable Version of the ISR - RMI COVID-19 Emergency Response Project - P173887 - Sequence No : 01",
      "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/926861596427029288/text/Disclosable-Version-of-the-ISR-RMI-COVID-19-Emergency-Response-Project-P173887-Sequence-No-01.txt"
        },
        {
          "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/926861596427029288/pdf/Disclosable-Version-of-the-ISR-RMI-COVID-19-Emergency-Response-Project-P173887-Sequence-No-01.pdf"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/926861596427029288"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Disclosable Version of the ISR - RMI COVID-19 Emergency Response Project - P173887 - Sequence No : 02. 2021. https://documents.worldbank.org/curated/en/603541616147895260",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "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": 2,
        "physical_pdf_page": 2,
        "source_word_anchor": "Current Rating Political and Governance Moderate Moderate Low Macroeconomic Moderate Moderate Low",
        "source_word_count": 12
      },
      "material_id": "material:2c9aa24a21eafb48c8aee74b",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: project information or status.",
        "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": "2021-03-19",
      "publication_year": 2021,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "project_information_or_status",
        "machine_screening_state": "machine_flagged_administration",
        "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": 6,
        "response_sha256": "46e8075178e5c76f7e7760c4e6ae664088f507cbce1288a4ea6d6eb754552315"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "control_knob:persuasion_behaviour",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Disclosable Version of the ISR - RMI COVID-19 Emergency Response Project - P173887 - Sequence No : 02",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/603541616147895260"
        },
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/603541616147895260/pdf/Disclosable-Version-of-the-ISR-RMI-COVID-19-Emergency-Response-Project-P173887-Sequence-No-02.pdf"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/603541616147895260/text/Disclosable-Version-of-the-ISR-RMI-COVID-19-Emergency-Response-Project-P173887-Sequence-No-02.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Disclosable Version of the ISR - RMI COVID-19 Emergency Response Project - P173887 - Sequence No : 03. 2021. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "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": 2,
        "physical_pdf_page": 2,
        "source_word_anchor": "Current Rating Political and Governance Moderate Low Low Macroeconomic Moderate Low Low",
        "source_word_count": 12
      },
      "material_id": "material:2456a8ea22a5655b1730db89",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: project information or status.",
        "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": "2021-09-30",
      "publication_year": 2021,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "project_information_or_status",
        "machine_screening_state": "machine_flagged_administration",
        "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": 6,
        "response_sha256": "0fcc4df12bf977e31fe45d450e0b92ef01ada82c7f0a82ca7d66a0f0958b22f2"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "control_knob:persuasion_behaviour",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Disclosable Version of the ISR - RMI COVID-19 Emergency Response Project - P173887 - Sequence No : 03",
      "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/823351632993767891/pdf/Disclosable-Version-of-the-ISR-RMI-COVID-19-Emergency-Response-Project-P173887-Sequence-No-03.pdf"
        },
        {
          "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/823351632993767891"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/823351632993767891/text/Disclosable-Version-of-the-ISR-RMI-COVID-19-Emergency-Response-Project-P173887-Sequence-No-03.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Disclosable Version of the ISR - RMI COVID-19 Emergency Response Project - P173887 - Sequence No : 04. 2022. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "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": 3,
        "source_word_anchor": "of 6 Political and Governance Moderate Low Low Macroeconomic Moderate Low Low",
        "source_word_count": 12
      },
      "material_id": "material:ff4a12ce592d1a7045065e69",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: project information or status.",
        "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": "2022-06-22",
      "publication_year": 2022,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "project_information_or_status",
        "machine_screening_state": "machine_flagged_administration",
        "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": 6,
        "response_sha256": "0018488253b96fb353abbfe0ce716d47f558cdf8bfa7ea0a3060be4641c9494a"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Disclosable Version of the ISR - RMI COVID-19 Emergency Response Project - P173887 - Sequence No : 04",
      "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/099940006222257287/pdf/P1738870eec1f90410a8f70543e6ad118c2.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/099940006222257287/text/P1738870eec1f90410a8f70543e6ad118c2.txt"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099940006222257287"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Disclosable Version of the ISR - RMI COVID-19 Emergency Response Project - P173887 - Sequence No : 05. 2022. https://documents.worldbank.org/curated/en/099610212222211023",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "technical report",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": null,
      "material_id": "material:cc17a020951b468d35ebbc67",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: project information or status.",
        "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": "2022-12-22",
      "publication_year": 2022,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "project_information_or_status",
        "machine_screening_state": "machine_flagged_administration",
        "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": "text/html",
        "response_sha256": "1ea62d240a7613212a0203c6da942c959bd38f78ba4671a9c87d9c7b73178195"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Disclosable Version of the ISR - RMI COVID-19 Emergency Response Project - P173887 - Sequence No : 05",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099610212222211023"
        },
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Disclosable Version of the ISR - RMI COVID-19 Emergency Response Project - P173887 - Sequence No : 06. 2023. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "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": 3,
        "source_word_anchor": "of 6 Political and Governance Moderate Low Low Macroeconomic Moderate Low Low",
        "source_word_count": 12
      },
      "material_id": "material:a95240d1dda8255f844e220e",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: project information or status.",
        "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": "2023-01-12",
      "publication_year": 2023,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "project_information_or_status",
        "machine_screening_state": "machine_flagged_administration",
        "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": 6,
        "response_sha256": "7d27e2acde2f1e01a2fa09a86f83e91ecc39587cd5e6276798d7efa36e3ee6f6"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Disclosable Version of the ISR - RMI COVID-19 Emergency Response Project - P173887 - Sequence No : 06",
      "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/099655001122326766/text/P1738870954d2d0680af8c00b71bc0de66a.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/099655001122326766"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099655001122326766/pdf/P1738870954d2d0680af8c00b71bc0de66a.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Disclosable Version of the ISR - RMI COVID-19 Emergency Response Project - P173887 - Sequence No : 07. 2023. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "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": 3,
        "source_word_anchor": "Current Rating Political and Governance Moderate Low Low Macroeconomic Moderate Low Low",
        "source_word_count": 12
      },
      "material_id": "material:2a61c2ef2768e53f49c854ed",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: project information or status.",
        "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": "2023-06-30",
      "publication_year": 2023,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "project_information_or_status",
        "machine_screening_state": "machine_flagged_administration",
        "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": 7,
        "response_sha256": "80fde573da236e062bb23e3efa03954ddffaa511f953c3417bfc0207f995ec2a"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Disclosable Version of the ISR - RMI COVID-19 Emergency Response Project - P173887 - Sequence No : 07",
