Health System Organization Explorer / Country organization profile

Suriname

Organization and delivery profile covering institutional roles, decision rights, provider relationships, referral pathways, and changes over time.

How the health system is organized

This profile follows the organizational chain from national institutions and subnational authorities to purchasers, provider organizations, referral networks, and people using services.

Reported source

Actors and responsibilities

PAHO reports a fragmented system and separate interior and coastal primary-care arrangements. The available sources do not establish a quantified public-private market structure.

Period
PAHO profile published 2024; literature review published 2015
Territory
Suriname, rural interior and urban coastal area
Locator
PAHO profile, Perspective, Measures to reduce inequalities in health; Larye et al., Abstract.

PAHO, Suriname - Country Profile, 2024; Larye et al., 2015.

Open cited source

Reported source

Actors and responsibilities

PAHO's 2024 profile distinguishes Medical Mission primary care in the rural interior from RGD primary care in the urban coastal area. Historical studies add interior-network context only.

Period
PAHO profile published 2024; historical studies published 2018 and 2021
Territory
Suriname, differentiating rural interior and urban coastal area
Locator
PAHO profile, Perspective, Measures to reduce inequalities in health; historical-study Background/Abstract.

PAHO, Suriname - Country Profile, 2024; Mans et al., 2018; Molijn, 2021.

Open cited source

Formal source

Decision rights and autonomy

A 2023 PAHO report records a signed cooperation strategy guiding bilateral plans and budgets, while another records stakeholder deliberation on a biennial plan. Neither supplies a complete decision-rights or accountability map.

Period
May and October 2023; work-plan period 2024-2025
Territory
Suriname national health sector
Locator
CCS signing announcement, paragraphs 2-3; BWP meeting announcement, opening paragraph.

PAHO, CCS signing announcement, 15 May 2023; PAHO, Biennial Work Plan meeting, 24 October 2023.

Open cited source

Observed source

Decision rights and autonomy

A 2024 qualitative study reports midwives' need for ownership and autonomy when adapting group antenatal care in four facilities. It does not establish a national provider-autonomy regime.

Period
Group antenatal care introduced 2019; study published 2024
Territory
Four primary-care facilities in Suriname
Locator
Article Introduction and Results, implementation enablers and barriers.

Discover Health Systems, group antenatal-care qualitative evaluation, 2024.

Open cited source

Observed source

Delivery and referrals

A qualitative evaluation reports group antenatal care introduced in four facilities in 2019. Its discussion of complication referral does not supply a national referral pathway or outcome measure.

Period
Introduction in 2019; evaluation published 2024
Territory
Four primary-care facilities in Suriname
Locator
Article Introduction and Methods.

Discover Health Systems, group antenatal-care qualitative evaluation, 2024.

Open cited source

Observed source

Delivery and referrals

A 2018 study examines health-care-use differences by living area and gender, while a WDI response reports 2.87 hospital beds per 1,000 people nationally for 2022. Neither identifies current national service performance.

Period
Study published 2018; WDI latest non-null observation returned is 2022
Territory
Suriname, comparing living-area and gender contexts
Locator
Smits et al., Article title, Introduction, and Discussion; World Bank WDI API resource SH.MED.BEDS.ZS, countryiso3code/date/value fields.

Smits et al., Equity in health care, 2018; World Bank, World Development Indicators, accessed 2026.

Open cited source

Reported source

Relationships and networks

Studies published in 2018 describe local interior primary care with referral to coastal or Paramaribo specialist care. They do not quantify or validate current referral-system performance.

Period
Studies published 2018 and 2021; policy context described as dating from the 1960s
Territory
Suriname rural interior and coastal referral context
Locator
Smits et al., Introduction; Mans et al., Background; Molijn, Abstract.

Smits et al., 2018; Mans et al., 2018; Molijn, 2021.

Open cited source

Formal source

Reform and institutional change

PAHO reports a formally signed 2023-2025 cooperation strategy and a subsequent 2024-2025 work-plan deliberation. These are reform and planning objects, not verified delivery changes.

Period
Strategy 2023-2025; work-plan period 2024-2025
Territory
Suriname national health sector
Locator
CCS signing announcement, paragraphs 1-3; BWP meeting announcement, opening paragraphs.

PAHO, CCS signing announcement, 2023; PAHO, Biennial Work Plan meeting, 2023.

Open cited source

Reported source

Reform and institutional change

A 2015 review finds sparse published comprehensive-primary-care evidence while discussing earlier reform preparations; a 2021 review describes historical interior PHC-model development. Neither establishes current practice.

