{
  "schema_version": "1.0.0",
  "display_policy": "all_display_eligible_evidence_is_public_and_reviewable_by_annotation",
  "country": {
    "iso3": "MKD",
    "name": "North Macedonia",
    "aliases": [
      "North Macedonia",
      "Macedonia"
    ],
    "type": "country",
    "who_region": "EUR",
    "who_region_source": "EUR",
    "wb_region": "Europe & Central Asia",
    "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": 5,
    "candidate_facts": 0,
    "exact_contexts": 0,
    "source_linked_analytical_mappings": 10,
    "source_linked_analytical_object_rows": 49,
    "all_material_records": 128,
    "library_document_candidates": 84,
    "candidate_queue_records": 39,
    "current_public_projection_records": 5
  },
  "availability": [
    {
      "domain": "actors",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 34,
      "exact_context_count": 10,
      "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": 32,
      "exact_context_count": 7,
      "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": 7,
      "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": 14,
      "exact_context_count": 7,
      "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": 9,
      "exact_context_count": 6,
      "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": 61,
      "exact_context_count": 10,
      "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": 23,
      "exact_context_count": 9,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "referral_design",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 17,
      "exact_context_count": 10,
      "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": 6,
      "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": 18,
      "exact_context_count": 9,
      "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": 8,
      "exact_context_count": 6,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "utilization",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 9,
      "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": 10,
      "exact_context_count": 8,
      "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": 21,
      "exact_context_count": 10,
      "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": 11,
      "exact_context_count": 7,
      "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": 13,
      "exact_context_count": 6,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "authoritative_review",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 14,
      "exact_context_count": 7,
      "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:MKD:actors-functions:central-purchaser-provider-roles",
      "country_id": "MKD",
      "mapping_group": "actors_and_functions",
      "target_view": "functions",
      "target_slot": "central-purchaser-provider-roles",
      "support_state": "candidate_supported",
      "annotation_status": "open",
      "annotation_state": "open",
      "display_status": "visible",
      "mapping_basis": "Observatory system summary",
      "source_projection_ids": [
        "country-improvement-source:MKD:observatory-health-system-summary-2025",
        "country-improvement-source:MKD:health-system-review-2024",
        "country-improvement-source:MKD:who-health-benefit-package-profile-2021"
      ],
      "typed_fields": {
        "national": "The Ministry of Health is reported to lead stewardship, policy, planning and public-provider capital regulation.",
        "purchaser": "The HIF is reported as the main purchaser of publicly funded services.",
        "providers": "Secondary and tertiary care are reported as predominantly public; primary care is delivered by private HIF-contracted practices.",
        "benefit-package-design": "The WHO 2020/2021 survey profile reports HIF, Ministry and tertiary-provider participation in benefit-package design.",
        "boundary": "The sources do not enumerate every agency mandate, provider contract or benefit-package decision."
      },
      "analytical_objects": {
        "graph_nodes": [
          {
            "node_id": "mkd:ministry-of-health",
            "label": "Ministry of Health",
            "family": "national",
            "display_claim_ids": [
              "display-claim:d61a09a8e3754f3dc444b8a8"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429",
              "display-source:MKD:ebd124ff2024325d0ad407f6",
              "display-source:MKD:3e156055dfdcd733425e47c7"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b",
              "display-source-version:96c4f97303f85202dfede649",
              "display-source-version:399b8ced9b61d76d6715a591"
            ],
            "display_evidence_object_id": "display-claim:d61a09a8e3754f3dc444b8a8"
          },
          {
            "node_id": "mkd:health-insurance-fund",
            "label": "Health Insurance Fund",
            "family": "purchaser",
            "display_claim_ids": [
              "display-claim:3e5db6ec7e5592fa3b0d1581"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429",
              "display-source:MKD:ebd124ff2024325d0ad407f6",
              "display-source:MKD:3e156055dfdcd733425e47c7"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b",
              "display-source-version:96c4f97303f85202dfede649",
              "display-source-version:399b8ced9b61d76d6715a591"
            ],
            "display_evidence_object_id": "display-claim:3e5db6ec7e5592fa3b0d1581"
          },
          {
            "node_id": "mkd:public-providers",
            "label": "Public providers",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:8922630d47fbf7b59e2ceaf3"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429",
              "display-source:MKD:ebd124ff2024325d0ad407f6",
              "display-source:MKD:3e156055dfdcd733425e47c7"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b",
              "display-source-version:96c4f97303f85202dfede649",
              "display-source-version:399b8ced9b61d76d6715a591"
            ],
            "display_evidence_object_id": "display-claim:8922630d47fbf7b59e2ceaf3"
          },
          {
            "node_id": "mkd:private-primary-practices",
            "label": "Private primary practices",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:1d7e17f5227ec98efcfaef96"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429",
              "display-source:MKD:ebd124ff2024325d0ad407f6",
              "display-source:MKD:3e156055dfdcd733425e47c7"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b",
              "display-source-version:96c4f97303f85202dfede649",
              "display-source-version:399b8ced9b61d76d6715a591"
            ],
            "display_evidence_object_id": "display-claim:1d7e17f5227ec98efcfaef96"
          }
        ],
        "graph_edges": [
          {
            "source_node_id": "mkd:ministry-of-health",
            "target_node_id": "mkd:public-providers",
            "relationship": "reported central authority over public providers",
            "relationship_family": "governance",
            "display_claim_ids": [
              "display-claim:9419a67741c2cfb81a4c9f3b"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429",
              "display-source:MKD:ebd124ff2024325d0ad407f6",
              "display-source:MKD:3e156055dfdcd733425e47c7"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b",
              "display-source-version:96c4f97303f85202dfede649",
              "display-source-version:399b8ced9b61d76d6715a591"
            ],
            "display_evidence_object_id": "display-claim:9419a67741c2cfb81a4c9f3b"
          },
          {
            "source_node_id": "mkd:health-insurance-fund",
            "target_node_id": "mkd:private-primary-practices",
            "relationship": "reported social-insurance contracting relationship",
            "relationship_family": "purchasing",
            "display_claim_ids": [
              "display-claim:4aafe6d8c90fa37d26193dfc"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429",
              "display-source:MKD:ebd124ff2024325d0ad407f6",
              "display-source:MKD:3e156055dfdcd733425e47c7"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b",
              "display-source-version:96c4f97303f85202dfede649",
              "display-source-version:399b8ced9b61d76d6715a591"
            ],
            "display_evidence_object_id": "display-claim:4aafe6d8c90fa37d26193dfc"
          }
        ],
        "function_assignments": [
          {
            "actor_label": "Ministry of Health",
            "function_label": "Health policy, planning and public-provider capital regulation",
            "role": "Reported national stewardship role",
            "actor_family": "national",
            "display_claim_ids": [
              "display-claim:eaa8b0219c91226b46e24b31"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429",
              "display-source:MKD:ebd124ff2024325d0ad407f6",
              "display-source:MKD:3e156055dfdcd733425e47c7"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b",
              "display-source-version:96c4f97303f85202dfede649",
              "display-source-version:399b8ced9b61d76d6715a591"
            ],
            "display_evidence_object_id": "display-claim:eaa8b0219c91226b46e24b31"
          },
          {
            "actor_label": "Health Insurance Fund",
            "function_label": "Purchasing publicly funded health services",
            "role": "Reported main purchaser role",
            "actor_family": "purchaser",
            "display_claim_ids": [
              "display-claim:1521625d8f271b4108fc1145"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429",
              "display-source:MKD:ebd124ff2024325d0ad407f6",
              "display-source:MKD:3e156055dfdcd733425e47c7"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b",
              "display-source-version:96c4f97303f85202dfede649",
              "display-source-version:399b8ced9b61d76d6715a591"
            ],
            "display_evidence_object_id": "display-claim:1521625d8f271b4108fc1145"
          }
        ]
      },
      "title": "Central stewardship, purchasing and provision roles",
      "statement": "The Observatory reports central Ministry stewardship, HIF purchasing and a mixed provider arrangement in which secondary and tertiary services are predominantly public while private primary practices contract with the HIF.",
      "citation": "Winkelmann et al., North Macedonia: Health system summary 2025.",
      "url": "https://eurohealthobservatory.who.int/docs/librariesprovider3/publicationsnew/hit-summary-north-macedonia-2025-final.pdf?sfvrsn=5763193d_1",
      "locator": "PDF pages 2-3, How is the health system organized? and Providers.",
      "period": "Summary published 2025, using system information through 2023 where stated",
      "territory": "North Macedonia national system",
      "evidence_mode_candidate": "reported",
      "verification_source_layer": "review_literature",
      "coverage_domains": [
        "actors",
        "government_responsibilities",
        "ownership",
        "primary_care",
        "hospital_organization",
        "governance",
        "market_structure"
      ],
      "source_version": {
        "file_sha256": "514f718066144845df46679d71ff39cc4affdde9ea7a9bed9fd3c9c0c2011219",
        "hash_verified": true
      },
      "review_requirements": [
        "Do not infer a complete public-provider inventory or all individual contractual terms."
      ],
      "source_references": [
        {
          "title": "North Macedonia: Health system summary 2025",
          "citation": "Winkelmann J, Milevska Kostova N, Atanasova S, et al. North Macedonia: Health system summary 2025. Copenhagen: European Observatory on Health Systems and Policies, WHO Regional Office for Europe; 2025.",
          "url": "https://eurohealthobservatory.who.int/docs/librariesprovider3/publicationsnew/hit-summary-north-macedonia-2025-final.pdf?sfvrsn=5763193d_1",
          "locator": {
            "locator_type": "pdf_page_set_anchor",
            "physical_pdf_pages": [
              2,
              3,
              9,
              12,
              13,
              15,
              16
            ],
            "sections": [
              "How is the health system organized?",
              "Providers",
              "Distribution of health resources",
              "What reforms are being pursued?",
              "Health system performance monitoring",
              "Health system efficiency"
            ],
            "source_word_anchor": "acts as the main purchaser",
            "source_word_count": 5
          },
          "source_version": {
            "file_sha256": "514f718066144845df46679d71ff39cc4affdde9ea7a9bed9fd3c9c0c2011219",
            "response_sha256": "514f718066144845df46679d71ff39cc4affdde9ea7a9bed9fd3c9c0c2011219",
            "page_count": 19,
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MKD:observatory-health-system-summary-2025",
          "display_source_id": "display-source:MKD:c77ae1f3b97d34c8eb156429",
          "source_version_id": "display-source-version:adcdcf68524d268db9de398b"
        },
        {
          "title": "North Macedonia: health system review 2024",
          "citation": "Milevska Kostova N, Atanasova S, Dimkovski V, et al. North Macedonia: health system review 2024. Health Systems in Transition. 2024;26(6).",
          "url": "https://iris.who.int/server/api/core/bitstreams/caa115d0-3bb6-4f87-9386-6b9e1078b28c/content",
          "locator": {
            "locator_type": "pdf_page_set_anchor",
            "physical_pdf_pages": [
              20,
              22,
              50
            ],
            "sections": [
              "Primary care",
              "Patient pathways",
              "Health Network"
            ],
            "source_word_anchor": "All primary care practices have been privatized",
            "source_word_count": 6
          },
          "source_version": {
            "file_sha256": "6981f9c22db1e418d3e59d9487b0570244107ce005cbaa48258b6b313bd538c0",
            "response_sha256": "6981f9c22db1e418d3e59d9487b0570244107ce005cbaa48258b6b313bd538c0",
            "page_count": 164,
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MKD:health-system-review-2024",
          "display_source_id": "display-source:MKD:ebd124ff2024325d0ad407f6",
          "source_version_id": "display-source-version:96c4f97303f85202dfede649"
        },
        {
          "title": "North Macedonia - Health Benefit Package Country/Area profile",
          "citation": "World Health Organization. North Macedonia - Health Benefit Package Country/Area profile. WHO Global Survey on HTA and Health Benefit Packages, 2020/2021.",
          "url": "https://cdn.who.int/media/docs/default-source/health-economics/hbp-country-profiles-2020-21/hbp-country_area-profile_north-macedonia.pdf?sfvrsn=602a98f4_3",
          "locator": {
            "locator_type": "pdf_page_set_anchor",
            "physical_pdf_pages": [
              1,
              2
            ],
            "sections": [
              "HBP features and processes",
              "Contents of health benefit package"
            ],
            "source_word_anchor": "Health Insurance Fund, Ministry of Health",
            "source_word_count": 6
          },
          "source_version": {
            "file_sha256": "be7acf84d30662f3e5177f0eaf46a7ec8ab5b62ece7a4a46aac56ecaa9766685",
            "response_sha256": "be7acf84d30662f3e5177f0eaf46a7ec8ab5b62ece7a4a46aac56ecaa9766685",
            "page_count": 2,
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MKD:who-health-benefit-package-profile-2021",
          "display_source_id": "display-source:MKD:3e156055dfdcd733425e47c7",
          "source_version_id": "display-source-version:399b8ced9b61d76d6715a591"
        }
      ],
      "display_source_ids": [
        "display-source:MKD:c77ae1f3b97d34c8eb156429",
        "display-source:MKD:ebd124ff2024325d0ad407f6",
        "display-source:MKD:3e156055dfdcd733425e47c7"
      ],
      "source_version_ids": [
        "display-source-version:adcdcf68524d268db9de398b",
        "display-source-version:96c4f97303f85202dfede649",
        "display-source-version:399b8ced9b61d76d6715a591"
      ],
      "display_claim_ids": [
        "display-claim:df581a501071a6251f64ca10",
        "display-claim:d61a09a8e3754f3dc444b8a8",
        "display-claim:3e5db6ec7e5592fa3b0d1581",
        "display-claim:8922630d47fbf7b59e2ceaf3",
        "display-claim:1d7e17f5227ec98efcfaef96",
        "display-claim:9419a67741c2cfb81a4c9f3b",
        "display-claim:4aafe6d8c90fa37d26193dfc",
        "display-claim:eaa8b0219c91226b46e24b31",
        "display-claim:1521625d8f271b4108fc1145"
      ],
      "display_evidence_object_id": "display-claim:df581a501071a6251f64ca10",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:MKD:decision-autonomy:central-budget-and-appointments",
      "country_id": "MKD",
      "mapping_group": "decision_rights_and_autonomy",
      "target_view": "decisions",
      "target_slot": "central-budget-and-appointments",
      "support_state": "candidate_supported",
      "annotation_status": "open",
      "annotation_state": "open",
      "display_status": "visible",
      "mapping_basis": "Observatory governance summary",
      "source_projection_ids": [
        "country-improvement-source:MKD:observatory-health-system-summary-2025"
      ],
      "typed_fields": {
        "budget": "The Ministry of Finance is reported to determine Ministry and HIF budgets.",
        "appointments": "Management appointments and budget allocation are reported as centralized.",
        "network": "The Ministry is reported to determine Health Network scope and composition.",
        "boundary": "The source does not identify every delegation, approval threshold or facility-level transaction right."
      },
      "analytical_objects": {
        "graph_nodes": [
          {
            "node_id": "mkd:ministry-of-finance",
            "label": "Ministry of Finance",
            "family": "national",
            "display_claim_ids": [
              "display-claim:1805fcf0060a02d6e07b8db7"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b"
            ],
            "display_evidence_object_id": "display-claim:1805fcf0060a02d6e07b8db7"
          },
          {
            "node_id": "mkd:ministry-of-health",
            "label": "Ministry of Health",
            "family": "national",
            "display_claim_ids": [
              "display-claim:5bac564cf04d6ba4291134ad"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b"
            ],
            "display_evidence_object_id": "display-claim:5bac564cf04d6ba4291134ad"
          },
          {
            "node_id": "mkd:health-insurance-fund",
            "label": "Health Insurance Fund",
            "family": "purchaser",
            "display_claim_ids": [
              "display-claim:d34903a5f86f899cf92bfc80"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b"
            ],
            "display_evidence_object_id": "display-claim:d34903a5f86f899cf92bfc80"
          },
          {
            "node_id": "mkd:health-network",
            "label": "Health Network",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:6cda00e4849ba4e1407c9701"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b"
            ],
            "display_evidence_object_id": "display-claim:6cda00e4849ba4e1407c9701"
          }
        ],
        "graph_edges": [
          {
            "source_node_id": "mkd:ministry-of-finance",
            "target_node_id": "mkd:health-insurance-fund",
            "relationship": "reported budget-determination relationship",
            "relationship_family": "governance",
            "display_claim_ids": [
              "display-claim:d6481d18017e24c230bf2b27"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b"
            ],
            "display_evidence_object_id": "display-claim:d6481d18017e24c230bf2b27"
          },
          {
            "source_node_id": "mkd:ministry-of-health",
            "target_node_id": "mkd:health-network",
            "relationship": "reported determination of network scope and composition",
            "relationship_family": "regulation",
            "display_claim_ids": [
              "display-claim:cf064dca08a9a79a631fb002"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b"
            ],
            "display_evidence_object_id": "display-claim:cf064dca08a9a79a631fb002"
          }
        ],
        "decision_cells": [
          {
            "decision_id": "mkd-budget-determination",
            "decision_label": "Budget determination",
            "actor_label": "Ministry of Finance",
            "actor_family": "national",
            "role": "Reported determinant of Ministry and HIF budgets",
            "constraint": "The summary does not provide the annual approval process or all budget amendments.",
            "display_claim_ids": [
              "display-claim:99125fe360582c01ea52ac9a"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b"
            ],
            "display_evidence_object_id": "display-claim:99125fe360582c01ea52ac9a"
          },
          {
            "decision_id": "mkd-network-planning",
            "decision_label": "Health Network scope and composition",
            "actor_label": "Ministry of Health",
            "actor_family": "national",
            "role": "Reported strategic resource-planning authority",
            "constraint": "The source does not list individual network admission decisions.",
            "display_claim_ids": [
              "display-claim:08ee0d5681de969eb863b3d6"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b"
            ],
            "display_evidence_object_id": "display-claim:08ee0d5681de969eb863b3d6"
          },
          {
            "decision_id": "mkd-hif-purchasing",
            "decision_label": "Purchasing publicly funded services",
            "actor_label": "Health Insurance Fund",
            "actor_family": "purchaser",
            "role": "Reported main purchaser",
            "constraint": "The source does not supply all payment formulas or contract clauses.",
            "display_claim_ids": [
              "display-claim:12e4c0bcaca264bce3c42c1d"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b"
            ],
            "display_evidence_object_id": "display-claim:12e4c0bcaca264bce3c42c1d"
          }
        ]
      },
      "title": "Reported central budget, network and purchasing decisions",
      "statement": "The summary reports centralized budget allocation and management appointments, Ministry determination of Health Network scope, and HIF purchasing of publicly funded services.",
      "citation": "Winkelmann et al., North Macedonia: Health system summary 2025.",
      "url": "https://eurohealthobservatory.who.int/docs/librariesprovider3/publicationsnew/hit-summary-north-macedonia-2025-final.pdf?sfvrsn=5763193d_1",
      "locator": "PDF page 2, How is the health system organized? and Planning.",
      "period": "Summary published 2025, using system information through 2023 where stated",
      "territory": "North Macedonia national system",
      "evidence_mode_candidate": "reported",
      "verification_source_layer": "review_literature",
      "coverage_domains": [
        "actors",
        "decision_rights",
        "autonomy",
        "governance",
        "market_structure"
      ],
      "source_version": {
        "file_sha256": "514f718066144845df46679d71ff39cc4affdde9ea7a9bed9fd3c9c0c2011219",
        "hash_verified": true
      },
      "review_requirements": [
        "Centralized reporting does not prove that no delegation exists or quantify discretion at each provider."
      ],
      "source_references": [
        {
          "title": "North Macedonia: Health system summary 2025",
          "citation": "Winkelmann J, Milevska Kostova N, Atanasova S, et al. North Macedonia: Health system summary 2025. Copenhagen: European Observatory on Health Systems and Policies, WHO Regional Office for Europe; 2025.",
          "url": "https://eurohealthobservatory.who.int/docs/librariesprovider3/publicationsnew/hit-summary-north-macedonia-2025-final.pdf?sfvrsn=5763193d_1",
          "locator": {
            "locator_type": "pdf_page_set_anchor",
            "physical_pdf_pages": [
              2,
              3,
              9,
              12,
              13,
              15,
              16
            ],
            "sections": [
              "How is the health system organized?",
              "Providers",
              "Distribution of health resources",
              "What reforms are being pursued?",
              "Health system performance monitoring",
              "Health system efficiency"
            ],
            "source_word_anchor": "acts as the main purchaser",
            "source_word_count": 5
          },
          "source_version": {
            "file_sha256": "514f718066144845df46679d71ff39cc4affdde9ea7a9bed9fd3c9c0c2011219",
            "response_sha256": "514f718066144845df46679d71ff39cc4affdde9ea7a9bed9fd3c9c0c2011219",
            "page_count": 19,
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MKD:observatory-health-system-summary-2025",
          "display_source_id": "display-source:MKD:c77ae1f3b97d34c8eb156429",
          "source_version_id": "display-source-version:adcdcf68524d268db9de398b"
        }
      ],
      "display_source_ids": [
        "display-source:MKD:c77ae1f3b97d34c8eb156429"
      ],
      "source_version_ids": [
        "display-source-version:adcdcf68524d268db9de398b"
      ],
      "display_claim_ids": [
        "display-claim:a2aebbf2ff43a0a20c43487c",
        "display-claim:1805fcf0060a02d6e07b8db7",
        "display-claim:5bac564cf04d6ba4291134ad",
        "display-claim:d34903a5f86f899cf92bfc80",
        "display-claim:6cda00e4849ba4e1407c9701",
        "display-claim:d6481d18017e24c230bf2b27",
        "display-claim:cf064dca08a9a79a631fb002",
        "display-claim:99125fe360582c01ea52ac9a",
        "display-claim:08ee0d5681de969eb863b3d6",
        "display-claim:12e4c0bcaca264bce3c42c1d"
      ],
      "display_evidence_object_id": "display-claim:a2aebbf2ff43a0a20c43487c",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:MKD:decision-autonomy:public-provider-management-boundary",
      "country_id": "MKD",
      "mapping_group": "decision_rights_and_autonomy",
      "target_view": "autonomy",
      "target_slot": "public-provider-management-boundary",
      "support_state": "candidate_supported",
      "annotation_status": "open",
      "annotation_state": "open",
      "display_status": "visible",
      "mapping_basis": "Observatory provider-governance description",
      "source_projection_ids": [
        "country-improvement-source:MKD:observatory-health-system-summary-2025"
      ],
      "typed_fields": {
        "public-providers": "Public university hospital centres, university hospitals, general hospitals and health centres are reported under direct Ministry authority.",
        "central-controls": "Management appointments, financing and staff recruitment are reported as centralized.",
        "boundary": "No provider-level score of management autonomy or exception register is supplied."
      },
      "analytical_objects": {
        "graph_nodes": [
          {
            "node_id": "mkd:ministry-of-health",
            "label": "Ministry of Health",
            "family": "national",
            "display_claim_ids": [
              "display-claim:c48e0351fcc14fa6783d6a96"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b"
            ],
            "display_evidence_object_id": "display-claim:c48e0351fcc14fa6783d6a96"
          },
          {
            "node_id": "mkd:public-providers",
            "label": "Public providers",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:8f167d2e340d196ed829f1b1"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b"
            ],
            "display_evidence_object_id": "display-claim:8f167d2e340d196ed829f1b1"
          }
        ],
        "graph_edges": [
          {
            "source_node_id": "mkd:ministry-of-health",
            "target_node_id": "mkd:public-providers",
            "relationship": "reported direct authority with centralized appointments, financing and recruitment",
            "relationship_family": "governance",
            "display_claim_ids": [
              "display-claim:ae734b1d708a933308037380"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b"
            ],
            "display_evidence_object_id": "display-claim:ae734b1d708a933308037380"
          }
        ],
        "autonomy_cells": [
          {
            "dimension": "Workforce",
            "provider_group": "Hospitals",
            "authority_label": "Staff recruitment reported as centralized",
            "counterpart": "Ministry of Health",
            "display_claim_ids": [
              "display-claim:35ddfab00e4e60e96d132a85"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b"
            ],
            "display_evidence_object_id": "display-claim:35ddfab00e4e60e96d132a85"
          },
          {
            "dimension": "Financial management",
            "provider_group": "Hospitals",
            "authority_label": "Financing reported as centralized",
            "counterpart": "Ministry of Health",
            "display_claim_ids": [
              "display-claim:56df67b2735802a4e50a75d7"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b"
            ],
            "display_evidence_object_id": "display-claim:56df67b2735802a4e50a75d7"
          },
          {
            "dimension": "Operations",
            "provider_group": "Hospitals",
            "authority_label": "Direct Ministry authority reported for public hospital groups",
            "counterpart": "Ministry of Health",
            "display_claim_ids": [
              "display-claim:f98c86ea8b9d4aca023996a7"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b"
            ],
            "display_evidence_object_id": "display-claim:f98c86ea8b9d4aca023996a7"
          }
        ]
      },
      "title": "Reported boundary on public-provider autonomy",
      "statement": "The summary reports direct Ministry authority over major public provider groups and centralized management appointments, financing and staff recruitment; it does not provide a provider-by-provider autonomy scale.",
      "citation": "Winkelmann et al., North Macedonia: Health system summary 2025.",
      "url": "https://eurohealthobservatory.who.int/docs/librariesprovider3/publicationsnew/hit-summary-north-macedonia-2025-final.pdf?sfvrsn=5763193d_1",
      "locator": "PDF page 3, Providers.",
      "period": "Summary published 2025, using system information through 2023 where stated",
      "territory": "North Macedonia public university hospital centres, university hospitals, general hospitals and health centres",
      "evidence_mode_candidate": "reported",
      "verification_source_layer": "review_literature",
      "coverage_domains": [
        "decision_rights",
        "autonomy",
        "hospital_organization",
        "governance"
      ],
      "source_version": {
        "file_sha256": "514f718066144845df46679d71ff39cc4affdde9ea7a9bed9fd3c9c0c2011219",
        "hash_verified": true
      },
      "review_requirements": [
        "Do not generalize this reported centralization into a measure of actual managerial practice or private-practice authority."
      ],
      "source_references": [
        {
          "title": "North Macedonia: Health system summary 2025",
          "citation": "Winkelmann J, Milevska Kostova N, Atanasova S, et al. North Macedonia: Health system summary 2025. Copenhagen: European Observatory on Health Systems and Policies, WHO Regional Office for Europe; 2025.",
          "url": "https://eurohealthobservatory.who.int/docs/librariesprovider3/publicationsnew/hit-summary-north-macedonia-2025-final.pdf?sfvrsn=5763193d_1",
          "locator": {
            "locator_type": "pdf_page_set_anchor",
            "physical_pdf_pages": [
              2,
              3,
              9,
              12,
              13,
              15,
              16
            ],
            "sections": [
              "How is the health system organized?",
              "Providers",
              "Distribution of health resources",
              "What reforms are being pursued?",
              "Health system performance monitoring",
              "Health system efficiency"
            ],
            "source_word_anchor": "acts as the main purchaser",
            "source_word_count": 5
          },
          "source_version": {
            "file_sha256": "514f718066144845df46679d71ff39cc4affdde9ea7a9bed9fd3c9c0c2011219",
            "response_sha256": "514f718066144845df46679d71ff39cc4affdde9ea7a9bed9fd3c9c0c2011219",
            "page_count": 19,
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MKD:observatory-health-system-summary-2025",
          "display_source_id": "display-source:MKD:c77ae1f3b97d34c8eb156429",
          "source_version_id": "display-source-version:adcdcf68524d268db9de398b"
        }
      ],
      "display_source_ids": [
        "display-source:MKD:c77ae1f3b97d34c8eb156429"
      ],
      "source_version_ids": [
        "display-source-version:adcdcf68524d268db9de398b"
      ],
      "display_claim_ids": [
        "display-claim:41aea5c1c287830d70610889",
        "display-claim:c48e0351fcc14fa6783d6a96",
        "display-claim:8f167d2e340d196ed829f1b1",
        "display-claim:ae734b1d708a933308037380",
        "display-claim:35ddfab00e4e60e96d132a85",
        "display-claim:56df67b2735802a4e50a75d7",
        "display-claim:f98c86ea8b9d4aca023996a7"
      ],
      "display_evidence_object_id": "display-claim:41aea5c1c287830d70610889",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:MKD:delivery-referrals:levels-and-regionalization-direction",
      "country_id": "MKD",
      "mapping_group": "delivery_and_referrals",
      "target_view": "delivery",
      "target_slot": "levels-and-regionalization-direction",
      "support_state": "candidate_supported",
      "annotation_status": "open",
      "annotation_state": "open",
      "display_status": "visible",
      "mapping_basis": "National Health Strategy 2021-2030 and Ministry referral guidance",
      "source_projection_ids": [
        "country-improvement-source:MKD:health-strategy-2021-2030",
        "country-improvement-source:MKD:ministry-referral-model-webpage-2026"
      ],
      "typed_fields": {
        "architecture": "The strategy describes primary/community, secondary and tertiary hospital components.",
        "formal-referral-route": "Ministry guidance describes chosen-physician referral to specialist-consultative care and specialist or subspecialist referral to hospital and university-clinic care.",
        "problem-framing": "It identifies fragmented and sectorized care, unnecessary hospital admissions and gaps after discharge as issues.",
        "direction": "Regionalization, reclassification and inter-level/inter-hospital cooperation are strategic directions.",
        "boundary": "The formal sources do not establish implementation, uptake or outcomes for the proposed architecture or referral model."
      },
      "analytical_objects": {
        "provider_delivery_observations": [
          {
            "label": "Formal delivery architecture",
            "observation": "The strategy distinguishes primary/community care, secondary hospitals and tertiary hospital care.",
            "scope": "2021-2030 strategy",
            "display_claim_ids": [
              "display-claim:91edac07f10acee321986c91"
            ],
            "display_source_ids": [
              "display-source:MKD:fda83fe5430db30697492686",
              "display-source:MKD:b10ccc7274e78c0670b7ed08"
            ],
            "source_version_ids": [
              "display-source-version:5e54d1e59f83b3d76c6cd0c1",
              "display-source-version:6f6e01b971ae5a4e0e727e2b"
            ],
            "display_evidence_object_id": "display-claim:91edac07f10acee321986c91"
          }
        ],
        "provider_organizations": [
          {
            "label": "Primary and community services",
            "ownership": "Ownership is not enumerated in the cited strategy sections",
            "scope": "Primary and community component",
            "display_claim_ids": [
              "display-claim:2073818d47cefd2f37ade8a9"
            ],
            "display_source_ids": [
              "display-source:MKD:fda83fe5430db30697492686",
              "display-source:MKD:b10ccc7274e78c0670b7ed08"
            ],
            "source_version_ids": [
              "display-source-version:5e54d1e59f83b3d76c6cd0c1",
              "display-source-version:6f6e01b971ae5a4e0e727e2b"
            ],
            "display_evidence_object_id": "display-claim:2073818d47cefd2f37ade8a9"
          },
          {
            "label": "Secondary and tertiary hospitals",
            "ownership": "Ownership is not enumerated in the cited strategy sections",
            "scope": "Hospital component",
            "display_claim_ids": [
              "display-claim:cce78b501205cd8c27feaea9"
            ],
            "display_source_ids": [
              "display-source:MKD:fda83fe5430db30697492686",
              "display-source:MKD:b10ccc7274e78c0670b7ed08"
            ],
            "source_version_ids": [
              "display-source-version:5e54d1e59f83b3d76c6cd0c1",
              "display-source-version:6f6e01b971ae5a4e0e727e2b"
            ],
            "display_evidence_object_id": "display-claim:cce78b501205cd8c27feaea9"
          }
        ]
      },
      "title": "Formal delivery architecture and regionalization direction",
      "statement": "The national strategy distinguishes primary/community, secondary and tertiary components and frames regionalization, hospital reclassification and inter-level cooperation as future directions.",
      "citation": "Ministry of Health, Health Strategy 2021-2030.",
      "url": "https://extranet.who.int/countryplanningcycles/sites/default/files/public_file_rep/MKD_North%20Macedonia_Health-Strategy_2021-2030.pdf",
      "locator": "PDF pages 36-40 and 68-78, Main components of the network and Regionalization/reclassification sections.",
      "period": "Strategy period 2021-2030",
      "territory": "North Macedonia national health system",
      "evidence_mode_candidate": "formal",
      "verification_source_layer": "official",
      "coverage_domains": [
        "primary_care",
        "hospital_organization",
        "referral_design",
        "networks",
        "facility_data",
        "reform_history"
      ],
      "source_version": {
        "file_sha256": "9b565328cac953c928ae6dc36ff0f15572f910d1cda07a6c36259c74dba00342",
        "hash_verified": true
      },
      "review_requirements": [
        "Treat the regionalization and reclassification directions as planned rather than completed delivery arrangements."