      "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/099063023013038873/pdf/P1738870ad1bf709409bda0a35543e308f9.pdf"
        },
        {
          "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/099063023013038873"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099063023013038873/text/P1738870ad1bf709409bda0a35543e308f9.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Disclosable Version of the ISR - RMI COVID-19 Emergency Response Project - P173887 - Sequence No : 08. 2024. https://documents.worldbank.org/curated/en/099021824160518756",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "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": 4,
        "source_word_anchor": "Current Rating Political and Governance Moderate Low Low Macroeconomic Moderate Low Low",
        "source_word_count": 12
      },
      "material_id": "material:4372001498e632ea5c5f18fb",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: project information or status.",
        "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": "2024-02-18",
      "publication_year": 2024,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "project_information_or_status",
        "machine_screening_state": "machine_flagged_administration",
        "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": 8,
        "response_sha256": "c69a386707ac7f4f2aa1db75215b15db7c8f1d07ec35d7105d89b5e9a27eed66"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Disclosable Version of the ISR - RMI COVID-19 Emergency Response Project - P173887 - Sequence No : 08",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099021824160518756"
        },
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099021824160518756/pdf/P1738871cb60bd01e1bd3c1ad141d7ae70a.pdf"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099021824160518756/text/P1738871cb60bd01e1bd3c1ad141d7ae70a.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Environmental and Social Commitment Plan (ESCP) - RMI COVID-19 Emergency Response Project - P173887. 2020. https://documents.worldbank.org/curated/en/107461586658738769",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "national health strategy",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "heading": "ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN",
        "paragraph_index_on_page": 4,
        "physical_pdf_page": 2,
        "source_word_anchor": "the involvement of the Ministry of Health and Human Services MOHHS MOHHS",
        "source_word_count": 12
      },
      "material_id": "material:b6e4fd80402a7412579f594b",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: environmental or social project administration.",
        "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": "2020-04-12",
      "publication_year": 2020,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "environmental_or_social_project_administration",
        "machine_screening_state": "machine_flagged_administration",
        "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": 7,
        "response_sha256": "546ca2768442699c7fc72649d430c5c7a13fbf94aac868921efedb354a8ccc68"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Environmental and Social Commitment Plan (ESCP) - RMI COVID-19 Emergency Response Project - P173887",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/107461586658738769"
        },
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/107461586658738769/text/Environmental-and-Social-Commitment-Plan-ESCP-RMI-COVID-19-Emergency-Response-Project-P173887.txt"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/107461586658738769/pdf/Environmental-and-Social-Commitment-Plan-ESCP-RMI-COVID-19-Emergency-Response-Project-P173887.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Environmental and Social Commitment Plan (ESCP) - RMI COVID-19 Emergency Response Project - P173887. 2021. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "national health strategy",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "heading": "ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN",
        "paragraph_index_on_page": 4,
        "physical_pdf_page": 2,
        "source_word_anchor": "the involvement of the Ministry of Health and Human Services MOHHS MOHHS",
        "source_word_count": 12
      },
      "material_id": "material:e054c947824bfdc72d298c87",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: environmental or social project administration.",
        "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": "2021-09-30",
      "publication_year": 2021,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "environmental_or_social_project_administration",
        "machine_screening_state": "machine_flagged_administration",
        "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": 7,
        "response_sha256": "224b53ea6023507f0c1266810604e611c54e0629be009acc5af36ba86e2283be"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Environmental and Social Commitment Plan (ESCP) - RMI COVID-19 Emergency Response Project - P173887",
      "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/238951633028604604/pdf/Environmental-and-Social-Commitment-Plan-ESCP-RMI-COVID-19-Emergency-Response-Project-P173887.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/238951633028604604/text/Environmental-and-Social-Commitment-Plan-ESCP-RMI-COVID-19-Emergency-Response-Project-P173887.txt"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/238951633028604604"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Environmental and Social Management Framework (ESMF) RMI COVID-19 Emergency Response Project (P173887). 2021. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "national health strategy",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 2,
        "physical_pdf_page": 8,
        "source_word_anchor": "of direct workers and contract workers 2 4 Environmental and Social Risk",
        "source_word_count": 12
      },
      "material_id": "material:cc2334dbebe6515082b15692",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: environmental or social project administration.",
        "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": "2021-08-16",
      "publication_year": 2021,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "environmental_or_social_project_administration",
        "machine_screening_state": "machine_flagged_administration",
        "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": 138,
        "response_sha256": "2857f609d293784ef14f260d4e4893557d595a0f355f65981299224bfbd5b54b"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "control_knob:persuasion_behaviour",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Environmental and Social Management Framework (ESMF) RMI COVID-19 Emergency Response Project (P173887)",
      "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/559481629137935248/text/Environmental-and-Social-Management-Framework-ESMF-RMI-COVID-19-Emergency-Response-Project-P173887.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/559481629137935248"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/559481629137935248/pdf/Environmental-and-Social-Management-Framework-ESMF-RMI-COVID-19-Emergency-Response-Project-P173887.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Labor Management Procedures RMI COVID-19 Emergency Response Project (P173887). 2021. https://documents.worldbank.org/curated/en/551841629137934360",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "leadership_governance",
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 3,
        "physical_pdf_page": 6,
        "source_word_anchor": "relating to LMP PIHOA Contract Contract between MOHHS and PIHOA for provision",
        "source_word_count": 12
      },
      "material_id": "material:0005a1f548dae10d30754420",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: environmental or social project administration.",
        "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": "2021-08-16",
      "publication_year": 2021,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "environmental_or_social_project_administration",
        "machine_screening_state": "machine_flagged_administration",
        "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": 30,
        "response_sha256": "a6bd37d4f53783c0c88f6ee096e4622c098362c783c3513f6f843e429ffb6a38"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "service_area:infectious_disease",
        "who_building_block:leadership_governance",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Labor Management Procedures RMI COVID-19 Emergency Response Project (P173887)",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/551841629137934360"
        },
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/551841629137934360/text/Labor-Management-Procedures-RMI-COVID-19-Emergency-Response-Project-P173887.txt"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/551841629137934360/pdf/Labor-Management-Procedures-RMI-COVID-19-Emergency-Response-Project-P173887.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Labor Management Procedures RMI COVID-19 Emergency Response Project (P173887). 2021. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "leadership_governance",
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 3,
        "physical_pdf_page": 6,
