{ "schema_version": "1.0.0", "display_policy": "all_display_eligible_evidence_is_public_and_reviewable_by_annotation", "country": { "iso3": "NIU", "name": "Niue", "aliases": [ "Niue" ], "type": "country", "who_region": "WPR", "who_region_source": "WPR", "wb_region": "not_classified", "income_group": "high", "first_year": 2000, "last_core_year": 2023 }, "build": { "version": "2026-08-23+6c22928b", "built_at": "2026-08-23T06:47:49Z" }, "summary": { "direct_typed_sources": 0, "direct_typed_claims": 0, "direct_typed_relationships": 0, "direct_typed_decision_rights": 0, "candidate_sources": 1, "candidate_facts": 0, "exact_contexts": 0, "source_linked_analytical_mappings": 10, "source_linked_analytical_object_rows": 37, "all_material_records": 23, "library_document_candidates": 0, "candidate_queue_records": 22, "current_public_projection_records": 1 }, "availability": [ { "domain": "actors", "period_id": "current-structure", "display_status": "evidence_displayed", "material_record_count": 16, "exact_context_count": 8, "direct_typed_mapping_count": 0, "rationale": "Every matching collected material record is public and open for annotation." }, { "domain": "government_responsibilities", "period_id": "current-structure", "display_status": "evidence_displayed", "material_record_count": 11, "exact_context_count": 6, "direct_typed_mapping_count": 0, "rationale": "Every matching collected material record is public and open for annotation." }, { "domain": "ownership", "period_id": "current-structure", "display_status": "evidence_displayed", "material_record_count": 2, "exact_context_count": 1, "direct_typed_mapping_count": 0, "rationale": "Every matching collected material record is public and open for annotation." }, { "domain": "decision_rights", "period_id": "current-structure", "display_status": "evidence_displayed", "material_record_count": 6, "exact_context_count": 4, "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": 6, "exact_context_count": 4, "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": 11, "exact_context_count": 5, "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": 11, "exact_context_count": 7, "direct_typed_mapping_count": 0, "rationale": "Every matching collected material record is public and open for annotation." }, { "domain": "referral_design", "period_id": "current-structure", "display_status": "evidence_displayed", "material_record_count": 5, "exact_context_count": 4, "direct_typed_mapping_count": 0, "rationale": "Every matching collected material record is public and open for annotation." }, { "domain": "observed_referral", "period_id": "current-structure", "display_status": "evidence_displayed", "material_record_count": 4, "exact_context_count": 3, "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": 13, "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": 4, "exact_context_count": 2, "direct_typed_mapping_count": 0, "rationale": "Every matching collected material record is public and open for annotation." }, { "domain": "utilization", "period_id": "current-structure", "display_status": "evidence_displayed", "material_record_count": 8, "exact_context_count": 5, "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": 7, "exact_context_count": 4, "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": 17, "exact_context_count": 8, "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": 2, "exact_context_count": 1, "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": 12, "exact_context_count": 7, "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": 8, "exact_context_count": 6, "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:NIU:actors-functions:department-community-survey", "country_id": "NIU", "mapping_group": "actors_and_functions", "target_view": "public-private", "target_slot": "department-community-survey-collaboration", "support_state": "candidate_supported", "annotation_state": "open", "mapping_basis": "Government release on the 2025 STEPS Survey", "source_projection_ids": [ "country-improvement-source:NIU:steps-survey-release-2025" ], "typed_fields": { "observed": "The 2025 release describes Department of Health and Public Health Division collaboration with village councils and communities in survey implementation.", "boundary": "This observed survey collaboration does not describe private-provider participation, ownership shares or ongoing health-service governance." }, "analytical_objects": { "graph_nodes": [ { "node_id": "niu:department-health", "label": "Department of Health", "family": "national", "display_claim_ids": [ "display-claim:75ba4c129d26594a20d4dc6c" ], "display_source_ids": [ "display-source:NIU:ed1ed9fc4a04792111a74742" ], "source_version_ids": [ "display-source-version:aac5293db4dda3590eb91377" ], "display_evidence_object_id": "display-claim:75ba4c129d26594a20d4dc6c" }, { "node_id": "niu:village-councils", "label": "Village councils", "family": "community", "display_claim_ids": [ "display-claim:acfbaa25e1a5e16f850fc239" ], "display_source_ids": [ "display-source:NIU:ed1ed9fc4a04792111a74742" ], "source_version_ids": [ "display-source-version:aac5293db4dda3590eb91377" ], "display_evidence_object_id": "display-claim:acfbaa25e1a5e16f850fc239" }, { "node_id": "niu:communities", "label": "Communities", "family": "community", "display_claim_ids": [ "display-claim:f085d25870bfc9d1113718a5" ], "display_source_ids": [ "display-source:NIU:ed1ed9fc4a04792111a74742" ], "source_version_ids": [ "display-source-version:aac5293db4dda3590eb91377" ], "display_evidence_object_id": "display-claim:f085d25870bfc9d1113718a5" } ], "graph_edges": [ { "source_node_id": "niu:department-health", "target_node_id": "niu:village-councils", "relationship": "reported STEPS implementation collaboration with", "relationship_family": "network", "display_claim_ids": [ "display-claim:62a50bbf429611e5222125cb" ], "display_source_ids": [ "display-source:NIU:ed1ed9fc4a04792111a74742" ], "source_version_ids": [ "display-source-version:aac5293db4dda3590eb91377" ], "display_evidence_object_id": "display-claim:62a50bbf429611e5222125cb" }, { "source_node_id": "niu:department-health", "target_node_id": "niu:communities", "relationship": "reported STEPS implementation collaboration with", "relationship_family": "network", "display_claim_ids": [ "display-claim:14dd478de2769d02bc11e048" ], "display_source_ids": [ "display-source:NIU:ed1ed9fc4a04792111a74742" ], "source_version_ids": [ "display-source-version:aac5293db4dda3590eb91377" ], "display_evidence_object_id": "display-claim:14dd478de2769d02bc11e048" } ], "function_assignments": [ { "actor_label": "Department of Health and Public Health Division", "function_label": "STEPS Survey implementation", "role": "Reported lead and collaborator", "actor_family": "national", "display_claim_ids": [ "display-claim:0e2cab3c904e031e275e60ea" ], "display_source_ids": [ "display-source:NIU:ed1ed9fc4a04792111a74742" ], "source_version_ids": [ "display-source-version:aac5293db4dda3590eb91377" ], "display_evidence_object_id": "display-claim:0e2cab3c904e031e275e60ea" } ] }, "title": "Department and community survey collaboration", "statement": "A 2025 government release records health-department collaboration with village councils and communities for STEPS Survey implementation, not a general provider ownership model.", "citation": "Government of Niue, Niue Launches 2025 STEPS Survey Factsheet, 2025.", "url": "https://www.gov.nu/media-releases/niue-launches-2025-steps-survey-factsheet", "locator": "Release paragraph on Department of Health, village councils and communities.", "period": "2025", "territory": "Niue", "evidence_mode_candidate": "observed", "verification_source_layer": "official", "coverage_domains": [ "actors", "primary_care", "networks", "governance" ], "source_references": [ { "title": "Niue Launches 2025 STEPS Survey Factsheet", "citation": "Government of Niue, Department of Health. Niue Launches 2025 STEPS Survey Factsheet. 2025. https://www.gov.nu/media-releases/niue-launches-2025-steps-survey-factsheet", "url": "https://www.gov.nu/media-releases/niue-launches-2025-steps-survey-factsheet", "locator": { "locator_type": "web_heading_and_paragraph", "sections": [ "Niue Launches 2025 STEPS Survey Factsheet" ], "source_word_anchor": "strong collaboration between the Department of Health, village councils, and our communities", "source_word_count": 11 }, "source_version": { "response_sha256": "dce39ecc11653c77a2d8b488e12b2497e46eed3e4deb105b93c822ef04b821cb", "detected_media_type": "text/html", "hash_verified": true, "retrieved_at": "2026-08-22" }, "source_projection_id": "country-improvement-source:NIU:steps-survey-release-2025", "display_source_id": "display-source:NIU:ed1ed9fc4a04792111a74742", "source_version_id": "display-source-version:aac5293db4dda3590eb91377" } ], "source_version": { "response_sha256": "dce39ecc11653c77a2d8b488e12b2497e46eed3e4deb105b93c822ef04b821cb", "detected_media_type": "text/html", "hash_verified": true, "retrieved_at": "2026-08-22" }, "display_source_ids": [ "display-source:NIU:ed1ed9fc4a04792111a74742" ], "source_version_ids": [ "display-source-version:aac5293db4dda3590eb91377" ], "display_claim_ids": [ "display-claim:1fad6011cd8574846e368985", "display-claim:75ba4c129d26594a20d4dc6c", "display-claim:acfbaa25e1a5e16f850fc239", "display-claim:f085d25870bfc9d1113718a5", "display-claim:62a50bbf429611e5222125cb", "display-claim:14dd478de2769d02bc11e048", "display-claim:0e2cab3c904e031e275e60ea" ], "display_evidence_object_id": "display-claim:1fad6011cd8574846e368985", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:NIU:actors-functions:health-plan-direction", "country_id": "NIU", "mapping_group": "actors_and_functions", "target_view": "functions", "target_slot": "expired-health-plan-direction", "support_state": "candidate_supported", "annotation_state": "open", "mapping_basis": "Niue Health Strategic Plan 2011-2021", "source_projection_ids": [ "country-improvement-source:NIU:health-strategic-plan-2011-2021" ], "typed_fields": { "formal": "The 2011-2021 Health Strategic Plan sets objectives for prevention, service quality, local essential services, efficiency and value for money.", "boundary": "The expired plan does not establish the current organisation, implementation status or every actor's operating role." }, "analytical_objects": { "graph_nodes": [ { "node_id": "niu:health-sector", "label": "Niue health sector", "family": "national", "display_claim_ids": [ "display-claim:6fdf08b5cba64052cb0888fb" ], "display_source_ids": [ "display-source:NIU:b766e89efa3fa72876c87470" ], "source_version_ids": [ "display-source-version:749ca1fa7561cac13ceab2f9" ], "display_evidence_object_id": "display-claim:6fdf08b5cba64052cb0888fb" }, { "node_id": "niu:communities-partners", "label": "Communities and partners", "family": "community", "display_claim_ids": [ "display-claim:fac92b69bb8444c3ca4915d4" ], "display_source_ids": [ "display-source:NIU:b766e89efa3fa72876c87470" ], "source_version_ids": [ "display-source-version:749ca1fa7561cac13ceab2f9" ], "display_evidence_object_id": "display-claim:fac92b69bb8444c3ca4915d4" } ], "graph_edges": [ { "source_node_id": "niu:health-sector", "target_node_id": "niu:communities-partners", "relationship": "plan-stated healthy-lifestyle partnership with", "relationship_family": "governance", "display_claim_ids": [ "display-claim:1782e02060d7407459f2d734" ], "display_source_ids": [ "display-source:NIU:b766e89efa3fa72876c87470" ], "source_version_ids": [ "display-source-version:749ca1fa7561cac13ceab2f9" ], "display_evidence_object_id": "display-claim:1782e02060d7407459f2d734" } ], "function_assignments": [ { "actor_label": "Niue health sector", "function_label": "Prevention, service quality and local essential-service direction", "role": "Plan-stated strategic objectives", "actor_family": "national", "display_claim_ids": [ "display-claim:b1385442cd79b177ba71ca0f" ], "display_source_ids": [ "display-source:NIU:b766e89efa3fa72876c87470" ], "source_version_ids": [ "display-source-version:749ca1fa7561cac13ceab2f9" ], "display_evidence_object_id": "display-claim:b1385442cd79b177ba71ca0f" } ] }, "title": "Expired health-plan direction", "statement": "The 2011-2021 plan sets formal health-sector objectives, without establishing the current operating model.", "citation": "Government of Niue, Niue Health Strategic Plan 2011-2021.", "url": "https://extranet.who.int/cpcd/sites/default/files/public_file_repository/NIU_Niue_Health-Strategic-Plan_2011-2021.pdf", "locator": "Pages 12 to 13, Results Sought and Goal and Objectives.", "period": "2011-2021", "territory": "Niue", "evidence_mode_candidate": "formal", "verification_source_layer": "official", "coverage_domains": [ "actors", "government_responsibilities", "primary_care", "hospital_organization", "governance", "reform_history" ], "source_references": [ { "title": "Niue Health Strategic Plan 2011-2021", "citation": "Government of Niue. Niue Health Strategic Plan 2011-2021. 