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        "mapping_group": "delivery_and_referrals",
        "mapping_id": "candidate-mapping:MUS:delivery-referrals:dated-bed-density-and-clinic-expansion",
        "source_projection_ids": [
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        "support_state": "candidate_supported",
        "target_slot": "national-bed-density-and-primary-care-clinic-expansion",
        "target_view": "delivery",
        "typed_fields": {
          "boundary": "These series do not identify ownership by bed, service readiness, utilisation by facility or patient pathways.",
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          "reported_expansion_fact": "WHO reports primary-care clinics increased from 147 to 268 between 2022 and 2024."
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      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank, WDI SH.MED.BEDS.ZS; World Health Organization Regional Office for Africa, Health Labour Market Analysis article, 2026; BMC Health Services Research, 2023.",
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      "coverage_domains": [
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        "hospital_organization",
        "market_structure",
        "patient_flows",
        "primary_care",
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      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "observed",
      "excerpt": "from 147 to 268 between 2022 and 2024",
      "institution": null,
      "locator": {
        "description": "WDI API resource SH.MED.BEDS.ZS, 2023 value; WHO article, Comprehensive Health Labour Market Analysis; BMC article, Health system context."
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      "material_id": "material:d49cd397ac72c638469a3b2b",
      "notes": [
        "Do not use bed density as a proxy for individual provider capacity or access."
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      "origin": "candidate-analytical-mappings",
      "period": "Hospital-bed observation 2023; primary-care clinic change 2022-2024",
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      "statement": "The World Bank series reports 3.8 hospital beds per 1,000 people in Mauritius in 2023. WHO reports an increase from 147 to 268 primary-care clinics from 2022 to 2024. These indicators do not measure patient routes or service quality.",
      "tags": [],
      "territory": "Mauritius national indicator series and public primary-care clinics",
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      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://api.worldbank.org/v2/country/MUS/indicator/SH.MED.BEDS.ZS?format=json"
        },
        {
          "kind": "source_reference",
          "source": "WHO supports Mauritius in undertaking a comprehensive Health Labour Market Analysis",
          "url": "https://www.afro.who.int/countries/mauritius/news/who-supports-mauritius-undertaking-comprehensive-health-labour-market-analysis"
        },
        {
          "kind": "source_reference",
          "source": "An assessment of the performance of the national health research system in Mauritius",
          "url": "https://link.springer.com/article/10.1186/s12913-023-09208-x"
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      ]
    },
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      "analytical_mapping": {
        "mapping_basis": "Health Sector Strategic Plan 2020-2024, pages 61-63",
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        "source_projection_ids": [
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        ],
        "support_state": "candidate_supported",
        "target_slot": "formal-phc-gatekeeper-and-two-way-follow-up-design",
        "target_view": "referrals",
        "typed_fields": {
          "formal_pathway_design": "The plan specifies a primary-care gatekeeper objective and proposes two-way communication for patients referred to secondary care.",
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      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Ministry of Health and Wellness, Health Sector Strategic Plan 2020-2024, pages 61-63.",
      "country_ids": [
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      "coverage_domains": [
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        "patient_flows",
        "primary_care",
        "referral_design"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "formal",
      "excerpt": "Establish a strong gatekeeper mechanism at the PHC level",
      "institution": null,
      "locator": {
        "description": "Pages 61-63, Specific Objectives and Integrated Primary Health Care Services, Strategic Objectives 1.1 and 1.3."
      },
      "material_id": "material:03b3e8b46e518dff9176a430",
      "notes": [
        "Do not infer observed referral completion or patient choice from planned arrangements."
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      "origin": "candidate-analytical-mappings",
      "period": "Strategic plan 2020-2024",
      "publication_date": null,
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      "record_kind": "candidate_analytical_mapping",
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      "source_layers": [
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      "source_system": null,
      "source_version": {
        "file_sha256": "b31fab739580ee3be1da49f475bb99fed21a7f8587cb8e9311829625147733c8"
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      "statement": "The 2020-2024 plan proposes primary care as the hospital access gatekeeper and two-way communication for patients referred to secondary care. It does not show that a compulsory pathway or follow-up system was operating nationwide.",
      "tags": [],
      "territory": "Mauritius public primary and secondary care",
      "title": "Formal primary-care gatekeeping and follow-up design",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://health.govmu.org/health/wp-content/uploads/2023/03/Health-Sector-Strategic-Plan-2020-2024.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "Annual Report on Performance 2022-2023, page 16; Private Health Institutions Act 1989, sections 3-9",
        "mapping_group": "decision_rights_and_autonomy",
        "mapping_id": "candidate-mapping:MUS:decision-autonomy:ministry-administration-and-private-regulation",
        "source_projection_ids": [
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          "country-improvement-source:MUS:private-health-institutions-act-1989"
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        "support_state": "candidate_supported",
        "target_slot": "ministry-wide-administration-and-private-institution-regulation",
        "target_view": "decisions",
        "typed_fields": {
          "boundary": "These sources do not allocate clinical, staffing, procurement or capital decisions among individual public providers.",
          "decision_allocation": "The annual report names the Senior Chief Executive as accountable for overall Ministry administration and supervision. The Act specifies licensing, register, inspection, direction and information powers for private institutions."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Ministry of Health and Wellness, Annual Report on Performance 2022-2023, page 16; Republic of Mauritius, Private Health Institutions Act 1989, sections 3-9.",
      "country_ids": [
        "MUS"
      ],
      "coverage_domains": [
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        "government_responsibilities",
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      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "formal",
      "excerpt": "accountable for the overall administration and general supervision",
      "institution": null,
      "locator": {
        "description": "Annual report page 16, Ministry organisation; Private Health Institutions Act, sections 3-9."