        "source_word_anchor": "relating to LMP PIHOA Contract Contract between MOHHS and PIHOA for provision",
        "source_word_count": 12
      },
      "material_id": "material:d3521e161e2eb6a5d339398a",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: environmental or social project administration.",
        "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": "2021-08-16",
      "publication_year": 2021,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "environmental_or_social_project_administration",
        "machine_screening_state": "machine_flagged_administration",
        "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": 30,
        "response_sha256": "83d72fab8918aa87402c0506e910e5f97acebd8f38c513f6980cec1ec8458478"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "service_area:infectious_disease",
        "who_building_block:leadership_governance",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Labor Management Procedures RMI COVID-19 Emergency Response Project (P173887)",
      "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/847151629156438028/pdf/Labor-Management-Procedures-RMI-COVID-19-Emergency-Response-Project-P173887.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/847151629156438028/text/Labor-Management-Procedures-RMI-COVID-19-Emergency-Response-Project-P173887.txt"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/847151629156438028"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Marshall Islands - COVID-19 Emergency Response Project. 2020. https://documents.worldbank.org/curated/en/353011587944635065",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "emergency_preparedness",
        "health_workforce",
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "preparedness response plan",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "heading": "SYSTEMATIC OPERATIONS RISK-RATING TOOL SORT",
        "paragraph_index_on_page": 4,
        "physical_pdf_page": 9,
        "source_word_anchor": "Rating 1 Political and Governance Moderate 2 Macroeconomic Moderate 3 Sector Strategies",
        "source_word_count": 12
      },
      "material_id": "material:4f1e9e5057ff6bb9fdcfbd9c",
      "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": "2020-04-16",
      "publication_year": 2020,
      "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": "0d8cf6e76e38b0a0ddefa3fe42e48bfc711cd4da0e9dcfbf9cf677e8a18fcdb2"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "control_knob:persuasion_behaviour",
        "document_type:preparedness_response_plan",
        "health_system_topic:emergency_preparedness",
        "health_system_topic:health_workforce",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "service_area:infectious_disease",
        "who_building_block:health_workforce",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Marshall Islands - COVID-19 Emergency Response Project",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/353011587944635065"
        },
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/353011587944635065/text/Marshall-Islands-COVID-19-Emergency-Response-Project.txt"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/353011587944635065/pdf/Marshall-Islands-COVID-19-Emergency-Response-Project.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Marshall Islands - EAST ASIA AND PACIFIC - P173887 - RMI COVID-19 Emergency Response Project - Audited Financial Statement. 2022. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 7,
        "source_word_anchor": "to an increase in ministry expenditures of 2 million or 3 debt",
        "source_word_count": 12
      },
      "material_id": "material:6855659a69a7e4cd9e5466bc",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: project financial administration.",
        "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": "2022-05-26",
      "publication_year": 2022,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "project_financial_administration",
        "machine_screening_state": "machine_flagged_administration",
        "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": 116,
        "response_sha256": "7523d51005009142c38140a9e6a95bd0ccebece4091efec9ea1d77dc501018a1"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Marshall Islands - EAST ASIA AND PACIFIC - P173887 - RMI COVID-19 Emergency Response Project - Audited Financial Statement",
      "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/099111623100135255/text/P1738870563d44042093f209d050a7f4cd1.txt"
        },
        {
          "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/099111623100135255/pdf/P1738870563d44042093f209d050a7f4cd1.pdf"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099111623100135255"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Marshall Islands - EAST ASIA AND PACIFIC - P173887 - RMI COVID-19 Emergency Response Project - Audited Financial Statement. 2023. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 7,
        "source_word_anchor": "to an increase in ministry expenditures of 11 7 million or 15",
        "source_word_count": 12
      },
      "material_id": "material:c4917814e799d123813efd14",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: project financial administration.",
        "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": "2023-03-31",
      "publication_year": 2023,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "project_financial_administration",
        "machine_screening_state": "machine_flagged_administration",
        "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": 114,
        "response_sha256": "465c4ad5a414f202222465cfad3c641ead60dfdbbb87052c68eb0f0a8b48c827"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Marshall Islands - EAST ASIA AND PACIFIC - P173887 - RMI COVID-19 Emergency Response Project - Audited Financial Statement",
      "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/099073123122021181/text/P1738870b1612e0e50b780030453cb0d96b.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/099073123122021181"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099073123122021181/pdf/P1738870b1612e0e50b780030453cb0d96b.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Marshall Islands - EAST ASIA AND PACIFIC- P166800- Multisectoral Early Childhood Development Project - Procurement Plan. 2019. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [],
      "display_status": "shown_in_full",
      "document_type": "national health strategy",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": null,
      "material_id": "material:2cbd9100f450ec2d0380ff9b",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: procurement plan.",
        "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": "2019-06-25",
      "publication_year": 2019,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "procurement_plan",
        "machine_screening_state": "machine_flagged_administration",
        "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": 3,
        "response_sha256": "2aa4ef05c1eb710a871d2fee3e1ac0551345ea90073b7e5c6f4706a59280c418"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "service_area:cross_cutting",
        "service_area:maternal_reproductive"
      ],
      "territory": "national",
      "title": "Marshall Islands - EAST ASIA AND PACIFIC- P166800- Multisectoral Early Childhood Development Project - Procurement Plan",
      "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/541751561456084968/pdf/Marshall-Islands-EAST-ASIA-AND-PACIFIC-P166800-Multisectoral-Early-Childhood-Development-Project-Procurement-Plan.pdf"
        },
        {
          "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/541751561456084968"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/541751561456084968/text/Marshall-Islands-EAST-ASIA-AND-PACIFIC-P166800-Multisectoral-Early-Childhood-Development-Project-Procurement-Plan.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Marshall Islands - EAST ASIA AND PACIFIC- P166800- Multisectoral Early Childhood Development Project - Procurement Plan. 2019. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [],
      "display_status": "shown_in_full",
      "document_type": "national health strategy",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "physical_pdf_page": 4,
        "source_word_anchor": "PMO-120368-CS INDV ECD Coordinator Health International IDA D4240 Component 1 Improve coverage",
        "source_word_count": 12
      },
      "material_id": "material:d441d74135d196e48af7a3a5",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: procurement plan.",
        "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": "2019-08-08",
      "publication_year": 2019,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "procurement_plan",
        "machine_screening_state": "machine_flagged_administration",
        "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": 5,
        "response_sha256": "5e2634009df5ae10581e2cdd1068c7e05d5a82e8afb1e35f28cbe3d0a04110bb"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "service_area:cross_cutting",
        "service_area:maternal_reproductive"
      ],
      "territory": "national",
      "title": "Marshall Islands - EAST ASIA AND PACIFIC- P166800- Multisectoral Early Childhood Development Project - Procurement Plan",