2011. https://extranet.who.int/cpcd/sites/default/files/public_file_repository/NIU_Niue_Health-Strategic-Plan_2011-2021.pdf", "url": "https://extranet.who.int/cpcd/sites/default/files/public_file_repository/NIU_Niue_Health-Strategic-Plan_2011-2021.pdf", "locator": { "locator_type": "pdf_page_section", "pages": [ 12, 13 ], "sections": [ "Results Sought", "Goal and Objectives" ], "source_word_anchor": "A healthy population, well supported by quality health services", "source_word_count": 9 }, "source_version": { "file_sha256": "341253cef851a771e7e8f4ea6b855e340556dddd4045dc4d87b82f11d457c914", "detected_media_type": "application/pdf", "hash_verified": true, "retrieved_at": "2026-08-22" }, "source_projection_id": "country-improvement-source:NIU:health-strategic-plan-2011-2021", "display_source_id": "display-source:NIU:b766e89efa3fa72876c87470", "source_version_id": "display-source-version:749ca1fa7561cac13ceab2f9" } ], "source_version": { "file_sha256": "341253cef851a771e7e8f4ea6b855e340556dddd4045dc4d87b82f11d457c914", "detected_media_type": "application/pdf", "hash_verified": true, "retrieved_at": "2026-08-22" }, "display_source_ids": [ "display-source:NIU:b766e89efa3fa72876c87470" ], "source_version_ids": [ "display-source-version:749ca1fa7561cac13ceab2f9" ], "display_claim_ids": [ "display-claim:9e82f24fac821f9edee9d82c", "display-claim:6fdf08b5cba64052cb0888fb", "display-claim:fac92b69bb8444c3ca4915d4", "display-claim:1782e02060d7407459f2d734", "display-claim:b1385442cd79b177ba71ca0f" ], "display_evidence_object_id": "display-claim:9e82f24fac821f9edee9d82c", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:NIU:decision-autonomy:historical-accountability-lines", "country_id": "NIU", "mapping_group": "decision_rights_and_autonomy", "target_view": "autonomy", "target_slot": "historical-director-accountability", "support_state": "candidate_supported", "annotation_state": "open", "mapping_basis": "MFAT Development Partnership Arrangement Evaluation", "source_projection_ids": [ "country-improvement-source:NIU:mfat-development-partnership-evaluation-2010" ], "typed_fields": { "reported": "The 2010 evaluation reports historical concerns about Department of Health reporting lines and the Director of Health's management context under the 2005-2010 arrangement.", "boundary": "This historical evaluation cannot establish the Director's present authority or current accountability arrangements." }, "analytical_objects": { "graph_nodes": [ { "node_id": "niu:director-health-historical", "label": "Director of Health", "family": "national", "display_claim_ids": [ "display-claim:5bfd2ba53698b2d2cb6956b7" ], "display_source_ids": [ "display-source:NIU:f5cab129585d96ebe73c5804" ], "source_version_ids": [ "display-source-version:34afe2d29484f4a0d7e20349" ], "display_evidence_object_id": "display-claim:5bfd2ba53698b2d2cb6956b7" }, { "node_id": "niu:government-agencies-historical", "label": "Government of Niue agencies", "family": "national", "display_claim_ids": [ "display-claim:f8eb34dcc00ecc8c9a1387af" ], "display_source_ids": [ "display-source:NIU:f5cab129585d96ebe73c5804" ], "source_version_ids": [ "display-source-version:34afe2d29484f4a0d7e20349" ], "display_evidence_object_id": "display-claim:f8eb34dcc00ecc8c9a1387af" }, { "node_id": "niu:cmdhb-historical", "label": "Counties Manukau District Health Board", "family": "provider", "display_claim_ids": [ "display-claim:59173ee34b619bf2f0c185c6" ], "display_source_ids": [ "display-source:NIU:f5cab129585d96ebe73c5804" ], "source_version_ids": [ "display-source-version:34afe2d29484f4a0d7e20349" ], "display_evidence_object_id": "display-claim:59173ee34b619bf2f0c185c6" } ], "graph_edges": [ { "source_node_id": "niu:cmdhb-historical", "target_node_id": "niu:director-health-historical", "relationship": "historically recruited under the evaluated arrangement", "relationship_family": "governance", "display_claim_ids": [ "display-claim:31064f79cc2c550c250dfd00" ], "display_source_ids": [ "display-source:NIU:f5cab129585d96ebe73c5804" ], "source_version_ids": [ "display-source-version:34afe2d29484f4a0d7e20349" ], "display_evidence_object_id": "display-claim:31064f79cc2c550c250dfd00" } ], "decision_cells": [ { "decision_id": "niu-historical-director-accountability", "decision_label": "Department of Health management accountability", "actor_label": "Director of Health", "actor_family": "national", "role": "Historically evaluated management position", "constraint": "Evidence applies mainly to 2005-2010 and does not define current authority.", "display_claim_ids": [ "display-claim:1fd3b394ead24b0d7d34bcb9" ], "display_source_ids": [ "display-source:NIU:f5cab129585d96ebe73c5804" ], "source_version_ids": [ "display-source-version:34afe2d29484f4a0d7e20349" ], "display_evidence_object_id": "display-claim:1fd3b394ead24b0d7d34bcb9" } ] }, "title": "Historical health leadership accountability", "statement": "The 2010 evaluation reports historical accountability and management issues, with no inference to the present autonomy of health leadership.", "citation": "New Zealand MFAT, Halavaka ke he Monuina evaluation, 2010.", "url": "https://www.mfat.govt.nz/assets/Aid-Prog-docs/Evaluations/2010/Halavaka-ke-he-Monuina-Development-Partnership-Arrangement-Evaluation.pdf", "locator": "Pages 31 to 32, Health and Service delivery.", "period": "Mainly 2005-2010", "territory": "Niue", "evidence_mode_candidate": "reported", "verification_source_layer": "grey_literature", "coverage_domains": [ "actors", "decision_rights", "autonomy", "governance", "reform_history" ], "source_references": [ { "title": "Halavaka ke he Monuina: Development Partnership Arrangement Evaluation", "citation": "New Zealand Ministry of Foreign Affairs and Trade. Halavaka ke he Monuina: Development Partnership Arrangement Evaluation. 2010. https://www.mfat.govt.nz/assets/Aid-Prog-docs/Evaluations/2010/Halavaka-ke-he-Monuina-Development-Partnership-Arrangement-Evaluation.pdf", "url": "https://www.mfat.govt.nz/assets/Aid-Prog-docs/Evaluations/2010/Halavaka-ke-he-Monuina-Development-Partnership-Arrangement-Evaluation.pdf", "locator": { "locator_type": "pdf_page_section", "pages": [ 31, 32 ], "sections": [ "Health", "Service delivery" ], "source_word_anchor": "facilitated visits of medical and other specialist to Niue", "source_word_count": 9 }, "source_version": { "file_sha256": "3e5eab3f8481f9b79476e320f373ee47871a1536f6ea554c398d00546569007e", "detected_media_type": "application/pdf", "hash_verified": true, "retrieved_at": "2026-08-22" }, "source_projection_id": "country-improvement-source:NIU:mfat-development-partnership-evaluation-2010", "display_source_id": "display-source:NIU:f5cab129585d96ebe73c5804", "source_version_id": "display-source-version:34afe2d29484f4a0d7e20349" } ], "source_version": { "file_sha256": "3e5eab3f8481f9b79476e320f373ee47871a1536f6ea554c398d00546569007e", "detected_media_type": "application/pdf", "hash_verified": true, "retrieved_at": "2026-08-22" }, "display_source_ids": [ "display-source:NIU:f5cab129585d96ebe73c5804" ], "source_version_ids": [ "display-source-version:34afe2d29484f4a0d7e20349" ], "display_claim_ids": [ "display-claim:ba75c8c344199f6e07fffd52", "display-claim:5bfd2ba53698b2d2cb6956b7", "display-claim:f8eb34dcc00ecc8c9a1387af", "display-claim:59173ee34b619bf2f0c185c6", "display-claim:31064f79cc2c550c250dfd00", "display-claim:1fd3b394ead24b0d7d34bcb9" ], "display_evidence_object_id": "display-claim:ba75c8c344199f6e07fffd52", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:NIU:decision-autonomy:national-planning-reporting", "country_id": "NIU", "mapping_group": "decision_rights_and_autonomy", "target_view": "decisions", "target_slot": "national-planning-and-reporting", "support_state": "candidate_supported", "annotation_state": "open", "mapping_basis": "Niue National Strategic Plan 2016-2026 Midterm Review", "source_projection_ids": [ "country-improvement-source:NIU:nnsp-midterm-review-2016-2026" ], "typed_fields": { "formal": "The midterm review describes department plans aligned with national strategy and budgets, and an expectation that departments monitor and report progress.", "boundary": "The review does not allocate health-provider authority over staffing, procurement, capital, clinical protocols or facility management." }, "analytical_objects": { "decision_cells": [ { "decision_id": "niu-national-plan-alignment", "decision_label": "Departmental plan alignment and progress reporting", "actor_label": "Government departments", "actor_family": "national", "role": "Framework-stated planning and reporting participant", "constraint": "No health-specific decision-right allocation is supplied.", "display_claim_ids": [ "display-claim:109bf433884bf2dafc7ca072" ], "display_source_ids": [ "display-source:NIU:56e8e00314dc239a6bef18c4" ], "source_version_ids": [ "display-source-version:2bd4cebc6252ba3077aa6787" ], "display_evidence_object_id": "display-claim:109bf433884bf2dafc7ca072" }, { "decision_id": "niu-budget-alignment", "decision_label": "Plan alignment to annual budgets", "actor_label": "Government departments", "actor_family": "national", "role": "Framework-stated budget alignment", "constraint": "The source does not identify discretionary budget authority for the Department of Health or hospital.", "display_claim_ids": [ "display-claim:6ccb2cd56bdd7978fddcfc47" ], "display_source_ids": [ "display-source:NIU:56e8e00314dc239a6bef18c4" ], "source_version_ids": [ "display-source-version:2bd4cebc6252ba3077aa6787" ], "display_evidence_object_id": "display-claim:6ccb2cd56bdd7978fddcfc47" } ] }, "title": "National planning and reporting direction", "statement": "The national framework assigns aligned departmental planning and progress reporting, but not a health-provider decision-rights matrix.", "citation": "Government of Niue Ministry of Finance, Niue National Strategic Plan 2016-2026 Midterm Review, 2024.", "url": "https://mof.gov.nu/wp-content/uploads/2024/04/MidtermReview_2016-2026.pdf", "locator": "Pages 6 to 7, Introduction and framework description.", "period": "2021-2026 framework, reported in 2024", "territory": "Niue", "evidence_mode_candidate": "formal", "verification_source_layer": "official", "coverage_domains": [ "decision_rights", "autonomy", "governance", "reform_history" ], "source_references": [ { "title": "Niue National Strategic Plan 2016-2026 Midterm Review", "citation": "Government of Niue, Ministry of Finance. Niue National Strategic Plan 2016-2026 Midterm Review. 