      ],
      "source_references": [
        {
          "title": "Health Strategy of the Republic of North Macedonia 2021-2030",
          "citation": "Ministry of Health, Republic of North Macedonia. Health Strategy of the Republic of North Macedonia 2021-2030. 2021.",
          "url": "https://extranet.who.int/countryplanningcycles/sites/default/files/public_file_rep/MKD_North%20Macedonia_Health-Strategy_2021-2030.pdf",
          "locator": {
            "locator_type": "pdf_page_set_anchor",
            "physical_pdf_pages": [
              2,
              36,
              37,
              40,
              61,
              68,
              78,
              91
            ],
            "sections": [
              "5.2 Main components of the network",
              "6.4 Appropriate referral/use",
              "6.6 Regionalization and reclassification",
              "6.6.6 Inter-level and inter-hospital cooperation",
              "7 Strategic priorities"
            ],
            "source_word_anchor": "Меѓустепенска и меѓуболничка соработка",
            "source_word_count": 3
          },
          "source_version": {
            "file_sha256": "9b565328cac953c928ae6dc36ff0f15572f910d1cda07a6c36259c74dba00342",
            "response_sha256": "9b565328cac953c928ae6dc36ff0f15572f910d1cda07a6c36259c74dba00342",
            "page_count": 114,
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MKD:health-strategy-2021-2030",
          "display_source_id": "display-source:MKD:fda83fe5430db30697492686",
          "source_version_id": "display-source-version:5e54d1e59f83b3d76c6cd0c1"
        },
        {
          "title": "Referral of Patients",
          "citation": "Ministry of Health, Republic of North Macedonia. Referral of Patients. Official guidance webpage, retrieved 22 August 2026.",
          "url": "https://zdravstvo.gov.mk/en-GB/dokumenti/upatstva/upatuvanje-na-pacientite",
          "locator": {
            "locator_type": "html_section_anchor",
            "sections": [
              "Referral of Patients"
            ],
            "html_text_block": "second paragraph",
            "source_word_anchor": "with a referral from their chosen physician",
            "source_word_count": 7
          },
          "source_version": {
            "response_sha256": "655be520403d91c41261785c4d261fdf35b02e696fc730db77f8c2bd7886dded",
            "detected_media_type": "text/html",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MKD:ministry-referral-model-webpage-2026",
          "display_source_id": "display-source:MKD:b10ccc7274e78c0670b7ed08",
          "source_version_id": "display-source-version:6f6e01b971ae5a4e0e727e2b"
        }
      ],
      "display_source_ids": [
        "display-source:MKD:fda83fe5430db30697492686",
        "display-source:MKD:b10ccc7274e78c0670b7ed08"
      ],
      "source_version_ids": [
        "display-source-version:5e54d1e59f83b3d76c6cd0c1",
        "display-source-version:6f6e01b971ae5a4e0e727e2b"
      ],
      "display_claim_ids": [
        "display-claim:9b0b3a0a4f2b2bcfeae334e1",
        "display-claim:91edac07f10acee321986c91",
        "display-claim:2073818d47cefd2f37ade8a9",
        "display-claim:cce78b501205cd8c27feaea9"
      ],
      "display_evidence_object_id": "display-claim:9b0b3a0a4f2b2bcfeae334e1",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:MKD:delivery-referrals:my-appointment-referral-platform",
      "country_id": "MKD",
      "mapping_group": "delivery_and_referrals",
      "target_view": "referrals",
      "target_slot": "my-appointment-referral-platform",
      "support_state": "candidate_supported",
      "annotation_status": "open",
      "annotation_state": "open",
      "display_status": "visible",
      "mapping_basis": "Observatory digital-health description and World Bank policy notes",
      "source_projection_ids": [
        "country-improvement-source:MKD:observatory-health-system-summary-2025",
        "country-improvement-source:MKD:health-system-review-2024",
        "country-improvement-source:MKD:world-bank-policy-notes-2025"
      ],
      "typed_fields": {
        "platform": "My Appointment is reported as used within the Health Network for electronic records, higher-level diagnostic and treatment referrals, discharge letters and e-prescriptions.",
        "policy-note": "The World Bank policy notes report Moj Termin support for appointments and identify an opportunity to improve interoperability and quality monitoring.",
        "network": "The source ties use to institutions within the Health Network.",
        "boundary": "System availability does not establish referral completion, timeliness or continuity for every patient."
      },
      "analytical_objects": {
        "graph_nodes": [
          {
            "node_id": "mkd:health-network",
            "label": "Health Network",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:349a2e962cd5dc055fad1a5b"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429",
              "display-source:MKD:ebd124ff2024325d0ad407f6",
              "display-source:MKD:1c2a5569a0c597add6dbcf7a"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b",
              "display-source-version:96c4f97303f85202dfede649",
              "display-source-version:a426b2346b48f7d3fd1e71bf"
            ],
            "display_evidence_object_id": "display-claim:349a2e962cd5dc055fad1a5b"
          },
          {
            "node_id": "mkd:my-appointment",
            "label": "My Appointment system",
            "family": "national",
            "display_claim_ids": [
              "display-claim:5d03d87770ccb57931d66ef0"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429",
              "display-source:MKD:ebd124ff2024325d0ad407f6",
              "display-source:MKD:1c2a5569a0c597add6dbcf7a"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b",
              "display-source-version:96c4f97303f85202dfede649",
              "display-source-version:a426b2346b48f7d3fd1e71bf"
            ],
            "display_evidence_object_id": "display-claim:5d03d87770ccb57931d66ef0"
          },
          {
            "node_id": "mkd:public-providers",
            "label": "Public providers",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:a2e3f41ad7debd974ede4389"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429",
              "display-source:MKD:ebd124ff2024325d0ad407f6",
              "display-source:MKD:1c2a5569a0c597add6dbcf7a"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b",
              "display-source-version:96c4f97303f85202dfede649",
              "display-source-version:a426b2346b48f7d3fd1e71bf"
            ],
            "display_evidence_object_id": "display-claim:a2e3f41ad7debd974ede4389"
          }
        ],
        "graph_edges": [
          {
            "source_node_id": "mkd:my-appointment",
            "target_node_id": "mkd:health-network",
            "relationship": "reported electronic records and higher-level referral functionality within network institutions",
            "relationship_family": "network",
            "display_claim_ids": [
              "display-claim:1c2a6745ac08aeea738562be"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429",
              "display-source:MKD:ebd124ff2024325d0ad407f6",
              "display-source:MKD:1c2a5569a0c597add6dbcf7a"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b",
              "display-source-version:96c4f97303f85202dfede649",
              "display-source-version:a426b2346b48f7d3fd1e71bf"
            ],
            "display_evidence_object_id": "display-claim:1c2a6745ac08aeea738562be"
          },
          {
            "source_node_id": "mkd:public-providers",
            "target_node_id": "mkd:my-appointment",
            "relationship": "reported use of national electronic appointment and referral system",
            "relationship_family": "operations",
            "display_claim_ids": [
              "display-claim:e8bc774ac9f50e52a6eccd11"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429",
              "display-source:MKD:ebd124ff2024325d0ad407f6",
              "display-source:MKD:1c2a5569a0c597add6dbcf7a"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b",
              "display-source-version:96c4f97303f85202dfede649",
              "display-source-version:a426b2346b48f7d3fd1e71bf"
            ],
            "display_evidence_object_id": "display-claim:e8bc774ac9f50e52a6eccd11"
          }
        ]
      },
      "title": "Reported electronic referral and information platform",
      "statement": "The Observatory reports that My Appointment is used by Health Network institutions for electronic records, referrals to higher-level diagnostic and treatment care, discharge letters and e-prescriptions.",
      "citation": "Winkelmann et al., North Macedonia: Health system summary 2025.",
      "url": "https://eurohealthobservatory.who.int/docs/librariesprovider3/publicationsnew/hit-summary-north-macedonia-2025-final.pdf?sfvrsn=5763193d_1",
      "locator": "PDF page 13, Health system performance monitoring and information systems.",
      "period": "Summary published 2025, using system information through 2023 where stated",
      "territory": "North Macedonia institutions within the Health Network",
      "evidence_mode_candidate": "reported",
      "verification_source_layer": "review_literature",
      "coverage_domains": [
        "referral_design",
        "networks",
        "patient_flows",
        "governance"
      ],
      "source_version": {
        "file_sha256": "514f718066144845df46679d71ff39cc4affdde9ea7a9bed9fd3c9c0c2011219",
        "hash_verified": true
      },
      "review_requirements": [
        "Do not turn use of an electronic system into a measured national referral-completion or counter-referral rate."
      ],
      "source_references": [
        {
          "title": "North Macedonia: Health system summary 2025",
          "citation": "Winkelmann J, Milevska Kostova N, Atanasova S, et al. North Macedonia: Health system summary 2025. Copenhagen: European Observatory on Health Systems and Policies, WHO Regional Office for Europe; 2025.",
          "url": "https://eurohealthobservatory.who.int/docs/librariesprovider3/publicationsnew/hit-summary-north-macedonia-2025-final.pdf?sfvrsn=5763193d_1",
          "locator": {
            "locator_type": "pdf_page_set_anchor",
            "physical_pdf_pages": [
              2,
              3,
              9,
              12,
              13,
              15,
              16
            ],
            "sections": [
              "How is the health system organized?",
              "Providers",
              "Distribution of health resources",
              "What reforms are being pursued?",
              "Health system performance monitoring",
              "Health system efficiency"
            ],
            "source_word_anchor": "acts as the main purchaser",
            "source_word_count": 5
          },
          "source_version": {
            "file_sha256": "514f718066144845df46679d71ff39cc4affdde9ea7a9bed9fd3c9c0c2011219",
            "response_sha256": "514f718066144845df46679d71ff39cc4affdde9ea7a9bed9fd3c9c0c2011219",
            "page_count": 19,
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MKD:observatory-health-system-summary-2025",
          "display_source_id": "display-source:MKD:c77ae1f3b97d34c8eb156429",
          "source_version_id": "display-source-version:adcdcf68524d268db9de398b"
        },
        {
          "title": "North Macedonia: health system review 2024",
          "citation": "Milevska Kostova N, Atanasova S, Dimkovski V, et al. North Macedonia: health system review 2024. Health Systems in Transition. 2024;26(6).",
          "url": "https://iris.who.int/server/api/core/bitstreams/caa115d0-3bb6-4f87-9386-6b9e1078b28c/content",
          "locator": {
            "locator_type": "pdf_page_set_anchor",
            "physical_pdf_pages": [
              20,
              22,
              50
            ],
            "sections": [
              "Primary care",
              "Patient pathways",
              "Health Network"
            ],
            "source_word_anchor": "All primary care practices have been privatized",
            "source_word_count": 6
          },
          "source_version": {
            "file_sha256": "6981f9c22db1e418d3e59d9487b0570244107ce005cbaa48258b6b313bd538c0",
            "response_sha256": "6981f9c22db1e418d3e59d9487b0570244107ce005cbaa48258b6b313bd538c0",
            "page_count": 164,
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MKD:health-system-review-2024",
          "display_source_id": "display-source:MKD:ebd124ff2024325d0ad407f6",
          "source_version_id": "display-source-version:96c4f97303f85202dfede649"
        },
        {
          "title": "North Macedonia Policy Notes",
          "citation": "World Bank. North Macedonia Policy Notes. Washington, DC: World Bank; 2025.",
          "url": "https://documents1.worldbank.org/curated/en/099008512112429283/pdf/IDU1102c34701ba0b146d21a1e010d27c68032cf.pdf",
          "locator": {
            "locator_type": "pdf_page_set_anchor",
            "physical_pdf_pages": [
              42,
              43
            ],
            "sections": [
              "Health Systems: Key Challenges",
              "Policy Responses for Consideration"
            ],
            "source_word_anchor": "Moj Termin, to facilitate appointments",
            "source_word_count": 5
          },
          "source_version": {
            "file_sha256": "3fede85cf284540ee6e60aa68e1f95253112aee8612b65f410ef8a9533cecde9",
            "response_sha256": "3fede85cf284540ee6e60aa68e1f95253112aee8612b65f410ef8a9533cecde9",
            "page_count": 118,
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MKD:world-bank-policy-notes-2025",
          "display_source_id": "display-source:MKD:1c2a5569a0c597add6dbcf7a",
          "source_version_id": "display-source-version:a426b2346b48f7d3fd1e71bf"
        }
      ],
      "display_source_ids": [
        "display-source:MKD:c77ae1f3b97d34c8eb156429",
        "display-source:MKD:ebd124ff2024325d0ad407f6",
        "display-source:MKD:1c2a5569a0c597add6dbcf7a"
      ],
      "source_version_ids": [
        "display-source-version:adcdcf68524d268db9de398b",
        "display-source-version:96c4f97303f85202dfede649",
        "display-source-version:a426b2346b48f7d3fd1e71bf"
      ],
      "display_claim_ids": [
        "display-claim:954bcdf2c53af65a2d9f84ff",
        "display-claim:349a2e962cd5dc055fad1a5b",
        "display-claim:5d03d87770ccb57931d66ef0",
        "display-claim:a2e3f41ad7debd974ede4389",
        "display-claim:1c2a6745ac08aeea738562be",
        "display-claim:e8bc774ac9f50e52a6eccd11"
      ],
      "display_evidence_object_id": "display-claim:954bcdf2c53af65a2d9f84ff",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:MKD:delivery-referrals:observed-access-barriers",
      "country_id": "MKD",
      "mapping_group": "delivery_and_referrals",
      "target_view": "referrals",
      "target_slot": "observed-access-barriers",
      "support_state": "candidate_supported",
      "annotation_status": "open",
      "annotation_state": "open",
      "display_status": "visible",
      "mapping_basis": "Mixed-methods effective-coverage assessment",
      "source_projection_ids": [
        "country-improvement-source:MKD:effective-coverage-barriers-study-2024",
        "country-improvement-source:MKD:who-health-equity-barriers-report-2024"
      ],
      "typed_fields": {
        "reported-barriers": "The assessment identifies specialist-referral appointment waiting times, distance and transport costs, workforce shortages and perceived discrimination.",
        "scope": "The assessment emphasized rural areas and groups in vulnerable situations.",
        "boundary": "This supports barrier identification, not a national referral-completion denominator or causal estimate."
      },
      "analytical_objects": {
        "provider_delivery_observations": [
          {
            "label": "Reported referral-access barriers",
            "observation": "Participants identified waiting times for specialist-referral appointments and travel barriers.",
            "scope": "Mixed-methods assessment, mid-2022 to March 2023",
            "display_claim_ids": [
              "display-claim:77dc550944bae575e6d54b14"
            ],
            "display_source_ids": [
              "display-source:MKD:9560ac6f1caa717ea905f64e",
              "display-source:MKD:5abab37163cf557761c46d8f"
            ],
            "source_version_ids": [
              "display-source-version:92ca5a86f9c1c2b6cdbca5b1",
              "display-source-version:8d978f4fd707b53655de47cb"
            ],
            "display_evidence_object_id": "display-claim:77dc550944bae575e6d54b14"
          }
        ]
      },
      "title": "Observed barriers around specialist referral access",
      "statement": "A 2022-2023 mixed-methods assessment identified waiting times for specialist-referral appointments and transport barriers among reported barriers to effective coverage.",
      "citation": "Kollert et al., International Journal for Equity in Health, 2024.",
      "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC10943884/fullTextXML",
      "locator": "XML Methods, Results, Barriers to effective coverage and Conclusions sections.",
      "period": "Assessment from mid-2022 to March 2023; published 2024",
      "territory": "North Macedonia adult citizens, with emphasis on rural areas and groups in vulnerable situations",
      "evidence_mode_candidate": "observed",
      "verification_source_layer": "research_literature",
      "coverage_domains": [
        "observed_referral",
        "utilization",
        "patient_flows",
        "primary_care",
        "hospital_organization",
        "authoritative_review"
      ],
      "source_version": {
        "response_sha256": "3ff5241cab3142a66d327d52a4f08e344f17262533ddc526ce22e4da7955d7f0",
        "hash_verified": true
      },
      "review_requirements": [
        "Do not infer a national referral-completion rate, national patient volume or causal effect from the reported barriers."
      ],
      "source_references": [
        {
          "title": "Towards leaving no one behind in North Macedonia: a mixed methods assessment of barriers to effective coverage with health services",
          "citation": "Kollert F, et al. Towards leaving no one behind in North Macedonia: a mixed methods assessment of barriers to effective coverage with health services. International Journal for Equity in Health. 2024;23:54. doi:10.1186/s12939-023-02082-3.",
          "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC10943884/fullTextXML",
          "locator": {
            "locator_type": "xml_section_anchor",
            "sections": [
              "Methods",
              "Results",
              "Barriers to effective coverage",
              "Conclusions"
            ],
            "source_word_anchor": "waiting times to get appointments",
            "source_word_count": 5
          },
          "source_version": {
            "response_sha256": "3ff5241cab3142a66d327d52a4f08e344f17262533ddc526ce22e4da7955d7f0",
            "detected_media_type": "text/xml",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MKD:effective-coverage-barriers-study-2024",
          "display_source_id": "display-source:MKD:9560ac6f1caa717ea905f64e",
          "source_version_id": "display-source-version:92ca5a86f9c1c2b6cdbca5b1"
        },
        {
          "title": "Towards health equity, cohesion and resilience in North Macedonia: findings from an assessment of barriers to health services",
          "citation": "World Health Organization Regional Office for Europe. Towards health equity, cohesion and resilience in North Macedonia: findings from an assessment of barriers to health services. Copenhagen: WHO Regional Office for Europe; 2024.",
          "url": "https://iris.who.int/server/api/core/bitstreams/0b20d17a-5766-4bf2-8804-726ea4cc99be/content",
          "locator": {
            "locator_type": "pdf_page_set_anchor",
            "physical_pdf_pages": [
              13,
              14,
              16
            ],
            "sections": [
              "Accessibility",
              "Financial and organizational barriers",
              "Contact and effective coverage"
            ],
            "source_word_anchor": "transportation time was a barrier",
            "source_word_count": 5
          },
          "source_version": {
            "file_sha256": "d7ce6946d6ce476dce48ff22fda51884efdf8c9d0b943075629193f7db3fa4bd",
            "response_sha256": "d7ce6946d6ce476dce48ff22fda51884efdf8c9d0b943075629193f7db3fa4bd",
            "page_count": 92,
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MKD:who-health-equity-barriers-report-2024",
          "display_source_id": "display-source:MKD:5abab37163cf557761c46d8f",
          "source_version_id": "display-source-version:8d978f4fd707b53655de47cb"
        }
      ],
      "display_source_ids": [
        "display-source:MKD:9560ac6f1caa717ea905f64e",
        "display-source:MKD:5abab37163cf557761c46d8f"
      ],
      "source_version_ids": [
        "display-source-version:92ca5a86f9c1c2b6cdbca5b1",
        "display-source-version:8d978f4fd707b53655de47cb"
      ],
      "display_claim_ids": [
        "display-claim:c7fa81f39d2e20109fc45604",
        "display-claim:77dc550944bae575e6d54b14"
      ],
      "display_evidence_object_id": "display-claim:c7fa81f39d2e20109fc45604",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:MKD:relationships-networks:health-network-certified-providers",
      "country_id": "MKD",
      "mapping_group": "relationships_and_networks",
      "target_view": "functions",
      "target_slot": "health-network-certified-providers",
      "support_state": "candidate_supported",
      "annotation_status": "open",
      "annotation_state": "open",
      "display_status": "visible",
      "mapping_basis": "Observatory Health Network description",
      "source_projection_ids": [
        "country-improvement-source:MKD:observatory-health-system-summary-2025"
      ],
      "typed_fields": {
        "network": "The Health Network, established in 2012, is reported to comprise certified public and private providers for geographical access under social insurance.",
        "planning": "The Ministry is reported to determine scope and composition for strategic resource planning.",
        "boundary": "The source does not list network members, catchments, referral volumes or service-specific accreditation results."
      },
      "analytical_objects": {
        "graph_nodes": [
          {
            "node_id": "mkd:ministry-of-health",
            "label": "Ministry of Health",
            "family": "national",
            "display_claim_ids": [
              "display-claim:a19514462e15ce88a45dce53"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b"
            ],
            "display_evidence_object_id": "display-claim:a19514462e15ce88a45dce53"
          },
          {
            "node_id": "mkd:health-network",
            "label": "Health Network",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:06cb07d597f8140e3f196c80"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b"
            ],
            "display_evidence_object_id": "display-claim:06cb07d597f8140e3f196c80"
          },
          {
            "node_id": "mkd:public-providers",
            "label": "Public providers",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:57542ba8099b6a41905080fe"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b"
            ],
            "display_evidence_object_id": "display-claim:57542ba8099b6a41905080fe"
          },
          {
            "node_id": "mkd:private-primary-practices",
            "label": "Private primary practices",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:6a7bfb8b02af37be13d31cd8"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b"
            ],
            "display_evidence_object_id": "display-claim:6a7bfb8b02af37be13d31cd8"
          }
        ],
        "graph_edges": [
          {
            "source_node_id": "mkd:ministry-of-health",
            "target_node_id": "mkd:health-network",
            "relationship": "reported scope and composition determination for strategic resource planning",
            "relationship_family": "regulation",
            "display_claim_ids": [
              "display-claim:7ba9f1eb6070e2c344770cd9"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b"
            ],
            "display_evidence_object_id": "display-claim:7ba9f1eb6070e2c344770cd9"
          },
          {
            "source_node_id": "mkd:public-providers",
            "target_node_id": "mkd:health-network",
            "relationship": "reported certified provider participation",
            "relationship_family": "network",
            "display_claim_ids": [
              "display-claim:2fcdb563ce85941853dd6e48"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b"
            ],
            "display_evidence_object_id": "display-claim:2fcdb563ce85941853dd6e48"
          },
          {
            "source_node_id": "mkd:private-primary-practices",
            "target_node_id": "mkd:health-network",
            "relationship": "reported certified provider participation",
            "relationship_family": "network",
            "display_claim_ids": [
              "display-claim:01caffc01547cbdb4a21e86d"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b"
            ],
            "display_evidence_object_id": "display-claim:01caffc01547cbdb4a21e86d"
          }
        ]
      },
      "title": "Reported Health Network role",
      "statement": "The Observatory reports that the Health Network, introduced in 2012, comprises certified public and private providers and that the Ministry determines its scope and composition for strategic resource planning.",
      "citation": "Winkelmann et al., North Macedonia: Health system summary 2025.",
      "url": "https://eurohealthobservatory.who.int/docs/librariesprovider3/publicationsnew/hit-summary-north-macedonia-2025-final.pdf?sfvrsn=5763193d_1",
      "locator": "PDF page 2, Planning; page 9, Distribution of health resources.",
      "period": "Summary published 2025, using system information through 2023 where stated",
      "territory": "North Macedonia Health Network",
      "evidence_mode_candidate": "reported",
      "verification_source_layer": "review_literature",
      "coverage_domains": [
        "actors",
        "ownership",
        "networks",
        "facility_data",
        "governance",
        "market_structure"
      ],
      "source_version": {
        "file_sha256": "514f718066144845df46679d71ff39cc4affdde9ea7a9bed9fd3c9c0c2011219",
        "hash_verified": true
      },
      "review_requirements": [
        "Do not treat the network description as a complete provider directory or a measured network-performance assessment."
      ],
      "source_references": [
        {
          "title": "North Macedonia: Health system summary 2025",
          "citation": "Winkelmann J, Milevska Kostova N, Atanasova S, et al. North Macedonia: Health system summary 2025. Copenhagen: European Observatory on Health Systems and Policies, WHO Regional Office for Europe; 2025.",
          "url": "https://eurohealthobservatory.who.int/docs/librariesprovider3/publicationsnew/hit-summary-north-macedonia-2025-final.pdf?sfvrsn=5763193d_1",
          "locator": {
            "locator_type": "pdf_page_set_anchor",
            "physical_pdf_pages": [
              2,
              3,
              9,
              12,
              13,
              15,
              16
            ],
            "sections": [
              "How is the health system organized?",
              "Providers",
              "Distribution of health resources",
              "What reforms are being pursued?",
              "Health system performance monitoring",
              "Health system efficiency"
            ],
            "source_word_anchor": "acts as the main purchaser",
            "source_word_count": 5
          },
          "source_version": {
            "file_sha256": "514f718066144845df46679d71ff39cc4affdde9ea7a9bed9fd3c9c0c2011219",
            "response_sha256": "514f718066144845df46679d71ff39cc4affdde9ea7a9bed9fd3c9c0c2011219",
            "page_count": 19,
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MKD:observatory-health-system-summary-2025",
          "display_source_id": "display-source:MKD:c77ae1f3b97d34c8eb156429",
          "source_version_id": "display-source-version:adcdcf68524d268db9de398b"
        }
      ],
      "display_source_ids": [
        "display-source:MKD:c77ae1f3b97d34c8eb156429"
      ],
      "source_version_ids": [
        "display-source-version:adcdcf68524d268db9de398b"
      ],
      "display_claim_ids": [
        "display-claim:8a0a6385d9bf28b9912dfdae",
        "display-claim:a19514462e15ce88a45dce53",
        "display-claim:06cb07d597f8140e3f196c80",
        "display-claim:57542ba8099b6a41905080fe",
        "display-claim:6a7bfb8b02af37be13d31cd8",
        "display-claim:7ba9f1eb6070e2c344770cd9",
        "display-claim:2fcdb563ce85941853dd6e48",
        "display-claim:01caffc01547cbdb4a21e86d"
      ],
      "display_evidence_object_id": "display-claim:8a0a6385d9bf28b9912dfdae",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:MKD:relationships-networks:public-private-provider-mix",
      "country_id": "MKD",
      "mapping_group": "relationships_and_networks",
      "target_view": "public-private",
      "target_slot": "public-private-provider-mix",
      "support_state": "candidate_supported",
      "annotation_status": "open",
      "annotation_state": "open",
      "display_status": "visible",
      "mapping_basis": "Observatory provider description",
      "source_projection_ids": [
        "country-improvement-source:MKD:observatory-health-system-summary-2025"
      ],
      "typed_fields": {
        "primary-care": "Primary care is reported as private practices operating under HIF contracts.",
        "higher-level-care": "Secondary and tertiary care are reported as predominantly publicly owned, with expanded private specialist and inpatient provision.",
        "boundary": "The report does not provide a current national count, revenue share or quality comparison by ownership."
      },
      "analytical_objects": {
        "graph_nodes": [
          {
            "node_id": "mkd:health-insurance-fund",
            "label": "Health Insurance Fund",
            "family": "purchaser",
            "display_claim_ids": [
              "display-claim:dc68ea53cb0aad0a591d978e"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b"
            ],
            "display_evidence_object_id": "display-claim:dc68ea53cb0aad0a591d978e"
          },
          {
            "node_id": "mkd:private-primary-practices",
            "label": "Private primary practices",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:17ed537fda1e46dc1e4510b1"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b"
            ],
            "display_evidence_object_id": "display-claim:17ed537fda1e46dc1e4510b1"
          },
          {
            "node_id": "mkd:public-providers",
            "label": "Public providers",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:31ef94d75da8f0187e654b04"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b"
            ],
            "display_evidence_object_id": "display-claim:31ef94d75da8f0187e654b04"
          }
        ],
        "graph_edges": [
          {
            "source_node_id": "mkd:health-insurance-fund",
            "target_node_id": "mkd:private-primary-practices",
            "relationship": "reported HIF contracting of primary practices",
            "relationship_family": "purchasing",
            "display_claim_ids": [
              "display-claim:8ad40eab964391a2f8fff0c9"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b"
            ],
            "display_evidence_object_id": "display-claim:8ad40eab964391a2f8fff0c9"
          }
        ],
        "provider_organizations": [
          {
            "label": "Private primary practices",
            "ownership": "Reported private practices operating under HIF contracts",
            "scope": "National primary care",
            "display_claim_ids": [
              "display-claim:7622ada67b2857027137d4ed"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b"
            ],
            "display_evidence_object_id": "display-claim:7622ada67b2857027137d4ed"
          },
          {
            "label": "Public secondary and tertiary providers",
            "ownership": "Reported predominantly publicly owned",
            "scope": "National secondary and tertiary care",
            "display_claim_ids": [
              "display-claim:8890bb0831f422ca10d1d8ee"
            ],
            "display_source_ids": [
              "display-source:MKD:c77ae1f3b97d34c8eb156429"
            ],
            "source_version_ids": [
              "display-source-version:adcdcf68524d268db9de398b"
            ],
            "display_evidence_object_id": "display-claim:8890bb0831f422ca10d1d8ee"
          }
        ]
      },
      "title": "Reported public and private provider arrangement",
      "statement": "The Observatory reports HIF-contracted private primary practices alongside predominantly public secondary and tertiary care, while noting growth of private specialist and inpatient provision.",
      "citation": "Winkelmann et al., North Macedonia: Health system summary 2025.",
      "url": "https://eurohealthobservatory.who.int/docs/librariesprovider3/publicationsnew/hit-summary-north-macedonia-2025-final.pdf?sfvrsn=5763193d_1",
      "locator": "PDF page 3, Providers.",
      "period": "Summary published 2025, using system information through 2023 where stated",
      "territory": "North Macedonia national provider arrangement",
      "evidence_mode_candidate": "reported",
      "verification_source_layer": "review_literature",
      "coverage_domains": [
        "ownership",
        "primary_care",
        "hospital_organization",
        "market_structure",
        "networks"
      ],
      "source_version": {
        "file_sha256": "514f718066144845df46679d71ff39cc4affdde9ea7a9bed9fd3c9c0c2011219",
        "hash_verified": true
      },
      "review_requirements": [
        "Do not infer ownership shares, all private providers' participation in HIF contracting or comparative performance."
      ],
      "source_references": [
        {
          "title": "North Macedonia: Health system summary 2025",
          "citation": "Winkelmann J, Milevska Kostova N, Atanasova S, et al. North Macedonia: Health system summary 2025. Copenhagen: European Observatory on Health Systems and Policies, WHO Regional Office for Europe; 2025.",
          "url": "https://eurohealthobservatory.who.int/docs/librariesprovider3/publicationsnew/hit-summary-north-macedonia-2025-final.pdf?sfvrsn=5763193d_1",
          "locator": {
            "locator_type": "pdf_page_set_anchor",
            "physical_pdf_pages": [
              2,
              3,
              9,
              12,
              13,
              15,
              16
            ],
            "sections": [
              "How is the health system organized?",
              "Providers",
              "Distribution of health resources",
              "What reforms are being pursued?",
              "Health system performance monitoring",
              "Health system efficiency"
            ],
            "source_word_anchor": "acts as the main purchaser",
            "source_word_count": 5
          },
          "source_version": {
            "file_sha256": "514f718066144845df46679d71ff39cc4affdde9ea7a9bed9fd3c9c0c2011219",
            "response_sha256": "514f718066144845df46679d71ff39cc4affdde9ea7a9bed9fd3c9c0c2011219",
            "page_count": 19,
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MKD:observatory-health-system-summary-2025",
          "display_source_id": "display-source:MKD:c77ae1f3b97d34c8eb156429",
          "source_version_id": "display-source-version:adcdcf68524d268db9de398b"
        }
      ],
      "display_source_ids": [
        "display-source:MKD:c77ae1f3b97d34c8eb156429"
      ],
      "source_version_ids": [
        "display-source-version:adcdcf68524d268db9de398b"
      ],
      "display_claim_ids": [
        "display-claim:377f4e7384e9b9ec92530410",
        "display-claim:dc68ea53cb0aad0a591d978e",
        "display-claim:17ed537fda1e46dc1e4510b1",
        "display-claim:31ef94d75da8f0187e654b04",
        "display-claim:8ad40eab964391a2f8fff0c9",
        "display-claim:7622ada67b2857027137d4ed",
        "display-claim:8890bb0831f422ca10d1d8ee"
      ],
      "display_evidence_object_id": "display-claim:377f4e7384e9b9ec92530410",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:MKD:time-reform:primary-care-reform-evidence-boundary",
      "country_id": "MKD",
      "mapping_group": "time_and_reform",
      "target_view": "reforms",
      "target_slot": "primary-care-reform-evidence-boundary",
      "support_state": "candidate_supported",
      "annotation_status": "open",
      "annotation_state": "open",
      "display_status": "visible",
      "mapping_basis": "WHO primary-care assessment and research context",
      "source_projection_ids": [
        "country-improvement-source:MKD:who-phc-assessment-2019",
        "country-improvement-source:MKD:primary-care-nursing-study-2023"
      ],
      "typed_fields": {
        "history": "WHO reports primary care as a focus of successive delivery reforms, and the nursing study describes general-practice and family-medicine privatization during 2004-2007.",
        "assessment": "The 2018-2019 WHO assessment identified fragmented governance, referral and scope-of-practice issues and set policy directions.",
        "boundary": "The sources do not establish that every reform direction has been completed or caused later outcomes."