      "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/234281565282802790/text/Marshall-Islands-EAST-ASIA-AND-PACIFIC-P166800-Multisectoral-Early-Childhood-Development-Project-Procurement-Plan.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/234281565282802790"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/234281565282802790/pdf/Marshall-Islands-EAST-ASIA-AND-PACIFIC-P166800-Multisectoral-Early-Childhood-Development-Project-Procurement-Plan.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Marshall Islands - EAST ASIA AND PACIFIC- P166800- Multisectoral Early Childhood Development Project - Procurement Plan. 2019. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [],
      "display_status": "shown_in_full",
      "document_type": "national health strategy",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "physical_pdf_page": 4,
        "source_word_anchor": "PMO-120368-CS INDV ECD Coordinator Health International IDA D4240 Component 1 Improve coverage",
        "source_word_count": 12
      },
      "material_id": "material:d48400b9833c602956f57fb4",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: procurement plan.",
        "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": "2019-07-30",
      "publication_year": 2019,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "procurement_plan",
        "machine_screening_state": "machine_flagged_administration",
        "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": 4,
        "response_sha256": "8b84900d6c2ce111e32f9af453d3b5aabfe6b1b7002804f070128c39b12da413"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "service_area:cross_cutting",
        "service_area:maternal_reproductive"
      ],
      "territory": "national",
      "title": "Marshall Islands - EAST ASIA AND PACIFIC- P166800- Multisectoral Early Childhood Development Project - Procurement Plan",
      "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/956171564460192131/text/Marshall-Islands-EAST-ASIA-AND-PACIFIC-P166800-Multisectoral-Early-Childhood-Development-Project-Procurement-Plan.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/956171564460192131"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/956171564460192131/pdf/Marshall-Islands-EAST-ASIA-AND-PACIFIC-P166800-Multisectoral-Early-Childhood-Development-Project-Procurement-Plan.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Marshall Islands - EAST ASIA AND PACIFIC- P166800- RMI Early Childhood Development and Nutrition Project - Procurement Plan. 2018. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [],
      "display_status": "shown_in_full",
      "document_type": "national health strategy",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 3,
        "source_word_anchor": "Recommendation for Award Signed Contract Contract Completion Planned Actual Planned Actual Planned",
        "source_word_count": 12
      },
      "material_id": "material:160a07b086f06d5d9db14c19",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: procurement plan.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2018-09-12",
      "publication_year": 2018,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "procurement_plan",
        "machine_screening_state": "machine_flagged_administration",
        "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": 3,
        "response_sha256": "5e845019c076af6ec90fa35f3715b5177435b33a6685d53750fb5aa7d13f2a98"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "service_area:cross_cutting",
        "service_area:maternal_reproductive"
      ],
      "territory": "national",
      "title": "Marshall Islands - EAST ASIA AND PACIFIC- P166800- RMI Early Childhood Development and Nutrition Project - Procurement Plan",
      "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/558561579836498283/pdf/Marshall-Islands-EAST-ASIA-AND-PACIFIC-P166800-RMI-Early-Childhood-Development-and-Nutrition-Project-Procurement-Plan.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/558561579836498283/text/Marshall-Islands-EAST-ASIA-AND-PACIFIC-P166800-RMI-Early-Childhood-Development-and-Nutrition-Project-Procurement-Plan.txt"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/558561579836498283"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Marshall Islands - EAST ASIA AND PACIFIC- P166800- RMI Early Childhood Development and Nutrition Project - Procurement Plan. 2018. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [],
      "display_status": "shown_in_full",
      "document_type": "national health strategy",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 3,
        "source_word_anchor": "Recommendation for Award Signed Contract Contract Completion Planned Actual Planned Actual Planned",
        "source_word_count": 12
      },
      "material_id": "material:2bfb64f871819ebfc599afa8",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: procurement plan.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2018-10-10",
      "publication_year": 2018,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "procurement_plan",
        "machine_screening_state": "machine_flagged_administration",
        "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": 3,
        "response_sha256": "3dbbd1c1406bc817a51d481c16b7cfee6721bbe7d3b8e2bbe036b84b35b0a81a"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "service_area:cross_cutting",
        "service_area:maternal_reproductive"
      ],
      "territory": "national",
      "title": "Marshall Islands - EAST ASIA AND PACIFIC- P166800- RMI Early Childhood Development and Nutrition Project - Procurement Plan",
      "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/142381539137665368/pdf/Marshall-Islands-EAST-ASIA-AND-PACIFIC-P166800-RMI-Early-Childhood-Development-and-Nutrition-Project-Procurement-Plan.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/142381539137665368/text/Marshall-Islands-EAST-ASIA-AND-PACIFIC-P166800-RMI-Early-Childhood-Development-and-Nutrition-Project-Procurement-Plan.txt"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/142381539137665368"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Marshall Islands - EAST ASIA AND PACIFIC- P173887- RMI COVID-19 Emergency Response Project - Procurement Plan. 2020. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "national health strategy",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 2,
        "source_word_anchor": "Recommendation for Award Signed Contract Contract Completion Planned Actual Planned Actual Planned",
        "source_word_count": 12
      },
      "material_id": "material:11ccb91164e245622f88645a",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: procurement plan.",
        "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": "2020-12-16",
      "publication_year": 2020,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "procurement_plan",
        "machine_screening_state": "machine_flagged_administration",
        "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": 2,
        "response_sha256": "dc443fe9b9b9602c50364adbbcab3b3a62259b73ac68abbb242727eb4e27624e"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Marshall Islands - EAST ASIA AND PACIFIC- P173887- RMI COVID-19 Emergency Response Project - Procurement Plan",
      "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/464331608148257594/text/Marshall-Islands-EAST-ASIA-AND-PACIFIC-P173887-RMI-COVID-19-Emergency-Response-Project-Procurement-Plan.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/464331608148257594"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/464331608148257594/pdf/Marshall-Islands-EAST-ASIA-AND-PACIFIC-P173887-RMI-COVID-19-Emergency-Response-Project-Procurement-Plan.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Marshall Islands - EAST ASIA AND PACIFIC- P173887- RMI COVID-19 Emergency Response Project - Procurement Plan. 2020. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "national health strategy",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 2,
        "source_word_anchor": "Recommendation for Award Signed Contract Contract Completion Planned Actual Planned Actual Planned",
        "source_word_count": 12
      },
      "material_id": "material:2d067c8589e1879150a90673",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: procurement plan.",
        "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": "2020-05-12",
      "publication_year": 2020,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "procurement_plan",
        "machine_screening_state": "machine_flagged_administration",
        "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": 3,
        "response_sha256": "7f7d7b7defeb53a52c8bba79ad460faf5912c3a8b96f1fd87f99c634d85d6eb6"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Marshall Islands - EAST ASIA AND PACIFIC- P173887- RMI COVID-19 Emergency Response Project - Procurement Plan",
      "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/568231589257250305/text/Marshall-Islands-EAST-ASIA-AND-PACIFIC-P173887-RMI-COVID-19-Emergency-Response-Project-Procurement-Plan.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/568231589257250305"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/568231589257250305/pdf/Marshall-Islands-EAST-ASIA-AND-PACIFIC-P173887-RMI-COVID-19-Emergency-Response-Project-Procurement-Plan.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Marshall Islands - EAST ASIA AND PACIFIC- P173887- RMI COVID-19 Emergency Response Project - Procurement Plan. 2020. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "national health strategy",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 2,