2024. https://mof.gov.nu/wp-content/uploads/2024/04/MidtermReview_2016-2026.pdf", "url": "https://mof.gov.nu/wp-content/uploads/2024/04/MidtermReview_2016-2026.pdf", "locator": { "locator_type": "pdf_page_section", "pages": [ 6, 7 ], "sections": [ "Introduction", "Niue National Strategic Plan 2021-2026 Framework" ], "source_word_anchor": "government, private sector and NGOs shall develop annual Corporate Plans", "source_word_count": 10 }, "source_version": { "file_sha256": "dbeed290e24fdcbee82ac3155739addb210c13ce3719b48c58b8f3c4c5a0b659", "detected_media_type": "application/pdf", "hash_verified": true, "retrieved_at": "2026-08-22" }, "source_projection_id": "country-improvement-source:NIU:nnsp-midterm-review-2016-2026", "display_source_id": "display-source:NIU:56e8e00314dc239a6bef18c4", "source_version_id": "display-source-version:2bd4cebc6252ba3077aa6787" } ], "source_version": { "file_sha256": "dbeed290e24fdcbee82ac3155739addb210c13ce3719b48c58b8f3c4c5a0b659", "detected_media_type": "application/pdf", "hash_verified": true, "retrieved_at": "2026-08-22" }, "display_source_ids": [ "display-source:NIU:56e8e00314dc239a6bef18c4" ], "source_version_ids": [ "display-source-version:2bd4cebc6252ba3077aa6787" ], "display_claim_ids": [ "display-claim:22b86726bd1997f1f9490d95", "display-claim:109bf433884bf2dafc7ca072", "display-claim:6ccb2cd56bdd7978fddcfc47" ], "display_evidence_object_id": "display-claim:22b86726bd1997f1f9490d95", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:NIU:delivery-referrals:single-hospital-hub", "country_id": "NIU", "mapping_group": "delivery_and_referrals", "target_view": "delivery", "target_slot": "reported-hospital-service-hub", "support_state": "candidate_supported", "annotation_state": "open", "mapping_basis": "WHO Country Cooperation Strategy 2018-2022", "source_projection_ids": [ "country-improvement-source:NIU:who-country-cooperation-strategy-2018-2022", "country-improvement-source:NIU:who-about-niue-2026" ], "typed_fields": { "reported": "The 2017 WHO strategy reports Niue Foou Hospital as the hub for most health services and public-health programmes, providing primary and secondary care.", "boundary": "This is strategy-period reporting, not a current facility register, throughput measure, service-availability census or ownership distribution." }, "analytical_objects": { "provider_delivery_observations": [ { "label": "Niue Foou Hospital", "observation": "WHO's strategy-period description reports the hospital as the hub for most health services and public-health programmes, providing primary and secondary care.", "scope": "Niue; country situation described in the strategy published 2017 for the 2018-2022 cooperation period.", "display_claim_ids": [ "display-claim:b5cf72fe7377f3a1ca240466" ], "display_source_ids": [ "display-source:NIU:0780f4436639c826263a0f9e", "display-source:NIU:8114162fa0200d2883da1cc9" ], "source_version_ids": [ "display-source-version:bbe27f94f2337d7a5f438bff", "display-source-version:fa9b78ccdb9f7087dc739975" ], "display_evidence_object_id": "display-claim:b5cf72fe7377f3a1ca240466" } ], "function_assignments": [ { "actor_label": "Niue Foou Hospital", "function_label": "Primary and secondary medical care", "role": "WHO strategy-period reported service hub", "actor_family": "provider", "display_claim_ids": [ "display-claim:98948e0b84bdf58ddd6b8538" ], "display_source_ids": [ "display-source:NIU:0780f4436639c826263a0f9e", "display-source:NIU:8114162fa0200d2883da1cc9" ], "source_version_ids": [ "display-source-version:bbe27f94f2337d7a5f438bff", "display-source-version:fa9b78ccdb9f7087dc739975" ], "display_evidence_object_id": "display-claim:98948e0b84bdf58ddd6b8538" } ] }, "title": "Reported hospital service hub", "statement": "WHO reports that Niue Foou Hospital was the hub for most health services and public-health programmes in the strategy-period description.", "citation": "WHO Regional Office for the Western Pacific, Niue-WHO Country Cooperation Strategy 2018-2022.", "url": "https://iris.who.int/handle/10665/259921", "locator": "Health and development, pages 8 to 9.", "period": "Strategy published 2017; 2018-2022 cooperation period", "territory": "Niue", "evidence_mode_candidate": "reported", "verification_source_layer": "review_literature", "coverage_domains": [ "primary_care", "hospital_organization", "facility_data", "utilization", "patient_flows" ], "source_references": [ { "title": "Niue-WHO Country Cooperation Strategy 2018-2022", "citation": "World Health Organization Regional Office for the Western Pacific. Niue-WHO Country Cooperation Strategy 2018-2022. 2017. https://iris.who.int/handle/10665/259921", "url": "https://iris.who.int/handle/10665/259921", "locator": { "locator_type": "pdf_page_section", "pages": [ 8, 9 ], "sections": [ "Health and development", "Health system" ], "source_word_anchor": "Niue Foou Hospital is the hub for the majority of health services", "source_word_count": 11 }, "source_version": { "response_sha256": "f03b6aeab605432c79abf11321e992a31b679b56a8df51d6af17c5a5b309d68f", "detected_media_type": "text/html", "hash_verified": true, "retrieved_at": "2026-08-22" }, "source_projection_id": "country-improvement-source:NIU:who-country-cooperation-strategy-2018-2022", "display_source_id": "display-source:NIU:0780f4436639c826263a0f9e", "source_version_id": "display-source-version:bbe27f94f2337d7a5f438bff" }, { "title": "About WHO in Niue", "citation": "World Health Organization. About WHO in Niue. Retrieved 2026-08-22. https://www.who.int/niue/about-us", "url": "https://www.who.int/niue/about-us", "locator": { "locator_type": "web_heading_and_paragraph", "sections": [ "WHO History in Niue", "Ministry of Health" ], "source_word_anchor": "WHO Representative in Samoa, American Samoa, Cook Islands, Niue and Tokelau", "source_word_count": 10 }, "source_version": { "response_sha256": "cd4efb61803d0d6957523dec624a3eabc80ce7bc5343e7e4d1fd0c43e399c141", "detected_media_type": "text/html", "hash_verified": true, "retrieved_at": "2026-08-22" }, "source_projection_id": "country-improvement-source:NIU:who-about-niue-2026", "display_source_id": "display-source:NIU:8114162fa0200d2883da1cc9", "source_version_id": "display-source-version:fa9b78ccdb9f7087dc739975" } ], "source_version": { "response_sha256": "f03b6aeab605432c79abf11321e992a31b679b56a8df51d6af17c5a5b309d68f", "detected_media_type": "text/html", "hash_verified": true, "retrieved_at": "2026-08-22" }, "display_source_ids": [ "display-source:NIU:0780f4436639c826263a0f9e", "display-source:NIU:8114162fa0200d2883da1cc9" ], "source_version_ids": [ "display-source-version:bbe27f94f2337d7a5f438bff", "display-source-version:fa9b78ccdb9f7087dc739975" ], "display_claim_ids": [ "display-claim:994d9f84140f2550bea524d1", "display-claim:b5cf72fe7377f3a1ca240466", "display-claim:98948e0b84bdf58ddd6b8538" ], "display_evidence_object_id": "display-claim:994d9f84140f2550bea524d1", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:NIU:delivery-referrals:tertiary-referral-bridge", "country_id": "NIU", "mapping_group": "delivery_and_referrals", "target_view": "referrals", "target_slot": "reported-new-zealand-tertiary-referral", "support_state": "candidate_supported", "annotation_state": "open", "mapping_basis": "WHO Country Cooperation Strategy 2018-2022 and Pacific overseas-medical-referral literature", "source_projection_ids": [ "country-improvement-source:NIU:who-country-cooperation-strategy-2018-2022", "country-improvement-source:NIU:pacific-overseas-medical-referral-2021" ], "typed_fields": { "reported": "The WHO strategy reports tertiary care through transfers to New Zealand and emergency evacuation, complemented by visiting New Zealand-based specialists. Regional literature identifies overseas-referral information gaps but supplies no Niue-specific flow measure.", "boundary": "No source projection supplies a Niue referral count, acceptance rate, completion rate, destination-specific volume, cost or patient outcome." }, "analytical_objects": { "provider_delivery_observations": [ { "label": "Reported tertiary referral route", "observation": "The WHO strategy reports tertiary-care transfers to New Zealand and emergency evacuation; no Niue-specific referral count or completion denominator is reported.", "scope": "Niue to New Zealand tertiary care; 2017 strategy description.", "display_claim_ids": [ "display-claim:c05c3af3c28d94358da12850" ], "display_source_ids": [ "display-source:NIU:0780f4436639c826263a0f9e", "display-source:NIU:aac92f4a50030eb49211d954" ], "source_version_ids": [ "display-source-version:bbe27f94f2337d7a5f438bff", "display-source-version:5d816ed93447b5a040c21fd1" ], "display_evidence_object_id": "display-claim:c05c3af3c28d94358da12850" } ], "graph_nodes": [ { "node_id": "niu:niue-health-services", "label": "Niue health services", "family": "provider", "display_claim_ids": [ "display-claim:d1ccb758fe29f6a702e2d7ee" ], "display_source_ids": [ "display-source:NIU:0780f4436639c826263a0f9e", "display-source:NIU:aac92f4a50030eb49211d954" ], "source_version_ids": [ "display-source-version:bbe27f94f2337d7a5f438bff", "display-source-version:5d816ed93447b5a040c21fd1" ], "display_evidence_object_id": "display-claim:d1ccb758fe29f6a702e2d7ee" }, { "node_id": "nzl:tertiary-care", "label": "New Zealand tertiary care", "family": "provider", "display_claim_ids": [ "display-claim:f258b07fbcf342af8d26f015" ], "display_source_ids": [ "display-source:NIU:0780f4436639c826263a0f9e", "display-source:NIU:aac92f4a50030eb49211d954" ], "source_version_ids": [ "display-source-version:bbe27f94f2337d7a5f438bff", "display-source-version:5d816ed93447b5a040c21fd1" ], "display_evidence_object_id": "display-claim:f258b07fbcf342af8d26f015" } ], "graph_edges": [ { "source_node_id": "niu:niue-health-services", "target_node_id": "nzl:tertiary-care", "relationship": "strategy-reported tertiary referral and transfer route to", "relationship_family": "referral", "display_claim_ids": [ "display-claim:7732e1c7836cbe680212a6b0" ], "display_source_ids": [ "display-source:NIU:0780f4436639c826263a0f9e", "display-source:NIU:aac92f4a50030eb49211d954" ], "source_version_ids": [ "display-source-version:bbe27f94f2337d7a5f438bff", "display-source-version:5d816ed93447b5a040c21fd1" ], "display_evidence_object_id": "display-claim:7732e1c7836cbe680212a6b0" } ] }, "title": "Reported tertiary referral bridge", "statement": "The WHO strategy describes tertiary-care transfers to New Zealand and emergency evacuation, without a Niue-specific referral-flow measure.", "citation": "WHO Regional Office for the Western Pacific, Niue-WHO Country Cooperation Strategy 2018-2022; Boudville et al., Pacific Health, 2021.", "url": "https://iris.who.int/handle/10665/259921", "locator": "Health and development, pages 8 to 9; Pacific Health abstract.", "period": "Strategy published 2017; regional article published 2021", "territory": "Niue and New Zealand referral destination", "evidence_mode_candidate": "reported", "verification_source_layer": "review_literature", "coverage_domains": [ "referral_design", "observed_referral", "networks", "utilization", "patient_flows" ], "source_references": [ { "title": "Niue-WHO Country Cooperation Strategy 2018-2022", "citation": "World Health Organization Regional Office for the Western Pacific. Niue-WHO Country Cooperation Strategy 2018-2022. 2017. https://iris.who.int/handle/10665/259921", "url": "https://iris.who.int/handle/10665/259921", "locator": { "locator_type": "pdf_page_section", "pages": [ 8, 9 ], "sections": [ "Health and development", "Health system" ], "source_word_anchor": "Niue Foou Hospital is the hub for the majority of health services", "source_word_count": 11 }, "source_version": { "response_sha256": "f03b6aeab605432c79abf11321e992a31b679b56a8df51d6af17c5a5b309d68f", "detected_media_type": "text/html", "hash_verified": true, "retrieved_at": "2026-08-22" }, "source_projection_id": "country-improvement-source:NIU:who-country-cooperation-strategy-2018-2022", "display_source_id": "display-source:NIU:0780f4436639c826263a0f9e", "source_version_id": "display-source-version:bbe27f94f2337d7a5f438bff" }, { "title": "Overseas Medical Referral: the health system challenges for Pacific Island Countries", "citation": "Boudville A, Irava W, Motofaga S, Gilbert K, Annear P. Overseas Medical Referral: the health system challenges for Pacific Island Countries. Pacific Health. 