Period
Historical reform context late 1990s to early 2000s; reviews published 2015 and 2021
Territory
Suriname, with interior-specific historical context
Locator
Larye et al., Abstract, Results and Conclusions; Molijn, Abstract.

Larye et al., 2015; Molijn, 2021; PAHO, 2024.

Open cited source

Open the interactive organization graph and national-subnational decision matrix

Methods, evidence, and data

Source traceability, coverage, citations, locators, source versions, and annotation materials are grouped here so the organizational synthesis remains the primary reading flow.

Directly mapped computable objects

Source-linked mappings drive the visible country synthesis and remain open for annotation. Canonical registries are reported separately so a zero in that publication layer is never mistaken for absent evidence.

Structured country layers with explicit fields for analysis
ObjectCountMeaning
Source-linked analytical mappings10Cited mappings rendered across the organization, decision, delivery, network, autonomy, and reform views.
Source-linked analytical object rows43Named graph nodes and edges, function assignments, decision cells, autonomy cells, pathways, and reform events supplied by those mappings.
Actors0Actors with explicit identity, territory, time, and evidence lineage.
Relationships0Evidence-backed actor-to-actor or actor-to-provider edges.
Decision rights0Actor, function, decision, and role assignments.
Provider organizations0Named or typed providers with evidence-backed ownership and management.
Autonomy records0Decision-domain authority paired with an autonomous-from actor.
Accountability records0Accountable-to actor and mechanism.
Referral designs0Formal referral, choice, bypass, and counter-referral arrangements.
Observed flows0Observed referral, bypass, mobility, or network flows.

Source traceability and coverage

These six documentation measures describe the traceability available for displayed materials: domain coverage, public URLs, exact locators, source versions, and typed mappings. They do not measure health-system performance, source truth, institutional quality, or country success. A zero never means that an actor, authority, relationship, service, or activity is absent.

Documentation status: Explicit analytical mappings. All six source-traceability measures meet or exceed 80%. Materials remain open for annotation and country-specific refinement.

Domain leads
100%17 of 17
Source layers
100%3 of 3
Public URLs
100%27 of 27
Exact locators
96%26 of 27
Source versions
100%27 of 27
Typed mapping
100%5 of 5

Traceability gaps to address

  1. Review and annotate the country synthesis
    All six preparation dimensions meet the target. Every source-linked finding and supporting material remains open for correction, qualification, and additional evidence through annotations.

Coverage by organizational domain

Source traceability across all 17 organizational domains
Displayed materials and source traceability by domain
DomainStateMaterialsURLsLocatorsVersionsStatementsContextsTyped
ActorsCriticalDirect typed mapping1515151512124
Government responsibilitiesCriticalDirect typed mapping1313131310104
Provider ownershipCriticalDirect typed mapping3333332
Decision rightsCriticalDirect typed mapping6666663
Provider autonomyCriticalDirect typed mapping3333331
Primary care organizationCriticalDirect typed mapping1818181814148
Hospital organizationCriticalDirect typed mapping4444442
Referral designCriticalDirect typed mapping9999994
Observed referralDirect typed mapping7777775
Provider networksDirect typed mapping1313131313136
Facility dataDirect typed mapping9999994
UtilizationDirect typed mapping6666663
Patient flowsDirect typed mapping7777775
Governance and accountabilityCriticalDirect typed mapping1515151512125
Market structureDirect typed mapping2222221
Reform historyCriticalDirect typed mapping1010101010103
Authoritative reviewDirect typed mapping20202020202010
Materials with the most complete source traceability
  1. Suriname - WHO Country Page
    Country Improvement Source Lead. Readiness checks: 5 of 5.
    material:f114802140315c13af1ef752
  2. Reported fragmented territorial service mix
    Candidate Analytical Mapping. Readiness checks: 5 of 5.
    material:de039aff597cc62c82719c0e
  3. Formal cooperation strategy and reported work-plan reform objects
    Candidate Analytical Mapping. Readiness checks: 5 of 5.
    material:da90359b862a5fb7e0b7665b
  4. Signing of the Country Cooperation Strategy 2023-2025 between PAHO/WHO and Ministry of Health Suriname
    Country Improvement Source Lead. Readiness checks: 5 of 5.
    material:d238f1685286a60506505f0a
  5. Observed urban-rural and gender care-use study context
    Candidate Analytical Mapping. Readiness checks: 5 of 5.
    material:c78686f46efd10be199e6283

Complete country materials

Every collected library candidate, queue record, source lead, statement, context, machine flag, and public projection assigned to this country is rendered below. Each item remains open for text-anchored annotation. A missing direct analytical mapping never hides the broader material.