        "source_word_anchor": "Recommendation for Award Signed Contract Contract Completion Planned Actual Planned Actual Planned",
        "source_word_count": 12
      },
      "material_id": "material:57140b844b8bbccf9e0db6cf",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: procurement plan.",
        "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": "2020-04-27",
      "publication_year": 2020,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "procurement_plan",
        "machine_screening_state": "machine_flagged_administration",
        "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": 2,
        "response_sha256": "da795ff6234c54a513d76efaf93a095b57c2c0860098e54c03543489426f42a3"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Marshall Islands - EAST ASIA AND PACIFIC- P173887- RMI COVID-19 Emergency Response Project - Procurement Plan",
      "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/952441588000468515/pdf/Marshall-Islands-EAST-ASIA-AND-PACIFIC-P173887-RMI-COVID-19-Emergency-Response-Project-Procurement-Plan.pdf"
        },
        {
          "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/952441588000468515"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/952441588000468515/text/Marshall-Islands-EAST-ASIA-AND-PACIFIC-P173887-RMI-COVID-19-Emergency-Response-Project-Procurement-Plan.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Marshall Islands - EAST ASIA AND PACIFIC- P173887- RMI COVID-19 Emergency Response Project - Procurement Plan. 2020. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "national health strategy",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 3,
        "source_word_anchor": "Type Method Market Approach Contract Type Estimated Amount US Actual Amount US",
        "source_word_count": 12
      },
      "material_id": "material:5895f653af141497fe44bef5",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: procurement plan.",
        "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": "2020-10-02",
      "publication_year": 2020,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "procurement_plan",
        "machine_screening_state": "machine_flagged_administration",
        "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": 3,
        "response_sha256": "41807b921425f9476f5a16c2b1c722ed5efb17f322b8ba4cdc7c7885646ebe1f"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Marshall Islands - EAST ASIA AND PACIFIC- P173887- RMI COVID-19 Emergency Response Project - Procurement Plan",
      "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/300571601656372125/text/Marshall-Islands-EAST-ASIA-AND-PACIFIC-P173887-RMI-COVID-19-Emergency-Response-Project-Procurement-Plan.txt"
        },
        {
          "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/300571601656372125/pdf/Marshall-Islands-EAST-ASIA-AND-PACIFIC-P173887-RMI-COVID-19-Emergency-Response-Project-Procurement-Plan.pdf"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/300571601656372125"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Marshall Islands - EAST ASIA AND PACIFIC- P173887- RMI COVID-19 Emergency Response Project - Procurement Plan. 2020. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "national health strategy",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 3,
        "source_word_anchor": "Type Method Market Approach Contract Type Estimated Amount US Actual Amount US",
        "source_word_count": 12
      },
      "material_id": "material:fa6170c7dc603ac1c9524840",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: procurement plan.",
        "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": "2020-05-21",
      "publication_year": 2020,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "procurement_plan",
        "machine_screening_state": "machine_flagged_administration",
        "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": 3,
        "response_sha256": "339503eb604929250d8f147d2471d2808e0c0295bc17a4bbc8ff645920c6dd0c"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Marshall Islands - EAST ASIA AND PACIFIC- P173887- RMI COVID-19 Emergency Response Project - Procurement Plan",
      "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/321991590083623872/text/Marshall-Islands-EAST-ASIA-AND-PACIFIC-P173887-RMI-COVID-19-Emergency-Response-Project-Procurement-Plan.txt"
        },
        {
          "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/321991590083623872/pdf/Marshall-Islands-EAST-ASIA-AND-PACIFIC-P173887-RMI-COVID-19-Emergency-Response-Project-Procurement-Plan.pdf"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/321991590083623872"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Marshall Islands - Project for Improving Performance in Public Financial Management (PAFiM) : environmental assessment : Environmental and social management plan. 2018. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 6,
        "source_word_anchor": "optic-fibre connections between MoF Ministry of Health MoH Public Schools System PSS",
        "source_word_count": 12
      },
      "material_id": "material:0be3f54e55c11f9120eca392",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: environmental or social project administration.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2018-03-22",
      "publication_year": 2018,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "environmental_or_social_project_administration",
        "machine_screening_state": "machine_flagged_administration",
        "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": 36,
        "response_sha256": "4b0dd298924d70a6f159347eb6bb41c7c008f191af5ca3be83bc84844806e4b7"
      },
      "statement": null,
      "tags": [
        "control_knob:organization"
      ],
      "territory": "national",
      "title": "Marshall Islands - Project for Improving Performance in Public Financial Management (PAFiM) : environmental assessment : Environmental and social management plan",
      "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/771891520736168806/pdf/SFG4116-REVISED-EA-P163131-PUBLIC-Disclosed-4-3-2018.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/771891520736168806/text/SFG4116-REVISED-EA-P163131-PUBLIC-Disclosed-4-3-2018.txt"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/771891520736168806"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Marshall Islands - Project to Strengthen Budget Execution and Financial Reporting Systems. 2018. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "leadership_governance"
      ],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "heading": "ABBREVIATIONS AND ACRONYMS",
        "paragraph_index_on_page": 6,
        "physical_pdf_page": 2,
        "source_word_anchor": "IT Information Technology MoF Ministry of Finance MoHHS Ministry of Health and",
        "source_word_count": 12
      },
      "material_id": "material:4c6bef64f6b59fed21fc43d0",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2018-05-08",
      "publication_year": 2018,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 71,
        "response_sha256": "911c8ed9b07a709d1ea68b2c0298381d7f831a64d853bacec4ffe04f8a011e5e"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "who_building_block:leadership_governance"
      ],
      "territory": "national",
      "title": "Marshall Islands - Project to Strengthen Budget Execution and Financial Reporting Systems",
      "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/387701526305722784/text/Marshall-Islands-PAD-05102018.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/387701526305722784"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/387701526305722784/pdf/Marshall-Islands-PAD-05102018.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Minutes of Meeting of the Executive Directors of the Bank and IDA held on May 9, 2017 and record of approvals May 5 thru 9. 2017. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "physical_pdf_page": 2,
        "source_word_anchor": "Group authorization China Loan Health Reform Program-for-Results 2 The Executive Directors considered",
        "source_word_count": 12
      },
      "material_id": "material:73a06a2e807f91f30a59405c",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2017-05-09",
      "publication_year": 2017,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 4,
        "response_sha256": "d228ed3636be6b676d096b98723687bdbaab2b66011d8dd9b3cf14691567dbbe"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "population_group:children",
        "population_group:maternal",
        "service_area:cross_cutting",
        "service_area:maternal_reproductive",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Minutes of Meeting of the Executive Directors of the Bank and IDA held on May 9, 2017 and record of approvals May 5 thru 9",
      "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/901711495677692653/pdf/M2017-0018-Main-05112017.pdf"
        },
        {