      },
      "material_id": "material:da170c8df208c867acd805e1",
      "notes": [
        "Do not infer facility-level autonomy from Ministry-wide supervision."
      ],
      "origin": "candidate-analytical-mappings",
      "period": "Financial year 2022-2023; Act commenced 1 July 1990",
      "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": [
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      ],
      "source_system": null,
      "source_version": {
        "file_sha256": "80e4e828d29f24df7c1988b296a748ca456df5369f953dc38a22afc000756eb5"
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      "statement": "The Ministry's annual report identifies its Senior Chief Executive as accountable for overall administration and supervision. The Private Health Institutions Act sets defined regulatory powers for private institutions, without a complete public-provider decision matrix.",
      "tags": [],
      "territory": "Mauritius",
      "title": "Ministry administration and private-sector regulatory decisions",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://health.govmu.org/health/wp-content/uploads/2023/10/Annual-Report-on-Performance-for-Financial-Year-2022-2023.pdf"
        },
        {
          "kind": "source_reference",
          "source": "Private Health Institutions Act 1989",
          "url": "https://health.govmu.org/health/wp-content/uploads/2023/03/PRIVATE-HEALTH-INSTITUTIONS-ACT-1989.pdf"
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      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "Annual Report on Performance for Financial Year 2022-2023, pages 9 and 33",
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        "mapping_id": "candidate-mapping:MUS:delivery-referrals:observed-public-hospital-activity-2022-2023",
        "source_projection_ids": [
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        ],
        "support_state": "candidate_supported",
        "target_slot": "dated-public-hospital-activity-and-facility-categories",
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        "typed_fields": {
          "denominator_label": "Average daily hospital outpatient cases, not unique people, admissions, referral completions or a population rate.",
          "facility_context": "The report lists five regional hospitals, two district hospitals and six specialised hospitals.",
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      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Ministry of Health and Wellness, Annual Report on Performance for Financial Year 2022-2023, pages 9 and 33.",
      "country_ids": [
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      ],
      "coverage_domains": [
        "facility_data",
        "hospital_organization",
        "ownership",
        "patient_flows",
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      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "observed",
      "excerpt": "Hospitals have thus catered for 7,648 outpatient cases per day",
      "institution": null,
      "locator": {
        "description": "Pages 9 and 33, public hospital categories and outpatient cases."
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      "material_id": "material:9528debce9c900673b300e3f",
      "notes": [
        "Retain the stated daily outpatient-case denominator."
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      "origin": "candidate-analytical-mappings",
      "period": "Financial year 2022-2023",
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      "record_kind": "candidate_analytical_mapping",
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      "screening": {
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      "source_layers": [
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      ],
      "source_system": null,
      "source_version": {
        "file_sha256": "80e4e828d29f24df7c1988b296a748ca456df5369f953dc38a22afc000756eb5"
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      "statement": "For financial year 2022-2023, the Ministry reports 7,648 hospital outpatient cases per day and lists five regional, two district and six specialised public hospitals. The daily figure is an activity count, not a measure of unique patients or referrals.",
      "tags": [],
      "territory": "Mauritius public hospitals",
      "title": "Observed public hospital activity and categories",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://health.govmu.org/health/wp-content/uploads/2023/10/Annual-Report-on-Performance-for-Financial-Year-2022-2023.pdf"
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      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "Health Sector Strategic Plan 2020-2024, pages 27 and 30; Private Health Institutions Act 1989, sections 2-9",
        "mapping_group": "actors_and_functions",
        "mapping_id": "candidate-mapping:MUS:actors-functions:public-private-provider-boundary",
        "source_projection_ids": [
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        "support_state": "candidate_supported",
        "target_slot": "government-led-public-service-and-licensed-private-institutions",
        "target_view": "public-private",
        "typed_fields": {
          "boundary": "The sources do not quantify current provider market shares, enumerate all owners or establish comparative service quality.",
          "provider_ownership_operation": "The plan describes a government-led public sector and a private sector with for-profit and not-for-profit participants. The Act formally regulates private health institutions through licensing and oversight powers."