2021;4. https://ojs.aut.ac.nz/pacific-health/article/view/49", "url": "https://ojs.aut.ac.nz/pacific-health/article/view/49", "locator": { "locator_type": "web_heading_and_paragraph", "sections": [ "Abstract" ], "source_word_anchor": "OMR policies are often weak or incomplete", "source_word_count": 6 }, "source_version": { "response_sha256": "efe37649719548119f399172c7ad6c8863627e57ee33e95d072cc1e0beed58e4", "detected_media_type": "text/html", "hash_verified": true, "retrieved_at": "2026-08-22" }, "source_projection_id": "country-improvement-source:NIU:pacific-overseas-medical-referral-2021", "display_source_id": "display-source:NIU:aac92f4a50030eb49211d954", "source_version_id": "display-source-version:5d816ed93447b5a040c21fd1" } ], "source_version": { "response_sha256": "f03b6aeab605432c79abf11321e992a31b679b56a8df51d6af17c5a5b309d68f", "detected_media_type": "text/html", "hash_verified": true, "retrieved_at": "2026-08-22" }, "display_source_ids": [ "display-source:NIU:0780f4436639c826263a0f9e", "display-source:NIU:aac92f4a50030eb49211d954" ], "source_version_ids": [ "display-source-version:bbe27f94f2337d7a5f438bff", "display-source-version:5d816ed93447b5a040c21fd1" ], "display_claim_ids": [ "display-claim:d5eb4c9feadf765b6370ae7e", "display-claim:c05c3af3c28d94358da12850", "display-claim:d1ccb758fe29f6a702e2d7ee", "display-claim:f258b07fbcf342af8d26f015", "display-claim:7732e1c7836cbe680212a6b0" ], "display_evidence_object_id": "display-claim:d5eb4c9feadf765b6370ae7e", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:NIU:relationships-networks:oxygen-plant-partnership", "country_id": "NIU", "mapping_group": "relationships_and_networks", "target_view": "public-private", "target_slot": "public-international-infrastructure-partnership", "support_state": "candidate_supported", "annotation_state": "open", "mapping_basis": "Government release on oxygen-plant handover", "source_projection_ids": [ "country-improvement-source:NIU:oxygen-plant-handover-2024" ], "typed_fields": { "observed": "The government reports a 2024 Niue Foou Hospital oxygen-plant handover involving the Government of Niue, WHO and European Union funding support.", "boundary": "This single infrastructure partnership does not measure private-sector ownership, market share, operational performance or a standing financing arrangement." }, "analytical_objects": { "graph_nodes": [ { "node_id": "niu:niue-foou-hospital", "label": "Niue Foou Hospital", "family": "provider", "display_claim_ids": [ "display-claim:289f56fb4939b7d5b1ee606a" ], "display_source_ids": [ "display-source:NIU:53cc1068b1aa9f8c389b6e5c" ], "source_version_ids": [ "display-source-version:56c2cd1b4d50d06834983c78" ], "display_evidence_object_id": "display-claim:289f56fb4939b7d5b1ee606a" }, { "node_id": "who:wpro", "label": "WHO Regional Office for the Western Pacific", "family": "national", "display_claim_ids": [ "display-claim:9154441edbc91696940820c9" ], "display_source_ids": [ "display-source:NIU:53cc1068b1aa9f8c389b6e5c" ], "source_version_ids": [ "display-source-version:56c2cd1b4d50d06834983c78" ], "display_evidence_object_id": "display-claim:9154441edbc91696940820c9" }, { "node_id": "eu", "label": "European Union", "family": "purchaser", "display_claim_ids": [ "display-claim:89b986f193313df0d8f939ab" ], "display_source_ids": [ "display-source:NIU:53cc1068b1aa9f8c389b6e5c" ], "source_version_ids": [ "display-source-version:56c2cd1b4d50d06834983c78" ], "display_evidence_object_id": "display-claim:89b986f193313df0d8f939ab" } ], "graph_edges": [ { "source_node_id": "who:wpro", "target_node_id": "niu:niue-foou-hospital", "relationship": "reported oxygen-plant handover support to", "relationship_family": "network", "display_claim_ids": [ "display-claim:c058209a1dbf64d721a10b51" ], "display_source_ids": [ "display-source:NIU:53cc1068b1aa9f8c389b6e5c" ], "source_version_ids": [ "display-source-version:56c2cd1b4d50d06834983c78" ], "display_evidence_object_id": "display-claim:c058209a1dbf64d721a10b51" }, { "source_node_id": "eu", "target_node_id": "niu:niue-foou-hospital", "relationship": "reported oxygen-plant funding support for", "relationship_family": "network", "display_claim_ids": [ "display-claim:7efc67666248d62bb8addd14" ], "display_source_ids": [ "display-source:NIU:53cc1068b1aa9f8c389b6e5c" ], "source_version_ids": [ "display-source-version:56c2cd1b4d50d06834983c78" ], "display_evidence_object_id": "display-claim:7efc67666248d62bb8addd14" } ], "provider_organizations": [ { "label": "Niue Foou Hospital", "ownership": "Government hospital named in the government release", "scope": "The source does not supply an ownership or service-market denominator.", "display_claim_ids": [ "display-claim:9f889b207b7b3fed03be79a0" ], "display_source_ids": [ "display-source:NIU:53cc1068b1aa9f8c389b6e5c" ], "source_version_ids": [ "display-source-version:56c2cd1b4d50d06834983c78" ], "display_evidence_object_id": "display-claim:9f889b207b7b3fed03be79a0" } ] }, "title": "Oxygen-plant partnership", "statement": "A 2024 government release records WHO and European Union support for an oxygen plant at Niue Foou Hospital, without a market-structure estimate.", "citation": "Government of Niue, Official Handover of the Oxygen Plant at Niue Foou Hospital, 2024.", "url": "https://www.gov.nu/media-releases/official-handover-of-the-oxygen-plant-at-niue-foou-hospital", "locator": "Release paragraphs on handover, funding and maintenance support.", "period": "15 July 2024", "territory": "Niue Foou Hospital, Niue", "evidence_mode_candidate": "observed", "verification_source_layer": "official", "coverage_domains": [ "actors", "ownership", "hospital_organization", "networks", "facility_data", "market_structure" ], "source_references": [ { "title": "Official Handover of the Oxygen Plant at Niue Foou Hospital", "citation": "Government of Niue. Official Handover of the Oxygen Plant at Niue Foou Hospital. 2024. https://www.gov.nu/media-releases/official-handover-of-the-oxygen-plant-at-niue-foou-hospital", "url": "https://www.gov.nu/media-releases/official-handover-of-the-oxygen-plant-at-niue-foou-hospital", "locator": { "locator_type": "web_heading_and_paragraph", "sections": [ "Official Handover of the Oxygen Plant at Niue Foou Hospital" ], "source_word_anchor": "officially handed over the newly commissioned Oxygen Plant", "source_word_count": 7 }, "source_version": { "response_sha256": "fe8038b3c3e660cfe0c428c84a732ed21a0d6339bc945cb9595764919291c703", "detected_media_type": "text/html", "hash_verified": true, "retrieved_at": "2026-08-22" }, "source_projection_id": "country-improvement-source:NIU:oxygen-plant-handover-2024", "display_source_id": "display-source:NIU:53cc1068b1aa9f8c389b6e5c", "source_version_id": "display-source-version:56c2cd1b4d50d06834983c78" } ], "source_version": { "response_sha256": "fe8038b3c3e660cfe0c428c84a732ed21a0d6339bc945cb9595764919291c703", "detected_media_type": "text/html", "hash_verified": true, "retrieved_at": "2026-08-22" }, "display_source_ids": [ "display-source:NIU:53cc1068b1aa9f8c389b6e5c" ], "source_version_ids": [ "display-source-version:56c2cd1b4d50d06834983c78" ], "display_claim_ids": [ "display-claim:a598dd9eee852a060405dd3c", "display-claim:289f56fb4939b7d5b1ee606a", "display-claim:9154441edbc91696940820c9", "display-claim:89b986f193313df0d8f939ab", "display-claim:c058209a1dbf64d721a10b51", "display-claim:7efc67666248d62bb8addd14", "display-claim:9f889b207b7b3fed03be79a0" ], "display_evidence_object_id": "display-claim:a598dd9eee852a060405dd3c", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:NIU:relationships-networks:who-country-office-link", "country_id": "NIU", "mapping_group": "relationships_and_networks", "target_view": "functions", "target_slot": "who-multi-country-office-coverage", "support_state": "candidate_supported", "annotation_state": "open", "mapping_basis": "WHO About WHO in Niue country page", "source_projection_ids": [ "country-improvement-source:NIU:who-about-niue-2026" ], "typed_fields": { "reported": "WHO's country page identifies a WHO Representative office in Samoa covering Niue together with American Samoa, Cook Islands, Samoa and Tokelau.", "boundary": "Coverage by a WHO representative office is not evidence of operational management authority over Niue health services." }, "analytical_objects": { "graph_nodes": [ { "node_id": "who:samoa-representative-office", "label": "WHO Representative Office in Samoa", "family": "national", "display_claim_ids": [ "display-claim:60bc54ce2e560a76da193392" ], "display_source_ids": [ "display-source:NIU:8114162fa0200d2883da1cc9" ], "source_version_ids": [ "display-source-version:fa9b78ccdb9f7087dc739975" ], "display_evidence_object_id": "display-claim:60bc54ce2e560a76da193392" }, { "node_id": "niu:country", "label": "Niue", "family": "national", "display_claim_ids": [ "display-claim:7ff9b5c2ad860b0465a683c7" ], "display_source_ids": [ "display-source:NIU:8114162fa0200d2883da1cc9" ], "source_version_ids": [ "display-source-version:fa9b78ccdb9f7087dc739975" ], "display_evidence_object_id": "display-claim:7ff9b5c2ad860b0465a683c7" } ], "graph_edges": [ { "source_node_id": "who:samoa-representative-office", "target_node_id": "niu:country", "relationship": "country-office coverage for", "relationship_family": "network", "display_claim_ids": [ "display-claim:cc5f4ba912074ecc0e93fa60" ], "display_source_ids": [ "display-source:NIU:8114162fa0200d2883da1cc9" ], "source_version_ids": [ "display-source-version:fa9b78ccdb9f7087dc739975" ], "display_evidence_object_id": "display-claim:cc5f4ba912074ecc0e93fa60" } ], "function_assignments": [ { "actor_label": "WHO Representative Office in Samoa", "function_label": "WHO country-office coverage", "role": "Reported regional office coverage", "actor_family": "national", "display_claim_ids": [ "display-claim:aee4cf5d7841cfe8e141193d" ], "display_source_ids": [ "display-source:NIU:8114162fa0200d2883da1cc9" ], "source_version_ids": [ "display-source-version:fa9b78ccdb9f7087dc739975" ], "display_evidence_object_id": "display-claim:aee4cf5d7841cfe8e141193d" } ] }, "title": "WHO multi-country office coverage", "statement": "WHO reports that its Samoa representative office covers Niue; this is an international-support relationship, not domestic service authority.", "citation": "World Health Organization, About WHO in Niue, retrieved 2026-08-22.", "url": "https://www.who.int/niue/about-us", "locator": "WHO History in Niue and WHO Representative contact section.", "period": "Page retrieved 2026-08-22", "territory": "Niue, with WHO regional office coverage from Samoa", "evidence_mode_candidate": "reported", "verification_source_layer": "official", "coverage_domains": [ "actors", "networks", "governance" ], "source_references": [ { "title": "About WHO in Niue", "citation": "World Health Organization. About WHO in Niue. Retrieved 2026-08-22. https://www.who.int/niue/about-us", "url": "https://www.who.int/niue/about-us", "locator": { "locator_type": "web_heading_and_paragraph", "sections": [ "WHO History in Niue", "Ministry of Health" ], "source_word_anchor": "WHO Representative in Samoa, American Samoa, Cook Islands, Niue and Tokelau", "source_word_count": 10 }, "source_version": { "response_sha256": "cd4efb61803d0d6957523dec624a3eabc80ce7bc5343e7e4d1fd0c43e399c141", "detected_media_type": "text/html", "hash_verified": true, "retrieved_at": "2026-08-22" }, "source_projection_id": "country-improvement-source:NIU:who-about-niue-2026", "display_source_id": "display-source:NIU:8114162fa0200d2883da1cc9", "source_version_id": "display-source-version:fa9b78ccdb9f7087dc739975" } ], "source_version": { "response_sha256": "cd4efb61803d0d6957523dec624a3eabc80ce7bc5343e7e4d1fd0c43e399c141", "detected_media_type": "text/html", "hash_verified": true, "retrieved_at": "2026-08-22" }, "display_source_ids": [ "display-source:NIU:8114162fa0200d2883da1cc9" ], "source_version_ids": [ "display-source-version:fa9b78ccdb9f7087dc739975" ], "display_claim_ids": [ "display-claim:2b6b54ff5b06816faf59fa14", "display-claim:60bc54ce2e560a76da193392", "display-claim:7ff9b5c2ad860b0465a683c7", "display-claim:cc5f4ba912074ecc0e93fa60", "display-claim:aee4cf5d7841cfe8e141193d" ], "display_evidence_object_id": "display-claim:2b6b54ff5b06816faf59fa14", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:NIU:time-reform:health-plan-cycle", "country_id": "NIU", "mapping_group": "time_and_reform", "target_view": "reforms", "target_slot": "health-plan-2011-2021-cycle", "support_state": "candidate_supported", "annotation_state": "open", "mapping_basis": "Niue Health Strategic Plan 2011-2021", "source_projection_ids": [ "country-improvement-source:NIU:health-strategic-plan-2011-2021" ], "typed_fields": { "formal": "The plan defines the 2011-2021 health strategic-planning cycle and its stated prevention, service-quality and efficiency objectives.", "boundary": "It does not verify which objectives were implemented, sustained or superseded after 2021." }, "analytical_objects": { "reform_events": [ { "event_id": "niu-health-plan-2011", "label": "Niue Health Strategic Plan 2011-2021", "year": 2011, "status": "Formal planning cycle for 2011-2021; implementation is not established by this source.", "display_claim_ids": [ "display-claim:bf09cba512bd1db57f9109fa" ], "display_source_ids": [ "display-source:NIU:b766e89efa3fa72876c87470" ], "source_version_ids": [ "display-source-version:749ca1fa7561cac13ceab2f9" ], "display_evidence_object_id": "display-claim:bf09cba512bd1db57f9109fa" }, { "event_id": "niu-health-plan-end-2021", "label": "End of Niue Health Strategic Plan period", "year": 2021, "status": "Plan period ended; prevention, service-quality and efficient-supply objectives are not evidence of post-2021 implementation.", "display_claim_ids": [ "display-claim:3a8bb48d4ab8f3e0f6a0beeb" ], "display_source_ids": [ "display-source:NIU:b766e89efa3fa72876c87470" ], "source_version_ids": [ "display-source-version:749ca1fa7561cac13ceab2f9" ], "display_evidence_object_id": "display-claim:3a8bb48d4ab8f3e0f6a0beeb" } ] }, "title": "Health strategic-plan cycle", "statement": "The 2011-2021 plan is a formal, now-expired planning cycle and not evidence of post-2021 implementation.", "citation": "Government of Niue, Niue Health Strategic Plan 2011-2021.", "url": "https://extranet.who.int/cpcd/sites/default/files/public_file_repository/NIU_Niue_Health-Strategic-Plan_2011-2021.pdf", "locator": "Title page and pages 12 to 13.", "period": "2011-2021", "territory": "Niue", "evidence_mode_candidate": "formal", "verification_source_layer": "official", "coverage_domains": [ "government_responsibilities", "governance", "reform_history", "authoritative_review" ], "source_references": [ { "title": "Niue Health Strategic Plan 2011-2021", "citation": "Government of Niue. Niue Health Strategic Plan 2011-2021. 