          "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/901711495677692653"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/901711495677692653/text/Minutes-of-Meeting-of-the-Executive-Directors-of-the-Bank-and-IDA-held-on-May-9-2017-and-record-of-approvals-May-5-thru-9.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Minutes of a Meeting of the Executive Directors of the Bank and IDA held on March 7, 2019 and Record of Approvals February 28 thru March 7. 2019. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": null,
      "material_id": "material:fc06d324cb4fd0bc8e271736",
      "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": "2019-03-07",
      "publication_year": 2019,
      "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": 6,
        "response_sha256": "fbcae996a5d056a688de44aeaba240c265b39fc5d8fcfea26ff4b6479518510e"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Minutes of a Meeting of the Executive Directors of the Bank and IDA held on March 7, 2019 and Record of Approvals February 28 thru March 7",
      "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/545711553911310844/text/Minutes-of-a-Meeting-of-the-Executive-Directors-of-the-Bank-and-IDA-held-on-March-7-2019-and-Record-of-Approvals-February-28-thru-March-7.txt"
        },
        {
          "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/545711553911310844/pdf/Minutes-of-a-Meeting-of-the-Executive-Directors-of-the-Bank-and-IDA-held-on-March-7-2019-and-Record-of-Approvals-February-28-thru-March-7.pdf"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/545711553911310844"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Official Documents- Agreement for Advance V210-MH. 2018. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 5,
        "source_word_anchor": "limited to Project management health system review survey on school readiness community",
        "source_word_count": 12
      },
      "material_id": "material:1b408be72b5d53f27915c6e2",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2018-06-28",
      "publication_year": 2018,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 7,
        "response_sha256": "8e3f016c28bb31c4d9b941246493c8e2e64a8a1104239cacee63db307407eb2d"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "service_area:cross_cutting",
        "service_area:maternal_reproductive"
      ],
      "territory": "national",
      "title": "Official Documents- Agreement for Advance V210-MH",
      "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/108291534885579472/text/ITK425962-201807211704.txt"
        },
        {
          "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/108291534885579472/pdf/ITK425962-201807211704.pdf"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/108291534885579472"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Official Documents- Disbursement and Financial Information Letter for Grant D624-MH. 2020. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 3,
        "physical_pdf_page": 3,
        "source_word_anchor": "Secretary Ms Francyne Wase-Jacklick Ministry of Health and Human Services PO Box",
        "source_word_count": 12
      },
      "material_id": "material:bd49573bac410cf8b5ae59a1",
      "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": "2020-04-19",
      "publication_year": 2020,
      "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": 8,
        "response_sha256": "c5dd4865f65b12727285cfb2dd9ec4e36470203781260e6168a729d7d4f23fc3"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Official Documents- Disbursement and Financial Information Letter for Grant D624-MH",
      "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/877781587991488246/pdf/Official-Documents-Disbursement-and-Financial-Information-Letter-for-Grant-D624-MH.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/877781587991488246/text/Official-Documents-Disbursement-and-Financial-Information-Letter-for-Grant-D624-MH.txt"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/877781587991488246"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Official Documents- Financing Agreement for Grant D322-MH (Closing Package). 2018. https://documents.worldbank.org/curated/en/954821534962491008",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 5,
        "source_word_anchor": "System FMIS for the Ministry of Finance Ministry of Health and Human",
        "source_word_count": 12
      },
      "material_id": "material:97193d5da7c5dcdbe1edb988",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2018-07-18",
      "publication_year": 2018,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 15,
        "response_sha256": "925ff69beb726b6fac1952f13c0aeaea8bbc402831db73a7d82757ea8f4cc697"
      },
      "statement": null,
      "tags": [
        "control_knob:organization"
      ],
      "territory": "national",
      "title": "Official Documents- Financing Agreement for Grant D322-MH (Closing Package)",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/954821534962491008"
        },
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/954821534962491008/pdf/ITK425962-201807221419.pdf"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/954821534962491008/text/ITK425962-201807221419.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Official Documents- Financing Agreement for Grant D624-MH. 2020. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 5,
        "source_word_anchor": "and sustain routine health service delivery including inter alia providing clinical surge",
        "source_word_count": 12
      },
      "material_id": "material:ba574dfd10137519e27fd58d",
      "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": "2020-04-24",
      "publication_year": 2020,
      "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": 15,
        "response_sha256": "65517fbb5c51dbfdcfa70f803be41c5b6d1e743180744f9fc61a497ea88e1dad"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "control_knob:persuasion_behaviour",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Official Documents- Financing Agreement for Grant D624-MH",
      "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/665731587991519813/pdf/Official-Documents-Financing-Agreement-for-Grant-D624-MH.pdf"
        },
        {
          "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/665731587991519813"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/665731587991519813/text/Official-Documents-Financing-Agreement-for-Grant-D624-MH.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Project Information Document - RMI COVID-19 Emergency Response Project - P173887. 2020. https://documents.worldbank.org/curated/en/523501586570104824",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "health_workforce",
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "physical_pdf_page": 2,
        "source_word_anchor": "of the Marshall Islands Ministry of Health and Human Services Proposed Development",
        "source_word_count": 12
      },
      "material_id": "material:472f6716b0fa45b6d6e4fe0f",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: project information or status.",
        "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": "2020-04-11",
      "publication_year": 2020,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "project_information_or_status",
        "machine_screening_state": "machine_flagged_administration",
        "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": 10,
        "response_sha256": "7d7bca372863097f13bdbd737b538ecbdd87b6d2eb70f01f9d2aad7bddfea233"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "control_knob:persuasion_behaviour",
        "health_system_topic:health_workforce",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "service_area:infectious_disease",
        "who_building_block:health_workforce",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Project Information Document - RMI COVID-19 Emergency Response Project - P173887",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/523501586570104824"
        },
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/523501586570104824/text/Project-Information-Document-RMI-COVID-19-Emergency-Response-Project-P173887.txt"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/523501586570104824/pdf/Project-Information-Document-RMI-COVID-19-Emergency-Response-Project-P173887.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Project Information Document-Integrated Safeguards Data Sheet - Project to Strengthen budget execution and financial reporting systems - P163131. 2018. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 3,
        "physical_pdf_page": 4,
        "source_word_anchor": "services particularly education and health and substantial public-sector investment Under the Amended",
        "source_word_count": 12
      },
      "material_id": "material:b856ffdcf1223bb5a062ef67",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: project information or status.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2018-03-29",
      "publication_year": 2018,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "project_information_or_status",
        "machine_screening_state": "machine_flagged_administration",
        "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": 16,
        "response_sha256": "56bef169ddb8f62a99555e86e70e890b0e84e5b44d7ef34811c1baca436fd9f7"
      },
      "statement": null,
      "tags": [