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      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Ministry of Health and Wellness, Health Sector Strategic Plan 2020-2024, pages 27 and 30; Republic of Mauritius, Private Health Institutions Act 1989, sections 2-9.",
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      "coverage_domains": [
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      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "formal",
      "excerpt": "The private sector, both for-profit and not-for-profit",
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      "locator": {
        "description": "HSSP pages 27 and 30, paragraphs 1.2.2 and 1.2.14-1.2.16; Private Health Institutions Act, sections 2-9."
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      "material_id": "material:0915fd1543df082a781e1b75",
      "notes": [
        "Do not treat licensed status as evidence of service volume or patient choice."
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      "origin": "candidate-analytical-mappings",
      "period": "HSSP 2020-2024; Private Health Institutions Act commenced 1 July 1990",
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      "record_kind": "candidate_analytical_mapping",
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      "source_version": {
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      "statement": "The Ministry plan distinguishes a government-led public service from private for-profit and not-for-profit provision. The Private Health Institutions Act establishes licensing and oversight arrangements for private institutions, not a measure of their market share.",
      "tags": [],
      "territory": "Mauritius",
      "title": "Public and private provider boundary",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://health.govmu.org/health/wp-content/uploads/2023/03/Health-Sector-Strategic-Plan-2020-2024.pdf"
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        {
          "kind": "source_reference",
          "source": "Private Health Institutions Act 1989",
          "url": "https://health.govmu.org/health/wp-content/uploads/2023/03/PRIVATE-HEALTH-INSTITUTIONS-ACT-1989.pdf"
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      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "WHO primary health care scoping-mission report, 2024",
        "mapping_group": "decision_rights_and_autonomy",
        "mapping_id": "candidate-mapping:MUS:decision-autonomy:recommended-subnational-devolution",
        "source_projection_ids": [
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        "support_state": "candidate_supported",
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        "typed_fields": {
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      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Health Organization Regional Office for Africa, Strengthening Mauritius' Primary Health Care approach, 2024; World Health Organization, Health Financing Progress Matrix assessment: Mauritius 2023.",
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      "coverage_domains": [
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      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "decentralizing health service management at sub-national level",
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      "locator": {
        "description": "WHO primary-care article, recommendations from the May 2024 scoping mission; WHO HFPM publication page, Overview."
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      "material_id": "material:2c37c8902c1b0d93191ce506",
      "notes": [
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      "statement": "WHO's 2024 primary-care scoping mission recommended subnational management decentralisation and greater delegation of authority. The available source is not evidence that these autonomy arrangements have been enacted or operate uniformly.",
      "tags": [],
      "territory": "Mauritius national primary health care system",
      "title": "Recommended, not verified, subnational autonomy",
      "urls": [
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          "source": "not supplied",
          "url": "https://www.afro.who.int/countries/mauritius/news/strengthening-mauritius-primary-health-care-approach-improve-populations-health-and-well-being"
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    },
    {
      "analytical_mapping": {
        "mapping_basis": "WHO primary health care scoping mission, May 2024",
        "mapping_group": "time_and_reform",
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        "source_projection_ids": [
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      "annotation_status": "open",
      "authors": [],
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      "citation": "World Health Organization Regional Office for Africa, Strengthening Mauritius' Primary Health Care approach, 2024; World Health Organization, Health Financing Progress Matrix assessment: Mauritius 2023; International Journal for Equity in Health, 2021.",
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      "excerpt": "refining the Package of Health Services",
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      "locator": {
        "description": "WHO primary-care article, scoping mission and recommendations; WHO HFPM publication page, Overview; equity study, Background."
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      "material_id": "material:86d922d395ffeeb69448c0b4",
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      "territory": "Mauritius national health system",
      "title": "Reported primary-care and financing review work",
      "urls": [
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          "source": "not supplied",
          "url": "https://www.afro.who.int/countries/mauritius/news/strengthening-mauritius-primary-health-care-approach-improve-populations-health-and-well-being"
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          "source": "Improving equity in the distribution and financing of health services in Mauritius, a small island state with deeply rooted welfare state standards",
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      ]
    },
    {
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        "mapping_basis": "Health Sector Strategic Plan 2020-2024, pages 28-29",
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        "support_state": "candidate_supported",
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      },
      "annotation_status": "open",
      "authors": [],
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      "citation": "Ministry of Health and Wellness, Health Sector Strategic Plan 2020-2024, pages 28-29.",
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      "coverage_domains": [
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