      },
      "analytical_objects": {
        "reform_events": [
          {
            "event_id": "mkd-primary-care-privatization-period",
            "label": "Primary-care general-practice and family-medicine privatization period",
            "year": 2004,
            "status": "Historical reform context; article describes rollout from 2004 to 2007",
            "display_claim_ids": [
              "display-claim:727e029995388ad2d8a536c2"
            ],
            "display_source_ids": [
              "display-source:MKD:8522865320e56391833d5002",
              "display-source:MKD:c88aae10d73f6827527f2bfb"
            ],
            "source_version_ids": [
              "display-source-version:dafe8e33d1c589536ca57fba",
              "display-source-version:c79d05cd32d84a2968f6e62b"
            ],
            "display_evidence_object_id": "display-claim:727e029995388ad2d8a536c2"
          },
          {
            "event_id": "mkd-who-primary-care-assessment",
            "label": "WHO primary-care organization and quality assessment",
            "year": 2019,
            "status": "Assessment and policy-direction report, not an implementation evaluation",
            "display_claim_ids": [
              "display-claim:a34859a8277514884a9b07d8"
            ],
            "display_source_ids": [
              "display-source:MKD:8522865320e56391833d5002",
              "display-source:MKD:c88aae10d73f6827527f2bfb"
            ],
            "source_version_ids": [
              "display-source-version:dafe8e33d1c589536ca57fba",
              "display-source-version:c79d05cd32d84a2968f6e62b"
            ],
            "display_evidence_object_id": "display-claim:a34859a8277514884a9b07d8"
          }
        ]
      },
      "title": "Primary-care reform context and evidence boundary",
      "statement": "WHO's 2018-2019 primary-care assessment and a 2023 nursing study describe historical privatization and remaining organization, referral and scope-of-practice issues, without establishing a completed or causal reform effect.",
      "citation": "WHO, Primary health care organization, performance and quality in North Macedonia, 2019; Atanasova et al., BMC Nursing, 2023.",
      "url": "https://www.who.int/docs/librariesprovider2/default-document-library/mkd-phc-report-160519.pdf?download=true&sfvrsn=8baa2c94_3",
      "locator": "WHO PDF pages 9, 14-20 and 26-30, Methods, PHC organization, referral patterns and policy directions; research XML Background and Discussion sections.",
      "period": "WHO assessment May 2018 to February 2019; nursing-study context published 2023",
      "territory": "North Macedonia primary-care system",
      "evidence_mode_candidate": "observed",
      "verification_source_layer": "research_literature",
      "coverage_domains": [
        "actors",
        "decision_rights",
        "autonomy",
        "primary_care",
        "observed_referral",
        "governance",
        "reform_history",
        "authoritative_review"
      ],
      "source_version": {
        "file_sha256": "63aae826fc5ad2512c35a29f6d6a39c0dd7b391b60e2db1cebbd4ee1e04265f7",
        "hash_verified": true
      },
      "review_requirements": [
        "Do not treat the historical context and assessment recommendations as proof of current national implementation or patient outcome attribution."
      ],
      "source_references": [
        {
          "title": "Primary health care organization, performance and quality in North Macedonia",
          "citation": "World Health Organization Regional Office for Europe. Primary health care organization, performance and quality in North Macedonia. Copenhagen: WHO; 2019.",
          "url": "https://www.who.int/docs/librariesprovider2/default-document-library/mkd-phc-report-160519.pdf?download=true&sfvrsn=8baa2c94_3",
          "locator": {
            "locator_type": "pdf_page_set_anchor",
            "physical_pdf_pages": [
              5,
              9,
              14,
              15,
              16,
              20,
              26,
              30
            ],
            "sections": [
              "Methods",
              "Organization of primary health care",
              "Accountability and referral patterns of health providers",
              "Health information system and reporting",
              "Policy directions for improvement"
            ],
            "source_word_anchor": "Accountability and referral patterns",
            "source_word_count": 4
          },
          "source_version": {
            "file_sha256": "63aae826fc5ad2512c35a29f6d6a39c0dd7b391b60e2db1cebbd4ee1e04265f7",
            "response_sha256": "63aae826fc5ad2512c35a29f6d6a39c0dd7b391b60e2db1cebbd4ee1e04265f7",
            "page_count": 44,
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MKD:who-phc-assessment-2019",
          "display_source_id": "display-source:MKD:8522865320e56391833d5002",
          "source_version_id": "display-source-version:dafe8e33d1c589536ca57fba"
        },
        {
          "title": "Developing modern primary care nursing in North Macedonia",
          "citation": "Atanasova S, et al. Developing modern primary care nursing in North Macedonia. BMC Nursing. 2023;22:294. doi:10.1186/s12912-023-01465-5.",
          "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC10466203/fullTextXML",
          "locator": {
            "locator_type": "xml_section_anchor",
            "sections": [
              "Background",
              "Primary care in North Macedonia",
              "Discussion",
              "Conclusion"
            ],
            "source_word_anchor": "limited scope of practice",
            "source_word_count": 4
          },
          "source_version": {
            "response_sha256": "2a7d0a9ea41eb191497db862f8f57a4656325092a7ff2fd1ba2d7492b5bf2472",
            "detected_media_type": "text/xml",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MKD:primary-care-nursing-study-2023",
          "display_source_id": "display-source:MKD:c88aae10d73f6827527f2bfb",
          "source_version_id": "display-source-version:c79d05cd32d84a2968f6e62b"
        }
      ],
      "display_source_ids": [
        "display-source:MKD:8522865320e56391833d5002",
        "display-source:MKD:c88aae10d73f6827527f2bfb"
      ],
      "source_version_ids": [
        "display-source-version:dafe8e33d1c589536ca57fba",
        "display-source-version:c79d05cd32d84a2968f6e62b"
      ],
      "display_claim_ids": [
        "display-claim:48b13e1fb0c5f75a78d3fb90",
        "display-claim:727e029995388ad2d8a536c2",
        "display-claim:a34859a8277514884a9b07d8"
      ],
      "display_evidence_object_id": "display-claim:48b13e1fb0c5f75a78d3fb90",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:MKD:time-reform:strategy-regionalization-and-integration",
      "country_id": "MKD",
      "mapping_group": "time_and_reform",
      "target_view": "reforms",
      "target_slot": "strategy-regionalization-and-integration",
      "support_state": "candidate_supported",
      "annotation_status": "open",
      "annotation_state": "open",
      "display_status": "visible",
      "mapping_basis": "National Health Strategy 2021-2030",
      "source_projection_ids": [
        "country-improvement-source:MKD:health-strategy-2021-2030"
      ],
      "typed_fields": {
        "strategy": "The strategy identifies regionalization, hospital reclassification and inter-level/inter-hospital cooperation as directions.",
        "implementation-boundary": "The strategy itself warns that changes may not all occur during the planning period.",
        "boundary": "The formal strategy is not evidence of completed nationwide implementation."
      },
      "analytical_objects": {
        "reform_events": [
          {
            "event_id": "mkd-health-strategy-2021",
            "label": "Health Strategy 2021-2030",
            "year": 2021,
            "status": "Formal national strategy; implementation must be separately evidenced",
            "display_claim_ids": [
              "display-claim:256b91af591346177f867980"
            ],
            "display_source_ids": [
              "display-source:MKD:fda83fe5430db30697492686"
            ],
            "source_version_ids": [
              "display-source-version:5e54d1e59f83b3d76c6cd0c1"
            ],
            "display_evidence_object_id": "display-claim:256b91af591346177f867980"
          },
          {
            "event_id": "mkd-hospital-regionalization-direction",
            "label": "Hospital regionalization and reclassification direction",
            "year": 2021,
            "status": "Planned strategic direction, not confirmed as nationwide completion",
            "display_claim_ids": [
              "display-claim:f4e5a834b77ce48985d93423"
            ],
            "display_source_ids": [
              "display-source:MKD:fda83fe5430db30697492686"
            ],
            "source_version_ids": [
              "display-source-version:5e54d1e59f83b3d76c6cd0c1"
            ],
            "display_evidence_object_id": "display-claim:f4e5a834b77ce48985d93423"
          }
        ]
      },
      "title": "Strategy-based regionalization and integration directions",
      "statement": "The 2021-2030 strategy sets regionalization, hospital reclassification and inter-level/inter-hospital cooperation as directions while making clear that planned changes may not all occur within the strategy period.",
      "citation": "Ministry of Health, Health Strategy 2021-2030.",
      "url": "https://extranet.who.int/countryplanningcycles/sites/default/files/public_file_rep/MKD_North%20Macedonia_Health-Strategy_2021-2030.pdf",
      "locator": "PDF pages 68-78 and 91-109, Regionalization/reclassification, inter-hospital cooperation and Strategic priorities.",
      "period": "Strategy period 2021-2030",
      "territory": "North Macedonia national health system",
      "evidence_mode_candidate": "formal",
      "verification_source_layer": "official",
      "coverage_domains": [
        "hospital_organization",
        "referral_design",
        "networks",
        "governance",
        "reform_history",
        "authoritative_review"
      ],
      "source_version": {
        "file_sha256": "9b565328cac953c928ae6dc36ff0f15572f910d1cda07a6c36259c74dba00342",
        "hash_verified": true
      },
      "review_requirements": [
        "Keep intended strategy directions separate from documented implementation, uptake or impact."
      ],
      "source_references": [
        {
          "title": "Health Strategy of the Republic of North Macedonia 2021-2030",
          "citation": "Ministry of Health, Republic of North Macedonia. Health Strategy of the Republic of North Macedonia 2021-2030. 2021.",
          "url": "https://extranet.who.int/countryplanningcycles/sites/default/files/public_file_rep/MKD_North%20Macedonia_Health-Strategy_2021-2030.pdf",
          "locator": {
            "locator_type": "pdf_page_set_anchor",
            "physical_pdf_pages": [
              2,
              36,
              37,
              40,
              61,
              68,
              78,
              91
            ],
            "sections": [
              "5.2 Main components of the network",
              "6.4 Appropriate referral/use",
              "6.6 Regionalization and reclassification",
              "6.6.6 Inter-level and inter-hospital cooperation",
              "7 Strategic priorities"
            ],
            "source_word_anchor": "Меѓустепенска и меѓуболничка соработка",
            "source_word_count": 3
          },
          "source_version": {
            "file_sha256": "9b565328cac953c928ae6dc36ff0f15572f910d1cda07a6c36259c74dba00342",
            "response_sha256": "9b565328cac953c928ae6dc36ff0f15572f910d1cda07a6c36259c74dba00342",
            "page_count": 114,
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:MKD:health-strategy-2021-2030",
          "display_source_id": "display-source:MKD:fda83fe5430db30697492686",
          "source_version_id": "display-source-version:5e54d1e59f83b3d76c6cd0c1"
        }
      ],
      "display_source_ids": [
        "display-source:MKD:fda83fe5430db30697492686"
      ],
      "source_version_ids": [
        "display-source-version:5e54d1e59f83b3d76c6cd0c1"
      ],
      "display_claim_ids": [
        "display-claim:808ba39d7edbe5940d1ab58c",
        "display-claim:256b91af591346177f867980",
        "display-claim:f4e5a834b77ce48985d93423"
      ],
      "display_evidence_object_id": "display-claim:808ba39d7edbe5940d1ab58c",
      "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:MKD:f2f09637f5f9c1999831",
        "evidence_layer": "candidate_source_metadata",
        "evidence_layers": [
          "candidate_source_metadata"
        ],
        "source_layers": [
          "candidate_source_metadata"
        ],
        "source_type": "candidate source metadata",
        "display_eligible": true,
        "title": "North Macedonia: Health System Review.",
        "citation": "Milevska Kostova N, Atanasova S, Dimkovski V, Stevanovski G, Stæhr Johansen A, Winkelmann J, Rechel B. North Macedonia: Health System Review.. Health systems in transition. 2024.",
        "citation_string": "Milevska Kostova N, Atanasova S, Dimkovski V, Stevanovski G, Stæhr Johansen A, Winkelmann J, Rechel B. North Macedonia: Health System Review.. Health systems in transition. 2024.",
        "citation_status": "supplied",
        "citation_provenance": "source metadata",
        "url": "https://pubmed.ncbi.nlm.nih.gov/40386870/",
        "publication_year": 2024,
        "source_families": [
          "pubmed_global_country_system_review_discovery"
        ],
        "channels": [
          "pubmed_review"
        ],
        "verification_source_layer": "review_literature",
        "coverage_domains": [
          "decision_rights",
          "governance",
          "government_responsibilities",
          "hospital_organization",
          "networks",
          "primary_care",
          "reform_history"
        ],
        "url_verification_status": null,
        "source_version": {
          "file_sha256": null,
          "text_sha256": null,
          "response_sha256": null,
          "page_count": null
        },
        "locator": null,
        "display_status": "shown_in_full",
        "review_channel": "text_anchored_annotation",
        "verification_requirements": []
      },
      {
        "candidate_source_id": "candidate-source:MKD:6beb33ff972bddea08fb",
        "evidence_layer": "candidate_source_metadata",
        "evidence_layers": [
          "candidate_source_metadata"
        ],
        "source_layers": [
          "candidate_source_metadata"
        ],
        "source_type": "candidate source metadata",
        "display_eligible": true,
        "title": "North Macedonia Health : Advisory Services and Analytics : Assessment of Primary Health Care Capacity",
        "citation": "World Bank Documents and Reports. North Macedonia Health : Advisory Services and Analytics : Assessment of Primary Health Care Capacity. World Bank Documents and Reports; 2020. https://documents.worldbank.org/curated/en/595391593096242357/pdf/Assessment-of-Primary-Health-Care-Capacity.pdf",
        "citation_string": "World Bank Documents and Reports. North Macedonia Health : Advisory Services and Analytics : Assessment of Primary Health Care Capacity. World Bank Documents and Reports; 2020. https://documents.worldbank.org/curated/en/595391593096242357/pdf/Assessment-of-Primary-Health-Care-Capacity.pdf",
        "citation_status": "supplied",
        "citation_provenance": "source metadata",
        "url": "https://documents.worldbank.org/curated/en/595391593096242357/pdf/Assessment-of-Primary-Health-Care-Capacity.pdf",
        "publication_year": 2020,
        "source_families": [
          "global_literature"
        ],
        "channels": [
          "grey_library"
        ],
        "verification_source_layer": "grey_literature",
        "coverage_domains": [
          "actors",
          "government_responsibilities",
          "hospital_organization",
          "primary_care",
          "referral_design"
        ],
        "url_verification_status": null,
        "source_version": {
          "file_sha256": null,
          "text_sha256": null,
          "response_sha256": null,
          "page_count": null
        },
        "locator": null,
        "display_status": "shown_in_full",
        "review_channel": "text_anchored_annotation",
        "verification_requirements": []
      },
      {
        "candidate_source_id": "candidate-source:MKD:96e1570c6c12ee95f215",
        "evidence_layer": "candidate_source_metadata",
        "evidence_layers": [
          "candidate_source_metadata"
        ],
        "source_layers": [
          "candidate_source_metadata"
        ],
        "source_type": "candidate source metadata",
        "display_eligible": true,
        "title": "Macedonia, former Yugoslav Republic of - Health Sector Management Project",
        "citation": "World Bank Documents and Reports. Macedonia, former Yugoslav Republic of - Health Sector Management Project. World Bank Documents and Reports; 2013. https://documents.worldbank.org/curated/en/157741468270879481/pdf/782100PPAR0Mac0t0PUBLIC00Box379845B.pdf",
        "citation_string": "World Bank Documents and Reports. Macedonia, former Yugoslav Republic of - Health Sector Management Project. World Bank Documents and Reports; 2013. https://documents.worldbank.org/curated/en/157741468270879481/pdf/782100PPAR0Mac0t0PUBLIC00Box379845B.pdf",
        "citation_status": "supplied",
        "citation_provenance": "source metadata",
        "url": "https://documents.worldbank.org/curated/en/157741468270879481/pdf/782100PPAR0Mac0t0PUBLIC00Box379845B.pdf",
        "publication_year": 2013,
        "source_families": [
          "global_literature"
        ],
        "channels": [
          "grey_library"
        ],
        "verification_source_layer": "grey_literature",
        "coverage_domains": [
          "actors",
          "government_responsibilities",
          "primary_care"
        ],
        "url_verification_status": null,
        "source_version": {
          "file_sha256": null,
          "text_sha256": null,
          "response_sha256": null,
          "page_count": null
        },
        "locator": null,
        "display_status": "shown_in_full",
        "review_channel": "text_anchored_annotation",
        "verification_requirements": []
      },
      {
        "candidate_source_id": "candidate-source:MKD:bf39a2e62d8335f17ac8",
        "evidence_layer": "candidate_source_metadata",
        "evidence_layers": [
          "candidate_source_metadata"
        ],
        "source_layers": [
          "candidate_source_metadata"
        ],
        "source_type": "candidate source metadata",
        "display_eligible": true,
        "title": "Macedonia - Health Sector Management Project",
        "citation": "World Bank Documents and Reports. Macedonia - Health Sector Management Project. World Bank Documents and Reports; 2012. https://documents.worldbank.org/curated/en/232141475089581730/pdf/000020051-20140624204215.pdf",
        "citation_string": "World Bank Documents and Reports. Macedonia - Health Sector Management Project. World Bank Documents and Reports; 2012. https://documents.worldbank.org/curated/en/232141475089581730/pdf/000020051-20140624204215.pdf",
        "citation_status": "supplied",
        "citation_provenance": "source metadata",
        "url": "https://documents.worldbank.org/curated/en/232141475089581730/pdf/000020051-20140624204215.pdf",
        "publication_year": 2012,
        "source_families": [
          "global_literature"
        ],
        "channels": [
          "grey_library"
        ],
        "verification_source_layer": "grey_literature",
        "coverage_domains": [
          "actors",
          "authoritative_review",
          "government_responsibilities",
          "primary_care"
        ],
        "url_verification_status": null,
        "source_version": {
          "file_sha256": null,
          "text_sha256": null,
          "response_sha256": null,
          "page_count": null
        },
        "locator": null,
        "display_status": "shown_in_full",
        "review_channel": "text_anchored_annotation",
        "verification_requirements": []
      },
      {
        "candidate_source_id": "candidate-source:MKD:9d5c4dadd99e10d46e49",
        "evidence_layer": "candidate_source_metadata",
        "evidence_layers": [
          "candidate_source_metadata"
        ],
        "source_layers": [
          "candidate_source_metadata"
        ],
        "source_type": "candidate source metadata",
        "display_eligible": true,
        "title": "Macedonia - Health Sector Management Project",
        "citation": "World Bank Documents and Reports. Macedonia - Health Sector Management Project. World Bank Documents and Reports; 2011. https://documents.worldbank.org/curated/en/680781468054607549/pdf/ICR16910P086670e0only0900BOX361518B.pdf",
        "citation_string": "World Bank Documents and Reports. Macedonia - Health Sector Management Project. World Bank Documents and Reports; 2011. https://documents.worldbank.org/curated/en/680781468054607549/pdf/ICR16910P086670e0only0900BOX361518B.pdf",
        "citation_status": "supplied",
        "citation_provenance": "source metadata",
        "url": "https://documents.worldbank.org/curated/en/680781468054607549/pdf/ICR16910P086670e0only0900BOX361518B.pdf",
        "publication_year": 2011,
        "source_families": [
          "global_literature"
        ],
        "channels": [
          "grey_library"
        ],
        "verification_source_layer": "grey_literature",
        "coverage_domains": [
          "actors",
          "government_responsibilities",
          "primary_care"
        ],
        "url_verification_status": null,
        "source_version": {
          "file_sha256": null,
          "text_sha256": null,
          "response_sha256": null,
          "page_count": null
        },
        "locator": null,
        "display_status": "shown_in_full",
        "review_channel": "text_anchored_annotation",
        "verification_requirements": []
      }
    ],
    "candidate_facts": [],
    "exact_contexts": []
  },
  "evidence_scorecard": {
    "country_id": "MKD",
    "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": 128,
        "numerator": 118,
        "score": 92,
        "unit": "material records with an exact locator"
      },
      "material_url_coverage": {
        "denominator": 128,
        "numerator": 128,
        "score": 100,
        "unit": "material records with at least one public URL"
      },
      "material_version_coverage": {
        "denominator": 128,
        "numerator": 128,
        "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:f6eb104d989b15d34e1285cf",
      "material:d78867cc3fe8093148949a1e",
      "material:999371119490c4219ff440ad",
      "material:7f3c41060eacb5622ff16fee",
      "material:63ad4cb6f4f52c44c919e6fc"
    ],
    "full_scorecard_url": "https://wb-works.site/tools/health-organization/data/evidence-scorecards.json"
  },
  "materials": [
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "World Bank economists' forum (Vol. 2 of 2). 2002. https://documents.worldbank.org/curated/en/786771468768698019",
      "country_ids": [
        "BFA",
        "CHL",
        "CZE",
        "GNB",
        "MKD"
      ],
      "coverage_domains": [
        "accreditation_quality"
      ],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "heading": "Part I Household Behavior and Health",
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 11,
        "source_word_anchor": "I Household Behavior and Health",
        "source_word_count": 5
      },
      "material_id": "material:46da2a4389b306e355e8f7b1",
      "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": "2002-01-01",
      "publication_year": 2002,
      "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": 260,
        "response_sha256": "4efcf56b0526fab5a691ae420f867d3d0f9619baa5f45b7425fe940ff66d2004"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:accreditation_quality"
      ],
      "territory": "national",
      "title": "World Bank economists' forum (Vol. 2 of 2)",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/786771468768698019"
        },
        {
          "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/786771468768698019/text/multi0page.txt"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/786771468768698019/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": "Minutes of a Meeting of the Executive Directors of the Bank and IDA and the Boards of Directors of IFC and MIGA held in the Board Room on January 7, 2020 and Record of Approvals December 18, 2019 thru January 7, 2020. 2020. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "COM",
        "MEX",
        "MKD",
        "STP",
        "VUT"
      ],
      "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": 4,
        "source_word_anchor": "Tajikistan Additional Financing Tajikistan Health Services Improvement Project 6 The Executive Directors",
        "source_word_count": 12
      },
      "material_id": "material:6db872616368a56980ee2c91",
      "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": "2020-01-07",
      "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": 6,
        "response_sha256": "3bbe4a1d61aa6dfda3bc56cbd6fd30cbfc8026de844245d7c14a4cc37252230f"
      },
      "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 a Meeting of the Executive Directors of the Bank and IDA and the Boards of Directors of IFC and MIGA held in the Board Room on January 7, 2020 and Record of Approvals December 18, 2019 thru January 7, 2020",
      "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/948601581735878704/pdf/Minutes-of-a-Meeting-of-the-Executive-Directors-of-the-Bank-and-IDA-and-the-Boards-of-Directors-of-IFC-and-MIGA-held-in-the-Board-Room-on-January-7-2020-and-Record-of-Approvals-December-18-2019-thru-January-7-2020.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/948601581735878704"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/948601581735878704/text/Minutes-of-a-Meeting-of-the-Executive-Directors-of-the-Bank-and-IDA-and-the-Boards-of-Directors-of-IFC-and-MIGA-held-in-the-Board-Room-on-January-7-2020-and-Record-of-Approvals-December-18-2019-thru-January-7-2020.txt"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "Observatory system summary",
        "mapping_group": "actors_and_functions",
        "mapping_id": "candidate-mapping:MKD:actors-functions:central-purchaser-provider-roles",
        "source_projection_ids": [
          "country-improvement-source:MKD:observatory-health-system-summary-2025",
          "country-improvement-source:MKD:health-system-review-2024",
          "country-improvement-source:MKD:who-health-benefit-package-profile-2021"
        ],
        "support_state": "candidate_supported",
        "target_slot": "central-purchaser-provider-roles",
        "target_view": "functions",
        "typed_fields": {
          "benefit-package-design": "The WHO 2020/2021 survey profile reports HIF, Ministry and tertiary-provider participation in benefit-package design.",
          "boundary": "The sources do not enumerate every agency mandate, provider contract or benefit-package decision.",
          "national": "The Ministry of Health is reported to lead stewardship, policy, planning and public-provider capital regulation.",
          "providers": "Secondary and tertiary care are reported as predominantly public; primary care is delivered by private HIF-contracted practices.",
          "purchaser": "The HIF is reported as the main purchaser of publicly funded services."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Winkelmann et al., North Macedonia: Health system summary 2025.",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "actors",
        "governance",
        "government_responsibilities",
        "hospital_organization",
        "market_structure",
        "ownership",
        "primary_care"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "PDF pages 2-3, How is the health system organized? and Providers."
      },
      "material_id": "material:111c856008ceff39d7b303a7",
      "notes": [
        "Do not infer a complete public-provider inventory or all individual contractual terms."
      ],
      "origin": "candidate-analytical-mappings",
      "period": "Summary published 2025, using system information through 2023 where stated",
      "publication_date": null,
      "publication_year": null,
      "record_kind": "candidate_analytical_mapping",
      "record_kind_label": "Candidate Analytical Mapping",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "review_literature"
      ],
      "source_system": null,
      "source_version": {
        "file_sha256": "514f718066144845df46679d71ff39cc4affdde9ea7a9bed9fd3c9c0c2011219"
      },
      "statement": "The Observatory reports central Ministry stewardship, HIF purchasing and a mixed provider arrangement in which secondary and tertiary services are predominantly public while private primary practices contract with the HIF.",
      "tags": [],
      "territory": "North Macedonia national system",
      "title": "Central stewardship, purchasing and provision roles",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://eurohealthobservatory.who.int/docs/librariesprovider3/publicationsnew/hit-summary-north-macedonia-2025-final.pdf?sfvrsn=5763193d_1"
        },
        {
          "kind": "source_reference",
          "source": "North Macedonia: health system review 2024",
          "url": "https://iris.who.int/server/api/core/bitstreams/caa115d0-3bb6-4f87-9386-6b9e1078b28c/content"
        },
        {
          "kind": "source_reference",
          "source": "North Macedonia - Health Benefit Package Country/Area profile",
          "url": "https://cdn.who.int/media/docs/default-source/health-economics/hbp-country-profiles-2020-21/hbp-country_area-profile_north-macedonia.pdf?sfvrsn=602a98f4_3"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "National Health Strategy 2021-2030 and Ministry referral guidance",
        "mapping_group": "delivery_and_referrals",
        "mapping_id": "candidate-mapping:MKD:delivery-referrals:levels-and-regionalization-direction",
        "source_projection_ids": [
          "country-improvement-source:MKD:health-strategy-2021-2030",
          "country-improvement-source:MKD:ministry-referral-model-webpage-2026"
        ],
        "support_state": "candidate_supported",
        "target_slot": "levels-and-regionalization-direction",
        "target_view": "delivery",
        "typed_fields": {
          "architecture": "The strategy describes primary/community, secondary and tertiary hospital components.",
          "boundary": "The formal sources do not establish implementation, uptake or outcomes for the proposed architecture or referral model.",
          "direction": "Regionalization, reclassification and inter-level/inter-hospital cooperation are strategic directions.",
          "formal-referral-route": "Ministry guidance describes chosen-physician referral to specialist-consultative care and specialist or subspecialist referral to hospital and university-clinic care.",
          "problem-framing": "It identifies fragmented and sectorized care, unnecessary hospital admissions and gaps after discharge as issues."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Ministry of Health, Health Strategy 2021-2030.",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "facility_data",
        "hospital_organization",
        "networks",
        "primary_care",
        "referral_design",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "formal",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "PDF pages 36-40 and 68-78, Main components of the network and Regionalization/reclassification sections."
      },
      "material_id": "material:f40d53949a6a79d60a45e410",
      "notes": [
        "Treat the regionalization and reclassification directions as planned rather than completed delivery arrangements."
      ],
      "origin": "candidate-analytical-mappings",
      "period": "Strategy period 2021-2030",
      "publication_date": null,
      "publication_year": null,
      "record_kind": "candidate_analytical_mapping",
      "record_kind_label": "Candidate Analytical Mapping",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "official"
      ],
      "source_system": null,
      "source_version": {
        "file_sha256": "9b565328cac953c928ae6dc36ff0f15572f910d1cda07a6c36259c74dba00342"
      },
      "statement": "The national strategy distinguishes primary/community, secondary and tertiary components and frames regionalization, hospital reclassification and inter-level cooperation as future directions.",
      "tags": [],
      "territory": "North Macedonia national health system",
      "title": "Formal delivery architecture and regionalization direction",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://extranet.who.int/countryplanningcycles/sites/default/files/public_file_rep/MKD_North%20Macedonia_Health-Strategy_2021-2030.pdf"
        },
        {
          "kind": "source_reference",
          "source": "Referral of Patients",
          "url": "https://zdravstvo.gov.mk/en-GB/dokumenti/upatstva/upatuvanje-na-pacientite"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "Mixed-methods effective-coverage assessment",
        "mapping_group": "delivery_and_referrals",
        "mapping_id": "candidate-mapping:MKD:delivery-referrals:observed-access-barriers",
        "source_projection_ids": [
          "country-improvement-source:MKD:effective-coverage-barriers-study-2024",
          "country-improvement-source:MKD:who-health-equity-barriers-report-2024"
        ],
        "support_state": "candidate_supported",
        "target_slot": "observed-access-barriers",
        "target_view": "referrals",
        "typed_fields": {
          "boundary": "This supports barrier identification, not a national referral-completion denominator or causal estimate.",
          "reported-barriers": "The assessment identifies specialist-referral appointment waiting times, distance and transport costs, workforce shortages and perceived discrimination.",
          "scope": "The assessment emphasized rural areas and groups in vulnerable situations."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Kollert et al., International Journal for Equity in Health, 2024.",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "authoritative_review",
        "hospital_organization",
        "observed_referral",
        "patient_flows",
        "primary_care",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "observed",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "XML Methods, Results, Barriers to effective coverage and Conclusions sections."
      },
      "material_id": "material:671fab143beec1f2099e65b1",
      "notes": [
        "Do not infer a national referral-completion rate, national patient volume or causal effect from the reported barriers."
      ],
      "origin": "candidate-analytical-mappings",
      "period": "Assessment from mid-2022 to March 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": [
        "research_literature"
      ],
      "source_system": null,
      "source_version": {
        "response_sha256": "3ff5241cab3142a66d327d52a4f08e344f17262533ddc526ce22e4da7955d7f0"
      },
      "statement": "A 2022-2023 mixed-methods assessment identified waiting times for specialist-referral appointments and transport barriers among reported barriers to effective coverage.",
      "tags": [],
      "territory": "North Macedonia adult citizens, with emphasis on rural areas and groups in vulnerable situations",
      "title": "Observed barriers around specialist referral access",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC10943884/fullTextXML"
        },
        {
          "kind": "source_reference",
          "source": "Towards health equity, cohesion and resilience in North Macedonia: findings from an assessment of barriers to health services",
          "url": "https://iris.who.int/server/api/core/bitstreams/0b20d17a-5766-4bf2-8804-726ea4cc99be/content"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "WHO primary-care assessment and research context",
        "mapping_group": "time_and_reform",
        "mapping_id": "candidate-mapping:MKD:time-reform:primary-care-reform-evidence-boundary",
        "source_projection_ids": [
          "country-improvement-source:MKD:who-phc-assessment-2019",
          "country-improvement-source:MKD:primary-care-nursing-study-2023"
        ],
        "support_state": "candidate_supported",
        "target_slot": "primary-care-reform-evidence-boundary",
        "target_view": "reforms",
        "typed_fields": {
          "assessment": "The 2018-2019 WHO assessment identified fragmented governance, referral and scope-of-practice issues and set policy directions.",
          "boundary": "The sources do not establish that every reform direction has been completed or caused later outcomes.",
          "history": "WHO reports primary care as a focus of successive delivery reforms, and the nursing study describes general-practice and family-medicine privatization during 2004-2007."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "WHO, Primary health care organization, performance and quality in North Macedonia, 2019; Atanasova et al., BMC Nursing, 2023.",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "actors",
        "authoritative_review",
        "autonomy",
        "decision_rights",
        "governance",
        "observed_referral",
        "primary_care",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "observed",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "WHO PDF pages 9, 14-20 and 26-30, Methods, PHC organization, referral patterns and policy directions; research XML Background and Discussion sections."
      },
      "material_id": "material:7fc3277e5f7df72d04149db5",
      "notes": [
        "Do not treat the historical context and assessment recommendations as proof of current national implementation or patient outcome attribution."
      ],
      "origin": "candidate-analytical-mappings",
      "period": "WHO assessment May 2018 to February 2019; nursing-study context published 2023",
      "publication_date": null,
      "publication_year": null,
      "record_kind": "candidate_analytical_mapping",
      "record_kind_label": "Candidate Analytical Mapping",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "research_literature"
      ],
      "source_system": null,
      "source_version": {
        "file_sha256": "63aae826fc5ad2512c35a29f6d6a39c0dd7b391b60e2db1cebbd4ee1e04265f7"
      },
      "statement": "WHO's 2018-2019 primary-care assessment and a 2023 nursing study describe historical privatization and remaining organization, referral and scope-of-practice issues, without establishing a completed or causal reform effect.",
      "tags": [],
      "territory": "North Macedonia primary-care system",
      "title": "Primary-care reform context and evidence boundary",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://www.who.int/docs/librariesprovider2/default-document-library/mkd-phc-report-160519.pdf?download=true&sfvrsn=8baa2c94_3"
        },
        {
          "kind": "source_reference",
          "source": "Developing modern primary care nursing in North Macedonia",
          "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC10466203/fullTextXML"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "Observatory Health Network description",
        "mapping_group": "relationships_and_networks",
        "mapping_id": "candidate-mapping:MKD:relationships-networks:health-network-certified-providers",
        "source_projection_ids": [
          "country-improvement-source:MKD:observatory-health-system-summary-2025"
        ],
        "support_state": "candidate_supported",
        "target_slot": "health-network-certified-providers",
        "target_view": "functions",
        "typed_fields": {
          "boundary": "The source does not list network members, catchments, referral volumes or service-specific accreditation results.",
          "network": "The Health Network, established in 2012, is reported to comprise certified public and private providers for geographical access under social insurance.",
          "planning": "The Ministry is reported to determine scope and composition for strategic resource planning."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Winkelmann et al., North Macedonia: Health system summary 2025.",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "actors",
        "facility_data",
        "governance",
        "market_structure",
        "networks",
        "ownership"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "PDF page 2, Planning; page 9, Distribution of health resources."
      },
      "material_id": "material:022e0d3c8b91b1f88a68aca7",
      "notes": [
        "Do not treat the network description as a complete provider directory or a measured network-performance assessment."