        "control_knob:organization"
      ],
      "territory": "national",
      "title": "Project Information Document-Integrated Safeguards Data Sheet - Project to Strengthen budget execution and financial reporting systems - P163131",
      "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/320161522291212469/text/Project-Information-Document-Integrated-Safeguards-Data-Sheet-Project-to-Strengthen-budget-execution-and-financial-reporting-systems-P163131.txt"
        },
        {
          "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/320161522291212469/pdf/Project-Information-Document-Integrated-Safeguards-Data-Sheet-Project-to-Strengthen-budget-execution-and-financial-reporting-systems-P163131.pdf"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/320161522291212469"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Revised Environmental and Social Commitment Plan (ESCP) RMI COVID-19 Emergency Response Project (P173887). 2021. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "national health strategy",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "heading": "ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN",
        "paragraph_index_on_page": 4,
        "physical_pdf_page": 2,
        "source_word_anchor": "the involvement of the Ministry of Health and Human Services MOHHS MOHHS",
        "source_word_count": 12
      },
      "material_id": "material:2db9de4de1db2d2d9faab0d6",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: environmental or social project administration.",
        "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": "2021-09-13",
      "publication_year": 2021,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "environmental_or_social_project_administration",
        "machine_screening_state": "machine_flagged_administration",
        "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": 7,
        "response_sha256": "ede6dec296e0f804f73a468d47d515a0a9207ccfe585e1341066cbbd3281ae39"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Revised Environmental and Social Commitment Plan (ESCP) RMI COVID-19 Emergency Response Project (P173887)",
      "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/103841631538057207/text/Revised-Environmental-and-Social-Commitment-Plan-ESCP-RMI-COVID-19-Emergency-Response-Project-P173887.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/103841631538057207"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/103841631538057207/pdf/Revised-Environmental-and-Social-Commitment-Plan-ESCP-RMI-COVID-19-Emergency-Response-Project-P173887.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Stakeholder Engagement Plan (SEP) - RMI COVID-19 Emergency Response Project - P173887. 2020. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "national health strategy",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 4,
        "physical_pdf_page": 7,
        "source_word_anchor": "Association DIDA under the Ministry of Finance Postal and Banking Services MOFPBS",
        "source_word_count": 12
      },
      "material_id": "material:3afe5f4dabaaf9e908078b01",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: environmental or social project administration.",
        "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": "2020-04-12",
      "publication_year": 2020,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "environmental_or_social_project_administration",
        "machine_screening_state": "machine_flagged_administration",
        "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": 9,
        "response_sha256": "5adef4f7497f7ca91c9268ecdcf001b886219849c3b9bc68fc636f62c6ba1f05"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "control_knob:persuasion_behaviour",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "service_area:infectious_disease",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Stakeholder Engagement Plan (SEP) - RMI COVID-19 Emergency Response Project - P173887",
      "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/106931586658764658/text/Stakeholder-Engagement-Plan-SEP-RMI-COVID-19-Emergency-Response-Project-P173887.txt"
        },
        {
          "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/106931586658764658/pdf/Stakeholder-Engagement-Plan-SEP-RMI-COVID-19-Emergency-Response-Project-P173887.pdf"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/106931586658764658"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Stakeholder Engagement Plan (SEP) - RMI COVID-19 Emergency Response Project - P173887. 2021. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "national health strategy",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 4,
        "physical_pdf_page": 7,
        "source_word_anchor": "Association DIDA under the Ministry of Finance Postal and Banking Services MOFPBS",
        "source_word_count": 12
      },
      "material_id": "material:4e4628275a58157587a1a962",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: environmental or social project administration.",
        "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": "2021-09-30",
      "publication_year": 2021,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "environmental_or_social_project_administration",
        "machine_screening_state": "machine_flagged_administration",
        "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": 9,
        "response_sha256": "f0364e6636c934ca5efd047bb96de9de138205eaa2754ec0c774d8663eed6e70"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "service_area:infectious_disease",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Stakeholder Engagement Plan (SEP) - RMI COVID-19 Emergency Response Project - P173887",
      "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/266841633028643690/pdf/Stakeholder-Engagement-Plan-SEP-RMI-COVID-19-Emergency-Response-Project-P173887.pdf"
        },
        {
          "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/266841633028643690"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/266841633028643690/text/Stakeholder-Engagement-Plan-SEP-RMI-COVID-19-Emergency-Response-Project-P173887.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Stakeholder Engagement Plan (SEP) RMI COVID-19 Emergency Response Project (P173887). 2021. https://documents.worldbank.org/curated/en/703271629137889216",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "national health strategy",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "physical_pdf_page": 1,
        "source_word_anchor": "P173887 STAKEHOLDER ENGAGEMENT PLAN Ministry of Health and Human Services as Implementing",
        "source_word_count": 12
      },
      "material_id": "material:dd99468d683692d6b7b7e498",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: environmental or social project administration.",
        "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": "2021-08-16",
      "publication_year": 2021,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "environmental_or_social_project_administration",
        "machine_screening_state": "machine_flagged_administration",
        "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": 18,
        "response_sha256": "c27bbbf91b152610fc06c95668c20fb1c62c06d0e488f560199b9680f314e65c"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Stakeholder Engagement Plan (SEP) RMI COVID-19 Emergency Response Project (P173887)",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/703271629137889216"
        },
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/703271629137889216/text/Stakeholder-Engagement-Plan-SEP-RMI-COVID-19-Emergency-Response-Project-P173887.txt"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/703271629137889216/pdf/Stakeholder-Engagement-Plan-SEP-RMI-COVID-19-Emergency-Response-Project-P173887.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "WHO Regional Office for the Western Pacific. Pacific Islands-WHO multi-country cooperation strategy 2024-2029. 2024. https://www.who.int/westernpacific/publications/i/item/9789290620587",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "actors",
        "governance",
        "government_responsibilities",
        "primary_care",
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": null,
      "excerpt": null,
      "institution": null,
      "locator": {
        "heading": "Overview",
        "html_text_block": 5,
        "locator_type": "html_text_anchor",
        "source_word_anchor": "and enhancing health and health system resilience",
        "source_word_count": 7
      },
      "material_id": "material:ff6daf647ca27aeb68342942",
      "notes": [
        "Verify the exact bibliographic citation against the original source.",
        "Confirm that the document applies to the named country and intended territorial scope.",
        "Confirm document type, issuing institution, authority, and claim-specific suitability.",
        "Retrieve and hash the exact source version when it is not already verified.",
        "Check publication date, effective period, currency, and supersession risk.",
        "Confirm only domains directly supported by the reviewed source.",
        "Add substantive feedback directly through the text-anchored annotation layer.",
        "A recoverable source locator was retrieved from this exact public source URL in the locator-gap traceability audit."