All material records
27
Library documents
3
Queue records
23
Public-stage records
1
Cited source records
1
Source-linked statements
0
Exact contexts
0
Structured source-linked findings
10
Direct typed relationships
0

All collected materials

27 records are rendered in full. Stage duplicates remain visible because a document candidate, triage record, statement, and exact context are separately annotatable objects.

Candidate Analytical Mapping · Open for annotation

Bounded midwife autonomy context in four facilities

Discover Health Systems, group antenatal-care qualitative evaluation, 2024.

Statement or annotation question

A 2024 qualitative study reports midwives' need for ownership and autonomy when adapting group antenatal care in four facilities. It does not establish a national provider-autonomy regime.

Source context or anchor

a sense of ownership and autonomy
Material reference
material:8fe5c15cfe371dd19dcea51b
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Observed
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
Four primary-care facilities in Suriname
Period
Group antenatal care introduced 2019; study published 2024
Source layers
Research Literature
Coverage domains
Authoritative review, Provider autonomy, Decision rights, Facility data, Governance and accountability, Primary care organization
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Description
Article Introduction and Results, implementation enablers and barriers.
Detected Media Type
text/html
Response Sha256
32ed63159c77e21ee19ca1b9aa3213ccf0218eb59539560b132a8e68ef0e18ea

Annotation prompts and machine flags

  • Do not elevate a participant-reported implementation need into current nationwide decision rights or facility accountability.

Source links

Candidate Analytical Mapping · Open for annotation

Formal cooperation and reported planning decision cells

PAHO, CCS signing announcement, 15 May 2023; PAHO, Biennial Work Plan meeting, 24 October 2023.

Statement or annotation question

A 2023 PAHO report records a signed cooperation strategy guiding bilateral plans and budgets, while another records stakeholder deliberation on a biennial plan. Neither supplies a complete decision-rights or accountability map.

Source context or anchor

guides the formulation of the bilateral BWP
Material reference
material:9a261b7b9a36638eb57fcd58
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Formal
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
Suriname national health sector
Period
May and October 2023; work-plan period 2024-2025
Source layers
Official
Coverage domains
Actors, Authoritative review, Decision rights, Governance and accountability, Government responsibilities, Reform history
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Description
CCS signing announcement, paragraphs 2-3; BWP meeting announcement, opening paragraph.
Detected Media Type
text/html
Response Sha256
7f82821bacfffac6619633946ab48f9b032725a4ae90e98c78116f011487ae11

Annotation prompts and machine flags

  • Keep the formal strategy and reported planning process distinct from implementation, authority, and outcome claims.

Source links

Candidate Analytical Mapping · Open for annotation

Formal cooperation strategy and reported work-plan reform objects

PAHO, CCS signing announcement, 2023; PAHO, Biennial Work Plan meeting, 2023.

Statement or annotation question

PAHO reports a formally signed 2023-2025 cooperation strategy and a subsequent 2024-2025 work-plan deliberation. These are reform and planning objects, not verified delivery changes.

Source context or anchor

strategic priorities, focus areas, and objectives
Material reference
material:da90359b862a5fb7e0b7665b
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Formal
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
Suriname national health sector
Period
Strategy 2023-2025; work-plan period 2024-2025
Source layers
Official
Coverage domains
Actors, Authoritative review, Decision rights, Governance and accountability, Government responsibilities, Provider networks, Reform history
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Description
CCS signing announcement, paragraphs 1-3; BWP meeting announcement, opening paragraphs.
Detected Media Type
text/html
Response Sha256
7f82821bacfffac6619633946ab48f9b032725a4ae90e98c78116f011487ae11

Annotation prompts and machine flags

  • Never state that this strategy or work plan was implemented or improved national performance without separate evidence.

Source links

Candidate Analytical Mapping · Open for annotation

Four-facility group antenatal-care implementation and referral boundary

Discover Health Systems, group antenatal-care qualitative evaluation, 2024.

Statement or annotation question

A qualitative evaluation reports group antenatal care introduced in four facilities in 2019. Its discussion of complication referral does not supply a national referral pathway or outcome measure.

Source context or anchor

introduced in four primary care facilities
Material reference
material:04f187dbee9052a77fde9437
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Observed
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
Four primary-care facilities in Suriname
Period
Introduction in 2019; evaluation published 2024
Source layers
Research Literature
Coverage domains
Authoritative review, Facility data, Observed referral, Patient flows, Primary care organization, Referral design, Utilization
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Description
Article Introduction and Methods.
Detected Media Type
text/html
Response Sha256
32ed63159c77e21ee19ca1b9aa3213ccf0218eb59539560b132a8e68ef0e18ea

Annotation prompts and machine flags

  • Do not infer national group-care availability, obstetric referral completion, or maternal outcomes.