      ],
      "origin": "candidate-analytical-mappings",
      "period": "Summary published 2025, using system information through 2023 where stated",
      "publication_date": null,
      "publication_year": null,
      "record_kind": "candidate_analytical_mapping",
      "record_kind_label": "Candidate Analytical Mapping",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "review_literature"
      ],
      "source_system": null,
      "source_version": {
        "file_sha256": "514f718066144845df46679d71ff39cc4affdde9ea7a9bed9fd3c9c0c2011219"
      },
      "statement": "The Observatory reports that the Health Network, introduced in 2012, comprises certified public and private providers and that the Ministry determines its scope and composition for strategic resource planning.",
      "tags": [],
      "territory": "North Macedonia Health Network",
      "title": "Reported Health Network role",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://eurohealthobservatory.who.int/docs/librariesprovider3/publicationsnew/hit-summary-north-macedonia-2025-final.pdf?sfvrsn=5763193d_1"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "Observatory provider-governance description",
        "mapping_group": "decision_rights_and_autonomy",
        "mapping_id": "candidate-mapping:MKD:decision-autonomy:public-provider-management-boundary",
        "source_projection_ids": [
          "country-improvement-source:MKD:observatory-health-system-summary-2025"
        ],
        "support_state": "candidate_supported",
        "target_slot": "public-provider-management-boundary",
        "target_view": "autonomy",
        "typed_fields": {
          "boundary": "No provider-level score of management autonomy or exception register is supplied.",
          "central-controls": "Management appointments, financing and staff recruitment are reported as centralized.",
          "public-providers": "Public university hospital centres, university hospitals, general hospitals and health centres are reported under direct Ministry authority."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Winkelmann et al., North Macedonia: Health system summary 2025.",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "autonomy",
        "decision_rights",
        "governance",
        "hospital_organization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "PDF page 3, Providers."
      },
      "material_id": "material:881f9944b4b9d14fe39440f0",
      "notes": [
        "Do not generalize this reported centralization into a measure of actual managerial practice or private-practice authority."
      ],
      "origin": "candidate-analytical-mappings",
      "period": "Summary published 2025, using system information through 2023 where stated",
      "publication_date": null,
      "publication_year": null,
      "record_kind": "candidate_analytical_mapping",
      "record_kind_label": "Candidate Analytical Mapping",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "review_literature"
      ],
      "source_system": null,
      "source_version": {
        "file_sha256": "514f718066144845df46679d71ff39cc4affdde9ea7a9bed9fd3c9c0c2011219"
      },
      "statement": "The summary reports direct Ministry authority over major public provider groups and centralized management appointments, financing and staff recruitment; it does not provide a provider-by-provider autonomy scale.",
      "tags": [],
      "territory": "North Macedonia public university hospital centres, university hospitals, general hospitals and health centres",
      "title": "Reported boundary on public-provider autonomy",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://eurohealthobservatory.who.int/docs/librariesprovider3/publicationsnew/hit-summary-north-macedonia-2025-final.pdf?sfvrsn=5763193d_1"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "Observatory governance summary",
        "mapping_group": "decision_rights_and_autonomy",
        "mapping_id": "candidate-mapping:MKD:decision-autonomy:central-budget-and-appointments",
        "source_projection_ids": [
          "country-improvement-source:MKD:observatory-health-system-summary-2025"
        ],
        "support_state": "candidate_supported",
        "target_slot": "central-budget-and-appointments",
        "target_view": "decisions",
        "typed_fields": {
          "appointments": "Management appointments and budget allocation are reported as centralized.",
          "boundary": "The source does not identify every delegation, approval threshold or facility-level transaction right.",
          "budget": "The Ministry of Finance is reported to determine Ministry and HIF budgets.",
          "network": "The Ministry is reported to determine Health Network scope and composition."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Winkelmann et al., North Macedonia: Health system summary 2025.",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "actors",
        "autonomy",
        "decision_rights",
        "governance",
        "market_structure"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "PDF page 2, How is the health system organized? and Planning."
      },
      "material_id": "material:6a535f569f5c8ca7ef1b248f",
      "notes": [
        "Centralized reporting does not prove that no delegation exists or quantify discretion at each provider."
      ],
      "origin": "candidate-analytical-mappings",
      "period": "Summary published 2025, using system information through 2023 where stated",
      "publication_date": null,
      "publication_year": null,
      "record_kind": "candidate_analytical_mapping",
      "record_kind_label": "Candidate Analytical Mapping",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "review_literature"
      ],
      "source_system": null,
      "source_version": {
        "file_sha256": "514f718066144845df46679d71ff39cc4affdde9ea7a9bed9fd3c9c0c2011219"
      },
      "statement": "The summary reports centralized budget allocation and management appointments, Ministry determination of Health Network scope, and HIF purchasing of publicly funded services.",
      "tags": [],
      "territory": "North Macedonia national system",
      "title": "Reported central budget, network and purchasing decisions",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://eurohealthobservatory.who.int/docs/librariesprovider3/publicationsnew/hit-summary-north-macedonia-2025-final.pdf?sfvrsn=5763193d_1"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "Observatory digital-health description and World Bank policy notes",
        "mapping_group": "delivery_and_referrals",
        "mapping_id": "candidate-mapping:MKD:delivery-referrals:my-appointment-referral-platform",
        "source_projection_ids": [
          "country-improvement-source:MKD:observatory-health-system-summary-2025",
          "country-improvement-source:MKD:health-system-review-2024",
          "country-improvement-source:MKD:world-bank-policy-notes-2025"
        ],
        "support_state": "candidate_supported",
        "target_slot": "my-appointment-referral-platform",
        "target_view": "referrals",
        "typed_fields": {
          "boundary": "System availability does not establish referral completion, timeliness or continuity for every patient.",
          "network": "The source ties use to institutions within the Health Network.",
          "platform": "My Appointment is reported as used within the Health Network for electronic records, higher-level diagnostic and treatment referrals, discharge letters and e-prescriptions.",
          "policy-note": "The World Bank policy notes report Moj Termin support for appointments and identify an opportunity to improve interoperability and quality monitoring."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Winkelmann et al., North Macedonia: Health system summary 2025.",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "governance",
        "networks",
        "patient_flows",
        "referral_design"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "PDF page 13, Health system performance monitoring and information systems."
      },
      "material_id": "material:47ed153afcc196d3153bf5f9",
      "notes": [
        "Do not turn use of an electronic system into a measured national referral-completion or counter-referral rate."
      ],
      "origin": "candidate-analytical-mappings",
      "period": "Summary published 2025, using system information through 2023 where stated",
      "publication_date": null,
      "publication_year": null,
      "record_kind": "candidate_analytical_mapping",
      "record_kind_label": "Candidate Analytical Mapping",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "review_literature"
      ],
      "source_system": null,
      "source_version": {
        "file_sha256": "514f718066144845df46679d71ff39cc4affdde9ea7a9bed9fd3c9c0c2011219"
      },
      "statement": "The Observatory reports that My Appointment is used by Health Network institutions for electronic records, referrals to higher-level diagnostic and treatment care, discharge letters and e-prescriptions.",
      "tags": [],
      "territory": "North Macedonia institutions within the Health Network",
      "title": "Reported electronic referral and information platform",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://eurohealthobservatory.who.int/docs/librariesprovider3/publicationsnew/hit-summary-north-macedonia-2025-final.pdf?sfvrsn=5763193d_1"
        },
        {
          "kind": "source_reference",
          "source": "North Macedonia: health system review 2024",
          "url": "https://iris.who.int/server/api/core/bitstreams/caa115d0-3bb6-4f87-9386-6b9e1078b28c/content"
        },
        {
          "kind": "source_reference",
          "source": "North Macedonia Policy Notes",
          "url": "https://documents1.worldbank.org/curated/en/099008512112429283/pdf/IDU1102c34701ba0b146d21a1e010d27c68032cf.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "Observatory provider description",
        "mapping_group": "relationships_and_networks",
        "mapping_id": "candidate-mapping:MKD:relationships-networks:public-private-provider-mix",
        "source_projection_ids": [
          "country-improvement-source:MKD:observatory-health-system-summary-2025"
        ],
        "support_state": "candidate_supported",
        "target_slot": "public-private-provider-mix",
        "target_view": "public-private",
        "typed_fields": {
          "boundary": "The report does not provide a current national count, revenue share or quality comparison by ownership.",
          "higher-level-care": "Secondary and tertiary care are reported as predominantly publicly owned, with expanded private specialist and inpatient provision.",
          "primary-care": "Primary care is reported as private practices operating under HIF contracts."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Winkelmann et al., North Macedonia: Health system summary 2025.",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "hospital_organization",
        "market_structure",
        "networks",
        "ownership",
        "primary_care"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "PDF page 3, Providers."
      },
      "material_id": "material:f6a407d9c3948c87f43c0e35",
      "notes": [
        "Do not infer ownership shares, all private providers' participation in HIF contracting or comparative performance."
      ],
      "origin": "candidate-analytical-mappings",
      "period": "Summary published 2025, using system information through 2023 where stated",
      "publication_date": null,
      "publication_year": null,
      "record_kind": "candidate_analytical_mapping",
      "record_kind_label": "Candidate Analytical Mapping",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "review_literature"
      ],
      "source_system": null,
      "source_version": {
        "file_sha256": "514f718066144845df46679d71ff39cc4affdde9ea7a9bed9fd3c9c0c2011219"
      },
      "statement": "The Observatory reports HIF-contracted private primary practices alongside predominantly public secondary and tertiary care, while noting growth of private specialist and inpatient provision.",
      "tags": [],
      "territory": "North Macedonia national provider arrangement",
      "title": "Reported public and private provider arrangement",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://eurohealthobservatory.who.int/docs/librariesprovider3/publicationsnew/hit-summary-north-macedonia-2025-final.pdf?sfvrsn=5763193d_1"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "National Health Strategy 2021-2030",
        "mapping_group": "time_and_reform",
        "mapping_id": "candidate-mapping:MKD:time-reform:strategy-regionalization-and-integration",
        "source_projection_ids": [
          "country-improvement-source:MKD:health-strategy-2021-2030"
        ],
        "support_state": "candidate_supported",
        "target_slot": "strategy-regionalization-and-integration",
        "target_view": "reforms",
        "typed_fields": {
          "boundary": "The formal strategy is not evidence of completed nationwide implementation.",
          "implementation-boundary": "The strategy itself warns that changes may not all occur during the planning period.",
          "strategy": "The strategy identifies regionalization, hospital reclassification and inter-level/inter-hospital cooperation as directions."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Ministry of Health, Health Strategy 2021-2030.",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "authoritative_review",
        "governance",
        "hospital_organization",
        "networks",
        "referral_design",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "formal",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "PDF pages 68-78 and 91-109, Regionalization/reclassification, inter-hospital cooperation and Strategic priorities."
      },
      "material_id": "material:ec94ca4a7398fa7b517b3159",
      "notes": [
        "Keep intended strategy directions separate from documented implementation, uptake or impact."
      ],
      "origin": "candidate-analytical-mappings",
      "period": "Strategy period 2021-2030",
      "publication_date": null,
      "publication_year": null,
      "record_kind": "candidate_analytical_mapping",
      "record_kind_label": "Candidate Analytical Mapping",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "official"
      ],
      "source_system": null,
      "source_version": {
        "file_sha256": "9b565328cac953c928ae6dc36ff0f15572f910d1cda07a6c36259c74dba00342"
      },
      "statement": "The 2021-2030 strategy sets regionalization, hospital reclassification and inter-level/inter-hospital cooperation as directions while making clear that planned changes may not all occur within the strategy period.",
      "tags": [],
      "territory": "North Macedonia national health system",
      "title": "Strategy-based regionalization and integration directions",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://extranet.who.int/countryplanningcycles/sites/default/files/public_file_rep/MKD_North%20Macedonia_Health-Strategy_2021-2030.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Atanasova S, et al. Developing modern primary care nursing in North Macedonia. BMC Nursing. 2023;22:294. doi:10.1186/s12912-023-01465-5.",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "actors",
        "authoritative_review",
        "autonomy",
        "decision_rights",
        "facility_data",
        "governance",
        "market_structure",
        "networks",
        "observed_referral",
        "patient_flows",
        "primary_care",
        "referral_design",
        "reform_history",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "observed",
      "excerpt": "limited scope of practice",
      "institution": "BMC Nursing",
      "locator": {
        "locator_type": "xml_section_anchor",
        "source_word_anchor": "limited scope of practice",
        "source_word_count": 4
      },
      "material_id": "material:4ba1878456183c50264c9478",
      "notes": [
        "Retain the article's period-specific context. Do not treat its nursing and practice-description evidence as an all-provider survey, a national referral rate or proof of contemporary reforms."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Study published 2023; contextual primary-care figures chiefly refer to 2018 and earlier reforms",
      "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": [
        "research_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "text/xml",
        "response_sha256": "2a7d0a9ea41eb191497db862f8f57a4656325092a7ff2fd1ba2d7492b5bf2472"
      },
      "statement": "This research describes a historically privatized primary-care context, limited physician scope and a constrained nursing role. Its contextual findings are not a national causal estimate or a current provider-autonomy census.",
      "tags": [],
      "territory": "North Macedonia primary-care nursing and general-practice context",
      "title": "Developing modern primary care nursing in North Macedonia",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC10466203/fullTextXML"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Ministry of Health, Republic of North Macedonia. Health Strategy of the Republic of North Macedonia 2021-2030. 2021.",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "actors",
        "autonomy",
        "decision_rights",
        "facility_data",
        "governance",
        "government_responsibilities",
        "hospital_organization",
        "market_structure",
        "networks",
        "ownership",
        "primary_care",
        "referral_design",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "formal",
      "excerpt": "Меѓустепенска и меѓуболничка соработка",
      "institution": "Ministry of Health, Republic of North Macedonia",
      "locator": {
        "locator_type": "pdf_page_set_anchor",
        "source_word_anchor": "Меѓустепенска и меѓуболничка соработка",
        "source_word_count": 3
      },
      "material_id": "material:999371119490c4219ff440ad",
      "notes": [
        "This is a 2021-2030 strategy. Reclassification, regionalization and integration are intended directions, not evidence that every proposed change was implemented."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Strategy period 2021-2030",
      "publication_date": null,
      "publication_year": 2021,
      "record_kind": "country_improvement_source_lead",
      "record_kind_label": "Country Improvement Source Lead",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "official"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "application/pdf",
        "file_sha256": "9b565328cac953c928ae6dc36ff0f15572f910d1cda07a6c36259c74dba00342",
        "page_count": 114,
        "response_sha256": "9b565328cac953c928ae6dc36ff0f15572f910d1cda07a6c36259c74dba00342"
      },
      "statement": "The strategy describes the network's primary, secondary and tertiary components, identifies fragmented and sectorized care and unnecessary hospital admissions as problems, and sets regionalization, hospital reclassification and inter-level collaboration as strategic directions.",
      "tags": [],
      "territory": "North Macedonia national health system",
      "title": "Health Strategy of the Republic of North Macedonia 2021-2030",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://extranet.who.int/countryplanningcycles/sites/default/files/public_file_rep/MKD_North%20Macedonia_Health-Strategy_2021-2030.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Health Organization. North Macedonia - Health Benefit Package Country/Area profile. WHO Global Survey on HTA and Health Benefit Packages, 2020/2021.",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "actors",
        "decision_rights",
        "governance",
        "government_responsibilities",
        "hospital_organization",
        "market_structure",
        "primary_care",
        "referral_design",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "Health Insurance Fund, Ministry of Health",
      "institution": "World Health Organization",
      "locator": {
        "locator_type": "pdf_page_set_anchor",
        "source_word_anchor": "Health Insurance Fund, Ministry of Health",
        "source_word_count": 6
      },
      "material_id": "material:32a58dbaba05eb13e80270e6",
      "notes": [
        "Treat this as a 2020/2021 survey profile, not as an exhaustive legal benefit-package specification or current utilization record."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "WHO Global Survey on HTA and Health Benefit Packages, 2020/2021",
      "publication_date": null,
      "publication_year": 2021,
      "record_kind": "country_improvement_source_lead",
      "record_kind_label": "Country Improvement Source Lead",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "official"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "application/pdf",
        "file_sha256": "be7acf84d30662f3e5177f0eaf46a7ec8ab5b62ece7a4a46aac56ecaa9766685",
        "page_count": 2,
        "response_sha256": "be7acf84d30662f3e5177f0eaf46a7ec8ab5b62ece7a4a46aac56ecaa9766685"
      },
      "statement": "The WHO survey profile reports that the HIF, Ministry of Health and tertiary providers participate in benefit-package design, with mandatory contribution-linked coverage and centrally established positive or negative lists for specified technologies. It records survey responses rather than every purchasing decision or package change.",
      "tags": [],
      "territory": "North Macedonia health-benefit package for the general population",
      "title": "North Macedonia - Health Benefit Package Country/Area profile",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://cdn.who.int/media/docs/default-source/health-economics/hbp-country-profiles-2020-21/hbp-country_area-profile_north-macedonia.pdf?sfvrsn=602a98f4_3"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank. North Macedonia Policy Notes. Washington, DC: World Bank; 2025.",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "actors",
        "authoritative_review",
        "autonomy",
        "decision_rights",
        "facility_data",
        "governance",
        "government_responsibilities",
        "hospital_organization",
        "market_structure",
        "networks",
        "patient_flows",
        "primary_care",
        "referral_design",
        "reform_history",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "Moj Termin, to facilitate appointments",
      "institution": "World Bank",
      "locator": {
        "locator_type": "pdf_page_set_anchor",
        "source_word_anchor": "Moj Termin, to facilitate appointments",
        "source_word_count": 5
      },
      "material_id": "material:f6eb104d989b15d34e1285cf",
      "notes": [
        "Keep the stated source years and policy-note character explicit. Do not turn recommendations into implemented national practice or causal findings."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Policy notes published 2025, drawing on stated data years including 2019-2022",
      "publication_date": null,
      "publication_year": 2025,
      "record_kind": "country_improvement_source_lead",
      "record_kind_label": "Country Improvement Source Lead",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "grey_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "application/pdf",
        "file_sha256": "3fede85cf284540ee6e60aa68e1f95253112aee8612b65f410ef8a9533cecde9",
        "page_count": 118,
        "response_sha256": "3fede85cf284540ee6e60aa68e1f95253112aee8612b65f410ef8a9533cecde9"
      },
      "statement": "The policy notes report restricted primary-care scope, bottlenecks into specialist and hospital care, and Moj Termin support for appointments; they recommend further system changes. Reported constraints and recommendations do not establish that proposed reforms were implemented.",
      "tags": [],
      "territory": "North Macedonia health and long-term care system",
      "title": "North Macedonia Policy Notes",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://documents1.worldbank.org/curated/en/099008512112429283/pdf/IDU1102c34701ba0b146d21a1e010d27c68032cf.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Winkelmann J, Milevska Kostova N, Atanasova S, et al. North Macedonia: Health system summary 2025. Copenhagen: European Observatory on Health Systems and Policies, WHO Regional Office for Europe; 2025.",
      "country_ids": [
        "MKD"
      ],
      "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": "acts as the main purchaser",
      "institution": "European Observatory on Health Systems and Policies and WHO Regional Office for Europe",
      "locator": {
        "locator_type": "pdf_page_set_anchor",
        "source_word_anchor": "acts as the main purchaser",
        "source_word_count": 5
      },
      "material_id": "material:2923079d55e89a82cc94f5e1",
      "notes": [
        "This is a secondary system summary. Reported system arrangements and dated indicators must not be read as transaction-level evidence of all provider decisions or patient movements."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Summary published 2025, using system information through 2023 where stated",
      "publication_date": null,
      "publication_year": 2025,
      "record_kind": "country_improvement_source_lead",
      "record_kind_label": "Country Improvement Source Lead",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "review_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "application/pdf",
        "file_sha256": "514f718066144845df46679d71ff39cc4affdde9ea7a9bed9fd3c9c0c2011219",
        "page_count": 19,
        "response_sha256": "514f718066144845df46679d71ff39cc4affdde9ea7a9bed9fd3c9c0c2011219"
      },
      "statement": "The Observatory reports a centralized social-insurance system in which the Ministry of Health stewards policy and public-provider capital regulation, the Health Insurance Fund is the main purchaser, public secondary and tertiary providers predominate, and private primary practices operate under HIF contracts. It also reports the Health Network and My Appointment arrangements.",
      "tags": [],
      "territory": "North Macedonia national system; programme examples distinguished in the report",
      "title": "North Macedonia: Health system summary 2025",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://eurohealthobservatory.who.int/docs/librariesprovider3/publicationsnew/hit-summary-north-macedonia-2025-final.pdf?sfvrsn=5763193d_1"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Milevska Kostova N, Atanasova S, Dimkovski V, et al. North Macedonia: health system review 2024. Health Systems in Transition. 2024;26(6).",
      "country_ids": [
        "MKD"
      ],
      "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": "All primary care practices have been privatized",
      "institution": "European Observatory on Health Systems and Policies and WHO Regional Office for Europe",
      "locator": {
        "locator_type": "pdf_page_set_anchor",
        "source_word_anchor": "All primary care practices have been privatized",
        "source_word_count": 6
      },
      "material_id": "material:63ad4cb6f4f52c44c919e6fc",
      "notes": [
        "Keep the review's reported arrangements separate from transaction-level evidence of provider autonomy, referral completion or patient outcomes."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Health-system review published December 2024; individual indicators and arrangements retain their source years",
      "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": [
        "review_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "application/pdf",
        "file_sha256": "6981f9c22db1e418d3e59d9487b0570244107ce005cbaa48258b6b313bd538c0",
        "page_count": 164,
        "response_sha256": "6981f9c22db1e418d3e59d9487b0570244107ce005cbaa48258b6b313bd538c0"
      },
      "statement": "The review reports a single HIF purchaser, privatized primary practices under HIF contracts, predominantly public higher-level providers and My Appointment-supported patient pathways. Its system description does not measure every referral outcome or facility decision.",
      "tags": [],
      "territory": "North Macedonia national health system",
      "title": "North Macedonia: health system review 2024",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://iris.who.int/server/api/core/bitstreams/caa115d0-3bb6-4f87-9386-6b9e1078b28c/content"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Health Organization Regional Office for Europe. Primary health care organization, performance and quality in North Macedonia. Copenhagen: WHO; 2019.",
      "country_ids": [
        "MKD"
      ],
      "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",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "observed",
      "excerpt": "Accountability and referral patterns",
      "institution": "World Health Organization Regional Office for Europe",
      "locator": {
        "locator_type": "pdf_page_set_anchor",
        "source_word_anchor": "Accountability and referral patterns",
        "source_word_count": 4
      },
      "material_id": "material:04c4e239f7d9dee9fbb20f70",
      "notes": [
        "Keep the 2018-2019 assessment design and selected facility visits explicit. It does not establish a current national referral-completion rate, provider census or uniform practice autonomy."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Interviews, observation and data analysis from May 2018 to February 2019",
      "publication_date": null,
      "publication_year": 2019,
      "record_kind": "country_improvement_source_lead",
      "record_kind_label": "Country Improvement Source Lead",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "official"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "application/pdf",
        "file_sha256": "63aae826fc5ad2512c35a29f6d6a39c0dd7b391b60e2db1cebbd4ee1e04265f7",
        "page_count": 44,
        "response_sha256": "63aae826fc5ad2512c35a29f6d6a39c0dd7b391b60e2db1cebbd4ee1e04265f7"
      },
      "statement": "The WHO assessment combined health-information analysis, interviews, expert consultation and selected facility visits. It describes privatized primary practices, referral patterns and fragmented accountability, while its facility observations and contextual estimates are not a current national completion-rate measure.",
      "tags": [],
      "territory": "North Macedonia, with facility visits in Skopje, Tetovo, Shtip and Kochani",
      "title": "Primary health care organization, performance and quality in North Macedonia",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://www.who.int/docs/librariesprovider2/default-document-library/mkd-phc-report-160519.pdf?download=true&sfvrsn=8baa2c94_3"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Ministry of Health, Republic of North Macedonia. Referral of Patients. Official guidance webpage, retrieved 22 August 2026.",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "actors",
        "governance",
        "government_responsibilities",
        "hospital_organization",
        "networks",
        "patient_flows",
        "primary_care",
        "referral_design",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "formal",
      "excerpt": "with a referral from their chosen physician",
      "institution": "Ministry of Health, Republic of North Macedonia",
      "locator": {
        "html_text_block": "second paragraph",
        "locator_type": "html_section_anchor",
        "source_word_anchor": "with a referral from their chosen physician",
        "source_word_count": 7
      },
      "material_id": "material:7f3c41060eacb5622ff16fee",
      "notes": [
        "Treat the webpage as formal referral-model guidance. It does not evidence implementation, completion, timeliness or clinical outcomes."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Official Ministry guidance webpage retrieved 22 August 2026",
      "publication_date": null,
      "publication_year": 2026,
      "record_kind": "country_improvement_source_lead",
      "record_kind_label": "Country Improvement Source Lead",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "official"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "655be520403d91c41261785c4d261fdf35b02e696fc730db77f8c2bd7886dded"
      },
      "statement": "Ministry guidance describes a referral model in which a chosen physician refers insured people to specialist-consultative care and a specialist or subspecialist refers for hospital, subspecialist and university-clinic care. It describes referral design, not measured uptake or outcomes.",
      "tags": [],
      "territory": "North Macedonia insured individuals referred for specialist-consultative and hospital health services",
      "title": "Referral of Patients",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://zdravstvo.gov.mk/en-GB/dokumenti/upatstva/upatuvanje-na-pacientite"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Health Organization Regional Office for Europe. Towards health equity, cohesion and resilience in North Macedonia: findings from an assessment of barriers to health services. Copenhagen: WHO Regional Office for Europe; 2024.",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "actors",
        "authoritative_review",
        "governance",
        "hospital_organization",
        "networks",
        "observed_referral",
        "patient_flows",
        "primary_care",
        "referral_design",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "observed",
      "excerpt": "transportation time was a barrier",
      "institution": "World Health Organization Regional Office for Europe",
      "locator": {
        "locator_type": "pdf_page_set_anchor",
        "source_word_anchor": "transportation time was a barrier",
        "source_word_count": 5
      },
      "material_id": "material:5672f3f88b0750e4fdf75bd8",
      "notes": [
        "Preserve the mixed-methods design and 2022-2023 period. Do not generalize reported barriers into a national patient-flow denominator or implementation effect."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Mixed-methods assessment from mid-2022 to March 2023; report published 2024",
      "publication_date": null,
      "publication_year": 2024,
      "record_kind": "country_improvement_source_lead",
      "record_kind_label": "Country Improvement Source Lead",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "official"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "application/pdf",
        "file_sha256": "d7ce6946d6ce476dce48ff22fda51884efdf8c9d0b943075629193f7db3fa4bd",
        "page_count": 92,
        "response_sha256": "d7ce6946d6ce476dce48ff22fda51884efdf8c9d0b943075629193f7db3fa4bd"
      },
      "statement": "The assessment reports geographic, time-related and transport barriers, waiting times and limited specialist appointments from its mixed-methods evidence. These findings identify reported access barriers, not a national referral-completion rate or causal effect.",
      "tags": [],
      "territory": "North Macedonia, with survey, focus-group and key-informant evidence including rural and vulnerable populations",
      "title": "Towards health equity, cohesion and resilience in North Macedonia: findings from an assessment of barriers to health services",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://iris.who.int/server/api/core/bitstreams/0b20d17a-5766-4bf2-8804-726ea4cc99be/content"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Kollert F, et al. Towards leaving no one behind in North Macedonia: a mixed methods assessment of barriers to effective coverage with health services. International Journal for Equity in Health. 2024;23:54. doi:10.1186/s12939-023-02082-3.",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "actors",
        "authoritative_review",
        "governance",
        "hospital_organization",
        "networks",
        "observed_referral",
        "patient_flows",
        "primary_care",
        "referral_design",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "observed",
      "excerpt": "waiting times to get appointments",
      "institution": "International Journal for Equity in Health",
      "locator": {
        "locator_type": "xml_section_anchor",
        "source_word_anchor": "waiting times to get appointments",
        "source_word_count": 5
      },
      "material_id": "material:d78867cc3fe8093148949a1e",
      "notes": [
        "Keep the mixed-methods assessment's population and 2022-2023 period explicit. The reported barriers do not quantify national referral completion or establish a causal effect of the primary-care reform."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Mixed-methods assessment conducted from mid-2022 to March 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": [
        "research_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "text/xml",
        "response_sha256": "3ff5241cab3142a66d327d52a4f08e344f17262533ddc526ce22e4da7955d7f0"
      },
      "statement": "The mixed-methods assessment reports barriers including specialist-referral waiting times, distance and transport costs, workforce shortages and perceived discrimination. It supports barrier identification for the sampled assessment, not national referral completion, provider performance or causal attribution.",
      "tags": [],
      "territory": "North Macedonia adult citizens, with emphasis on rural areas and groups in vulnerable situations",
      "title": "Towards leaving no one behind in North Macedonia: a mixed methods assessment of barriers to effective coverage with health services",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC10943884/fullTextXML"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank Documents and Reports. Macedonia - Health Sector Management Project. World Bank Documents and Reports; 2011. https://documents.worldbank.org/curated/en/680781468054607549/pdf/ICR16910P086670e0only0900BOX361518B.pdf",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "actors",
        "government_responsibilities",
        "primary_care"
      ],
      "display_status": "shown_in_full",
      "document_type": "candidate source metadata",
      "evidence_mode": null,
      "excerpt": null,
      "institution": null,
      "locator": {
        "paragraph_index_on_page": 5,
        "physical_pdf_page": 9,
        "source_word_anchor": "of first-phase of hospital contract implementation Value quantitative or Qualitative 17 contracts",
        "source_word_count": 12
      },
      "material_id": "candidate-source:MKD:9d5c4dadd99e10d46e49",
      "notes": [
        "Public source projection retained as a distinct stage record.",
        "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": "current-public-source-projection",
      "period": null,
      "publication_date": null,
      "publication_year": 2011,
      "record_kind": "displayed_source_projection",
      "record_kind_label": "Displayed source projection",
      "screening": {
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_projected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "candidate_source_metadata",
        "grey_literature"
      ],
      "source_system": "global_literature",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 95,
        "response_sha256": "42eae7f07ac7c3ac924b07a2dd53eed8085775e0e0f9904eedf48e5d2ae98b0e"
      },
      "statement": null,
      "tags": [
        "grey_library"
      ],
      "territory": null,
      "title": "Macedonia - Health Sector Management Project",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/680781468054607549/pdf/ICR16910P086670e0only0900BOX361518B.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank Documents and Reports. Macedonia - Health Sector Management Project. World Bank Documents and Reports; 2012. https://documents.worldbank.org/curated/en/232141475089581730/pdf/000020051-20140624204215.pdf",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "actors",
        "authoritative_review",
        "government_responsibilities",
        "primary_care"
      ],
      "display_status": "shown_in_full",
      "document_type": "candidate source metadata",
      "evidence_mode": null,
      "excerpt": null,
      "institution": null,
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 2,
        "source_word_anchor": "budget formulation 2 HIF Governance and Management Strengthening appraisal US 3 35",
        "source_word_count": 12
      },
      "material_id": "candidate-source:MKD:bf39a2e62d8335f17ac8",
      "notes": [
        "Public source projection retained as a distinct stage record.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the priority traceability audit.",
        "A recoverable source locator was retrieved from this exact public source URL in the priority traceability audit."
      ],
      "origin": "current-public-source-projection",
      "period": null,
      "publication_date": null,
      "publication_year": 2012,
      "record_kind": "displayed_source_projection",
      "record_kind_label": "Displayed source projection",
      "screening": {
        "page_locator_linked_from_priority_acquisition": true,
        "previous_visibility": "previously_projected",
        "source_version_linked_from_priority_acquisition": true
      },
      "source_layers": [
        "candidate_source_metadata",
        "grey_literature"
      ],
      "source_system": "global_literature",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 11,
        "response_sha256": "ba60ed5215e8481db13d06d17a2b502aad4d0976b41317766e2e13da96aa1009"
      },
      "statement": null,
      "tags": [
        "grey_library"
      ],
      "territory": null,
      "title": "Macedonia - Health Sector Management Project",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/232141475089581730/pdf/000020051-20140624204215.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank Documents and Reports. Macedonia, former Yugoslav Republic of - Health Sector Management Project. World Bank Documents and Reports; 2013. https://documents.worldbank.org/curated/en/157741468270879481/pdf/782100PPAR0Mac0t0PUBLIC00Box379845B.pdf",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "actors",
        "government_responsibilities",
        "primary_care"
      ],
      "display_status": "shown_in_full",
      "document_type": "candidate source metadata",
      "evidence_mode": null,
      "excerpt": null,
      "institution": null,
      "locator": {
        "paragraph_index_on_page": 6,
        "physical_pdf_page": 9,
        "source_word_anchor": "financial management transparency and governance of the HIF and public health institutions",
        "source_word_count": 12
      },
      "material_id": "candidate-source:MKD:96e1570c6c12ee95f215",
      "notes": [
        "Public source projection retained as a distinct stage record.",
        "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": "current-public-source-projection",
      "period": null,
      "publication_date": null,
      "publication_year": 2013,
      "record_kind": "displayed_source_projection",
      "record_kind_label": "Displayed source projection",
      "screening": {
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_projected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "candidate_source_metadata",
        "grey_literature"
      ],
      "source_system": "global_literature",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 57,
        "response_sha256": "8cf0db6ac78788ce7a6e5dc623cee2236e99f9f33a197db253ef3a0a952eb918"
      },
      "statement": null,
      "tags": [
        "grey_library"
      ],
      "territory": null,
      "title": "Macedonia, former Yugoslav Republic of - Health Sector Management Project",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/157741468270879481/pdf/782100PPAR0Mac0t0PUBLIC00Box379845B.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank Documents and Reports. North Macedonia Health : Advisory Services and Analytics : Assessment of Primary Health Care Capacity. World Bank Documents and Reports; 2020. https://documents.worldbank.org/curated/en/595391593096242357/pdf/Assessment-of-Primary-Health-Care-Capacity.pdf",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "actors",
        "government_responsibilities",
        "hospital_organization",
        "primary_care",
        "referral_design"
      ],
      "display_status": "shown_in_full",
      "document_type": "candidate source metadata",
      "evidence_mode": null,
      "excerpt": null,
      "institution": null,
      "locator": {
        "paragraph_index_on_page": 3,
        "physical_pdf_page": 1,
        "source_word_anchor": "Health Care Capacity Assessment governance inputs population health and facility management is",
        "source_word_count": 12
      },
      "material_id": "candidate-source:MKD:6beb33ff972bddea08fb",
      "notes": [
        "Public source projection retained as a distinct stage record.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the priority traceability audit.",
        "A recoverable source locator was retrieved from this exact public source URL in the priority traceability audit."