      ],
      "origin": "global-source-triage-queue",
      "period": null,
      "publication_date": null,
      "publication_year": 2024,
      "record_kind": "source_triage_record",
      "record_kind_label": "Source Triage Record",
      "screening": {
        "page_locator_linked_from_locator_gap_acquisition": true,
        "previous_boundary_detected": true,
        "previous_visibility": "previously_not_projected",
        "review_status": "needs_review"
      },
      "source_layers": [
        "WHO_WPRO"
      ],
      "source_system": "WHO_WPRO",
      "source_version": {
        "response_sha256": "0e36703f0192ec38e436b0d20d008b29e78a08ca2887cab3fc5a079818c82c2b"
      },
      "statement": null,
      "tags": [],
      "territory": null,
      "title": "Pacific Islands-WHO multi-country cooperation strategy 2024-2029",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://www.who.int/westernpacific/publications/i/item/9789290620587"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "WHO Regional Office for the Western Pacific. Pacific Islands-WHO multi-country cooperation strategy 2024-2029. 2024. https://www.who.int/westernpacific/publications/i/item/9789290620587",
      "country_ids": [
        "MHL"
      ],
      "coverage_domains": [
        "actors",
        "governance",
        "government_responsibilities",
        "primary_care",
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "multi_country_cooperation_strategy",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "WHO Regional Office for the Western Pacific",
      "locator": {
        "heading": "Overview",
        "html_text_block": 5,
        "locator_type": "html_text_anchor",
        "source_word_anchor": "and enhancing health and health system resilience",
        "source_word_count": 7
      },
      "material_id": "material:3535d470f41b1936b1ae162e",
      "notes": [
        "Authoritative official source page or publication exposes country-specific health-system organization, governance, delivery, or primary-care context.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the locator-gap traceability audit.",
        "A recoverable source locator was retrieved from this exact public source URL in the locator-gap traceability audit."
      ],
      "origin": "targeted-gap-source-leads",
      "period": null,
      "publication_date": "2024-10-03",
      "publication_year": 2024,
      "record_kind": "targeted_source_lead",
      "record_kind_label": "Targeted Source Lead",
      "screening": {
        "page_locator_linked_from_locator_gap_acquisition": true,
        "previous_boundary_detected": true,
        "previous_visibility": "previously_not_projected",
        "review_status": "unreviewed",
        "source_version_linked_from_locator_gap_acquisition": true,
        "status": "candidate"
      },
      "source_layers": [],
      "source_system": "WHO_WPRO",
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "dab2d41e2734154fee80ed0018cac44ba3d554331bb544c64a58659f1fb789b5"
      },
      "statement": null,
      "tags": [
        "health_system_design",
        "health_system_organization",
        "service_delivery"
      ],
      "territory": null,
      "title": "Pacific Islands-WHO multi-country cooperation strategy 2024-2029",
      "urls": [
        {
          "kind": "stable_url",
          "source": "not supplied",
          "url": "https://www.who.int/westernpacific/publications/i/item/9789290620587"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Minutes of a Meeting of the Board of Directors of IFC, of the Executive Directors of the Bank and IDAand the Boards of Directors of IFC and MIGA held on May 9, 2019 and Record of Approvals May 3 thru 9. 2019. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MHL",
        "TON",
        "WSM"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "physical_pdf_page": 5,
        "source_word_anchor": "Credit and Grant Improving Health Sector Performance Project 2 The Executive Directors",
        "source_word_count": 12
      },
      "material_id": "material:f7cc9b2b12b4cb65ac8ff546",
      "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": "2019-05-09",
      "publication_year": 2019,
      "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": 8,
        "response_sha256": "10e433ffddd0f3aadcd0f1c6ed25ec9cca601904142aa101c3e971a96da2553d"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "population_group:children",
        "population_group:maternal",
        "service_area:cross_cutting",
        "service_area:infectious_disease",
        "service_area:maternal_reproductive",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Minutes of a Meeting of the Board of Directors of IFC, of the Executive Directors of the Bank and IDAand the Boards of Directors of IFC and MIGA held on May 9, 2019 and Record of Approvals May 3 thru 9",
      "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/770851559268140093/text/Minutes-of-a-Meeting-of-the-Board-of-Directors-of-IFC-of-the-Executive-Directors-of-the-Bank-and-IDAand-the-Boards-of-Directors-of-IFC-and-MIGA-held-on-May-9-2019-and-Record-of-Approvals-May-3-thru-9.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/770851559268140093"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/770851559268140093/pdf/Minutes-of-a-Meeting-of-the-Board-of-Directors-of-IFC-of-the-Executive-Directors-of-the-Bank-and-IDAand-the-Boards-of-Directors-of-IFC-and-MIGA-held-on-May-9-2019-and-Record-of-Approvals-May-3-thru-9.pdf"
        }
      ]
    }
  ]
}