2011. https://extranet.who.int/cpcd/sites/default/files/public_file_repository/NIU_Niue_Health-Strategic-Plan_2011-2021.pdf", "url": "https://extranet.who.int/cpcd/sites/default/files/public_file_repository/NIU_Niue_Health-Strategic-Plan_2011-2021.pdf", "locator": { "locator_type": "pdf_page_section", "pages": [ 12, 13 ], "sections": [ "Results Sought", "Goal and Objectives" ], "source_word_anchor": "A healthy population, well supported by quality health services", "source_word_count": 9 }, "source_version": { "file_sha256": "341253cef851a771e7e8f4ea6b855e340556dddd4045dc4d87b82f11d457c914", "detected_media_type": "application/pdf", "hash_verified": true, "retrieved_at": "2026-08-22" }, "source_projection_id": "country-improvement-source:NIU:health-strategic-plan-2011-2021", "display_source_id": "display-source:NIU:b766e89efa3fa72876c87470", "source_version_id": "display-source-version:749ca1fa7561cac13ceab2f9" } ], "source_version": { "file_sha256": "341253cef851a771e7e8f4ea6b855e340556dddd4045dc4d87b82f11d457c914", "detected_media_type": "application/pdf", "hash_verified": true, "retrieved_at": "2026-08-22" }, "display_source_ids": [ "display-source:NIU:b766e89efa3fa72876c87470" ], "source_version_ids": [ "display-source-version:749ca1fa7561cac13ceab2f9" ], "display_claim_ids": [ "display-claim:569c4a59467064fb510e9a82", "display-claim:bf09cba512bd1db57f9109fa", "display-claim:3a8bb48d4ab8f3e0f6a0beeb" ], "display_evidence_object_id": "display-claim:569c4a59467064fb510e9a82", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:NIU:time-reform:historical-geriatric-admissions", "country_id": "NIU", "mapping_group": "time_and_reform", "target_view": "reforms", "target_slot": "historical-geriatric-admission-observation", "support_state": "candidate_supported", "annotation_state": "open", "mapping_basis": "Barker's historical hospital-admission study", "source_projection_ids": [ "country-improvement-source:NIU:geriatric-hospital-admissions-1977-1982" ], "typed_fields": { "observed": "The study reports hospital admissions and discharge disposition among people aged 65 years or over during 1977-1982.", "boundary": "Its dates and restricted population preclude a current utilisation claim, a system-wide reform conclusion or a current patient-flow measure." }, "analytical_objects": { "reform_events": [ { "event_id": "niu-geriatric-admissions-1977", "label": "Geriatric hospital-admission observation period", "year": 1977, "status": "Historical research observation covering 1977-1982; not a reform event or current service measure.", "display_claim_ids": [ "display-claim:5bff9e06983e69da5ec935de" ], "display_source_ids": [ "display-source:NIU:4d2e396cb3efd6eb26af6247" ], "source_version_ids": [ "display-source-version:c6356d8816086696699c38bf" ], "display_evidence_object_id": "display-claim:5bff9e06983e69da5ec935de" } ], "provider_delivery_observations": [ { "label": "Historical geriatric hospital admissions", "observation": "The study reports admissions and discharge disposition among people aged 65 years or over, without a national utilisation-rate denominator in the PubMed abstract.", "scope": "Niue Island; people aged 65 years or over; 1977-1982 only.", "display_claim_ids": [ "display-claim:f19f2421da0c3d94614b6cf4" ], "display_source_ids": [ "display-source:NIU:4d2e396cb3efd6eb26af6247" ], "source_version_ids": [ "display-source-version:c6356d8816086696699c38bf" ], "display_evidence_object_id": "display-claim:f19f2421da0c3d94614b6cf4" } ] }, "title": "Historical geriatric admission observation", "statement": "The 1977-1982 geriatric-admission study is retained as historical evidence only and does not support a present utilisation claim.", "citation": "Barker JC, New Zealand Medical Journal, 1988.", "url": "https://eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi?db=pubmed&id=3173875&rettype=abstract&retmode=xml", "locator": "PubMed abstract.", "period": "1977-1982 observation; article published 1988", "territory": "Niue Island", "evidence_mode_candidate": "observed", "verification_source_layer": "research_literature", "coverage_domains": [ "hospital_organization", "utilization", "patient_flows", "reform_history", "authoritative_review" ], "source_references": [ { "title": "Admission of geriatric patients to hospital on Niue Island 1977-1982", "citation": "Barker JC. Admission of geriatric patients to hospital on Niue Island 1977-1982. New Zealand Medical Journal. 1988;101(855):638-640. https://eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi?db=pubmed&id=3173875&rettype=abstract&retmode=xml", "url": "https://eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi?db=pubmed&id=3173875&rettype=abstract&retmode=xml", "locator": { "locator_type": "xml_abstract", "sections": [ "Abstract" ], "source_word_anchor": "analyses the admission to hospital of people aged 65 years or more", "source_word_count": 12 }, "source_version": { "response_sha256": "14f07dd9b8006f7f69d47d636a9b45086e3b4cabdea9f06be1a37851be085c03", "detected_media_type": "text/xml", "hash_verified": true, "retrieved_at": "2026-08-22" }, "source_projection_id": "country-improvement-source:NIU:geriatric-hospital-admissions-1977-1982", "display_source_id": "display-source:NIU:4d2e396cb3efd6eb26af6247", "source_version_id": "display-source-version:c6356d8816086696699c38bf" } ], "source_version": { "response_sha256": "14f07dd9b8006f7f69d47d636a9b45086e3b4cabdea9f06be1a37851be085c03", "detected_media_type": "text/xml", "hash_verified": true, "retrieved_at": "2026-08-22" }, "display_source_ids": [ "display-source:NIU:4d2e396cb3efd6eb26af6247" ], "source_version_ids": [ "display-source-version:c6356d8816086696699c38bf" ], "display_claim_ids": [ "display-claim:0927a19b841c61627794c63c", "display-claim:5bff9e06983e69da5ec935de", "display-claim:f19f2421da0c3d94614b6cf4" ], "display_evidence_object_id": "display-claim:0927a19b841c61627794c63c", "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:NIU:0842ce06df05cf71babf", "evidence_layer": "candidate_source_metadata", "evidence_layers": [ "candidate_source_metadata" ], "source_layers": [ "candidate_source_metadata" ], "source_type": "candidate source metadata", "display_eligible": true, "title": "Pacific Islands-WHO multi-country cooperation strategy 2024-2029", "citation": "WHO Regional Office for the Western Pacific. Pacific Islands-WHO multi-country cooperation strategy 2024-2029. 2024. https://www.who.int/westernpacific/publications/i/item/9789290620587", "citation_string": "WHO Regional Office for the Western Pacific. Pacific Islands-WHO multi-country cooperation strategy 2024-2029. 2024. https://www.who.int/westernpacific/publications/i/item/9789290620587", "citation_status": "supplied", "citation_provenance": "source metadata", "url": "https://www.who.int/westernpacific/publications/i/item/9789290620587", "publication_year": 2024, "source_families": [ "WHO_WPRO" ], "channels": [ "targeted_official" ], "verification_source_layer": "official", "coverage_domains": [ "actors", "governance", "government_responsibilities", "primary_care", "service_delivery" ], "url_verification_status": "verified", "source_version": { "file_sha256": null, "text_sha256": null, "response_sha256": "0e36703f0192ec38e436b0d20d008b29e78a08ca2887cab3fc5a079818c82c2b", "page_count": null }, "locator": null, "display_status": "shown_in_full", "review_channel": "text_anchored_annotation", "verification_requirements": [] } ], "candidate_facts": [], "exact_contexts": [] }, "evidence_scorecard": { "country_id": "NIU", "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": 23, "numerator": 23, "score": 100, "unit": "material records with an exact locator" }, "material_url_coverage": { "denominator": 23, "numerator": 23, "score": 100, "unit": "material records with at least one public URL" }, "material_version_coverage": { "denominator": 23, "numerator": 23, "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:a17185ce1a59778b632db08d", "material:742928ce8394b9ee8115d33e", "material:6ae88a0a4b1a82d15ff9ca38", "material:4e8c5867dd7aecf523bcba05", "material:4d58eed56b1dc74b7793d76c" ], "full_scorecard_url": "https://wb-works.site/tools/health-organization/data/evidence-scorecards.json" }, "materials": [ { "analytical_mapping": { "mapping_basis": "Government release on the 2025 STEPS Survey", "mapping_group": "actors_and_functions", "mapping_id": "candidate-mapping:NIU:actors-functions:department-community-survey", "source_projection_ids": [ "country-improvement-source:NIU:steps-survey-release-2025" ], "support_state": "candidate_supported", "target_slot": "department-community-survey-collaboration", "target_view": "public-private", "typed_fields": { "boundary": "This observed survey collaboration does not describe private-provider participation, ownership shares or ongoing health-service governance.", "observed": "The 2025 release describes Department of Health and Public Health Division collaboration with village councils and communities in survey implementation." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Government of Niue, Niue Launches 2025 STEPS Survey Factsheet, 2025.", "country_ids": [ "NIU" ], "coverage_domains": [ "actors", "governance", "networks", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": null, "institution": null, "locator": { "description": "Release paragraph on Department of Health, village councils and communities." }, "material_id": "material:59747debe46adaf24442ea62", "notes": [], "origin": "candidate-analytical-mappings", "period": "2025", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "dce39ecc11653c77a2d8b488e12b2497e46eed3e4deb105b93c822ef04b821cb" }, "statement": "A 2025 government release records health-department collaboration with village councils and communities for STEPS Survey implementation, not a general provider ownership model.", "tags": [], "territory": "Niue", "title": "Department and community survey collaboration", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.gov.nu/media-releases/niue-launches-2025-steps-survey-factsheet" } ] }, { "analytical_mapping": { "mapping_basis": "Niue Health Strategic Plan 2011-2021", "mapping_group": "actors_and_functions", "mapping_id": "candidate-mapping:NIU:actors-functions:health-plan-direction", "source_projection_ids": [ "country-improvement-source:NIU:health-strategic-plan-2011-2021" ], "support_state": "candidate_supported", "target_slot": "expired-health-plan-direction", "target_view": "functions", "typed_fields": { "boundary": "The expired plan does not establish the current organisation, implementation status or every actor's operating role.", "formal": "The 2011-2021 Health Strategic Plan sets objectives for prevention, service quality, local essential services, efficiency and value for money." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Government of Niue, Niue Health Strategic Plan 2011-2021.", "country_ids": [ "NIU" ], "coverage_domains": [ "actors", "governance", "government_responsibilities", "hospital_organization", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Pages 12 to 13, Results Sought and Goal and Objectives." }, "material_id": "material:3455f94cc4eb3f8318d14913", "notes": [], "origin": "candidate-analytical-mappings", "period": "2011-2021", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "341253cef851a771e7e8f4ea6b855e340556dddd4045dc4d87b82f11d457c914" }, "statement": "The 2011-2021 plan sets formal health-sector objectives, without establishing the current operating model.", "tags": [], "territory": "Niue", "title": "Expired health-plan direction", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://extranet.who.int/cpcd/sites/default/files/public_file_repository/NIU_Niue_Health-Strategic-Plan_2011-2021.