      ],
      "origin": "current-public-source-projection",
      "period": null,
      "publication_date": null,
      "publication_year": 2020,
      "record_kind": "displayed_source_projection",
      "record_kind_label": "Displayed source projection",
      "screening": {
        "page_locator_linked_from_priority_acquisition": true,
        "previous_visibility": "previously_projected",
        "source_version_linked_from_priority_acquisition": true
      },
      "source_layers": [
        "candidate_source_metadata",
        "grey_literature"
      ],
      "source_system": "global_literature",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 18,
        "response_sha256": "8b9cdd91b8cd2e416ca717c88a1113649d4ebf4cb3156716c70e04c95a86c12a"
      },
      "statement": null,
      "tags": [
        "grey_library"
      ],
      "territory": null,
      "title": "North Macedonia Health : Advisory Services and Analytics : Assessment of Primary Health Care Capacity",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/595391593096242357/pdf/Assessment-of-Primary-Health-Care-Capacity.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Milevska Kostova N, Atanasova S, Dimkovski V, Stevanovski G, Stæhr Johansen A, Winkelmann J, Rechel B. North Macedonia: Health System Review.. Health systems in transition. 2024.",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "decision_rights",
        "governance",
        "government_responsibilities",
        "hospital_organization",
        "networks",
        "primary_care",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": "candidate source metadata",
      "evidence_mode": null,
      "excerpt": null,
      "institution": null,
      "locator": null,
      "material_id": "candidate-source:MKD:f2f09637f5f9c1999831",
      "notes": [
        "Public source projection retained as a distinct stage record.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "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": {
        "previous_visibility": "previously_projected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "candidate_source_metadata",
        "review_literature"
      ],
      "source_system": "pubmed_global_country_system_review_discovery",
      "source_version": {
        "detected_media_type": "text/xml",
        "response_sha256": "7c3f6e1c17298af037e2f13edc4787137160d76f6d0b984c2a0b962770f47624"
      },
      "statement": null,
      "tags": [
        "pubmed_review"
      ],
      "territory": null,
      "title": "North Macedonia: Health System Review.",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://pubmed.ncbi.nlm.nih.gov/40386870/"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "url_status": "available"
      },
      "citation": "World Bank Documents and Reports. Former Yugoslav Republic of Macedonia - Health Sector Management Project. World Bank Documents and Reports; 2004. https://documents.worldbank.org/curated/en/269581468773695259/pdf/277600MK.pdf",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "actors",
        "government_responsibilities",
        "primary_care"
      ],
      "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": "Component 2 Strengthening HIF Governance and Management US 3 45 million This",
        "source_word_count": 12
      },
      "material_id": "material:c4b3b680099be9b7b73ae10e",
      "notes": [
        "Catalogue lead displayed in full for source and claim annotation.",
        "Catalogue geography, title matching, and taxonomy tags require human confirmation.",
        "No source bytes, exact locator, or atomic claim has been reviewed by the Health Organization registry.",
        "Grey literature does not by itself establish current formal authority.",
        "Catalogue ISO3 jurisdiction and an explicit metadata country alias in the title both matched.",
        "Catalogue has the Organization control-knob tag.",
        "Catalogue has organization-relevant topic tags: primary_care, service_delivery.",
        "Source family: global_literature.",
        "Title signal: health_sector.",
        "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-grey-source-leads",
      "period": null,
      "publication_date": "2004-04-20",
      "publication_year": 2004,
      "record_kind": "grey_literature_source_lead",
      "record_kind_label": "Grey Literature Source Lead",
      "screening": {
        "candidate_status": "candidate",
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_boundary_detected": true,
        "previous_visibility": "previously_not_projected",
        "review_status": "unreviewed",
        "source_version_linked_from_country_score_acquisition": true,
        "status": "candidate",
        "triage_status": "new"
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "global_literature",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 95,
        "response_sha256": "972b9aff62b84185f54ac8bb0a41629a59e71aed8251f81ceee9eb74433e0f2e"
      },
      "statement": null,
      "tags": [
        "Catalogue ISO3 jurisdiction and an explicit metadata country alias in the title both matched.",
        "Catalogue has organization-relevant topic tags: primary_care, service_delivery.",
        "Catalogue has the Organization control-knob tag.",
        "Source family: global_literature.",
        "Title signal: health_sector.",
        "catalogue_iso3_match",
        "catalogue_topic:accreditation_quality",
        "catalogue_topic:pooling_insurance",
        "catalogue_topic:primary_care",
        "catalogue_topic:provider_payment",
        "catalogue_topic:service_delivery",
        "explicit_country_alias",
        "grey_literature",
        "health_system_organization",
        "title:health_sector",
        "title_country_alias_match"
      ],
      "territory": null,
      "title": "Former Yugoslav Republic of Macedonia - Health Sector Management Project",
      "urls": [
        {
          "kind": "stable_url",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/269581468773695259/pdf/277600MK.pdf"
        },
        {
          "kind": "catalogue",
          "source": "not supplied",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/269581468773695259/text/277600MK.txt"
        },
        {
          "kind": "landing",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/269581468773695259"
        },
        {
          "kind": "source",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "url_status": "available"
      },
      "citation": "World Bank Documents and Reports. Macedonia - Health Sector Development Project. World Bank Documents and Reports; 2003. https://documents.worldbank.org/curated/en/844741468757008559/pdf/multi0page.pdf",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "actors",
        "government_responsibilities",
        "primary_care"
      ],
      "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": "staff long-tern consultalnts inder contract with the MOH for the duration of",
        "source_word_count": 12
      },
      "material_id": "material:74fa9498aa3fcbcde9158a94",
      "notes": [
        "Catalogue lead displayed in full for source and claim annotation.",
        "Catalogue geography, title matching, and taxonomy tags require human confirmation.",
        "No source bytes, exact locator, or atomic claim has been reviewed by the Health Organization registry.",
        "Grey literature does not by itself establish current formal authority.",
        "Catalogue ISO3 jurisdiction and an explicit metadata country alias in the title both matched.",
        "Catalogue has the Organization control-knob tag.",
        "Catalogue has organization-relevant topic tags: primary_care, service_delivery.",
        "Source family: global_literature.",
        "Title signal: health_sector.",
        "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-grey-source-leads",
      "period": null,
      "publication_date": "2003-04-04",
      "publication_year": 2003,
      "record_kind": "grey_literature_source_lead",
      "record_kind_label": "Grey Literature Source Lead",
      "screening": {
        "candidate_status": "candidate",
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_boundary_detected": true,
        "previous_visibility": "previously_not_projected",
        "review_status": "unreviewed",
        "source_version_linked_from_country_score_acquisition": true,
        "status": "candidate",
        "triage_status": "new"
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "global_literature",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 9,
        "response_sha256": "2fe6bc207384014c1938b1a1085d199b6ce3b8f02f17e9f4341816d7fc662ccc"
      },
      "statement": null,
      "tags": [
        "Catalogue ISO3 jurisdiction and an explicit metadata country alias in the title both matched.",
        "Catalogue has organization-relevant topic tags: primary_care, service_delivery.",
        "Catalogue has the Organization control-knob tag.",
        "Source family: global_literature.",
        "Title signal: health_sector.",
        "catalogue_iso3_match",
        "catalogue_topic:primary_care",
        "catalogue_topic:provider_payment",
        "catalogue_topic:service_delivery",
        "explicit_country_alias",
        "grey_literature",
        "health_system_organization",
        "title:health_sector",
        "title_country_alias_match"
      ],
      "territory": null,
      "title": "Macedonia - Health Sector Development Project",
      "urls": [
        {
          "kind": "stable_url",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/844741468757008559/pdf/multi0page.pdf"
        },
        {
          "kind": "catalogue",
          "source": "not supplied",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/844741468757008559/text/multi0page.txt"
        },
        {
          "kind": "landing",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/844741468757008559"
        },
        {
          "kind": "source",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "url_status": "available"
      },
      "citation": "World Bank Documents and Reports. Macedonia - Health Sector Management Project. World Bank Documents and Reports; 2004. https://documents.worldbank.org/curated/en/520971468054536044/pdf/AC391.pdf",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "actors",
        "government_responsibilities",
        "primary_care"
      ],
      "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": 2,
        "source_word_anchor": "improve the efficiency and governance of health services delivery ii improve the",
        "source_word_count": 12
      },
      "material_id": "material:9831ed0f9cee4df19b616bc5",
      "notes": [
        "Catalogue lead displayed in full for source and claim annotation.",
        "Catalogue geography, title matching, and taxonomy tags require human confirmation.",
        "No source bytes, exact locator, or atomic claim has been reviewed by the Health Organization registry.",
        "Grey literature does not by itself establish current formal authority.",
        "Catalogue ISO3 jurisdiction and an explicit metadata country alias in the title both matched.",
        "Catalogue has the Organization control-knob tag.",
        "Catalogue has organization-relevant topic tags: primary_care, service_delivery.",
        "Source family: global_literature.",
        "Title signal: health_sector.",
        "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-grey-source-leads",
      "period": null,
      "publication_date": "2004-03-01",
      "publication_year": 2004,
      "record_kind": "grey_literature_source_lead",
      "record_kind_label": "Grey Literature Source Lead",
      "screening": {
        "candidate_status": "candidate",
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_boundary_detected": true,
        "previous_visibility": "previously_not_projected",
        "review_status": "unreviewed",
        "source_version_linked_from_country_score_acquisition": true,
        "status": "candidate",
        "triage_status": "new"
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "global_literature",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 6,
        "response_sha256": "ca2fe1ed90b461e2f2405c7db7dbeb1cb9983a639d7b4da9f5d35145ae297286"
      },
      "statement": null,
      "tags": [
        "Catalogue ISO3 jurisdiction and an explicit metadata country alias in the title both matched.",
        "Catalogue has organization-relevant topic tags: primary_care, service_delivery.",
        "Catalogue has the Organization control-knob tag.",
        "Source family: global_literature.",
        "Title signal: health_sector.",
        "catalogue_iso3_match",
        "catalogue_topic:pooling_insurance",
        "catalogue_topic:primary_care",
        "catalogue_topic:service_delivery",
        "explicit_country_alias",
        "grey_literature",
        "health_system_organization",
        "title:health_sector",
        "title_country_alias_match"
      ],
      "territory": null,
      "title": "Macedonia - Health Sector Management Project",
      "urls": [
        {
          "kind": "stable_url",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/520971468054536044/pdf/AC391.pdf"
        },
        {
          "kind": "catalogue",
          "source": "not supplied",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/520971468054536044/text/AC391.txt"
        },
        {
          "kind": "landing",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/520971468054536044"
        },
        {
          "kind": "source",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "url_status": "available"
      },
      "citation": "World Bank Documents and Reports. Macedonia - Health Sector Management Project. World Bank Documents and Reports; 2011. https://documents.worldbank.org/curated/en/680781468054607549/pdf/ICR16910P086670e0only0900BOX361518B.pdf",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "actors",
        "government_responsibilities",
        "primary_care"
      ],
      "display_status": "shown_in_full",
      "document_type": "health law",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 5,
        "physical_pdf_page": 9,
        "source_word_anchor": "of first-phase of hospital contract implementation Value quantitative or Qualitative 17 contracts",
        "source_word_count": 12
      },
      "material_id": "material:b91921a2358196e2901c3db3",
      "notes": [
        "Catalogue lead displayed in full for source and claim annotation.",
        "Catalogue geography, title matching, and taxonomy tags require human confirmation.",
        "No source bytes, exact locator, or atomic claim has been reviewed by the Health Organization registry.",
        "Grey literature does not by itself establish current formal authority.",
        "Catalogue ISO3 jurisdiction and an explicit metadata country alias in the title both matched.",
        "Catalogue document type: health law.",
        "Catalogue has the Organization control-knob tag.",
        "Catalogue has organization-relevant topic tags: primary_care, service_delivery.",
        "Source family: global_literature.",
        "Title signal: health_sector.",
        "Published in 2010 or later.",
        "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-grey-source-leads",
      "period": null,
      "publication_date": "2011-06-03",
      "publication_year": 2011,
      "record_kind": "grey_literature_source_lead",
      "record_kind_label": "Grey Literature Source Lead",
      "screening": {
        "candidate_status": "candidate",
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_boundary_detected": true,
        "previous_visibility": "previously_not_projected",
        "review_status": "unreviewed",
        "source_version_linked_from_country_score_acquisition": true,
        "status": "candidate",
        "triage_status": "new"
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "global_literature",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 95,
        "response_sha256": "42eae7f07ac7c3ac924b07a2dd53eed8085775e0e0f9904eedf48e5d2ae98b0e"
      },
      "statement": null,
      "tags": [
        "Catalogue ISO3 jurisdiction and an explicit metadata country alias in the title both matched.",
        "Catalogue document type: health law.",
        "Catalogue has organization-relevant topic tags: primary_care, service_delivery.",
        "Catalogue has the Organization control-knob tag.",
        "Published in 2010 or later.",
        "Source family: global_literature.",
        "Title signal: health_sector.",
        "catalogue_iso3_match",
        "catalogue_topic:accreditation_quality",
        "catalogue_topic:pooling_insurance",
        "catalogue_topic:primary_care",
        "catalogue_topic:provider_payment",
        "catalogue_topic:service_delivery",
        "explicit_country_alias",
        "grey_literature",
        "health_system_organization",
        "title:health_sector",
        "title_country_alias_match"
      ],
      "territory": null,
      "title": "Macedonia - Health Sector Management Project",
      "urls": [
        {
          "kind": "stable_url",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/680781468054607549/pdf/ICR16910P086670e0only0900BOX361518B.pdf"
        },
        {
          "kind": "catalogue",
          "source": "not supplied",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/680781468054607549/text/ICR16910P086670e0only0900BOX361518B.txt"
        },
        {
          "kind": "landing",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/680781468054607549"
        },
        {
          "kind": "source",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "url_status": "available"
      },
      "citation": "World Bank Documents and Reports. Macedonia - Health Sector Management Project. World Bank Documents and Reports; 2012. https://documents.worldbank.org/curated/en/232141475089581730/pdf/000020051-20140624204215.pdf",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "actors",
        "authoritative_review",
        "government_responsibilities",
        "primary_care"
      ],
      "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": 2,
        "source_word_anchor": "budget formulation 2 HIF Governance and Management Strengthening appraisal US 3 35",
        "source_word_count": 12
      },
      "material_id": "material:df450811033473d325dff8a0",
      "notes": [
        "Catalogue lead displayed in full for source and claim annotation.",
        "Catalogue geography, title matching, and taxonomy tags require human confirmation.",
        "No source bytes, exact locator, or atomic claim has been reviewed by the Health Organization registry.",
        "Grey literature does not by itself establish current formal authority.",
        "Catalogue ISO3 jurisdiction and an explicit metadata country alias in the title both matched.",
        "Catalogue document type: health system review.",
        "Catalogue has the Organization control-knob tag.",
        "Catalogue has organization-relevant topic tags: primary_care, service_delivery.",
        "Source family: global_literature.",
        "Title signal: health_sector.",
        "Published in 2010 or later.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the priority traceability audit.",
        "A recoverable source locator was retrieved from this exact public source URL in the priority traceability audit."
      ],
      "origin": "global-grey-source-leads",
      "period": null,
      "publication_date": "2012-03-15",
      "publication_year": 2012,
      "record_kind": "grey_literature_source_lead",
      "record_kind_label": "Grey Literature Source Lead",
      "screening": {
        "candidate_status": "candidate",
        "page_locator_linked_from_priority_acquisition": true,
        "previous_boundary_detected": true,
        "previous_visibility": "previously_not_projected",
        "review_status": "unreviewed",
        "source_version_linked_from_priority_acquisition": true,
        "status": "candidate",
        "triage_status": "new"
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "global_literature",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 11,
        "response_sha256": "ba60ed5215e8481db13d06d17a2b502aad4d0976b41317766e2e13da96aa1009"
      },
      "statement": null,
      "tags": [
        "Catalogue ISO3 jurisdiction and an explicit metadata country alias in the title both matched.",
        "Catalogue document type: health system review.",
        "Catalogue has organization-relevant topic tags: primary_care, service_delivery.",
        "Catalogue has the Organization control-knob tag.",
        "Published in 2010 or later.",
        "Source family: global_literature.",
        "Title signal: health_sector.",
        "catalogue_iso3_match",
        "catalogue_topic:accreditation_quality",
        "catalogue_topic:pooling_insurance",
        "catalogue_topic:primary_care",
        "catalogue_topic:provider_payment",
        "catalogue_topic:service_delivery",
        "explicit_country_alias",
        "grey_literature",
        "health_system_organization",
        "title:health_sector",
        "title_country_alias_match"
      ],
      "territory": null,
      "title": "Macedonia - Health Sector Management Project",
      "urls": [
        {
          "kind": "stable_url",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/232141475089581730/pdf/000020051-20140624204215.pdf"
        },
        {
          "kind": "catalogue",
          "source": "not supplied",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/232141475089581730/text/000020051-20140624204215.txt"
        },
        {
          "kind": "landing",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/232141475089581730"
        },
        {
          "kind": "source",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "url_status": "available"
      },
      "citation": "World Bank Documents and Reports. Macedonia - Health Sector Management Project : restructuring (Vol. 1 of 2) : Main report. World Bank Documents and Reports; 2010. https://documents.worldbank.org/curated/en/378311468049145423/pdf/549490PJPR0P081d0June080201001SEC1.pdf",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "actors",
        "government_responsibilities",
        "primary_care"
      ],
      "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": 1,
        "source_word_anchor": "IT capacity in the Ministry of Health and PCU All other activities",
        "source_word_count": 12
      },
      "material_id": "material:2ef9e69e7e4117347cfee04b",
      "notes": [
        "Catalogue lead displayed in full for source and claim annotation.",
        "Catalogue geography, title matching, and taxonomy tags require human confirmation.",
        "No source bytes, exact locator, or atomic claim has been reviewed by the Health Organization registry.",
        "Grey literature does not by itself establish current formal authority.",
        "Catalogue ISO3 jurisdiction and an explicit metadata country alias in the title both matched.",
        "Catalogue has organization-relevant topic tags: primary_care.",
        "Source family: global_literature.",
        "Title signal: health_sector.",
        "Published in 2010 or later.",
        "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-grey-source-leads",
      "period": null,
      "publication_date": "2010-06-08",
      "publication_year": 2010,
      "record_kind": "grey_literature_source_lead",
      "record_kind_label": "Grey Literature Source Lead",
      "screening": {
        "candidate_status": "candidate",
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_boundary_detected": true,
        "previous_visibility": "previously_not_projected",
        "review_status": "unreviewed",
        "source_version_linked_from_country_score_acquisition": true,
        "status": "candidate",
        "triage_status": "new"
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "global_literature",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 1,
        "response_sha256": "5edabfcefb34ac0ffdd8abe74fdfc94ea3a701b8f2119616f7aa60e9bdefe82d"
      },
      "statement": null,
      "tags": [
        "Catalogue ISO3 jurisdiction and an explicit metadata country alias in the title both matched.",
        "Catalogue has organization-relevant topic tags: primary_care.",
        "Published in 2010 or later.",
        "Source family: global_literature.",
        "Title signal: health_sector.",
        "catalogue_iso3_match",
        "catalogue_topic:pooling_insurance",
        "catalogue_topic:primary_care",
        "explicit_country_alias",
        "grey_literature",
        "health_system_organization",
        "title:health_sector",
        "title_country_alias_match"
      ],
      "territory": null,
      "title": "Macedonia - Health Sector Management Project : restructuring (Vol. 1 of 2) : Main report",
      "urls": [
        {
          "kind": "stable_url",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/378311468049145423/pdf/549490PJPR0P081d0June080201001SEC1.pdf"
        },
        {
          "kind": "catalogue",
          "source": "not supplied",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/378311468049145423/text/549490PJPR0P081d0June080201001SEC1.txt"
        },
        {
          "kind": "landing",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/378311468049145423"
        },
        {
          "kind": "source",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "url_status": "available"
      },
      "citation": "World Bank Documents and Reports. Macedonia - Health Sector Management Project : restructuring (Vol. 2 of 2) : Data sheet. World Bank Documents and Reports; 2010. https://documents.worldbank.org/curated/en/702771468089132311/pdf/549490PJPR0P081ucturing0Data0sheet.pdf",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "actors",
        "government_responsibilities",
        "primary_care"
      ],
      "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": 1,
        "source_word_anchor": "Borrower Organization Department Location Ministry of Finance Macedonia former Yugoslav Republic of",
        "source_word_count": 12
      },
      "material_id": "material:2149bc642b4ba141ba983d83",
      "notes": [
        "Catalogue lead displayed in full for source and claim annotation.",
        "Catalogue geography, title matching, and taxonomy tags require human confirmation.",
        "No source bytes, exact locator, or atomic claim has been reviewed by the Health Organization registry.",
        "Grey literature does not by itself establish current formal authority.",
        "Catalogue ISO3 jurisdiction and an explicit metadata country alias in the title both matched.",
        "Catalogue has organization-relevant topic tags: primary_care.",
        "Source family: global_literature.",
        "Title signal: health_sector.",
        "Published in 2010 or later.",
        "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-grey-source-leads",
      "period": null,
      "publication_date": "2010-06-08",
      "publication_year": 2010,
      "record_kind": "grey_literature_source_lead",
      "record_kind_label": "Grey Literature Source Lead",
      "screening": {
        "candidate_status": "candidate",
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_boundary_detected": true,
        "previous_visibility": "previously_not_projected",
        "review_status": "unreviewed",
        "source_version_linked_from_country_score_acquisition": true,
        "status": "candidate",
        "triage_status": "new"
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "global_literature",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 2,
        "response_sha256": "19accaab79e809ac490c38b5609beeca7854ebdf4a520f219f57660d5cc0ac8d"
      },
      "statement": null,
      "tags": [
        "Catalogue ISO3 jurisdiction and an explicit metadata country alias in the title both matched.",
        "Catalogue has organization-relevant topic tags: primary_care.",
        "Published in 2010 or later.",
        "Source family: global_literature.",
        "Title signal: health_sector.",
        "catalogue_iso3_match",
        "catalogue_topic:pooling_insurance",
        "catalogue_topic:primary_care",
        "explicit_country_alias",
        "grey_literature",
        "health_system_organization",
        "title:health_sector",
        "title_country_alias_match"
      ],
      "territory": null,
      "title": "Macedonia - Health Sector Management Project : restructuring (Vol. 2 of 2) : Data sheet",
      "urls": [
        {
          "kind": "stable_url",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/702771468089132311/pdf/549490PJPR0P081ucturing0Data0sheet.pdf"
        },
        {
          "kind": "catalogue",
          "source": "not supplied",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/702771468089132311/text/549490PJPR0P081ucturing0Data0sheet.txt"
        },
        {
          "kind": "landing",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/702771468089132311"
        },
        {
          "kind": "source",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "url_status": "available"
      },
      "citation": "World Bank Documents and Reports. Macedonia - Health Sector Transition. World Bank Documents and Reports; 2003. https://documents.worldbank.org/curated/en/805081474490598315/pdf/000020051-20140612073101.pdf",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "actors",
        "authoritative_review",
        "government_responsibilities",
        "primary_care"
      ],
      "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": 1,
        "source_word_anchor": "management skills in the Ministry of Health the Health Insurance Fund and",
        "source_word_count": 12
      },
      "material_id": "material:5fef6648c064a73dc068a0bf",
      "notes": [
        "Catalogue lead displayed in full for source and claim annotation.",
        "Catalogue geography, title matching, and taxonomy tags require human confirmation.",
        "No source bytes, exact locator, or atomic claim has been reviewed by the Health Organization registry.",
        "Grey literature does not by itself establish current formal authority.",
        "Catalogue ISO3 jurisdiction and an explicit metadata country alias in the title both matched.",
        "Catalogue document type: health system review.",
        "Catalogue has organization-relevant topic tags: primary_care.",
        "Source family: global_literature.",
        "Title signal: health_sector.",
        "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-grey-source-leads",
      "period": null,
      "publication_date": "2003-09-30",
      "publication_year": 2003,
      "record_kind": "grey_literature_source_lead",
      "record_kind_label": "Grey Literature Source Lead",
      "screening": {
        "candidate_status": "candidate",
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_boundary_detected": true,
        "previous_visibility": "previously_not_projected",
        "review_status": "unreviewed",
        "source_version_linked_from_country_score_acquisition": true,
        "status": "candidate",
        "triage_status": "new"
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "global_literature",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 3,
        "response_sha256": "7751f1da7ef0dea12cdfec0267226d256629d7eb671551ebdcd2c37ae4ed3764"
      },
      "statement": null,
      "tags": [
        "Catalogue ISO3 jurisdiction and an explicit metadata country alias in the title both matched.",
        "Catalogue document type: health system review.",
        "Catalogue has organization-relevant topic tags: primary_care.",
        "Source family: global_literature.",
        "Title signal: health_sector.",
        "catalogue_iso3_match",
        "catalogue_topic:pooling_insurance",
        "catalogue_topic:primary_care",
        "explicit_country_alias",
        "grey_literature",
        "health_system_organization",
        "title:health_sector",
        "title_country_alias_match"
      ],
      "territory": null,
      "title": "Macedonia - Health Sector Transition",
      "urls": [
        {
          "kind": "stable_url",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/805081474490598315/pdf/000020051-20140612073101.pdf"
        },
        {
          "kind": "catalogue",
          "source": "not supplied",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/805081474490598315/text/000020051-20140612073101.txt"
        },
        {
          "kind": "landing",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/805081474490598315"
        },
        {
          "kind": "source",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "url_status": "available"
      },
      "citation": "World Bank Documents and Reports. Macedonia - Health Sector Transition Project. World Bank Documents and Reports; 2003. https://documents.worldbank.org/curated/en/515781468773101122/pdf/25735.pdf",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "actors",
        "government_responsibilities",
        "primary_care"
      ],
      "display_status": "shown_in_full",
      "document_type": "technical report",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 9,
        "source_word_anchor": "the lack of appropriate governance accountability management autonomy and incentives for public",
        "source_word_count": 12
      },
      "material_id": "material:a5d2d70751589bcd79c4ba84",
      "notes": [
        "Catalogue lead displayed in full for source and claim annotation.",
        "Catalogue geography, title matching, and taxonomy tags require human confirmation.",
        "No source bytes, exact locator, or atomic claim has been reviewed by the Health Organization registry.",
        "Grey literature does not by itself establish current formal authority.",
        "Catalogue ISO3 jurisdiction and an explicit metadata country alias in the title both matched.",
        "Catalogue document type: technical report.",
        "Catalogue has organization-relevant topic tags: primary_care.",
        "Source family: global_literature.",
        "Title signal: health_sector.",
        "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-grey-source-leads",
      "period": null,
      "publication_date": "2003-04-10",
      "publication_year": 2003,
      "record_kind": "grey_literature_source_lead",
      "record_kind_label": "Grey Literature Source Lead",
      "screening": {
        "candidate_status": "candidate",
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_boundary_detected": true,
        "previous_visibility": "previously_not_projected",
        "review_status": "unreviewed",
        "source_version_linked_from_country_score_acquisition": true,
        "status": "candidate",
        "triage_status": "new"
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "global_literature",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 36,
        "response_sha256": "b49cd2aa4dc9fb7cdaf1cb7b8541ac64b1ae29c18a483f237d6b4f44e571c13c"
      },
      "statement": null,
      "tags": [
        "Catalogue ISO3 jurisdiction and an explicit metadata country alias in the title both matched.",
        "Catalogue document type: technical report.",
        "Catalogue has organization-relevant topic tags: primary_care.",
        "Source family: global_literature.",
        "Title signal: health_sector.",
        "catalogue_iso3_match",
        "catalogue_topic:pooling_insurance",
        "catalogue_topic:primary_care",
        "catalogue_topic:provider_payment",
        "explicit_country_alias",
        "grey_literature",
        "health_system_organization",
        "title:health_sector",
        "title_country_alias_match"
      ],
      "territory": null,
      "title": "Macedonia - Health Sector Transition Project",
      "urls": [
        {
          "kind": "stable_url",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/515781468773101122/pdf/25735.pdf"
        },
        {
          "kind": "catalogue",
          "source": "not supplied",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/515781468773101122/text/25735.txt"
        },
        {
          "kind": "landing",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/515781468773101122"
        },
        {
          "kind": "source",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "url_status": "available"
      },
      "citation": "World Bank Documents and Reports. Macedonia - Health Sector Transition Project. World Bank Documents and Reports; 1996. https://documents.worldbank.org/curated/en/689651468773712751/pdf/multi0page.pdf",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "actors",
        "government_responsibilities",
        "hospital_organization",
        "primary_care",
        "referral_design"
      ],
      "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": 5,
        "source_word_anchor": "Republic of Macedonia Beneficiary Ministry of Health MOH National Health Insurance Fund",
        "source_word_count": 12
      },
      "material_id": "material:fff1ee58db1f4c78b86ba5d3",
      "notes": [
        "Catalogue lead displayed in full for source and claim annotation.",
        "Catalogue geography, title matching, and taxonomy tags require human confirmation.",
        "No source bytes, exact locator, or atomic claim has been reviewed by the Health Organization registry.",
        "Grey literature does not by itself establish current formal authority.",
        "Catalogue ISO3 jurisdiction and an explicit metadata country alias in the title both matched.",
        "Catalogue document type: technical report.",
        "Catalogue has the Organization control-knob tag.",
        "Catalogue has organization-relevant topic tags: hospital_referral, primary_care.",
        "Source family: global_literature.",
        "Title signal: health_sector.",
        "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-grey-source-leads",
      "period": null,
      "publication_date": "1996-05-24",
      "publication_year": 1996,
      "record_kind": "grey_literature_source_lead",
      "record_kind_label": "Grey Literature Source Lead",
      "screening": {
        "candidate_status": "candidate",
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_boundary_detected": true,
        "previous_visibility": "previously_not_projected",
        "review_status": "unreviewed",
        "source_version_linked_from_country_score_acquisition": true,
        "status": "candidate",
        "triage_status": "new"
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "global_literature",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 152,
        "response_sha256": "861514ac6d3ecc7ba8c02b6092f926c7721b841c62441e16e5d9a32c82636fb7"
      },
      "statement": null,
      "tags": [
        "Catalogue ISO3 jurisdiction and an explicit metadata country alias in the title both matched.",
        "Catalogue document type: technical report.",
        "Catalogue has organization-relevant topic tags: hospital_referral, primary_care.",
        "Catalogue has the Organization control-knob tag.",
        "Source family: global_literature.",
        "Title signal: health_sector.",
        "catalogue_iso3_match",
        "catalogue_topic:accreditation_quality",
        "catalogue_topic:hospital_referral",
        "catalogue_topic:pooling_insurance",
        "catalogue_topic:primary_care",
        "catalogue_topic:provider_payment",
        "explicit_country_alias",
        "grey_literature",
        "health_system_organization",
        "title:health_sector",
        "title_country_alias_match"
      ],
      "territory": null,
      "title": "Macedonia - Health Sector Transition Project",
      "urls": [
        {
          "kind": "stable_url",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/689651468773712751/pdf/multi0page.pdf"
        },
        {
          "kind": "catalogue",
          "source": "not supplied",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/689651468773712751/text/multi0page.txt"
        },
        {
          "kind": "landing",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/689651468773712751"
        },
        {
          "kind": "source",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "url_status": "available"
      },
      "citation": "World Bank Documents and Reports. Macedonia, former Yugoslav Republic of - Health Sector Management Project. World Bank Documents and Reports; 2013. https://documents.worldbank.org/curated/en/157741468270879481/pdf/782100PPAR0Mac0t0PUBLIC00Box379845B.pdf",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "actors",
        "government_responsibilities",
        "primary_care"
      ],
      "display_status": "shown_in_full",
      "document_type": "technical report",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 6,
        "physical_pdf_page": 9,
        "source_word_anchor": "financial management transparency and governance of the HIF and public health institutions",
        "source_word_count": 12
      },
      "material_id": "material:3b5f200d9dd2e98b7193ac67",
      "notes": [
        "Catalogue lead displayed in full for source and claim annotation.",
        "Catalogue geography, title matching, and taxonomy tags require human confirmation.",
        "No source bytes, exact locator, or atomic claim has been reviewed by the Health Organization registry.",
        "Grey literature does not by itself establish current formal authority.",
        "Catalogue ISO3 jurisdiction and an explicit metadata country alias in the title both matched.",
        "Catalogue document type: technical report.",
        "Catalogue has the Organization control-knob tag.",
        "Catalogue has organization-relevant topic tags: primary_care, service_delivery.",
        "Source family: global_literature.",
        "Title signal: health_sector.",
        "Published in 2010 or later.",
        "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-grey-source-leads",
      "period": null,
      "publication_date": "2013-09-25",
      "publication_year": 2013,
      "record_kind": "grey_literature_source_lead",
      "record_kind_label": "Grey Literature Source Lead",
      "screening": {
        "candidate_status": "candidate",
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_boundary_detected": true,
        "previous_visibility": "previously_not_projected",
        "review_status": "unreviewed",
        "source_version_linked_from_country_score_acquisition": true,
        "status": "candidate",
        "triage_status": "new"
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "global_literature",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 57,
        "response_sha256": "8cf0db6ac78788ce7a6e5dc623cee2236e99f9f33a197db253ef3a0a952eb918"
      },
      "statement": null,
      "tags": [
        "Catalogue ISO3 jurisdiction and an explicit metadata country alias in the title both matched.",
        "Catalogue document type: technical report.",
        "Catalogue has organization-relevant topic tags: primary_care, service_delivery.",
        "Catalogue has the Organization control-knob tag.",
        "Published in 2010 or later.",
        "Source family: global_literature.",
        "Title signal: health_sector.",
        "catalogue_iso3_match",
        "catalogue_topic:accreditation_quality",
        "catalogue_topic:fiscal_space_budget",
        "catalogue_topic:health_information",
        "catalogue_topic:pooling_insurance",
        "catalogue_topic:primary_care",
        "catalogue_topic:provider_payment",
        "catalogue_topic:service_delivery",
        "explicit_country_alias",
        "grey_literature",
        "health_system_organization",
        "title:health_sector",
        "title_country_alias_match"
      ],
      "territory": null,
      "title": "Macedonia, former Yugoslav Republic of - Health Sector Management Project",
      "urls": [
        {
          "kind": "stable_url",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/157741468270879481/pdf/782100PPAR0Mac0t0PUBLIC00Box379845B.pdf"
        },
        {
          "kind": "catalogue",
          "source": "not supplied",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/157741468270879481/text/782100PPAR0Mac0t0PUBLIC00Box379845B.txt"
        },
        {
          "kind": "landing",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/157741468270879481"
        },
        {
          "kind": "source",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "url_status": "available"
      },
      "citation": "World Bank Documents and Reports. North Macedonia Health : Advisory Services and Analytics : Assessment of Primary Health Care Capacity. World Bank Documents and Reports; 2020. https://documents.worldbank.org/curated/en/595391593096242357/pdf/Assessment-of-Primary-Health-Care-Capacity.pdf",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "actors",
        "government_responsibilities",
        "hospital_organization",
        "primary_care",
        "referral_design"
      ],
      "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": 3,
        "physical_pdf_page": 1,
        "source_word_anchor": "Health Care Capacity Assessment governance inputs population health and facility management is",
        "source_word_count": 12
      },
      "material_id": "material:6107f587846ab17f5c3c9961",
      "notes": [
        "Catalogue lead displayed in full for source and claim annotation.",
        "Catalogue geography, title matching, and taxonomy tags require human confirmation.",
        "No source bytes, exact locator, or atomic claim has been reviewed by the Health Organization registry.",
        "Grey literature does not by itself establish current formal authority.",
        "Catalogue ISO3 jurisdiction and an explicit metadata country alias in the title both matched.",
        "Catalogue document type: technical report.",
        "Catalogue has the Organization control-knob tag.",
        "Catalogue has organization-relevant topic tags: health_workforce, hospital_referral, primary_care, service_delivery.",
        "Source family: global_literature.",
        "Title signal: health_care.",
        "Title signal: primary_care.",
        "Published in 2020 or later.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the priority traceability audit.",
        "A recoverable source locator was retrieved from this exact public source URL in the priority traceability audit."
      ],
      "origin": "global-grey-source-leads",
      "period": null,
      "publication_date": "2020-01-01",
      "publication_year": 2020,
      "record_kind": "grey_literature_source_lead",
      "record_kind_label": "Grey Literature Source Lead",
      "screening": {
        "candidate_status": "candidate",
        "page_locator_linked_from_priority_acquisition": true,
        "previous_boundary_detected": true,
        "previous_visibility": "previously_not_projected",
        "review_status": "unreviewed",
        "source_version_linked_from_priority_acquisition": true,
        "status": "candidate",
        "triage_status": "new"
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "global_literature",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 18,
        "response_sha256": "8b9cdd91b8cd2e416ca717c88a1113649d4ebf4cb3156716c70e04c95a86c12a"
      },
      "statement": null,
      "tags": [
        "Catalogue ISO3 jurisdiction and an explicit metadata country alias in the title both matched.",
        "Catalogue document type: technical report.",
        "Catalogue has organization-relevant topic tags: health_workforce, hospital_referral, primary_care, service_delivery.",
        "Catalogue has the Organization control-knob tag.",
        "Published in 2020 or later.",
        "Source family: global_literature.",
        "Title signal: health_care.",
        "Title signal: primary_care.",
        "catalogue_iso3_match",
        "catalogue_topic:accreditation_quality",
        "catalogue_topic:fiscal_space_budget",
        "catalogue_topic:health_information",
        "catalogue_topic:health_workforce",
        "catalogue_topic:hospital_referral",
        "catalogue_topic:primary_care",
        "catalogue_topic:provider_payment",
        "catalogue_topic:service_delivery",
        "explicit_country_alias",
        "grey_literature",
        "health_system_organization",
        "title:health_care",
        "title:primary_care",
        "title_country_alias_match"
      ],
      "territory": null,
      "title": "North Macedonia Health : Advisory Services and Analytics : Assessment of Primary Health Care Capacity",
      "urls": [
        {
          "kind": "stable_url",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/595391593096242357/pdf/Assessment-of-Primary-Health-Care-Capacity.pdf"
        },
        {
          "kind": "catalogue",
          "source": "not supplied",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/595391593096242357/text/Assessment-of-Primary-Health-Care-Capacity.txt"
        },
        {
          "kind": "landing",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/595391593096242357"
        },
        {
          "kind": "source",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Appraisal Environmental and Social Review Summary (ESRS) - North Macedonia Emergency COVID-19 Response Project - P173916. 2020. https://documents.worldbank.org/curated/en/189271587412207639",
      "country_ids": [
        "MKD"
      ],
      "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": 3,
        "source_word_anchor": "development of testing treatment referral and discharge protocols streamlining of the EA",
        "source_word_count": 12
      },
      "material_id": "material:8dad72e3cb14facff6032567",
      "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": "2020-04-20",
      "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": "747d64ce370b0b652ea4b11796e080799835cb5d45c9243c51fadb30bfd271bb"
      },
      "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": "Appraisal Environmental and Social Review Summary (ESRS) - North Macedonia Emergency COVID-19 Response Project - P173916",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/189271587412207639"
        },
        {
          "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/189271587412207639/pdf/Appraisal-Environmental-and-Social-Review-Summary-ESRS-North-Macedonia-Emergency-COVID-19-Response-Project-P173916.pdf"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/189271587412207639/text/Appraisal-Environmental-and-Social-Review-Summary-ESRS-North-Macedonia-Emergency-COVID-19-Response-Project-P173916.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Conformed Copy - C3113 - Social Sector Adjustment Credit - Development Credit Agreement. 1998. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "health_financing",
        "pooling_insurance",
        "primary_care",
        "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": "Borrower of a new Health Insurance Law establishing cost containment mechanisms for",
        "source_word_count": 12
      },
      "material_id": "material:716a80ab53b099591db31ca5",
      "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": "1998-07-13",
      "publication_year": 1998,
      "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": "ee06a31854bd23fd34d6d2fa04c6603f456e81df3849fdac254e1edd32b5fb38"
      },
      "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:primary_care",
        "who_building_block:health_financing",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Conformed Copy - C3113 - Social Sector Adjustment Credit - Development Credit Agreement",
      "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/886871468053333265/pdf/3620AD6ED94F2F6285256F03000D7871.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/886871468053333265"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/886871468053333265/text/3620AD6ED94F2F6285256F03000D7871.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Conformed Copy - TF024367 - Public Sector Performance - Dutch Grant Agreement. 2000. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "health_financing",
        "leadership_governance",
        "pooling_insurance"
      ],
      "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": "and public sector health provider institutions b Public Expenditure Tracking Survey PETS",
        "source_word_count": 12
      },
      "material_id": "material:44b38e4c1e294adb583441a7",
      "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": "2000-12-05",
      "publication_year": 2000,
      "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": 11,
        "response_sha256": "7580054f4458ff9a26c6ceaa8ef89796cc809f72c60f4488fa82a25670cb4181"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:pooling_insurance",
        "who_building_block:health_financing",
        "who_building_block:leadership_governance"
      ],
      "territory": "national",
      "title": "Conformed Copy - TF024367 - Public Sector Performance - Dutch Grant Agreement",
      "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/751861468300604020/pdf/TF024367.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/751861468300604020/text/TF024367.txt"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/751861468300604020"
        }
      ]
    },
    {
      "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 - North Macedonia Emergency COVID-19 Response Project - P173916. 2021. https://documents.worldbank.org/curated/en/840371631242561559",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "medical_products_vaccines_technologies",
        "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": 2,
        "physical_pdf_page": 6,
        "source_word_anchor": "Republic of North Macedonia Ministry of Labor and Social Policy Ministry of",
        "source_word_count": 12
      },
      "material_id": "material:64f0b8adce2672266435223f",
      "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": "2021-09-10",
      "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": 59,
        "response_sha256": "bc147b5e55b926d5d80310377dafb74490e9a44646c0796b13114e6fd9868090"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "control_knob:persuasion_behaviour",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "service_area:maternal_reproductive",
        "who_building_block:medical_products_vaccines_technologies",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Disclosable Restructuring Paper - North Macedonia Emergency COVID-19 Response Project - P173916",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/840371631242561559"
        },
        {
          "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/840371631242561559/text/Disclosable-Restructuring-Paper-North-Macedonia-Emergency-COVID-19-Response-Project-P173916.txt"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/840371631242561559/pdf/Disclosable-Restructuring-Paper-North-Macedonia-Emergency-COVID-19-Response-Project-P173916.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 - North Macedonia Emergency COVID-19 Response Project - P173916. 2022. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "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": 6,
        "source_word_anchor": "and delivered with the contract for this activity now closed A total",
        "source_word_count": 12
      },
      "material_id": "material:7a5c116ff6cc5dfcf793f10c",
      "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": "2022-06-24",
      "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": 17,
        "response_sha256": "9293ffea7a368cadfb1fded78eadf376876603dc0ab11bed4cdf9a1976e2de18"
      },
      "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 - North Macedonia Emergency COVID-19 Response Project - P173916",
      "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/099905006242238063/pdf/P173916094498c0600849e074d7ae45306a.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/099905006242238063"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099905006242238063/text/P173916094498c0600849e074d7ae45306a.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 - North Macedonia Emergency COVID-19 Response Project - P173916 - Sequence No : 01. 2020. https://documents.worldbank.org/curated/en/934781598624489007",
      "country_ids": [
        "MKD"
      ],
      "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": 2,
        "source_word_anchor": "Current Rating Political and Governance Substantial Substantial Macroeconomic Substantial Substantial Sector Strategies",
        "source_word_count": 12
      },
      "material_id": "material:9d675dbcf620eb76e311dd87",
      "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": "2020-08-28",
      "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": 7,
        "response_sha256": "f046e489d44e4557fd30ff3c39d78a45551b147ce12bf1846bccf0f26cc6510c"
      },
      "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 - North Macedonia Emergency COVID-19 Response Project - P173916 - Sequence No : 01",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/934781598624489007"
        },
        {
          "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/934781598624489007/pdf/Disclosable-Version-of-the-ISR-North-Macedonia-Emergency-COVID-19-Response-Project-P173916-Sequence-No-01.pdf"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/934781598624489007/text/Disclosable-Version-of-the-ISR-North-Macedonia-Emergency-COVID-19-Response-Project-P173916-Sequence-No-01.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 - North Macedonia Emergency COVID-19 Response Project - P173916 - Sequence No : 02. 2020. https://documents.worldbank.org/curated/en/313091608341932390",
      "country_ids": [
        "MKD"
      ],
      "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": 2,
        "source_word_anchor": "Current Rating Political and Governance Substantial Substantial Moderate Macroeconomic Substantial Substantial Moderate",
        "source_word_count": 12
      },
      "material_id": "material:c46607dc68929eda7abe243a",
      "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": "2020-12-19",
      "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": 7,
        "response_sha256": "aa85a657a5fed6b4dd6477de388f1896615bed6d5022340cc332814ba2316f46"
      },
      "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 - North Macedonia Emergency COVID-19 Response Project - P173916 - Sequence No : 02",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/313091608341932390"
        },
        {
          "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/313091608341932390/text/Disclosable-Version-of-the-ISR-North-Macedonia-Emergency-COVID-19-Response-Project-P173916-Sequence-No-02.txt"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/313091608341932390/pdf/Disclosable-Version-of-the-ISR-North-Macedonia-Emergency-COVID-19-Response-Project-P173916-Sequence-No-02.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 - North Macedonia Emergency COVID-19 Response Project - P173916 - Sequence No : 03. 2021. https://documents.worldbank.org/curated/en/343901624973829921",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "medical_products_vaccines_technologies",
        "medicines_vaccines_devices",
        "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": 2,
        "source_word_anchor": "Current Rating Political and Governance Substantial Moderate Moderate Macroeconomic Substantial Moderate Moderate",
        "source_word_count": 12
      },
      "material_id": "material:ef75b7d4a9226ef4b7402014",
      "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": "2021-06-29",
      "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": 7,
        "response_sha256": "4aea0bfe7f420809efae5e912caefb6b08b703a694e3f52ae9fb2ac85ccf0ebe"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:medicines_vaccines_devices",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:medical_products_vaccines_technologies",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Disclosable Version of the ISR - North Macedonia Emergency COVID-19 Response Project - P173916 - Sequence No : 03",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/343901624973829921"
        },
        {
          "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/343901624973829921/pdf/Disclosable-Version-of-the-ISR-North-Macedonia-Emergency-COVID-19-Response-Project-P173916-Sequence-No-03.pdf"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/343901624973829921/text/Disclosable-Version-of-the-ISR-North-Macedonia-Emergency-COVID-19-Response-Project-P173916-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 - North Macedonia Emergency COVID-19 Response Project - P173916 - Sequence No : 04. 2022. https://documents.worldbank.org/curated/en/099105001192210208",
      "country_ids": [
        "MKD"
      ],
      "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 Substantial Moderate Substantial Macroeconomic Substantial Moderate Moderate",
        "source_word_count": 12
      },
      "material_id": "material:64c6eca5aac998199f9951e0",
      "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": "2022-01-19",
      "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": 8,
        "response_sha256": "6f40d8eade92008b73bbaa47261c33d5063c10afe8bf80bfb77af84c39760c3e"
      },
      "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 - North Macedonia Emergency COVID-19 Response Project - P173916 - Sequence No : 04",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099105001192210208"
        },
        {
          "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/099105001192210208/text/Disclosable0Ve06000Sequence0No00004.txt"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099105001192210208/pdf/Disclosable0Ve06000Sequence0No00004.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 - North Macedonia Emergency COVID-19 Response Project - P173916 - Sequence No : 05. 2022. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "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 7 Political and Governance Substantial Substantial Substantial Macroeconomic Substantial Moderate Moderate",
        "source_word_count": 12
      },
      "material_id": "material:1da92d43ae73584709f57f08",
      "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": "2022-06-24",
      "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": 7,
        "response_sha256": "3c218045ea711af9faf3b138f6c85ba151a5c8aa707ca6e33ef4ee5a86ed0e9d"
      },
      "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 - North Macedonia Emergency COVID-19 Response Project - P173916 - Sequence No : 05",
      "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/099335106242294870/text/P17391602cad2500a0adb70f7dc18ffc2d3.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/099335106242294870"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099335106242294870/pdf/P17391602cad2500a0adb70f7dc18ffc2d3.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 - North Macedonia Emergency COVID-19 Response Project - P173916 - Sequence No : 06. 2023. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "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 Substantial Substantial Substantial Macroeconomic Substantial Moderate Moderate",
        "source_word_count": 12
      },
      "material_id": "material:5c9efb591b6c4d015659c363",
      "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": "2023-12-01",
      "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": 8,
        "response_sha256": "94f7c3095324e0fcaf51f51536cfc48c1b98183eb26c88c85cb090983cf88759"
      },
      "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 - North Macedonia Emergency COVID-19 Response Project - P173916 - 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/099120123095534336/pdf/P17391603636940cb0817405d0d87505eca.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/099120123095534336"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099120123095534336/text/P17391603636940cb0817405d0d87505eca.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) - North Macedonia Emergency COVID-19 Response Project - P173916. 2020. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "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": "following Ministries agencies units Ministry of Health MoH and Ministry of Labors",
        "source_word_count": 12
      },
      "material_id": "material:8235142257257f60cae5bd93",
      "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": "2020-04-20",
      "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": 6,
        "response_sha256": "b038fa68f572ef5ca990d1d254b243e05dd19aa9901625166c8eef659ec4bba4"
      },
      "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) - North Macedonia Emergency COVID-19 Response Project - P173916",
      "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/833441587412195778/text/Environmental-and-Social-Commitment-Plan-ESCP-North-Macedonia-Emergency-COVID-19-Response-Project-P173916.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/833441587412195778/pdf/Environmental-and-Social-Commitment-Plan-ESCP-North-Macedonia-Emergency-COVID-19-Response-Project-P173916.pdf"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/833441587412195778"
        }
      ]
    },
    {
      "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) North Macedonia Public Sector Energy Efficiency Project (P149990). 2019. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "primary_care",
        "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": "and Physical Planning MoH Ministry of Health MSIP MSIP2 Municipal Services Improvement",
        "source_word_count": 12
      },
      "material_id": "material:9b1ac611e343221154e0ad5f",
      "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": "2019-11-27",
      "publication_year": 2019,
      "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": 182,
        "response_sha256": "f8c98d46cd195028e79572d24be93f2141e56f8fdcbaf1e287bf22b3dfb93e31"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:primary_care",
        "service_area:primary_care",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Environmental and Social Management Framework (ESMF) North Macedonia Public Sector Energy Efficiency Project (P149990)",
      "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/594591574886485629/pdf/Environmental-and-Social-Management-Framework-ESMF-North-Macedonia-Public-Sector-Energy-Efficiency-Project-P149990.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/594591574886485629"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/594591574886485629/text/Environmental-and-Social-Management-Framework-ESMF-North-Macedonia-Public-Sector-Energy-Efficiency-Project-P149990.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "FYR Macedonia - Monthly economic developments. 2014. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "health_financing",
        "pooling_insurance"
      ],
      "display_status": "shown_in_full",
      "document_type": "working paper",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 4,
        "physical_pdf_page": 1,
        "source_word_anchor": "same arrears in the health sector have continued to increase reaching around",
        "source_word_count": 12
      },
      "material_id": "material:23eb647323371593bcf89047",
      "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": "2014-01-01",
      "publication_year": 2014,
      "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": 1,
        "response_sha256": "5da1e79b90b1063700dc0a9d4e0d35a40c195ff29d135704b10254f4d6d39c31"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "control_knob:persuasion_behaviour",
        "health_system_topic:pooling_insurance",
        "who_building_block:health_financing"
      ],
      "territory": "national",
      "title": "FYR Macedonia - Monthly economic developments",
      "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/593531474975582148/text/108507-WP-PUBLIC-MACEDONIA-Monthly-Economic-Update-January2014.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/593531474975582148/pdf/108507-WP-PUBLIC-MACEDONIA-Monthly-Economic-Update-January2014.pdf"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/593531474975582148"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "FYR Macedonia - Public expenditure review : fiscal policy for growth. 2015. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "leadership_governance",
        "primary_care",
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "public expenditure review",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "heading": "ACRONYMS AND ABBREVIATIONS",
        "paragraph_index_on_page": 6,
        "physical_pdf_page": 2,
        "source_word_anchor": "Annual Daily Traffic MOH Ministry of Health ARD Agriculture and Rural Development",
        "source_word_count": 12
      },
      "material_id": "material:732938d8d1a12c0b0f484efa",
      "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": "2015-11-23",
      "publication_year": 2015,
      "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": 129,
        "response_sha256": "72e9c92f47c9d5827de5717b1cecb76b12152e5f894660af77affb3b3ba26278"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "document_type:public_expenditure_review",
        "health_system_topic:primary_care",
        "service_area:primary_care",
        "who_building_block:leadership_governance",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "FYR Macedonia - Public expenditure review : fiscal policy for growth",
      "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/895641468269982851/text/FYR-Macedonia-Public-expenditure-review-fiscal-policy-for-growth.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/895641468269982851"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/895641468269982851/pdf/FYR-Macedonia-Public-expenditure-review-fiscal-policy-for-growth.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Former Yugoslav Republic of Macedonia - First, Second, and Third Programmatic Development Policy Loans Project. 2009. https://documents.worldbank.org/curated/en/626961468049147497",
      "country_ids": [
        "MKD"
      ],
      "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": 8,
        "source_word_anchor": "reform 29 29 Corporate governance 14 14 Health system performance 14 14",
        "source_word_count": 12
      },
      "material_id": "material:b0c2c234dd962e9fa2b89d93",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2009-06-22",
      "publication_year": 2009,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 49,
        "response_sha256": "44e77305f4f1b7cf513f6831208f8c8c84fd2c3e8a235145246a064c9acdddce"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Former Yugoslav Republic of Macedonia - First, Second, and Third Programmatic Development Policy Loans Project",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/626961468049147497"
        },
        {
          "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/626961468049147497/text/ICR11170P090301C0disclosed081181091.txt"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/626961468049147497/pdf/ICR11170P090301C0disclosed081181091.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Former Yugoslav Republic of Macedonia - Health Sector Management Project. 2004. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "accreditation_quality",
        "health_financing",
        "leadership_governance",
        "pooling_insurance",
        "primary_care",
        "provider_payment",
        "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": "Component 2 Strengthening HIF Governance and Management US 3 45 million This",
        "source_word_count": 12
      },
      "material_id": "material:aae2920c857637aaa9431a12",
      "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": "2004-04-20",
      "publication_year": 2004,
      "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": 95,
        "response_sha256": "972b9aff62b84185f54ac8bb0a41629a59e71aed8251f81ceee9eb74433e0f2e"
      },
      "statement": null,
      "tags": [
        "control_knob:financing",
        "control_knob:organization",
        "control_knob:payment",
        "health_system_topic:accreditation_quality",
        "health_system_topic:pooling_insurance",
        "health_system_topic:primary_care",
        "health_system_topic:provider_payment",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "service_area:hospital_care",
        "service_area:primary_care",
        "who_building_block:health_financing",
        "who_building_block:leadership_governance",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Former Yugoslav Republic of Macedonia - Health Sector Management Project",
      "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/269581468773695259/text/277600MK.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/269581468773695259"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/269581468773695259/pdf/277600MK.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Former Yugoslav Republic of Macedonia - Public Expenditure Policy Based Guarantee (PEPBG) Project. 2014. https://documents.worldbank.org/curated/en/814271468053103335",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "health_financing",
        "leadership_governance",
        "pooling_insurance",
        "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": 5,
        "source_word_anchor": "Revised Amount Implementing Agencies Ministry of Finance MOF Ministry of Health MOH",
        "source_word_count": 12
      },
      "material_id": "material:b9498b40997473e29badfc9b",
      "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": "2014-05-27",
      "publication_year": 2014,
      "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": 41,
        "response_sha256": "9f88402c53f0a8b14dc9a5fa0a6fa0f0ce07d1d5d148078af66a385e9e4f073a"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "control_knob:persuasion_behaviour",
        "health_system_topic:pooling_insurance",
        "service_area:cross_cutting",
        "who_building_block:health_financing",
        "who_building_block:leadership_governance",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Former Yugoslav Republic of Macedonia - Public Expenditure Policy Based Guarantee (PEPBG) Project",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/814271468053103335"
        },
        {
          "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/814271468053103335/pdf/876030ICR0P1337910Box382141B00PUBLIC0.pdf"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/814271468053103335/text/876030ICR0P1337910Box382141B00PUBLIC0.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Former Yugoslav Republic of Macedonia - Second Programmatic Development Policy Loan Project. 2007. https://documents.worldbank.org/curated/en/985611468300607428",
      "country_ids": [
        "MKD"
      ],
      "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": 3,
        "source_word_anchor": "of human capital Improving Governance and Transparency of the Health Sector Strengthen",
        "source_word_count": 12
      },
      "material_id": "material:e5511038b6903525bc83d75f",
      "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": "2007-01-18",
      "publication_year": 2007,
      "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": 3,
        "response_sha256": "b3b0628a554cbba436537c7d288e137e6977f6bdd5a8256e1895449a49e9e445"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "service_area:cross_cutting"
      ],
      "territory": "national",
      "title": "Former Yugoslav Republic of Macedonia - Second Programmatic Development Policy Loan Project",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/985611468300607428"
        },
        {
          "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/985611468300607428/text/PID010Concept0Stage.txt"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/985611468300607428/pdf/PID010Concept0Stage.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Former Yugoslavia Republic of Macedonia - Second Programmatic Development Policy Loan Project. 2007. https://documents.worldbank.org/curated/en/788891468270589160",
      "country_ids": [
        "MKD"
      ],
      "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": "2 Strengthening public sector governance 0 Public administration reform 0 Health sector",
        "source_word_count": 12
      },
      "material_id": "material:7b256afef1935ec389732a91",
      "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": "2007-02-27",
      "publication_year": 2007,
      "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": "ee7225883fee182467115d676d1098de314a07235c6a130a7119a22196d4b9b6"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "service_area:cross_cutting"
      ],
      "territory": "national",
      "title": "Former Yugoslavia Republic of Macedonia - Second Programmatic Development Policy Loan Project",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/788891468270589160"
        },
        {
          "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/788891468270589160/pdf/38591.pdf"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/788891468270589160/text/38591.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Loan Agreement L4733-MK - Conformed. 2004. https://documents.worldbank.org/curated/en/192341468054574264",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "fiscal_space_budget",
        "health_financing",
        "pooling_insurance",
        "primary_care",
        "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": 5,
        "physical_pdf_page": 2,
        "source_word_anchor": "d MOH means the Ministry of Health of the Borrower or any",
        "source_word_count": 12
      },
      "material_id": "material:727aec9de8e89a01266e383e",
      "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": "2004-07-15",
      "publication_year": 2004,
      "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": 24,
        "response_sha256": "e0c9559b9e25bd6f88b986c04d4d59e0fed90d2c2fff66fb02bab1009da9efcf"
      },
      "statement": null,
      "tags": [
        "control_knob:financing",
        "control_knob:organization",
        "health_system_topic:fiscal_space_budget",
        "health_system_topic:pooling_insurance",
        "health_system_topic:primary_care",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "service_area:primary_care",
        "who_building_block:health_financing",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Loan Agreement L4733-MK - Conformed",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/192341468054574264"
        },
        {
          "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/192341468054574264/pdf/L47331MK1Health0Sector0Management.pdf"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/192341468054574264/text/L47331MK1Health0Sector0Management.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Macedonia - FYR Macedonia public expenditure review. 2008. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "health_financing",
        "leadership_governance",
        "pooling_insurance",
        "primary_care",
        "provider_payment",
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "public expenditure review",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 12,
        "source_word_anchor": "nonexempt groups Reorganizing the hospital sector in line with the Medical Map",
        "source_word_count": 12
      },
      "material_id": "material:b0b402adf549f91d9b048975",
      "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": "2008-02-04",
      "publication_year": 2008,
      "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": 102,
        "response_sha256": "e35b5e513f7d6b3c51d8798e6891a23386a174eb60e7f0195cc47a73d9dfc8c6"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "control_knob:payment",
        "document_type:public_expenditure_review",
        "health_system_topic:pooling_insurance",
        "health_system_topic:primary_care",
        "health_system_topic:provider_payment",
        "service_area:primary_care",
        "who_building_block:health_financing",
        "who_building_block:leadership_governance",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Macedonia - FYR Macedonia public expenditure review",
      "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/419571468050699276/pdf/421550ER0P09621isclosed0Feb02802008.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/419571468050699276"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/419571468050699276/text/421550ER0P09621isclosed0Feb02802008.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Macedonia - Fiscal Efficiency and Competitiveness Development Policy Financing. 2018. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "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": "arrears Policy reforms of health sector and social benefits aim to improve",
        "source_word_count": 12
      },
      "material_id": "material:d6376c725403870fd2341ddf",
      "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": "2018-09-20",
      "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": 5,
        "response_sha256": "030b9ab7479c8d8c4baef1f77c79e39c0412aa44f52fff6182be2fed20ad8c35"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "population_group:older_people"
      ],
      "territory": "national",
      "title": "Macedonia - Fiscal Efficiency and Competitiveness Development Policy Financing",
      "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/986421538488517291/text/130418-PGID-P149794-Concept-PUBLIC.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/986421538488517291"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/986421538488517291/pdf/130418-PGID-P149794-Concept-PUBLIC.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Macedonia - Health Sector Development Project. 2003. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "health_financing",
        "primary_care",
        "provider_payment",
        "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": "staff long-tern consultalnts inder contract with the MOH for the duration of",
        "source_word_count": 12
      },
      "material_id": "material:101294f1e8fe77b8d4367ba9",
      "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": "2003-04-04",
      "publication_year": 2003,
      "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": 9,
        "response_sha256": "2fe6bc207384014c1938b1a1085d199b6ce3b8f02f17e9f4341816d7fc662ccc"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "control_knob:payment",
        "control_knob:persuasion_behaviour",
        "health_system_topic:primary_care",
        "health_system_topic:provider_payment",
        "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": "Macedonia - Health Sector Development Project",
      "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/844741468757008559/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/844741468757008559"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/844741468757008559/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": "Macedonia - Health Sector Management Project. 2004. https://documents.worldbank.org/curated/en/873741468773070489",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "accreditation_quality",
        "health_financing",
        "pooling_insurance",
        "primary_care",
        "provider_payment"
      ],
      "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": 2,
        "source_word_anchor": "Component 2 Strengthening HIF Governance and Management US 4 00 million This",
        "source_word_count": 12
      },
      "material_id": "material:3001afeaa8726f651a872523",
      "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": "2004-03-01",
      "publication_year": 2004,
      "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": "b95cab0d8f2ccf023f26d0bffa1b374307ac4d6d8bf6b85dffb1c8087cd7a00b"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "control_knob:payment",
        "health_system_topic:accreditation_quality",
        "health_system_topic:pooling_insurance",
        "health_system_topic:primary_care",
        "health_system_topic:provider_payment",
        "service_area:cross_cutting",
        "service_area:primary_care",
        "who_building_block:health_financing"
      ],
      "territory": "national",
      "title": "Macedonia - Health Sector Management Project",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/873741468773070489"
        },
        {
          "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/873741468773070489/text/AB412.txt"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/873741468773070489/pdf/AB412.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Macedonia - Health Sector Management Project. 2012. https://documents.worldbank.org/curated/en/232141475089581730",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "accreditation_quality",
        "health_financing",
        "pooling_insurance",
        "primary_care",
        "provider_payment",
        "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": 2,
        "source_word_anchor": "budget formulation 2 HIF Governance and Management Strengthening appraisal US 3 35",
        "source_word_count": 12
      },
      "material_id": "material:5806c6b6d82ef1e7f43b89f6",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the priority traceability audit.",
        "A recoverable source locator was retrieved from this exact public source URL in the priority traceability audit."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2012-03-15",
      "publication_year": 2012,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_priority_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_priority_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 11,
        "response_sha256": "ba60ed5215e8481db13d06d17a2b502aad4d0976b41317766e2e13da96aa1009"
      },
      "statement": null,
      "tags": [
        "control_knob:financing",
        "control_knob:organization",
        "control_knob:payment",
        "control_knob:persuasion_behaviour",
        "control_knob:regulation",
        "health_system_topic:accreditation_quality",
        "health_system_topic:pooling_insurance",
        "health_system_topic:primary_care",
        "health_system_topic:provider_payment",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "service_area:primary_care",
        "who_building_block:health_financing",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Macedonia - Health Sector Management Project",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/232141475089581730"
        },
        {
          "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/232141475089581730/pdf/000020051-20140624204215.pdf"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/232141475089581730/text/000020051-20140624204215.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Macedonia - Health Sector Management Project. 2011. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "accreditation_quality",
        "health_financing",
        "pooling_insurance",
        "primary_care",
        "provider_payment",
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "health law",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 5,
        "physical_pdf_page": 9,
        "source_word_anchor": "of first-phase of hospital contract implementation Value quantitative or Qualitative 17 contracts",
        "source_word_count": 12
      },
      "material_id": "material:7291ed71da6c7a745131ab02",
      "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": "2011-06-03",
      "publication_year": 2011,
      "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": 95,
        "response_sha256": "42eae7f07ac7c3ac924b07a2dd53eed8085775e0e0f9904eedf48e5d2ae98b0e"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "control_knob:payment",
        "control_knob:persuasion_behaviour",
        "control_knob:regulation",
        "document_type:health_law",
        "health_system_topic:accreditation_quality",
        "health_system_topic:pooling_insurance",
        "health_system_topic:primary_care",
        "health_system_topic:provider_payment",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "service_area:primary_care",
        "who_building_block:health_financing",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Macedonia - Health Sector Management Project",
      "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/680781468054607549/pdf/ICR16910P086670e0only0900BOX361518B.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/680781468054607549/text/ICR16910P086670e0only0900BOX361518B.txt"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/680781468054607549"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Macedonia - Health Sector Management Project. 2004. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "health_financing",
        "pooling_insurance",
        "primary_care",
        "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": 2,
        "source_word_anchor": "improve the efficiency and governance of health services delivery ii improve the",
        "source_word_count": 12
      },
      "material_id": "material:fcf4dcd1d3077a924df94d84",
      "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": "2004-03-01",
      "publication_year": 2004,
      "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": 6,
        "response_sha256": "ca2fe1ed90b461e2f2405c7db7dbeb1cb9983a639d7b4da9f5d35145ae297286"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:pooling_insurance",
        "health_system_topic:primary_care",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "service_area:primary_care",
        "who_building_block:health_financing",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Macedonia - Health Sector Management Project",
      "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/520971468054536044/text/AC391.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/520971468054536044"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/520971468054536044/pdf/AC391.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Macedonia - Health Sector Transition Project. 1996. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "accreditation_quality",
        "health_financing",
        "hospital_referral",
        "pooling_insurance",
        "primary_care",
        "provider_payment",
        "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": 5,
        "source_word_anchor": "Republic of Macedonia Beneficiary Ministry of Health MOH National Health Insurance Fund",
        "source_word_count": 12
      },
      "material_id": "material:a4f5b96ac5532ac038b32f58",
      "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": "1996-05-24",
      "publication_year": 1996,
      "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": 152,
        "response_sha256": "861514ac6d3ecc7ba8c02b6092f926c7721b841c62441e16e5d9a32c82636fb7"
      },
      "statement": null,
      "tags": [
        "control_knob:financing",
        "control_knob:organization",
        "control_knob:payment",
        "control_knob:persuasion_behaviour",
        "health_system_topic:accreditation_quality",
        "health_system_topic:hospital_referral",
        "health_system_topic:pooling_insurance",
        "health_system_topic:primary_care",
        "health_system_topic:provider_payment",
        "population_group:children",
        "service_area:cross_cutting",
        "service_area:infectious_disease",
        "service_area:maternal_reproductive",
        "service_area:primary_care",