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "Niue Health Strategic Plan 2011-2021", "mapping_group": "time_and_reform", "mapping_id": "candidate-mapping:NIU:time-reform:health-plan-cycle", "source_projection_ids": [ "country-improvement-source:NIU:health-strategic-plan-2011-2021" ], "support_state": "candidate_supported", "target_slot": "health-plan-2011-2021-cycle", "target_view": "reforms", "typed_fields": { "boundary": "It does not verify which objectives were implemented, sustained or superseded after 2021.", "formal": "The plan defines the 2011-2021 health strategic-planning cycle and its stated prevention, service-quality and efficiency objectives." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Government of Niue, Niue Health Strategic Plan 2011-2021.", "country_ids": [ "NIU" ], "coverage_domains": [ "authoritative_review", "governance", "government_responsibilities", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Title page and pages 12 to 13." }, "material_id": "material:a4d1a6c1756e8a12b033086a", "notes": [], "origin": "candidate-analytical-mappings", "period": "2011-2021", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "341253cef851a771e7e8f4ea6b855e340556dddd4045dc4d87b82f11d457c914" }, "statement": "The 2011-2021 plan is a formal, now-expired planning cycle and not evidence of post-2021 implementation.", "tags": [], "territory": "Niue", "title": "Health strategic-plan cycle", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://extranet.who.int/cpcd/sites/default/files/public_file_repository/NIU_Niue_Health-Strategic-Plan_2011-2021.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "Barker's historical hospital-admission study", "mapping_group": "time_and_reform", "mapping_id": "candidate-mapping:NIU:time-reform:historical-geriatric-admissions", "source_projection_ids": [ "country-improvement-source:NIU:geriatric-hospital-admissions-1977-1982" ], "support_state": "candidate_supported", "target_slot": "historical-geriatric-admission-observation", "target_view": "reforms", "typed_fields": { "boundary": "Its dates and restricted population preclude a current utilisation claim, a system-wide reform conclusion or a current patient-flow measure.", "observed": "The study reports hospital admissions and discharge disposition among people aged 65 years or over during 1977-1982." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Barker JC, New Zealand Medical Journal, 1988.", "country_ids": [ "NIU" ], "coverage_domains": [ "authoritative_review", "hospital_organization", "patient_flows", "reform_history", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": null, "institution": null, "locator": { "description": "PubMed abstract." }, "material_id": "material:95fb056f8aa64f242e44b003", "notes": [], "origin": "candidate-analytical-mappings", "period": "1977-1982 observation; article published 1988", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "text/xml", "response_sha256": "14f07dd9b8006f7f69d47d636a9b45086e3b4cabdea9f06be1a37851be085c03" }, "statement": "The 1977-1982 geriatric-admission study is retained as historical evidence only and does not support a present utilisation claim.", "tags": [], "territory": "Niue Island", "title": "Historical geriatric admission observation", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi?db=pubmed&id=3173875&rettype=abstract&retmode=xml" } ] }, { "analytical_mapping": { "mapping_basis": "MFAT Development Partnership Arrangement Evaluation", "mapping_group": "decision_rights_and_autonomy", "mapping_id": "candidate-mapping:NIU:decision-autonomy:historical-accountability-lines", "source_projection_ids": [ "country-improvement-source:NIU:mfat-development-partnership-evaluation-2010" ], "support_state": "candidate_supported", "target_slot": "historical-director-accountability", "target_view": "autonomy", "typed_fields": { "boundary": "This historical evaluation cannot establish the Director's present authority or current accountability arrangements.", "reported": "The 2010 evaluation reports historical concerns about Department of Health reporting lines and the Director of Health's management context under the 2005-2010 arrangement." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "New Zealand MFAT, Halavaka ke he Monuina evaluation, 2010.", "country_ids": [ "NIU" ], "coverage_domains": [ "actors", "autonomy", "decision_rights", "governance", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "Pages 31 to 32, Health and Service delivery." }, "material_id": "material:f6eca6bf4234133377026f2e", "notes": [], "origin": "candidate-analytical-mappings", "period": "Mainly 2005-2010", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "3e5eab3f8481f9b79476e320f373ee47871a1536f6ea554c398d00546569007e" }, "statement": "The 2010 evaluation reports historical accountability and management issues, with no inference to the present autonomy of health leadership.", "tags": [], "territory": "Niue", "title": "Historical health leadership accountability", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.mfat.govt.nz/assets/Aid-Prog-docs/Evaluations/2010/Halavaka-ke-he-Monuina-Development-Partnership-Arrangement-Evaluation.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "Niue National Strategic Plan 2016-2026 Midterm Review", "mapping_group": "decision_rights_and_autonomy", "mapping_id": "candidate-mapping:NIU:decision-autonomy:national-planning-reporting", "source_projection_ids": [ "country-improvement-source:NIU:nnsp-midterm-review-2016-2026" ], "support_state": "candidate_supported", "target_slot": "national-planning-and-reporting", "target_view": "decisions", "typed_fields": { "boundary": "The review does not allocate health-provider authority over staffing, procurement, capital, clinical protocols or facility management.", "formal": "The midterm review describes department plans aligned with national strategy and budgets, and an expectation that departments monitor and report progress." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Government of Niue Ministry of Finance, Niue National Strategic Plan 2016-2026 Midterm Review, 2024.", "country_ids": [ "NIU" ], "coverage_domains": [ "autonomy", "decision_rights", "governance", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Pages 6 to 7, Introduction and framework description." }, "material_id": "material:e4005b5bfc48e80cb8002d1c", "notes": [], "origin": "candidate-analytical-mappings", "period": "2021-2026 framework, reported in 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": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "dbeed290e24fdcbee82ac3155739addb210c13ce3719b48c58b8f3c4c5a0b659" }, "statement": "The national framework assigns aligned departmental planning and progress reporting, but not a health-provider decision-rights matrix.", "tags": [], "territory": "Niue", "title": "National planning and reporting direction", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://mof.gov.nu/wp-content/uploads/2024/04/MidtermReview_2016-2026.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "Government release on oxygen-plant handover", "mapping_group": "relationships_and_networks", "mapping_id": "candidate-mapping:NIU:relationships-networks:oxygen-plant-partnership", "source_projection_ids": [ "country-improvement-source:NIU:oxygen-plant-handover-2024" ], "support_state": "candidate_supported", "target_slot": "public-international-infrastructure-partnership", "target_view": "public-private", "typed_fields": { "boundary": "This single infrastructure partnership does not measure private-sector ownership, market share, operational performance or a standing financing arrangement.", "observed": "The government reports a 2024 Niue Foou Hospital oxygen-plant handover involving the Government of Niue, WHO and European Union funding support." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Government of Niue, Official Handover of the Oxygen Plant at Niue Foou Hospital, 2024.", "country_ids": [ "NIU" ], "coverage_domains": [ "actors", "facility_data", "hospital_organization", "market_structure", "networks", "ownership" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": null, "institution": null, "locator": { "description": "Release paragraphs on handover, funding and maintenance support." }, "material_id": "material:82c09ccc490b1ddb2a1456ac", "notes": [], "origin": "candidate-analytical-mappings", "period": "15 July 2024", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "fe8038b3c3e660cfe0c428c84a732ed21a0d6339bc945cb9595764919291c703" }, "statement": "A 2024 government release records WHO and European Union support for an oxygen plant at Niue Foou Hospital, without a market-structure estimate.", "tags": [], "territory": "Niue Foou Hospital, Niue", "title": "Oxygen-plant partnership", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.gov.nu/media-releases/official-handover-of-the-oxygen-plant-at-niue-foou-hospital" } ] }, { "analytical_mapping": { "mapping_basis": "WHO Country Cooperation Strategy 2018-2022", "mapping_group": "delivery_and_referrals", "mapping_id": "candidate-mapping:NIU:delivery-referrals:single-hospital-hub", "source_projection_ids": [ "country-improvement-source:NIU:who-country-cooperation-strategy-2018-2022", "country-improvement-source:NIU:who-about-niue-2026" ], "support_state": "candidate_supported", "target_slot": "reported-hospital-service-hub", "target_view": "delivery", "typed_fields": { "boundary": "This is strategy-period reporting, not a current facility register, throughput measure, service-availability census or ownership distribution.", "reported": "The 2017 WHO strategy reports Niue Foou Hospital as the hub for most health services and public-health programmes, providing primary and secondary care." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "WHO Regional Office for the Western Pacific, Niue-WHO Country Cooperation Strategy 2018-2022.", "country_ids": [ "NIU" ], "coverage_domains": [ "facility_data", "hospital_organization", "patient_flows", "primary_care", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "Health and development, pages 8 to 9." }, "material_id": "material:780ef44a8944b5f6d925aeb5", "notes": [], "origin": "candidate-analytical-mappings", "period": "Strategy published 2017; 2018-2022 cooperation period", "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": { "detected_media_type": "text/html", "response_sha256": "f03b6aeab605432c79abf11321e992a31b679b56a8df51d6af17c5a5b309d68f" }, "statement": "WHO reports that Niue Foou Hospital was the hub for most health services and public-health programmes in the strategy-period description.", "tags": [], "territory": "Niue", "title": "Reported hospital service hub", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://iris.who.int/handle/10665/259921" }, { "kind": "source_reference", "source": "About WHO in Niue", "url": "https://www.who.int/niue/about-us" } ] }, { "analytical_mapping": { "mapping_basis": "WHO Country Cooperation Strategy 2018-2022 and Pacific overseas-medical-referral literature", "mapping_group": "delivery_and_referrals", "mapping_id": "candidate-mapping:NIU:delivery-referrals:tertiary-referral-bridge", "source_projection_ids": [ "country-improvement-source:NIU:who-country-cooperation-strategy-2018-2022", "country-improvement-source:NIU:pacific-overseas-medical-referral-2021" ], "support_state": "candidate_supported", "target_slot": "reported-new-zealand-tertiary-referral", "target_view": "referrals", "typed_fields": { "boundary": "No source projection supplies a Niue referral count, acceptance rate, completion rate, destination-specific volume, cost or patient outcome.", "reported": "The WHO strategy reports tertiary care through transfers to New Zealand and emergency evacuation, complemented by visiting New Zealand-based specialists. Regional literature identifies overseas-referral information gaps but supplies no Niue-specific flow measure." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "WHO Regional Office for the Western Pacific, Niue-WHO Country Cooperation Strategy 2018-2022; Boudville et al., Pacific Health, 2021.", "country_ids": [ "NIU" ], "coverage_domains": [ "networks", "observed_referral", "patient_flows", "referral_design", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "Health and development, pages 8 to 9; Pacific Health abstract." }, "material_id": "material:9a523a1aab8b4643425e0fd0", "notes": [], "origin": "candidate-analytical-mappings", "period": "Strategy published 2017; regional article published 2021", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "review_literature" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "f03b6aeab605432c79abf11321e992a31b679b56a8df51d6af17c5a5b309d68f" }, "statement": "The WHO strategy describes tertiary-care transfers to New Zealand and emergency evacuation, without a Niue-specific referral-flow measure.", "tags": [], "territory": "Niue and New Zealand referral destination", "title": "Reported tertiary referral bridge", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://iris.who.int/handle/10665/259921" }, { "kind": "source_reference", "source": "Overseas Medical Referral: the health system challenges for Pacific Island Countries", "url": "https://ojs.aut.ac.nz/pacific-health/article/view/49" } ] }, { "analytical_mapping": { "mapping_basis": "WHO About WHO in Niue country page", "mapping_group": "relationships_and_networks", "mapping_id": "candidate-mapping:NIU:relationships-networks:who-country-office-link", "source_projection_ids": [ "country-improvement-source:NIU:who-about-niue-2026" ], "support_state": "candidate_supported", "target_slot": "who-multi-country-office-coverage", "target_view": "functions", "typed_fields": { "boundary": "Coverage by a WHO representative office is not evidence of operational management authority over Niue health services.", "reported": "WHO's country page identifies a WHO Representative office in Samoa covering Niue together with American Samoa, Cook Islands, Samoa and Tokelau." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Health Organization, About WHO in Niue, retrieved 2026-08-22.", "country_ids": [ "NIU" ], "coverage_domains": [ "actors", "governance", "networks" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "WHO History in Niue and WHO Representative contact section." }, "material_id": "material:9b578f6b56f3e13757dc462f", "notes": [], "origin": "candidate-analytical-mappings", "period": "Page retrieved 2026-08-22", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "cd4efb61803d0d6957523dec624a3eabc80ce7bc5343e7e4d1fd0c43e399c141" }, "statement": "WHO reports that its Samoa representative office covers Niue; this is an international-support relationship, not domestic service authority.", "tags": [], "territory": "Niue, with WHO regional office coverage from Samoa", "title": "WHO multi-country office coverage", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.who.int/niue/about-us" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Health Organization. About WHO in Niue. Retrieved 2026-08-22. https://www.who.int/niue/about-us", "country_ids": [ "NIU" ], "coverage_domains": [ "actors", "governance", "government_responsibilities", "hospital_organization", "networks", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "WHO Representative in Samoa, American Samoa, Cook Islands, Niue and Tokelau", "institution": "World Health Organization", "locator": { "locator_type": "web_heading_and_paragraph", "source_word_anchor": "WHO Representative in Samoa, American Samoa, Cook Islands, Niue and Tokelau", "source_word_count": 10 }, "material_id": "material:6ae88a0a4b1a82d15ff9ca38", "notes": [ "Limit: this contact and institutional page does not describe authority allocation, ownership shares, referral activity or clinical service volumes." ], "origin": "country-evidence-improvement-sources", "period": "WHO country page retrieved 2026-08-22", "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": "cd4efb61803d0d6957523dec624a3eabc80ce7bc5343e7e4d1fd0c43e399c141" }, "statement": "WHO's Niue page identifies the Ministry of Health in Alofi, names Niue Foou Hospital and describes a WHO Representative office in Samoa covering Niue alongside several Pacific jurisdictions.", "tags": [], "territory": "Niue", "title": "About WHO in Niue", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.who.int/niue/about-us" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Barker JC. Admission of geriatric patients to hospital on Niue Island 1977-1982. New Zealand Medical Journal. 1988;101(855):638-640. https://eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi?db=pubmed&id=3173875&rettype=abstract&retmode=xml", "country_ids": [ "NIU" ], "coverage_domains": [ "authoritative_review", "hospital_organization", "patient_flows", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "analyses the admission to hospital of people aged 65 years or more", "institution": "New Zealand Medical Journal", "locator": { "locator_type": "xml_abstract", "source_word_anchor": "analyses the admission to hospital of people aged 65 years or more", "source_word_count": 12 }, "material_id": "material:03e362efab8bec844cfd57a5", "notes": [ "Limit: this is a historical, age-restricted study. It cannot establish current admissions, current discharge patterns, national service volumes or present referral routes." ], "origin": "country-evidence-improvement-sources", "period": "Hospital admissions among people aged 65 years or over, 1977-1982", "publication_date": null, "publication_year": 1988, "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": "14f07dd9b8006f7f69d47d636a9b45086e3b4cabdea9f06be1a37851be085c03" }, "statement": "The article reports a historical hospital-admission analysis among people aged 65 years or over on Niue Island from 1977 to 1982, including discharge disposition and length of stay.", "tags": [], "territory": "Niue Island", "title": "Admission of geriatric patients to hospital on Niue Island 1977-1982", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi?db=pubmed&id=3173875&rettype=abstract&retmode=xml" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Government of Niue, Department of Health. Department of Health - Niue Foou Hospital. Retrieved 2026-08-22. https://www.gov.nu/notice-board/department-of-health-niue-foou-hospital", "country_ids": [ "NIU" ], "coverage_domains": [ "actors", "hospital_organization", "networks", "observed_referral", "patient_flows", "primary_care", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "The hospital will remain OPEN for ALL emergencies", "institution": "Government of Niue, Department of Health", "locator": { "locator_type": "web_heading_and_paragraph", "source_word_anchor": "The hospital will remain OPEN for ALL emergencies", "source_word_count": 8 }, "material_id": "material:4a9251e49c392947bdaa178e", "notes": [ "Limit: dated notices show selected service interruptions and stated emergency access only. They are not a measure of current availability, utilisation, referral completion or quality." ], "origin": "country-evidence-improvement-sources", "period": "Noticeboard entries dated June to August 2025 and page retrieval 2026-08-22", "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": "1ed1cf672e45977718e7c119c0c68bf5da7e423dc6f73b1ac7599b7b61a915ee" }, "statement": "The Department noticeboard records dated temporary outpatient closures for theatre cases and states that emergency access remained open in those notices.", "tags": [], "territory": "Niue Foou Hospital, Alofi, Niue", "title": "Department of Health - Niue Foou Hospital", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.gov.nu/notice-board/department-of-health-niue-foou-hospital" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "New Zealand Ministry of Foreign Affairs and Trade. Halavaka ke he Monuina: Development Partnership Arrangement Evaluation. 2010. https://www.mfat.govt.nz/assets/Aid-Prog-docs/Evaluations/2010/Halavaka-ke-he-Monuina-Development-Partnership-Arrangement-Evaluation.pdf", "country_ids": [ "NIU" ], "coverage_domains": [ "actors", "authoritative_review", "autonomy", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "networks", "primary_care", "referral_design", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "facilitated visits of medical and other specialist to Niue", "institution": "New Zealand Ministry of Foreign Affairs and Trade", "locator": { "locator_type": "pdf_page_section", "source_word_anchor": "facilitated visits of medical and other specialist to Niue", "source_word_count": 9 }, "material_id": "material:4d58eed56b1dc74b7793d76c", "notes": [ "Limit: this is historical evaluation evidence. Its partnership and accountability findings must not be treated as current governance or service-delivery arrangements." ], "origin": "country-evidence-improvement-sources", "period": "Evaluation published 2010; observations refer mainly to the 2005-2010 arrangement", "publication_date": null, "publication_year": 2010, "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": "3e5eab3f8481f9b79476e320f373ee47871a1536f6ea554c398d00546569007e" }, "statement": "The evaluation describes the then health partnership with Counties Manukau District Health Board, including specialist visits and reported issues in Department of Health reporting lines and management arrangements.", "tags": [], "territory": "Niue, with the Counties Manukau District Health Board partnership", "title": "Halavaka ke he Monuina: Development Partnership Arrangement Evaluation", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.mfat.govt.nz/assets/Aid-Prog-docs/Evaluations/2010/Halavaka-ke-he-Monuina-Development-Partnership-Arrangement-Evaluation.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Government of Niue. Niue Health Strategic Plan 2011-2021. 2011. https://extranet.who.int/cpcd/sites/default/files/public_file_repository/NIU_Niue_Health-Strategic-Plan_2011-2021.pdf", "country_ids": [ "NIU" ], "coverage_domains": [ "actors", "authoritative_review", "autonomy", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "networks", "primary_care", "referral_design", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "A healthy population, well supported by quality health services", "institution": "Government of Niue", "locator": { "locator_type": "pdf_page_section", "source_word_anchor": "A healthy population, well supported by quality health services", "source_word_count": 9 }, "material_id": "material:4e8c5867dd7aecf523bcba05", "notes": [ "Limit: this expired plan records formal direction, not current implementation, facility capacity, decision rights or service volumes." ], "origin": "country-evidence-improvement-sources", "period": "Health Strategic Plan 2011-2021", "publication_date": null, "publication_year": 2011, "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": "341253cef851a771e7e8f4ea6b855e340556dddd4045dc4d87b82f11d457c914" }, "statement": "The national plan sets objectives for prevention, service quality, local availability of essential services, efficiency and value for money for its 2011-2021 period.", "tags": [], "territory": "Niue", "title": "Niue Health Strategic Plan 2011-2021", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://extranet.who.int/cpcd/sites/default/files/public_file_repository/NIU_Niue_Health-Strategic-Plan_2011-2021.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Government of Niue, Department of Health. Niue Launches 2025 STEPS Survey Factsheet. 2025. https://www.gov.nu/media-releases/niue-launches-2025-steps-survey-factsheet", "country_ids": [ "NIU" ], "coverage_domains": [ "actors", "governance", "networks", "primary_care", "reform_history", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "strong collaboration between the Department of Health, village councils, and our communities", "institution": "Government of Niue, Department of Health", "locator": { "locator_type": "web_heading_and_paragraph", "source_word_anchor": "strong collaboration between the Department of Health, village councils, and our communities", "source_word_count": 11 }, "material_id": "material:742928ce8394b9ee8115d33e", "notes": [ "Limit: the release gives selected survey context but not the survey denominator, response rate, health-service utilisation denominator or a national provider-function matrix." ], "origin": "country-evidence-improvement-sources", "period": "STEPS Survey 2025 factsheet launch", "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": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "dce39ecc11653c77a2d8b488e12b2497e46eed3e4deb105b93c822ef04b821cb" }, "statement": "The government release reports that Department of Health and Public Health Division staff led the 2025 STEPS Survey and that village councils and communities collaborated in its implementation.", "tags": [], "territory": "Niue", "title": "Niue Launches 2025 STEPS Survey Factsheet", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.gov.nu/media-releases/niue-launches-2025-steps-survey-factsheet" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Government of Niue, Ministry of Finance. Niue National Strategic Plan 2016-2026 Midterm Review. 