        "who_building_block:health_financing",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Macedonia - Health Sector Transition Project",
      "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/689651468773712751/pdf/multi0page.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/689651468773712751/text/multi0page.txt"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/689651468773712751"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Macedonia - Psmac. 2004. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "leadership_governance"
      ],
      "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": 3,
        "source_word_anchor": "Satisfactory 2 Health Sector Financing reforms have not been implemented as foreseen",
        "source_word_count": 12
      },
      "material_id": "material:3b300a1dbc812a79c9861f71",
      "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": "2004-09-13",
      "publication_year": 2004,
      "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": 3,
        "response_sha256": "348b2639f7c2deb98cc08c6b64f80681728b2d083388f8f4e47c510f5b779c9e"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "who_building_block:leadership_governance"
      ],
      "territory": "national",
      "title": "Macedonia - Psmac",
      "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/256231474569803604/text/000020051-20140612144521.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/256231474569803604"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/256231474569803604/pdf/000020051-20140612144521.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Macedonia - Public Sector Management Adjustment Credit (PSMAC) Project. 2002. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "health_financing",
        "leadership_governance",
        "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": 2,
        "source_word_anchor": "Country Assistance Strategy MoH Ministry of Health CFO Chief Financial Officer MoJ",
        "source_word_count": 12
      },
      "material_id": "material:671735aa466ff702626907fb",
      "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": "2002-03-06",
      "publication_year": 2002,
      "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": 67,
        "response_sha256": "2c2ad6b27b884e09493376e8ef9251fe97473c350d467c498a42bd4b4a2b3bd4"
      },
      "statement": null,
      "tags": [
        "control_knob:financing",
        "control_knob:organization",
        "service_area:cross_cutting",
        "who_building_block:health_financing",
        "who_building_block:leadership_governance",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Macedonia - Public Sector Management Adjustment Credit (PSMAC) Project",
      "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/243791468053073210/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/243791468053073210/pdf/multi0page.pdf"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/243791468053073210"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Macedonia - Public Sector Management Adjustment Loan Project. 2004. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "health_financing",
        "leadership_governance",
        "pooling_insurance"
      ],
      "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": "Officer Loraine Hawkins Sr Health Specialist Sarbani Chakraborti Health Specialist Satu Kahkonen",
        "source_word_count": 12
      },
      "material_id": "material:96e6616032c8f179e8b7056e",
      "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": "2004-05-13",
      "publication_year": 2004,
      "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": 70,
        "response_sha256": "3c0968e44e97462dbe307068151f938841ce45e5b199b67f781f7f0126aac634"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:pooling_insurance",
        "service_area:cross_cutting",
        "who_building_block:health_financing",
        "who_building_block:leadership_governance"
      ],
      "territory": "national",
      "title": "Macedonia - Public Sector Management Adjustment Loan Project",
      "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/329011468756940023/text/277740MK.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/329011468756940023"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/329011468756940023/pdf/277740MK.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Macedonia - Public Sector Management Adjustment Loan Project. 2004. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "health_financing",
        "leadership_governance",
        "pooling_insurance",
        "primary_care",
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "technical report",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 5,
        "source_word_anchor": "Implementing Agency FYR Macedonia Ministry of Finance Ministry of Health Civil Service",
        "source_word_count": 12
      },
      "material_id": "material:dd2f99b546816892896c71d1",
      "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": "2004-06-24",
      "publication_year": 2004,
      "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": 33,
        "response_sha256": "fae452a5729a6076018b0b1c8baf334f4b2de5b7cfd128e114c5c6aa55dfb3f5"
      },
      "statement": null,
      "tags": [
        "control_knob:financing",
        "control_knob:organization",
        "health_system_topic:pooling_insurance",
        "health_system_topic:primary_care",
        "service_area:primary_care",
        "who_building_block:health_financing",
        "who_building_block:leadership_governance",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Macedonia - Public Sector Management Adjustment Loan Project",
      "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/738051468773346510/text/29426.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/738051468773346510"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/738051468773346510/pdf/29426.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Macedonia - Public Sector Management Adjustment Loan Project, Macedonia - Second Public Sector Management Adjustment Loan Project, and Slovak Republic - Public Finance Management Project. 2010. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "leadership_governance",
        "primary_care",
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "technical report",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 2,
        "source_word_anchor": "Labor and Social Policies Ministry of Health Ministry of Justice Organization for",
        "source_word_count": 12
      },
      "material_id": "material:fcd36624dc2fae9d1626488f",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2010-06-29",
      "publication_year": 2010,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 86,
        "response_sha256": "edf383658296d916bc310bdb473655ddf8db1f424ebc8433f73510c4c94fb183"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:primary_care",
        "service_area:cross_cutting",
        "service_area:primary_care",
        "who_building_block:leadership_governance",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Macedonia - Public Sector Management Adjustment Loan Project, Macedonia - Second Public Sector Management Adjustment Loan Project, and Slovak Republic - Public Finance Management Project",
      "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/727661468270591878/pdf/552740PPAR0mul157581P1157591P115760.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/727661468270591878/text/552740PPAR0mul157581P1157591P115760.txt"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/727661468270591878"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Macedonia - Second Public Based Guarantee Project. 2012. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "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": 1,
        "physical_pdf_page": 3,
        "source_word_anchor": "3 The Borrower s Ministry of Health has introduced and published revised",
        "source_word_count": 12
      },
      "material_id": "material:67f23787308f6991e7de725e",
      "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": "2012-10-09",
      "publication_year": 2012,
      "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": "d730ab1c90b4f1dedca5f36077887bb6b876a6f540b83e6d8bd925be77af936d"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "service_area:cross_cutting",
        "who_building_block:leadership_governance",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Macedonia - Second Public Based Guarantee Project",
      "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/522091468272456191/pdf/test1.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/522091468272456191"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/522091468272456191/text/test1.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Macedonia - Second Public Sector Management Adjustment Loan Project. 2005. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "leadership_governance"
      ],
      "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": 9,
        "source_word_anchor": "by the HIF the Ministry of Health and the Ministry of Finance",
        "source_word_count": 12
      },
      "material_id": "material:4a3752162865481ab6fee1c3",
      "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": "2005-11-21",
      "publication_year": 2005,
      "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": 29,
        "response_sha256": "decacecb3b6fee54e9277ce86fc0fd81e85f680432c59d0811eb9ac8b3862925"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "service_area:cross_cutting",
        "who_building_block:leadership_governance"
      ],
      "territory": "national",
      "title": "Macedonia - Second Public Sector Management Adjustment Loan Project",
      "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/505301468086048222/pdf/34473.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/505301468086048222/text/34473.txt"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/505301468086048222"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Macedonia - Social Sector Adjustment Credit Project. 2000. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "health_financing",
        "hospital_referral",
        "leadership_governance",
        "pooling_insurance",
        "primary_care",
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "technical report",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 12,
        "source_word_anchor": "health services and a referral system by primary care providers for outpatient",
        "source_word_count": 12
      },
      "material_id": "material:4ddff65e13ec191e4ff7456f",
      "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": "2000-10-17",
      "publication_year": 2000,
      "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": 35,
        "response_sha256": "a008fc808802aaf45da5e6659f50fd0be1e10bea68caf66f875457f98947d364"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:hospital_referral",
        "health_system_topic:pooling_insurance",
        "health_system_topic:primary_care",
        "health_system_topic:service_delivery",
        "population_group:children",
        "service_area:cross_cutting",
        "service_area:primary_care",
        "who_building_block:health_financing",
        "who_building_block:leadership_governance",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Macedonia - Social Sector Adjustment Credit Project",
      "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/691571468299094565/pdf/multi-page.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/691571468299094565/text/multi-page.txt"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/691571468299094565"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Macedonia - Social Sector Adjustment Credit Project. 1998. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "health_financing",
        "pooling_insurance",
        "primary_care",
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "technical report",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 10,
        "source_word_anchor": "for health services and referral system by primary care providers for outpatient",
        "source_word_count": 12
      },
      "material_id": "material:c2e6907089bacdd5bbb15af8",
      "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": "1998-06-12",
      "publication_year": 1998,
      "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": 44,
        "response_sha256": "31e5453999b6ff7a468bf5b0fbe1c5a9ff95d1739bbdfa5f59ba86536ccfc626"
      },
      "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:primary_care",
        "who_building_block:health_financing",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Macedonia - Social Sector Adjustment Credit Project",
      "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/688381468089132048/pdf/multi0page.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/688381468089132048/text/multi0page.txt"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/688381468089132048"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Macedonia - Social Sectors Adjustment Loan. 2001. https://documents.worldbank.org/curated/en/889881474505455895",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "health_financing",
        "pooling_insurance",
        "primary_care",
        "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": 2,
        "source_word_anchor": "health services and a referral system by primary care providers for outpatient",
        "source_word_count": 12
      },
      "material_id": "material:f64b9b88dae70584f216a4c3",
      "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": "2001-02-27",
      "publication_year": 2001,
      "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": 3,
        "response_sha256": "1c4c3b990c2d874de924204cdbb34459b9b80a7a546aa7ed60bb5b1b95000673"
      },
      "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:primary_care",
        "who_building_block:health_financing",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Macedonia - Social Sectors Adjustment Loan",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/889881474505455895"
        },
        {
          "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/889881474505455895/text/000020051-20140529160920.txt"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/889881474505455895/pdf/000020051-20140529160920.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Macedonia - Third Programmatic Development Policy Loan. 2007. https://documents.worldbank.org/curated/en/751171468270555443",
      "country_ids": [
        "MKD"
      ],
      "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": 3,
        "source_word_anchor": "of human capital Improving Governance and Transparency of the Health Sector Strengthen",
        "source_word_count": 12
      },
      "material_id": "material:04c6c39fb9f0b76fa5ef5182",
      "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": "2007-07-04",
      "publication_year": 2007,
      "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": 3,
        "response_sha256": "7b0e37ef65ab68ba1f25c5114db52c16625a5cb0c48c2c28ed909e40e3210b54"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "service_area:cross_cutting"
      ],
      "territory": "national",
      "title": "Macedonia - Third Programmatic Development Policy Loan",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/751171468270555443"
        },
        {
          "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/751171468270555443/pdf/PID010Concept0Stage.pdf"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/751171468270555443/text/PID010Concept0Stage.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Macedonia - Third Programmatic Development Policy Loan. 2008. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "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": 1,
        "physical_pdf_page": 5,
        "source_word_anchor": "2 Strengthening public sector governance 0 Public administration reform 0 Health sector",
        "source_word_count": 12
      },
      "material_id": "material:5f5a64e9a82074a21a48d085",
      "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": "2008-04-09",
      "publication_year": 2008,
      "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": 64,
        "response_sha256": "a123d3d0599ca5cb39e64b5a218deac7ee9fa1d0a2f260a3edbcd3de19c202fb"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "service_area:cross_cutting",
        "who_building_block:leadership_governance",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Macedonia - Third Programmatic Development Policy Loan",
      "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/244201468086047527/text/432230PGD0P1011e0only10R20081007311.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/244201468086047527/pdf/432230PGD0P1011e0only10R20081007311.pdf"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/244201468086047527"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Macedonia - Third Programmatic Development Policy Loan. 2008. https://documents.worldbank.org/curated/en/794581468089379052",
      "country_ids": [
        "MKD"
      ],
      "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": 2,
        "physical_pdf_page": 3,
        "source_word_anchor": "2 Strengthening public sector governance Public administration reform Health sector reform Decentralization",
        "source_word_count": 12
      },
      "material_id": "material:cbd95e6538159c6e2a97692d",
      "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": "2008-01-16",
      "publication_year": 2008,
      "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": 5,
        "response_sha256": "08f38a53fc2f7e9419b7f5ced1f996e7c67eea218bbc019fd2ddadcdd97c1145"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "service_area:cross_cutting"
      ],
      "territory": "national",
      "title": "Macedonia - Third Programmatic Development Policy Loan",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/794581468089379052"
        },
        {
          "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/794581468089379052/text/FYRM0PDPL3010PID010Appraisal0Stage.txt"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/794581468089379052/pdf/FYRM0PDPL3010PID010Appraisal0Stage.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Macedonia, former Yugoslav Republic of - Agriculture Strengthening and Accession Project. 2013. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "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": 11,
        "source_word_anchor": "restructuring Indicator 13 Animal Health lab achieves method test workplan agreed in",
        "source_word_count": 12
      },
      "material_id": "material:ee990d0968696b318fe391c7",
      "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": "2013-06-28",
      "publication_year": 2013,
      "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": 59,
        "response_sha256": "97eecd613875d21244599f986a43347c2207b081317986f61de264aa906bdcd6"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Macedonia, former Yugoslav Republic of - Agriculture Strengthening and Accession Project",
      "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/371261468271526639/text/ICR27600ICR0Ma00Box377380B00PUBLIC0.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/371261468271526639/pdf/ICR27600ICR0Ma00Box377380B00PUBLIC0.pdf"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/371261468271526639"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Macedonia, former Yugoslav Republic of - Education Modernization Project. 2011. https://documents.worldbank.org/curated/en/746061468053100338",
      "country_ids": [
        "MKD"
      ],
      "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:fa9bf6db6e671e4b942038ed",
      "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": "2011-05-10",
      "publication_year": 2011,
      "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": 56,
        "response_sha256": "00ffe7d2377dc23d733a3af2454ea5572e5f115f1e21f03d84b159509efdea87"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "control_knob:regulation",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Macedonia, former Yugoslav Republic of - Education Modernization Project",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/746061468053100338"
        },
        {
          "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/746061468053100338/pdf/ICR16980P066150e0only0900BOX361518B.pdf"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/746061468053100338/text/ICR16980P066150e0only0900BOX361518B.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Macedonia, former Yugoslav Republic of - First Programmatic Development Policy Loan Project. 2011. https://documents.worldbank.org/curated/en/690391468271183168",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "leadership_governance"
      ],
      "display_status": "shown_in_full",
      "document_type": "technical report",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "heading": "ABBREVIATIONS AND ACRONYMS",
        "paragraph_index_on_page": 4,
        "physical_pdf_page": 2,
        "source_word_anchor": "and Social Policy MOF Ministry of Finance MOH Ministry of Health MoU",
        "source_word_count": 12
      },
      "material_id": "material:94691a8e3c8745111c268e7c",
      "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": "2011-06-29",
      "publication_year": 2011,
      "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": 38,
        "response_sha256": "b92069d402e8e2312c549c48f24db53b410d0b25c54a3dcd7782170b71294343"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "service_area:cross_cutting",
        "who_building_block:leadership_governance"
      ],
      "territory": "national",
      "title": "Macedonia, former Yugoslav Republic of - First Programmatic Development Policy Loan Project",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/690391468271183168"
        },
        {
          "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/690391468271183168/pdf/ICR19580P116980e0only0900BOX361525B.pdf"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/690391468271183168/text/ICR19580P116980e0only0900BOX361525B.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Macedonia, former Yugoslav Republic of - Health Sector Management Project. 2013. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "accreditation_quality",
        "fiscal_space_budget",
        "health_financing",
        "health_information",
        "health_information_systems",
        "pooling_insurance",
        "primary_care",
        "provider_payment",
        "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": 6,
        "physical_pdf_page": 9,
        "source_word_anchor": "financial management transparency and governance of the HIF and public health institutions",
        "source_word_count": 12
      },
      "material_id": "material:05cb13107e40beefe9b7f353",
      "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": "2013-09-25",
      "publication_year": 2013,
      "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": 57,
        "response_sha256": "8cf0db6ac78788ce7a6e5dc623cee2236e99f9f33a197db253ef3a0a952eb918"
      },
      "statement": null,
      "tags": [
        "control_knob:financing",
        "control_knob:organization",
        "control_knob:payment",
        "control_knob:persuasion_behaviour",
        "health_system_topic:accreditation_quality",
        "health_system_topic:fiscal_space_budget",
        "health_system_topic:health_information",
        "health_system_topic:pooling_insurance",
        "health_system_topic:primary_care",
        "health_system_topic:provider_payment",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "service_area:primary_care",
        "who_building_block:health_financing",
        "who_building_block:health_information_systems",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Macedonia, former Yugoslav Republic of - Health Sector Management Project",
      "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/157741468270879481/pdf/782100PPAR0Mac0t0PUBLIC00Box379845B.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/157741468270879481/text/782100PPAR0Mac0t0PUBLIC00Box379845B.txt"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/157741468270879481"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Macedonia, former Yugoslav Republic of - Policy Based Guarantee Project : summary of discussion. 2011. https://documents.worldbank.org/curated/en/897141468271520474",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "leadership_governance"
      ],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": null,
      "material_id": "material:82632f31ec0fd9cd6c491fa4",
      "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": "2011-11-10",
      "publication_year": 2011,
      "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": 1,
        "response_sha256": "107e827afa871bb5bb4d58cb50e882d6592a55fde0dbe886ae83bf82c11a2bdf"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "service_area:cross_cutting",
        "who_building_block:leadership_governance"
      ],
      "territory": "national",
      "title": "Macedonia, former Yugoslav Republic of - Policy Based Guarantee Project : summary of discussion",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/897141468271520474"
        },
        {
          "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/897141468271520474/text/655820SD0P12580Official0Use0Only090.txt"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/897141468271520474/pdf/655820SD0P12580Official0Use0Only090.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Macedonia, former Yugoslav Republic of - Public Expenditure Policy-based Guarantee Project. 2016. https://documents.worldbank.org/curated/en/988861473935370297",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "leadership_governance"
      ],
      "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": 2,
        "physical_pdf_page": 1,
        "source_word_anchor": "33 ThemeThemeThemeTheme ss ss Health system performance 38 Social safety nets 37",
        "source_word_count": 12
      },
      "material_id": "material:ab95de3a6a3006194696d1cd",
      "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": "2016-06-30",
      "publication_year": 2016,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "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": "52a2b34e25e6838d7eeaf1b21ae5c29c38762e53ad6623b9df2bc51fc0a3c04b"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "service_area:cross_cutting",
        "who_building_block:leadership_governance"
      ],
      "territory": "national",
      "title": "Macedonia, former Yugoslav Republic of - Public Expenditure Policy-based Guarantee Project",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/988861473935370297"
        },
        {
          "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/988861473935370297/pdf/ICRR14950-P133791-Box396299B-PUBLIC.pdf"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/988861473935370297/text/ICRR14950-P133791-Box396299B-PUBLIC.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Macedonia, former Yugoslav Republic of - Public Expenditure Policy-based Guarantee Project. 2016. https://documents.worldbank.org/curated/en/540671469190196702",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "leadership_governance"
      ],
      "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": 5,
        "source_word_anchor": "Service Provision in the Health Sector Substantial 11 Procurement of Pharmaceutical and",
        "source_word_count": 12
      },
      "material_id": "material:d72db60a1d57fb61be06193d",
      "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": "2016-06-28",
      "publication_year": 2016,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "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": 40,
        "response_sha256": "540b2a5a017b119ad000c5bcb4632d4475cce23b2c2c64da4f1f07129aaf1db0"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "service_area:cross_cutting",
        "who_building_block:leadership_governance"
      ],
      "territory": "national",
      "title": "Macedonia, former Yugoslav Republic of - Public Expenditure Policy-based Guarantee Project",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/540671469190196702"
        },
        {
          "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/540671469190196702/pdf/106281-PPAR-P133791-Box396280B-PUBLIC-disclosed-7-21-16-ppar-macedoniapublic-0716.pdf"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/540671469190196702/text/106281-PPAR-P133791-Box396280B-PUBLIC-disclosed-7-21-16-ppar-macedoniapublic-0716.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Macedonia, former Yugoslav Republic of - Public Expenditure Public Based Guarantee Project : summary of discussion. 2013. https://documents.worldbank.org/curated/en/235841468270921171",
      "country_ids": [
        "MKD"
      ],
      "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": null,
      "material_id": "material:ef96a98f605147c46e9b9ad2",
      "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": "2013-01-08",
      "publication_year": 2013,
      "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": 1,
        "response_sha256": "e65506701f3969b2cb35b8270f21d809fcc9e36e91b33c2ec023483b07cc7f13"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "service_area:cross_cutting",
        "who_building_block:leadership_governance",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Macedonia, former Yugoslav Republic of - Public Expenditure Public Based Guarantee Project : summary of discussion",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/235841468270921171"
        },
        {
          "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/235841468270921171/pdf/747100SD0P13370C0disclosed010280130.pdf"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/235841468270921171/text/747100SD0P13370C0disclosed010280130.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Macedonia, former Yugoslav Republic of-FYR Macedonia Public Expenditure PBG : Macedonia, former Yugoslav Republic of - Public Expenditure Public Based Guarantee Project. 2012. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "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": 2,
        "physical_pdf_page": 3,
        "source_word_anchor": "3 The Borrower s Ministry of Health has introduced and published revised",
        "source_word_count": 12
      },
      "material_id": "material:4bf5d727dce310cacd52fd48",
      "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": "2012-11-11",
      "publication_year": 2012,
      "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": "ba2a4e6827c1f05a3353d45c64e7bceabe70b0c3343a2b21c5a9e22f3c5d0773"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "service_area:cross_cutting",
        "who_building_block:leadership_governance",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Macedonia, former Yugoslav Republic of-FYR Macedonia Public Expenditure PBG : Macedonia, former Yugoslav Republic of - Public Expenditure Public Based Guarantee Project",
      "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/398261468270321911/pdf/NonAsciiFileName0.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/398261468270321911"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/398261468270321911/text/NonAsciiFileName0.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 meeting of the Executive Directors of the Bank and IDA held on December 12, 2017 and record of approvals December 6 thru 12. 2017. https://documents.worldbank.org/curated/en/448131516935631604",
      "country_ids": [
        "MKD"
      ],
      "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:f23a53a871be7e2de8f811a1",
      "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": "2017-12-12",
      "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,
        "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": "a6ece2ba47a138f4e2b1551ec3c8c0bc5d1e487cf521b833738e6f4720e2c4b1"
      },
      "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 December 12, 2017 and record of approvals December 6 thru 12",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/448131516935631604"
        },
        {
          "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/448131516935631604/pdf/M2018-0001-Main-01122018.pdf"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/448131516935631604/text/M2018-0001-Main-01122018.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "North Macedonia - EUROPE AND CENTRAL ASIA - P173916 - North Macedonia Emergency COVID-19 Response Project - Audited Financial Statement. 2022. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "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": 2,
        "source_word_anchor": "Ministry of Labour and Social Policy of the Republic of North Macedonia",
        "source_word_count": 12
      },
      "material_id": "material:785fed0ed17896fbe1f26c55",
      "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": "2022-07-01",
      "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": 26,
        "response_sha256": "ed07d3b595f03e4fd274652d490e664687a80c74d22de54e6bf3e36845d018b6"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "North Macedonia - EUROPE AND CENTRAL ASIA - P173916 - North Macedonia Emergency COVID-19 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/099700007182241063/text/P17391608f707f0430aee80c30211b6eb13.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/099700007182241063/pdf/P17391608f707f0430aee80c30211b6eb13.pdf"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099700007182241063"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "North Macedonia - EUROPE AND CENTRAL ASIA - P173916 - North Macedonia Emergency COVID-19 Response Project - Audited Financial Statement. 2023. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "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": 2,
        "source_word_anchor": "Ministry of Labour and Social Policy of the Republic of North Macedonia",
        "source_word_count": 12
      },
      "material_id": "material:8a9086ec75da8a8ea604438c",
      "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": "2023-07-06",
      "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": 30,
        "response_sha256": "3bc2d7261322cf38cb8ab38a4d5e563ea52c9356935451dfeadc0bb48180d24c"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "North Macedonia - EUROPE AND CENTRAL ASIA - P173916 - North Macedonia Emergency COVID-19 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/099091223040510134/text/P173916048c9980fa081c10ac86859531ac.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/099091223040510134"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099091223040510134/pdf/P173916048c9980fa081c10ac86859531ac.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "North Macedonia - EUROPE AND CENTRAL ASIA - P173916 - North Macedonia Emergency COVID-19 Response Project - Audited Financial Statement. 2021. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "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": 2,
        "source_word_anchor": "Ministry of Labour and Social Policy of the Republic of North Macedonia",
        "source_word_count": 12
      },
      "material_id": "material:8be7600e1e24910034f9c47a",
      "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": "2021-09-10",
      "publication_year": 2021,
      "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": 21,
        "response_sha256": "59c7715098042a91bc7b078cfbd32361884c7d8cdd688115e6e877502153b2a9"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "North Macedonia - EUROPE AND CENTRAL ASIA - P173916 - North Macedonia Emergency COVID-19 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/506351631611492719/pdf/North-Macedonia-EUROPE-AND-CENTRAL-ASIA-P173916-North-Macedonia-Emergency-COVID-19-Response-Project-Audited-Financial-Statement.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/506351631611492719"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/506351631611492719/text/North-Macedonia-EUROPE-AND-CENTRAL-ASIA-P173916-North-Macedonia-Emergency-COVID-19-Response-Project-Audited-Financial-Statement.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "North Macedonia - EUROPE AND CENTRAL ASIA- P173916- North Macedonia Emergency COVID-19 Response Project - Procurement Plan. 2022. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "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": "and or negotiations to contract signing and monitoring of implementation In addition",
        "source_word_count": 12
      },
      "material_id": "material:0691937627328f18b831c955",
      "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": "2022-04-27",
      "publication_year": 2022,
      "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": 7,
        "response_sha256": "5635ef6b025b681309b8b07f6e40e3073f69bd4225a74f613bf9518e97e1615a"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "North Macedonia - EUROPE AND CENTRAL ASIA- P173916- North Macedonia Emergency COVID-19 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/099540004282232283/text/P1739160bb076901709f1e05f50130f7bfe.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/099540004282232283"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099540004282232283/pdf/P1739160bb076901709f1e05f50130f7bfe.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "North Macedonia - EUROPE AND CENTRAL ASIA- P173916- North Macedonia Emergency COVID-19 Response Project - Procurement Plan. 2021. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "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": "and or negotiations to contract signing and monitoring of implementation In addition",
        "source_word_count": 12
      },
      "material_id": "material:0f21b5779c6414afee1087f8",
      "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": "2021-08-04",
      "publication_year": 2021,
      "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": 6,
        "response_sha256": "cf7ed199ee99b908ac26b3c2f9db72cdd9f2f60ac90c9f7ecd51bcafbccb1ed3"
      },
      "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": "North Macedonia - EUROPE AND CENTRAL ASIA- P173916- North Macedonia Emergency COVID-19 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/754311628084697437/text/North-Macedonia-EUROPE-AND-CENTRAL-ASIA-P173916-North-Macedonia-Emergency-COVID-19-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/754311628084697437/pdf/North-Macedonia-EUROPE-AND-CENTRAL-ASIA-P173916-North-Macedonia-Emergency-COVID-19-Response-Project-Procurement-Plan.pdf"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/754311628084697437"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "North Macedonia - EUROPE AND CENTRAL ASIA- P173916- North Macedonia Emergency COVID-19 Response Project - Procurement Plan. 2022. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "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": "and or negotiations to contract signing and monitoring of implementation In addition",
        "source_word_count": 12
      },
      "material_id": "material:10151d1d7c66c5e3bc30476e",
      "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": "2022-01-10",
      "publication_year": 2022,
      "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": 7,
        "response_sha256": "0e7a48e6ef8698156b72a0523a35e7dd4691ba277c3724c9a6b90ab97ffa6775"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "North Macedonia - EUROPE AND CENTRAL ASIA- P173916- North Macedonia Emergency COVID-19 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/099815001102213494/text/North0Macedoni000Procurement0Plan02.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/099815001102213494/pdf/North0Macedoni000Procurement0Plan02.pdf"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099815001102213494"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "North Macedonia - EUROPE AND CENTRAL ASIA- P173916- North Macedonia Emergency COVID-19 Response Project - Procurement Plan. 2020. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "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": 4,
        "source_word_anchor": "Recommendation for Award Signed Contract Contract Completion Planned Actual Planned Actual Planned",
        "source_word_count": 12
      },
      "material_id": "material:25bbe38d44788907f4f592c1",
      "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": "2020-10-20",
      "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": 6,
        "response_sha256": "8d3ff166b969c139afe860351c2b9e391789a876bda86beb7a4f06dda51000f4"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "North Macedonia - EUROPE AND CENTRAL ASIA- P173916- North Macedonia Emergency COVID-19 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/146021603190427073/pdf/North-Macedonia-EUROPE-AND-CENTRAL-ASIA-P173916-North-Macedonia-Emergency-COVID-19-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/146021603190427073"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/146021603190427073/text/North-Macedonia-EUROPE-AND-CENTRAL-ASIA-P173916-North-Macedonia-Emergency-COVID-19-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": "North Macedonia - EUROPE AND CENTRAL ASIA- P173916- North Macedonia Emergency COVID-19 Response Project - Procurement Plan. 2021. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "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": "and or negotiations to contract signing and monitoring of implementation In addition",
        "source_word_count": 12
      },
      "material_id": "material:2f793fee31a54d8f99d44faf",
      "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": "2021-05-13",
      "publication_year": 2021,
      "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": 6,
        "response_sha256": "4788aa17de19ef7bdb7c1571d49b89859241e7d2d44ee4c02d453b7c970371a0"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "North Macedonia - EUROPE AND CENTRAL ASIA- P173916- North Macedonia Emergency COVID-19 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/660301620902827009/pdf/North-Macedonia-EUROPE-AND-CENTRAL-ASIA-P173916-North-Macedonia-Emergency-COVID-19-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/660301620902827009"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/660301620902827009/text/North-Macedonia-EUROPE-AND-CENTRAL-ASIA-P173916-North-Macedonia-Emergency-COVID-19-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": "North Macedonia - EUROPE AND CENTRAL ASIA- P173916- North Macedonia Emergency COVID-19 Response Project - Procurement Plan. 2020. https://documents.worldbank.org/curated/en/838441607436849816",
      "country_ids": [
        "MKD"
      ],
      "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": "liability provisions in the contract should be written or adapted to apply",
        "source_word_count": 12
      },
      "material_id": "material:3c51e9f5b5c1b032b0f5dcf6",
      "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": "2020-12-08",
      "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": 6,
        "response_sha256": "1dca155edfad9b29cb74eeefc08833336d5824a668c94fe48e41c79d5c07b2fa"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "North Macedonia - EUROPE AND CENTRAL ASIA- P173916- North Macedonia Emergency COVID-19 Response Project - Procurement Plan",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/838441607436849816"
        },
        {
          "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/838441607436849816/text/North-Macedonia-EUROPE-AND-CENTRAL-ASIA-P173916-North-Macedonia-Emergency-COVID-19-Response-Project-Procurement-Plan.txt"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/838441607436849816/pdf/North-Macedonia-EUROPE-AND-CENTRAL-ASIA-P173916-North-Macedonia-Emergency-COVID-19-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": "North Macedonia - EUROPE AND CENTRAL ASIA- P173916- North Macedonia Emergency COVID-19 Response Project - Procurement Plan. 2020. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "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": 5,
        "source_word_anchor": "Type Method Market Approach Contract Type Estimated Amount US Actual Amount US",
        "source_word_count": 12
      },
      "material_id": "material:4f864c45a0429b15ecaa2cca",
      "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": "2020-09-23",
      "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": 6,
        "response_sha256": "a6864c9af1ba7ac2b9f987cbea0ae335568125627a105715ebe85500d74ab4f8"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "North Macedonia - EUROPE AND CENTRAL ASIA- P173916- North Macedonia Emergency COVID-19 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/245801600863174086/text/North-Macedonia-EUROPE-AND-CENTRAL-ASIA-P173916-North-Macedonia-Emergency-COVID-19-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/245801600863174086/pdf/North-Macedonia-EUROPE-AND-CENTRAL-ASIA-P173916-North-Macedonia-Emergency-COVID-19-Response-Project-Procurement-Plan.pdf"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/245801600863174086"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "North Macedonia - EUROPE AND CENTRAL ASIA- P173916- North Macedonia Emergency COVID-19 Response Project - Procurement Plan. 2022. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "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": "and or negotiations to contract signing and monitoring of implementation In addition",
        "source_word_count": 12
      },
      "material_id": "material:540444d99063653796ff9c91",
      "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": "2022-04-18",
      "publication_year": 2022,
      "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": 7,
        "response_sha256": "cbe2c9d4d9a2ce38be0f4be678d054623d39bd94bac10b14bc0abb80c196bebf"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "North Macedonia - EUROPE AND CENTRAL ASIA- P173916- North Macedonia Emergency COVID-19 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/099516004262210958/pdf/P17391604686f005f081c00b9f6d7789be9.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/099516004262210958"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099516004262210958/text/P17391604686f005f081c00b9f6d7789be9.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "North Macedonia - EUROPE AND CENTRAL ASIA- P173916- North Macedonia Emergency COVID-19 Response Project - Procurement Plan. 2022. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "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": "and or negotiations to contract signing and monitoring of implementation In addition",
        "source_word_count": 12
      },
      "material_id": "material:5732b56b44df50e27b174472",
      "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": "2022-04-04",
      "publication_year": 2022,
      "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": 7,
        "response_sha256": "ede20cbc4fe5f5ad27b7ab2753e77c112088a7a3e9e302caa9da3526156fd4ae"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "North Macedonia - EUROPE AND CENTRAL ASIA- P173916- North Macedonia Emergency COVID-19 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/099000004052216104/text/P1739160f5c80a04d0a5110b3363c028eae.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/099000004052216104"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099000004052216104/pdf/P1739160f5c80a04d0a5110b3363c028eae.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "North Macedonia - EUROPE AND CENTRAL ASIA- P173916- North Macedonia Emergency COVID-19 Response Project - Procurement Plan. 2022. https://documents.worldbank.org/curated/en/099345012052214416",
      "country_ids": [
        "MKD"
      ],
      "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": "and or negotiations to contract signing and monitoring of implementation In addition",
        "source_word_count": 12
      },
      "material_id": "material:897be6c943db4fed06290966",
      "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": "2022-12-05",
      "publication_year": 2022,
      "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": 7,
        "response_sha256": "11b7253e035c3557b1749545cabd47fb6c46d9e3a7ad71a921544868595017b0"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "North Macedonia - EUROPE AND CENTRAL ASIA- P173916- North Macedonia Emergency COVID-19 Response Project - Procurement Plan",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099345012052214416"
        },
        {
          "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/099345012052214416/text/P17391608f42f70c608cfe04743b25341a2.txt"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099345012052214416/pdf/P17391608f42f70c608cfe04743b25341a2.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "North Macedonia - EUROPE AND CENTRAL ASIA- P173916- North Macedonia Emergency COVID-19 Response Project - Procurement Plan. 2021. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "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": "liability provisions in the contract should be written or adapted to apply",
        "source_word_count": 12
      },
      "material_id": "material:b1b609d1c29995db3ad3fef1",
      "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": "2021-02-16",
      "publication_year": 2021,
      "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": 6,
        "response_sha256": "9ba50a28395eceaee5fee52dfe4c34d7bea5cc1ccbede8c791e4fa3e0b77177a"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "North Macedonia - EUROPE AND CENTRAL ASIA- P173916- North Macedonia Emergency COVID-19 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/621771613510317439/pdf/North-Macedonia-EUROPE-AND-CENTRAL-ASIA-P173916-North-Macedonia-Emergency-COVID-19-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/621771613510317439"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/621771613510317439/text/North-Macedonia-EUROPE-AND-CENTRAL-ASIA-P173916-North-Macedonia-Emergency-COVID-19-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": "North Macedonia - EUROPE AND CENTRAL ASIA- P173916- North Macedonia Emergency COVID-19 Response Project - Procurement Plan. 2020. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "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": 4,
        "source_word_anchor": "Recommendation for Award Signed Contract Contract Completion Planned Actual Planned Actual Planned",
        "source_word_count": 12
      },
      "material_id": "material:bfe209df8234e96f854cf47f",
      "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": "2020-09-15",
      "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": 5,
        "response_sha256": "b3ab00aae7830a48080353e86d35c3f8ec22cb3fe4f6bc46886f39b8c54750e5"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "North Macedonia - EUROPE AND CENTRAL ASIA- P173916- North Macedonia Emergency COVID-19 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/816331600170465148/pdf/North-Macedonia-EUROPE-AND-CENTRAL-ASIA-P173916-North-Macedonia-Emergency-COVID-19-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/816331600170465148"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/816331600170465148/text/North-Macedonia-EUROPE-AND-CENTRAL-ASIA-P173916-North-Macedonia-Emergency-COVID-19-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": "North Macedonia - EUROPE AND CENTRAL ASIA- P173916- North Macedonia Emergency COVID-19 Response Project - Procurement Plan. 2021. https://documents.worldbank.org/curated/en/965401624540627008",
      "country_ids": [
        "MKD"
      ],
      "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": "and or negotiations to contract signing and monitoring of implementation In addition",
        "source_word_count": 12
      },
      "material_id": "material:c541880bb813041109312339",
      "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": "2021-06-24",
      "publication_year": 2021,
      "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": 6,
        "response_sha256": "6a6c5f7ebebdfc0034ec5d9f5846d55ce955ef588ffb26dd9599f363966c3d20"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "North Macedonia - EUROPE AND CENTRAL ASIA- P173916- North Macedonia Emergency COVID-19 Response Project - Procurement Plan",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/965401624540627008"
        },
        {
          "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/965401624540627008/text/North-Macedonia-EUROPE-AND-CENTRAL-ASIA-P173916-North-Macedonia-Emergency-COVID-19-Response-Project-Procurement-Plan.txt"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/965401624540627008/pdf/North-Macedonia-EUROPE-AND-CENTRAL-ASIA-P173916-North-Macedonia-Emergency-COVID-19-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": "North Macedonia - EUROPE AND CENTRAL ASIA- P173916- North Macedonia Emergency COVID-19 Response Project - Procurement Plan. 2022. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "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": "and or negotiations to contract signing and monitoring of implementation In addition",
        "source_word_count": 12
      },
      "material_id": "material:f24262fb76dea08c93624968",
      "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": "2022-05-09",
      "publication_year": 2022,
      "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": 7,
        "response_sha256": "be0d781906bc37f7c6a318fa3a4970c28e5857938a5008a9dc305e877f7f2663"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "North Macedonia - EUROPE AND CENTRAL ASIA- P173916- North Macedonia Emergency COVID-19 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/099735005102217683/pdf/P1739160fb32a40fc084570a41afc5458db.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/099735005102217683/text/P1739160fb32a40fc084570a41afc5458db.txt"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099735005102217683"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "North Macedonia - EUROPE AND CENTRAL ASIA- P173916- North Macedonia Emergency COVID-19 Response Project - Procurement Plan. 2022. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "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": "and or negotiations to contract signing and monitoring of implementation In addition",
        "source_word_count": 12
      },
      "material_id": "material:fd850f742094dfc4d9beced0",
      "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": "2022-11-01",
      "publication_year": 2022,
      "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": 7,
        "response_sha256": "96f127eb7d201672ebb8a7093b7827d2c6e72e8e007744397c6d2f5b787c435d"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "North Macedonia - EUROPE AND CENTRAL ASIA- P173916- North Macedonia Emergency COVID-19 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/099140011012241500/pdf/P17391609a25400ec0b70a084c19f4fc706.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/099140011012241500/text/P17391609a25400ec0b70a084c19f4fc706.txt"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099140011012241500"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "North Macedonia - Emergency COVID-19 Project. 2020. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "health_financing",
        "pooling_insurance",
        "primary_care",
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "heading": "SYSTEMATIC OPERATIONS RISK-RATING TOOL SORT",
        "paragraph_index_on_page": 10,
        "physical_pdf_page": 8,
        "source_word_anchor": "Rating 1 Political and Governance Substantial 2 Macroeconomic Substantial 3 Sector Strategies",
        "source_word_count": 12
      },
      "material_id": "material:a074d9c86ed8ccaecc24d9a8",
      "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": "2020-05-04",
      "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": 63,
        "response_sha256": "dea2cbc2815645a8e4734a430480f7238887f7bc61303b5124b5d7b85b346d67"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:pooling_insurance",
        "health_system_topic:primary_care",
        "health_system_topic:service_delivery",
        "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": "North Macedonia - Emergency COVID-19 Project",
      "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/590811588861008910/text/North-Macedonia-Emergency-COVID-19-Project.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/590811588861008910/pdf/North-Macedonia-Emergency-COVID-19-Project.pdf"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/590811588861008910"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "North Macedonia Health : Advisory Services and Analytics : Assessment of Primary Health Care Capacity. 2020. https://documents.worldbank.org/curated/en/595391593096242357",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "accreditation_quality",
        "fiscal_space_budget",
        "health_financing",
        "health_information",
        "health_information_systems",
        "health_workforce",
        "hospital_referral",
        "primary_care",
        "provider_payment",
        "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": 3,
        "physical_pdf_page": 1,
        "source_word_anchor": "Health Care Capacity Assessment governance inputs population health and facility management is",
        "source_word_count": 12
      },
      "material_id": "material:145c766adcfd37c2a4728b0a",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the priority traceability audit.",
        "A recoverable source locator was retrieved from this exact public source URL in the priority traceability audit."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2020-01-01",
      "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_priority_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_priority_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 18,
        "response_sha256": "8b9cdd91b8cd2e416ca717c88a1113649d4ebf4cb3156716c70e04c95a86c12a"
      },
      "statement": null,
      "tags": [
        "control_knob:financing",
        "control_knob:organization",
        "control_knob:payment",
        "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:primary_care",
        "health_system_topic:provider_payment",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "service_area:immunization",
        "service_area:mental_health",
        "service_area:primary_care",
        "who_building_block:health_financing",
        "who_building_block:health_information_systems",
        "who_building_block:health_workforce",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "North Macedonia Health : Advisory Services and Analytics : Assessment of Primary Health Care Capacity",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/595391593096242357"
        },
        {
          "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/595391593096242357/pdf/Assessment-of-Primary-Health-Care-Capacity.pdf"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/595391593096242357/text/Assessment-of-Primary-Health-Care-Capacity.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "North Macedonia Public Finance Review : Sowing the Seeds of a Sustainable Future. 2018. https://documents.worldbank.org/curated/en/159301557513724528",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "accreditation_quality",
        "primary_care",
        "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": 11,
        "source_word_anchor": "152 Figure 8 21 Hospital beds per 100 000 Compared 1995 2015",
        "source_word_count": 12
      },
      "material_id": "material:188387c8465688d2e3afb82d",
      "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": "2018-03-01",
      "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": 232,
        "response_sha256": "b98d7ce61968a1c5f52baa23e3db6173f174e2e879871e1489943bc095e91cbe"
      },
      "statement": null,
      "tags": [
        "control_knob:financing",
        "control_knob:organization",
        "health_system_topic:accreditation_quality",
        "health_system_topic:primary_care",
        "population_group:children",
        "service_area:primary_care",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "North Macedonia Public Finance Review : Sowing the Seeds of a Sustainable Future",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/159301557513724528"
        },
        {
          "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/159301557513724528/text/North-Macedonia-Public-Finance-Review-Sowing-the-Seeds-of-a-Sustainable-Future.txt"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/159301557513724528/pdf/North-Macedonia-Public-Finance-Review-Sowing-the-Seeds-of-a-Sustainable-Future.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Official Documents- Amendment to the Loan Agreement for Loan 9109-MK. 2021. https://documents.worldbank.org/curated/en/180871641856664365",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "medical_products_vaccines_technologies",
        "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": 11,
        "source_word_anchor": "following Ministries agencies units Ministry of Health MoH and Ministry of Labor",
        "source_word_count": 12
      },
      "material_id": "material:b740cc53cf8c95d3dfab57a5",
      "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": "2021-12-22",
      "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": 19,
        "response_sha256": "a08902ec5d37dfc6a7e276b5bbb0168695de8b1585d768ccb43e6fd8371dd7a0"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "control_knob:persuasion_behaviour",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "service_area:immunization",
        "service_area:maternal_reproductive",
        "who_building_block:medical_products_vaccines_technologies",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Official Documents- Amendment to the Loan Agreement for Loan 9109-MK",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/180871641856664365"
        },
        {
          "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/180871641856664365/text/Official-Documents-Amendment-to-the-Loan-Agreement-for-Loan-9109-MK.txt"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/180871641856664365/pdf/Official-Documents-Amendment-to-the-Loan-Agreement-for-Loan-9109-MK.pdf"
        }
      ]
    },
    {
      "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 Loan 9109-MK. 2020. https://documents.worldbank.org/curated/en/963541603138406258",
      "country_ids": [
        "MKD"
      ],
      "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:c811accc7d4933a193f25eb2",
      "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": "2020-10-16",
      "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,
        "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": "888b281ed590fdcca42185274bb7645e78b76dbf14be695c5a8e450ca9299056"
      },
      "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 Loan 9109-MK",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/963541603138406258"
        },
        {
          "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/963541603138406258/text/Official-Documents-Disbursement-and-Financial-Information-Letter-for-Loan-9109-MK.txt"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/963541603138406258/pdf/Official-Documents-Disbursement-and-Financial-Information-Letter-for-Loan-9109-MK.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Official Documents- Loan Agreement for Loan No. 9109-MK. 2020. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "primary_care",
        "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": "development of testing treatment referral anddischarge protocols and the streamlining of the",
        "source_word_count": 12
      },
      "material_id": "material:047b56dc3fd1a7b18dd21bea",
      "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": "2020-10-19",
      "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": 16,
        "response_sha256": "4df835b02c10b212ec585d20fe8e58c31f70faafb9793f493934ec611fde2193"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:primary_care",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "service_area:infectious_disease",
        "service_area:primary_care",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Official Documents- Loan Agreement for Loan No. 9109-MK",
      "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/235001603138349756/pdf/Official-Documents-Loan-Agreement-for-Loan-No-9109-MK.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/235001603138349756"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/235001603138349756/text/Official-Documents-Loan-Agreement-for-Loan-No-9109-MK.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 (Appraisal Stage) - Road Upgrading and Development Project - P149955. 2015. https://documents.worldbank.org/curated/en/660151468046849631",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": null,
      "material_id": "material:d8cc035b55d21e4e3a74148b",
      "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": "2015-06-17",
      "publication_year": 2015,
      "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": "application/pdf",
        "page_count": 6,
        "response_sha256": "18d431012b057b653b962568e5e6cb3c33fd4ef88b4b187abdb966021414f2a4"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "control_knob:persuasion_behaviour"
      ],
      "territory": "national",
      "title": "Project Information Document (Appraisal Stage) - Road Upgrading and Development Project - P149955",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/660151468046849631"
        },
        {
          "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/660151468046849631/text/PID-Appraisal-Print-P149955-06-17-2015-1434560406971.txt"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/660151468046849631/pdf/PID-Appraisal-Print-P149955-06-17-2015-1434560406971.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 - North Macedonia Emergency COVID-19 Response Project - P173916. 2020. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "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": 7,
        "physical_pdf_page": 11,
        "source_word_anchor": "development of testing treatment referral and discharge protocols streamlining of the EA",
        "source_word_count": 12
      },
      "material_id": "material:fb142d78393a925062a30cd9",
      "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": "2020-04-22",
      "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": 15,
        "response_sha256": "c2f74403ebc9f3750979d3f2b110f982a6b2a20b011675981673567afefb6acc"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Project Information Document - North Macedonia Emergency COVID-19 Response Project - P173916",
      "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/103791587575653211/pdf/Project-Information-Document-North-Macedonia-Emergency-COVID-19-Response-Project-P173916.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/103791587575653211/text/Project-Information-Document-North-Macedonia-Emergency-COVID-19-Response-Project-P173916.txt"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/103791587575653211"
        }
      ]
    },
    {
      "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 Management Framework (ESMF) North Macedonia Emergency COVID-19 Response Project (P173916). 2021. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "health_financing",
        "pooling_insurance",
        "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": 10,
        "source_word_anchor": "of testing treat ment referral and discharge protocols streamlining of Employment Agency",
        "source_word_count": 12
      },
      "material_id": "material:5b5a592ee1ead454e764202b",
      "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": "2021-06-23",
      "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": 92,
        "response_sha256": "1e05022b50786e7e4f1dd23a2ab89473a1a308c73db7435d2114490458accd7c"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:pooling_insurance",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "service_area:infectious_disease",
        "who_building_block:health_financing",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Revised Environmental and Social Management Framework (ESMF) North Macedonia Emergency COVID-19 Response Project (P173916)",
      "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/573821624481751875/pdf/Revised-Environmental-and-Social-Management-Framework-ESMF-North-Macedonia-Emergency-COVID-19-Response-Project-P173916.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/573821624481751875/text/Revised-Environmental-and-Social-Management-Framework-ESMF-North-Macedonia-Emergency-COVID-19-Response-Project-P173916.txt"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/573821624481751875"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Revised Labor Management Procedures North Macedonia Emergency COVID-19 Response Project (P173916). 2021. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "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": 2,
        "physical_pdf_page": 5,
        "source_word_anchor": "this project direct and contract workers and primary supply wor kers will",
        "source_word_count": 12
      },
      "material_id": "material:1c841336955544ebc356d45b",
      "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": "2021-06-22",
      "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": 25,
        "response_sha256": "a05eeec19c56099fa5c01d55263fa2c5bab1bf82534d7025e7cfc5442f34f5fc"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "control_knob:persuasion_behaviour",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "service_area:infectious_disease",
        "service_area:maternal_reproductive",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Revised Labor Management Procedures North Macedonia Emergency COVID-19 Response Project (P173916)",
      "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/421241624380339390/text/Revised-Labor-Management-Procedures-North-Macedonia-Emergency-COVID-19-Response-Project-P173916.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/421241624380339390"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/421241624380339390/pdf/Revised-Labor-Management-Procedures-North-Macedonia-Emergency-COVID-19-Response-Project-P173916.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) - North Macedonia Emergency COVID-19 Response Project - P173916. 2020. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "health_financing",
        "pooling_insurance",
        "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": 3,
        "source_word_anchor": "development of testing treatment referral and discharge protocols and longer-term capacity-building for",
        "source_word_count": 12
      },
      "material_id": "material:b4fcc792152064fe8ef94a19",
      "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": "2020-04-20",
      "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": 19,
        "response_sha256": "ae4dbbc17ffedab44028254a661c3c97a2143f609a72822a83fb4f039fbde20b"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "control_knob:persuasion_behaviour",
        "health_system_topic:pooling_insurance",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "service_area:infectious_disease",
        "who_building_block:health_financing",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Stakeholder Engagement Plan (SEP) - North Macedonia Emergency COVID-19 Response Project - P173916",
      "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/388531587412199443/pdf/Stakeholder-Engagement-Plan-SEP-North-Macedonia-Emergency-COVID-19-Response-Project-P173916.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/388531587412199443"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/388531587412199443/text/Stakeholder-Engagement-Plan-SEP-North-Macedonia-Emergency-COVID-19-Response-Project-P173916.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "The Former Yugoslav Republic of Macedonia - Public Expenditure Policy Based Guarantee Program. 2012. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "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": {
        "physical_pdf_page": 2,
        "source_word_anchor": "Sector Accounting Standards MoF Ministry of Finance MoH Ministry of Health MoLSP",
        "source_word_count": 12
      },
      "material_id": "material:0e7a80fa8c25e42a8f4ccee4",
      "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": "2012-12-05",
      "publication_year": 2012,
      "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": 77,
        "response_sha256": "400fe9ce96d619537f0ec76bf479f78e1d81c4d1fa5084e1399367d45245aa4d"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:pooling_insurance",
        "service_area:cross_cutting",
        "who_building_block:health_financing",
        "who_building_block:leadership_governance",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "The Former Yugoslav Republic of Macedonia - Public Expenditure Policy Based Guarantee Program",
      "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/329921468049145166/pdf/NonAsciiFileName0.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/329921468049145166/text/NonAsciiFileName0.txt"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/329921468049145166"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [
        "Milevska Kostova N",
        "Atanasova S",
        "Dimkovski V",
        "Stevanovski G",
        "Stæhr Johansen A",
        "Winkelmann J",
        "Rechel B"
      ],
      "availability": {
        "metadata_only": true,
        "source_bytes_verified": false
      },
      "citation": "Milevska Kostova N, Atanasova S, Dimkovski V, Stevanovski G, Stæhr Johansen A, Winkelmann J, Rechel B. North Macedonia: Health System Review.. Health systems in transition. 2024.",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "decision_rights",
        "governance",
        "government_responsibilities",
        "hospital_organization",
        "networks",
        "primary_care",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": "pubmed_review_candidate",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "Health systems in transition",
      "locator": null,
      "material_id": "material:489e653d5f9f0303157dadbc",
      "notes": [
        "The title screen is conservative and cannot replace abstract or full-text review.",
        "This candidate is not formal authority for jurisdictional rules.",
        "NCBI E-utilities metadata candidate. Human relevance and full-text appraisal are pending.",
        "Returned by the country-specific PubMed query and passed conservative title checks for country mention, review relevance, broad country-system scope, and health-system organization or delivery relevance.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-pubmed-review-leads",
      "period": null,
      "publication_date": "2024 Dec",
      "publication_year": 2024,
      "record_kind": "pubmed_review_source_lead",
      "record_kind_label": "Pubmed Review Source Lead",
      "screening": {
        "previous_boundary_detected": true,
        "previous_visibility": "previously_not_projected",
        "review_status": "needs_review",
        "source_version_linked_from_country_score_acquisition": true,
        "triage_status": "new"
      },
      "source_layers": [],
      "source_system": "PubMed E-utilities",
      "source_version": {
        "detected_media_type": "text/xml",
        "response_sha256": "7c3f6e1c17298af037e2f13edc4787137160d76f6d0b984c2a0b962770f47624"
      },
      "statement": null,
      "tags": [
        "NCBI E-utilities metadata candidate. Human relevance and full-text appraisal are pending."
      ],
      "territory": null,
      "title": "North Macedonia: Health System Review.",
      "urls": [
        {
          "kind": "pubmed",
          "source": "not supplied",
          "url": "https://pubmed.ncbi.nlm.nih.gov/40386870/"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Milevska Kostova N, Atanasova S, Dimkovski V, Stevanovski G, Stæhr Johansen A, Winkelmann J, Rechel B. North Macedonia: Health System Review.. Health systems in transition. 2024.",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "decision_rights",
        "governance",
        "government_responsibilities",
        "hospital_organization",
        "networks",
        "primary_care",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": null,
      "excerpt": null,
      "institution": null,
      "locator": null,
      "material_id": "material:4948b7eec8c6c7ce422234ae",
      "notes": [
        "Citation metadata identifies a country-scoped review lead, but no locally acquired full text was selected for an exact excerpt.",
        "No country statement is created from title or bibliographic metadata alone.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-review-evidence-context",
      "period": null,
      "publication_date": null,
      "publication_year": 2024,
      "record_kind": "review_literature_context",
      "record_kind_label": "Review Literature Context",
      "screening": {
        "context_status": "metadata_only",
        "previous_boundary_detected": true,
        "previous_visibility": "previously_not_projected",
        "review_status": "needs_review",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [],
      "source_system": "pubmed_global_country_system_review_discovery",
      "source_version": {
        "detected_media_type": "text/xml",
        "response_sha256": "7c3f6e1c17298af037e2f13edc4787137160d76f6d0b984c2a0b962770f47624"
      },
      "statement": null,
      "tags": [],
      "territory": null,
      "title": "Review Literature Context",
      "urls": [
        {
          "kind": "pubmed",
          "source": "not supplied",
          "url": "https://pubmed.ncbi.nlm.nih.gov/40386870/"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank Documents and Reports. Macedonia - Health Sector Management Project. World Bank Documents and Reports; 2011. https://documents.worldbank.org/curated/en/680781468054607549/pdf/ICR16910P086670e0only0900BOX361518B.pdf",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "actors",
        "government_responsibilities",
        "primary_care"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": null,
      "excerpt": null,
      "institution": null,
      "locator": {
        "paragraph_index_on_page": 5,
        "physical_pdf_page": 9,
        "source_word_anchor": "of first-phase of hospital contract implementation Value quantitative or Qualitative 17 contracts",
        "source_word_count": 12
      },
      "material_id": "material:8bf991ad9beb857140c3a2ee",
      "notes": [
        "Verify the exact bibliographic citation against the original source.",
        "Confirm that the document applies to the named country and intended territorial scope.",
        "Confirm document type, issuing institution, authority, and claim-specific suitability.",
        "Retrieve and hash the exact source version when it is not already verified.",
        "Check publication date, effective period, currency, and supersession risk.",
        "Confirm only domains directly supported by the reviewed source.",
        "Add substantive feedback directly through the text-anchored annotation layer.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the 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-source-triage-queue",
      "period": null,
      "publication_date": null,
      "publication_year": 2011,
      "record_kind": "source_triage_record",
      "record_kind_label": "Source Triage Record",
      "screening": {
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_boundary_detected": true,
        "previous_visibility": "previously_not_projected",
        "review_status": "needs_review",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "global_literature",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 95,
        "response_sha256": "42eae7f07ac7c3ac924b07a2dd53eed8085775e0e0f9904eedf48e5d2ae98b0e"
      },
      "statement": null,
      "tags": [],
      "territory": null,
      "title": "Macedonia - Health Sector Management Project",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/680781468054607549/pdf/ICR16910P086670e0only0900BOX361518B.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank Documents and Reports. Macedonia - Health Sector Management Project. World Bank Documents and Reports; 2012. https://documents.worldbank.org/curated/en/232141475089581730/pdf/000020051-20140624204215.pdf",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "actors",
        "authoritative_review",
        "government_responsibilities",
        "primary_care"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": null,
      "excerpt": null,
      "institution": null,
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 2,
        "source_word_anchor": "budget formulation 2 HIF Governance and Management Strengthening appraisal US 3 35",
        "source_word_count": 12
      },
      "material_id": "material:97efcd9e044cfbad57de8697",
      "notes": [
        "Verify the exact bibliographic citation against the original source.",
        "Confirm that the document applies to the named country and intended territorial scope.",
        "Confirm document type, issuing institution, authority, and claim-specific suitability.",
        "Retrieve and hash the exact source version when it is not already verified.",
        "Check publication date, effective period, currency, and supersession risk.",
        "Confirm only domains directly supported by the reviewed source.",
        "Add substantive feedback directly through the text-anchored annotation layer.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the priority traceability audit.",
        "A recoverable source locator was retrieved from this exact public source URL in the priority traceability audit."
      ],
      "origin": "global-source-triage-queue",
      "period": null,
      "publication_date": null,
      "publication_year": 2012,
      "record_kind": "source_triage_record",
      "record_kind_label": "Source Triage Record",
      "screening": {
        "page_locator_linked_from_priority_acquisition": true,
        "previous_boundary_detected": true,
        "previous_visibility": "previously_not_projected",
        "review_status": "needs_review",
        "source_version_linked_from_priority_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "global_literature",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 11,
        "response_sha256": "ba60ed5215e8481db13d06d17a2b502aad4d0976b41317766e2e13da96aa1009"
      },
      "statement": null,
      "tags": [],
      "territory": null,
      "title": "Macedonia - Health Sector Management Project",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/232141475089581730/pdf/000020051-20140624204215.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank Documents and Reports. Macedonia, former Yugoslav Republic of - Health Sector Management Project. World Bank Documents and Reports; 2013. https://documents.worldbank.org/curated/en/157741468270879481/pdf/782100PPAR0Mac0t0PUBLIC00Box379845B.pdf",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "actors",
        "government_responsibilities",
        "primary_care"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": null,
      "excerpt": null,
      "institution": null,
      "locator": {
        "paragraph_index_on_page": 6,
        "physical_pdf_page": 9,
        "source_word_anchor": "financial management transparency and governance of the HIF and public health institutions",
        "source_word_count": 12
      },
      "material_id": "material:55d86a90d7e3270ad358253f",
      "notes": [
        "Verify the exact bibliographic citation against the original source.",
        "Confirm that the document applies to the named country and intended territorial scope.",
        "Confirm document type, issuing institution, authority, and claim-specific suitability.",
        "Retrieve and hash the exact source version when it is not already verified.",
        "Check publication date, effective period, currency, and supersession risk.",
        "Confirm only domains directly supported by the reviewed source.",
        "Add substantive feedback directly through the text-anchored annotation layer.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the 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-source-triage-queue",
      "period": null,
      "publication_date": null,
      "publication_year": 2013,
      "record_kind": "source_triage_record",
      "record_kind_label": "Source Triage Record",
      "screening": {
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_boundary_detected": true,
        "previous_visibility": "previously_not_projected",
        "review_status": "needs_review",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "global_literature",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 57,
        "response_sha256": "8cf0db6ac78788ce7a6e5dc623cee2236e99f9f33a197db253ef3a0a952eb918"
      },
      "statement": null,
      "tags": [],
      "territory": null,
      "title": "Macedonia, former Yugoslav Republic of - Health Sector Management Project",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/157741468270879481/pdf/782100PPAR0Mac0t0PUBLIC00Box379845B.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank Documents and Reports. North Macedonia Health : Advisory Services and Analytics : Assessment of Primary Health Care Capacity. World Bank Documents and Reports; 2020. https://documents.worldbank.org/curated/en/595391593096242357/pdf/Assessment-of-Primary-Health-Care-Capacity.pdf",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "actors",
        "government_responsibilities",
        "hospital_organization",
        "primary_care",
        "referral_design"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": null,
      "excerpt": null,
      "institution": null,
      "locator": {
        "paragraph_index_on_page": 3,
        "physical_pdf_page": 1,
        "source_word_anchor": "Health Care Capacity Assessment governance inputs population health and facility management is",
        "source_word_count": 12
      },
      "material_id": "material:acb2d26738b17d8dc8a253a1",
      "notes": [
        "Verify the exact bibliographic citation against the original source.",
        "Confirm that the document applies to the named country and intended territorial scope.",
        "Confirm document type, issuing institution, authority, and claim-specific suitability.",
        "Retrieve and hash the exact source version when it is not already verified.",
        "Check publication date, effective period, currency, and supersession risk.",
        "Confirm only domains directly supported by the reviewed source.",
        "Add substantive feedback directly through the text-anchored annotation layer.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the priority traceability audit.",
        "A recoverable source locator was retrieved from this exact public source URL in the priority traceability audit."
      ],
      "origin": "global-source-triage-queue",
      "period": null,
      "publication_date": null,
      "publication_year": 2020,
      "record_kind": "source_triage_record",
      "record_kind_label": "Source Triage Record",
      "screening": {
        "page_locator_linked_from_priority_acquisition": true,
        "previous_boundary_detected": true,
        "previous_visibility": "previously_not_projected",
        "review_status": "needs_review",
        "source_version_linked_from_priority_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "global_literature",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 18,
        "response_sha256": "8b9cdd91b8cd2e416ca717c88a1113649d4ebf4cb3156716c70e04c95a86c12a"
      },
      "statement": null,
      "tags": [],
      "territory": null,
      "title": "North Macedonia Health : Advisory Services and Analytics : Assessment of Primary Health Care Capacity",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/595391593096242357/pdf/Assessment-of-Primary-Health-Care-Capacity.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Milevska Kostova N, Atanasova S, Dimkovski V, Stevanovski G, Stæhr Johansen A, Winkelmann J, Rechel B. North Macedonia: Health System Review.. Health systems in transition. 2024.",
      "country_ids": [
        "MKD"
      ],
      "coverage_domains": [
        "decision_rights",
        "governance",
        "government_responsibilities",
        "hospital_organization",
        "networks",
        "primary_care",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": null,
      "excerpt": null,
      "institution": null,
      "locator": null,
      "material_id": "material:73afcce32ca63f903d21eb8c",
      "notes": [
        "Verify the exact bibliographic citation against the original source.",
        "Confirm that the document applies to the named country and intended territorial scope.",
        "Confirm document type, issuing institution, authority, and claim-specific suitability.",
        "Retrieve and hash the exact source version when it is not already verified.",
        "Check publication date, effective period, currency, and supersession risk.",
        "Confirm only domains directly supported by the reviewed source.",
        "Add substantive feedback directly through the text-anchored annotation layer.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "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": {
        "previous_boundary_detected": true,
        "previous_visibility": "previously_not_projected",
        "review_status": "needs_review",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "pubmed_global_country_system_review_discovery"
      ],
      "source_system": "pubmed_global_country_system_review_discovery",
      "source_version": {
        "detected_media_type": "text/xml",
        "response_sha256": "7c3f6e1c17298af037e2f13edc4787137160d76f6d0b984c2a0b962770f47624"
      },
      "statement": null,
      "tags": [],
      "territory": null,
      "title": "North Macedonia: Health System Review.",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://pubmed.ncbi.nlm.nih.gov/40386870/"
        }
      ]
    }
  ]
}