2024. https://mof.gov.nu/wp-content/uploads/2024/04/MidtermReview_2016-2026.pdf", "country_ids": [ "NIU" ], "coverage_domains": [ "actors", "authoritative_review", "autonomy", "decision_rights", "governance", "government_responsibilities", "networks", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "government, private sector and NGOs shall develop annual Corporate Plans", "institution": "Government of Niue, Ministry of Finance", "locator": { "locator_type": "pdf_page_section", "source_word_anchor": "government, private sector and NGOs shall develop annual Corporate Plans", "source_word_count": 10 }, "material_id": "material:a17185ce1a59778b632db08d", "notes": [ "Limit: the review describes cross-sector planning and reporting expectations. It is not a health-provider decision-rights matrix or evidence that every department-level plan was executed." ], "origin": "country-evidence-improvement-sources", "period": "National Strategic Plan framework 2021-2026, reported in the 2024 midterm review", "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": "dbeed290e24fdcbee82ac3155739addb210c13ce3719b48c58b8f3c4c5a0b659" }, "statement": "The midterm review describes a national framework in which government, private sector and NGOs develop aligned plans and in which departments monitor and report progress against plans and budgets.", "tags": [], "territory": "Niue", "title": "Niue National Strategic Plan 2016-2026 Midterm Review", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://mof.gov.nu/wp-content/uploads/2024/04/MidtermReview_2016-2026.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Health Organization Regional Office for the Western Pacific. Niue-WHO Country Cooperation Strategy 2018-2022. 2017. https://iris.who.int/handle/10665/259921", "country_ids": [ "NIU" ], "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": "Niue Foou Hospital is the hub for the majority of health services", "institution": "WHO Regional Office for the Western Pacific", "locator": { "locator_type": "pdf_page_section", "source_word_anchor": "Niue Foou Hospital is the hub for the majority of health services", "source_word_count": 11 }, "material_id": "material:018152c705e99979f5165afa", "notes": [ "Limit: this is a 2017 situation assessment and 2018-2022 strategy. It does not demonstrate current referral completion, current staffing or current service capacity." ], "origin": "country-evidence-improvement-sources", "period": "Country Cooperation Strategy 2018-2022; country situation described with data available to the 2017 strategy", "publication_date": null, "publication_year": 2017, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "review_literature" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "f03b6aeab605432c79abf11321e992a31b679b56a8df51d6af17c5a5b309d68f" }, "statement": "The WHO strategy reports Niue Foou Hospital as the hub for most health services and public-health programmes, providing primary and secondary care, with tertiary care through transfers to New Zealand, emergency evacuation and visiting specialists.", "tags": [], "territory": "Niue", "title": "Niue-WHO Country Cooperation Strategy 2018-2022", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://iris.who.int/handle/10665/259921" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Government of Niue. Official Handover of the Oxygen Plant at Niue Foou Hospital. 2024. https://www.gov.nu/media-releases/official-handover-of-the-oxygen-plant-at-niue-foou-hospital", "country_ids": [ "NIU" ], "coverage_domains": [ "actors", "facility_data", "governance", "government_responsibilities", "hospital_organization", "networks", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "officially handed over the newly commissioned Oxygen Plant", "institution": "Government of Niue", "locator": { "locator_type": "web_heading_and_paragraph", "source_word_anchor": "officially handed over the newly commissioned Oxygen Plant", "source_word_count": 7 }, "material_id": "material:4ca49093886bcf6d05c249ac", "notes": [ "Limit: handover documents a specific infrastructure event. It does not quantify oxygen production, uptime, clinical use, maintenance completion or hospital-wide capacity." ], "origin": "country-evidence-improvement-sources", "period": "Government release dated 15 July 2024", "publication_date": null, "publication_year": 2024, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "fe8038b3c3e660cfe0c428c84a732ed21a0d6339bc945cb9595764919291c703" }, "statement": "The government release reports the official handover of a commissioned oxygen plant at Niue Foou Hospital, with WHO and European Union support, and notes planned operational training and maintenance support.", "tags": [], "territory": "Niue Foou Hospital, Niue", "title": "Official Handover of the Oxygen Plant at Niue Foou Hospital", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.gov.nu/media-releases/official-handover-of-the-oxygen-plant-at-niue-foou-hospital" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Boudville A, Irava W, Motofaga S, Gilbert K, Annear P. Overseas Medical Referral: the health system challenges for Pacific Island Countries. Pacific Health. 2021;4. https://ojs.aut.ac.nz/pacific-health/article/view/49", "country_ids": [ "NIU" ], "coverage_domains": [ "authoritative_review", "governance", "networks", "observed_referral", "patient_flows", "referral_design", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "OMR policies are often weak or incomplete", "institution": "Pacific Health", "locator": { "locator_type": "web_heading_and_paragraph", "source_word_anchor": "OMR policies are often weak or incomplete", "source_word_count": 6 }, "material_id": "material:2f7421f7b841cc367048543f", "notes": [ "Limit: this is regional literature and does not supply a Niue-specific referral count, referral pathway, completion rate, provider list or outcome estimate." ], "origin": "country-evidence-improvement-sources", "period": "Regional study published 2021", "publication_date": null, "publication_year": 2021, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "efe37649719548119f399172c7ad6c8863627e57ee33e95d072cc1e0beed58e4" }, "statement": "The regional study reports weaknesses in overseas medical-referral policies and systems across 16 Pacific Island countries and identifies a need for routine information on providers and outcomes.", "tags": [], "territory": "Sixteen Pacific Island countries; no Niue-specific estimate is reported on the cited page", "title": "Overseas Medical Referral: the health system challenges for Pacific Island Countries", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://ojs.aut.ac.nz/pacific-health/article/view/49" } ] }, { "annotation_status": "open", "authors": [], "availability": {}, "citation": "WHO Regional Office for the Western Pacific. Pacific Islands-WHO multi-country cooperation strategy 2024-2029. 2024. https://www.who.int/westernpacific/publications/i/item/9789290620587", "country_ids": [ "NIU" ], "coverage_domains": [ "actors", "governance", "government_responsibilities", "primary_care", "service_delivery" ], "display_status": "shown_in_full", "document_type": "candidate source metadata", "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "heading": "Overview", "html_text_block": 5, "locator_type": "html_text_anchor", "source_word_anchor": "and enhancing health and health system resilience", "source_word_count": 7 }, "material_id": "candidate-source:NIU:0842ce06df05cf71babf", "notes": [ "Public source projection retained as a distinct stage record.", "A recoverable source locator was retrieved from this exact public source URL in the locator-gap traceability audit." ], "origin": "current-public-source-projection", "period": null, "publication_date": null, "publication_year": 2024, "record_kind": "displayed_source_projection", "record_kind_label": "Displayed source projection", "screening": { "page_locator_linked_from_locator_gap_acquisition": true, "previous_visibility": "previously_projected" }, "source_layers": [ "candidate_source_metadata", "official" ], "source_system": "WHO_WPRO", "source_version": { "response_sha256": "0e36703f0192ec38e436b0d20d008b29e78a08ca2887cab3fc5a079818c82c2b" }, "statement": null, "tags": [ "targeted_official" ], "territory": null, "title": "Pacific Islands-WHO multi-country cooperation strategy 2024-2029", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.who.int/westernpacific/publications/i/item/9789290620587" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "WHO Regional Office for the Western Pacific. Pacific Islands-WHO multi-country cooperation strategy 2024-2029. 2024. https://www.who.int/westernpacific/publications/i/item/9789290620587", "country_ids": [ "NIU" ], "coverage_domains": [ "actors", "governance", "government_responsibilities", "primary_care", "service_delivery" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "heading": "Overview", "html_text_block": 5, "locator_type": "html_text_anchor", "source_word_anchor": "and enhancing health and health system resilience", "source_word_count": 7 }, "material_id": "material:c084adf1ef779e918b209d9a", "notes": [ "Verify the exact bibliographic citation against the original source.", "Confirm that the document applies to the named country and intended territorial scope.", "Confirm document type, issuing institution, authority, and claim-specific suitability.", "Retrieve and hash the exact source version when it is not already verified.", "Check publication date, effective period, currency, and supersession risk.", "Confirm only domains directly supported by the reviewed source.", "Add substantive feedback directly through the text-anchored annotation layer.", "A recoverable source locator was retrieved from this exact public source URL in the locator-gap traceability audit." ], "origin": "global-source-triage-queue", "period": null, "publication_date": null, "publication_year": 2024, "record_kind": "source_triage_record", "record_kind_label": "Source Triage Record", "screening": { "page_locator_linked_from_locator_gap_acquisition": true, "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review" }, "source_layers": [ "WHO_WPRO" ], "source_system": "WHO_WPRO", "source_version": { "response_sha256": "0e36703f0192ec38e436b0d20d008b29e78a08ca2887cab3fc5a079818c82c2b" }, "statement": null, "tags": [], "territory": null, "title": "Pacific Islands-WHO multi-country cooperation strategy 2024-2029", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.who.int/westernpacific/publications/i/item/9789290620587" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "WHO Regional Office for the Western Pacific. Pacific Islands-WHO multi-country cooperation strategy 2024-2029. 2024. https://www.who.int/westernpacific/publications/i/item/9789290620587", "country_ids": [ "NIU" ], "coverage_domains": [ "actors", "governance", "government_responsibilities", "primary_care", "service_delivery" ], "display_status": "shown_in_full", "document_type": "multi_country_cooperation_strategy", "evidence_mode": null, "excerpt": null, "institution": "WHO Regional Office for the Western Pacific", "locator": { "heading": "Overview", "html_text_block": 5, "locator_type": "html_text_anchor", "source_word_anchor": "and enhancing health and health system resilience", "source_word_count": 7 }, "material_id": "material:d72bd76a11e0933f6be1e4d3", "notes": [ "Authoritative official source page or publication exposes country-specific health-system organization, governance, delivery, or primary-care context.", "Immutable source-version metadata was retrieved from this exact public source URL in the locator-gap traceability audit.", "A recoverable source locator was retrieved from this exact public source URL in the locator-gap traceability audit." ], "origin": "targeted-gap-source-leads", "period": null, "publication_date": "2024-10-03", "publication_year": 2024, "record_kind": "targeted_source_lead", "record_kind_label": "Targeted Source Lead", "screening": { "page_locator_linked_from_locator_gap_acquisition": true, "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "unreviewed", "source_version_linked_from_locator_gap_acquisition": true, "status": "candidate" }, "source_layers": [], "source_system": "WHO_WPRO", "source_version": { "detected_media_type": "text/html", "response_sha256": "dab2d41e2734154fee80ed0018cac44ba3d554331bb544c64a58659f1fb789b5" }, "statement": null, "tags": [ "health_system_design", "health_system_organization", "service_delivery" ], "territory": null, "title": "Pacific Islands-WHO multi-country cooperation strategy 2024-2029", "urls": [ { "kind": "stable_url", "source": "not supplied", "url": "https://www.who.int/westernpacific/publications/i/item/9789290620587" } ] } ] }