Source links

Candidate Analytical Mapping · Open for annotation

Historic interior referral-network description

Smits et al., 2018; Mans et al., 2018; Molijn, 2021.

Statement or annotation question

Studies published in 2018 describe local interior primary care with referral to coastal or Paramaribo specialist care. They do not quantify or validate current referral-system performance.

Source context or anchor

referral to secondary specialist care in the coast
Material reference
material:70b0b02b3e178a5ecca81b64
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Reported
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
Suriname rural interior and coastal referral context
Period
Studies published 2018 and 2021; policy context described as dating from the 1960s
Source layers
Research Literature
Coverage domains
Authoritative review, Hospital organization, Provider networks, Observed referral, Patient flows, Primary care organization, Referral design
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Description
Smits et al., Introduction; Mans et al., Background; Molijn, Abstract.
Detected Media Type
text/html
Response Sha256
08f6e6aec9912b2241855e0a530ed5004cb967ae0ada2be2e5d494f3d1095420

Annotation prompts and machine flags

  • Do not infer a contemporary gatekeeping rule, current referral volume, or patient outcomes from this historical description.

Source links

Candidate Analytical Mapping · Open for annotation

Historical primary-care reform context and evidence limits

Larye et al., 2015; Molijn, 2021; PAHO, 2024.

Statement or annotation question

A 2015 review finds sparse published comprehensive-primary-care evidence while discussing earlier reform preparations; a 2021 review describes historical interior PHC-model development. Neither establishes current practice.

Source context or anchor

paucity of published research on CPHC
Material reference
material:678a2748a62eb14910c0552b
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Reported
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
Suriname, with interior-specific historical context
Period
Historical reform context late 1990s to early 2000s; reviews published 2015 and 2021
Source layers
Review Literature
Coverage domains
Authoritative review, Governance and accountability, Government responsibilities, Provider networks, Primary care organization, Reform history
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Description
Larye et al., Abstract, Results and Conclusions; Molijn, Abstract.
Detected Media Type
text/html
Response Sha256
9300772a44f99728b74d12d209c2e2d28c9a42ec1e9b1cce69ea5fbf987d2e52

Annotation prompts and machine flags

  • Keep historical and literature-gap statements bounded. Do not infer that any reform continues or performs in the present.

Source links

Candidate Analytical Mapping · Open for annotation

Observed urban-rural and gender care-use study context

Smits et al., Equity in health care, 2018; World Bank, World Development Indicators, accessed 2026.

Statement or annotation question

A 2018 study examines health-care-use differences by living area and gender, while a WDI response reports 2.87 hospital beds per 1,000 people nationally for 2022. Neither identifies current national service performance.

Source context or anchor

urban and rural, and gender perspective
Material reference
material:c78686f46efd10be199e6283
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Observed
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
Suriname, comparing living-area and gender contexts
Period
Study published 2018; WDI latest non-null observation returned is 2022
Source layers
Research Literature
Coverage domains
Authoritative review, Facility data, Observed referral, Patient flows, Primary care organization, Referral design, Utilization
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Description
Smits et al., Article title, Introduction, and Discussion; World Bank WDI API resource SH.MED.BEDS.ZS, countryiso3code/date/value fields.
Detected Media Type
text/html
Response Sha256
86302344aa131016083cfe8410a75a4ff8d1c5aa74eee633132a4d58c2cf8a05

Annotation prompts and machine flags

  • Do not generalise study associations as current national access or attribute them causally to referral design.

Source links

Candidate Analytical Mapping · Open for annotation

Reported fragmented territorial service mix

PAHO, Suriname - Country Profile, 2024; Larye et al., 2015.

Statement or annotation question

PAHO reports a fragmented system and separate interior and coastal primary-care arrangements. The available sources do not establish a quantified public-private market structure.

Source context or anchor

a fragmented healthcare system
Material reference
material:de039aff597cc62c82719c0e
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Reported
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
Suriname, rural interior and urban coastal area
Period
PAHO profile published 2024; literature review published 2015
Source layers
Official
Coverage domains
Actors, Authoritative review, Market structure, Provider networks, Provider ownership, Patient flows, Primary care organization, Utilization
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Description
PAHO profile, Perspective, Measures to reduce inequalities in health; Larye et al., Abstract.
Detected Media Type
text/html
Response Sha256
f31f62cec356a87f3d7fa6d56b47d008ece61a63a9768b8c146664dcb4c3dc7d

Annotation prompts and machine flags

  • Do not convert fragmentation into a current performance judgment or infer private-sector participation beyond the cited evidence.

Source links

Candidate Analytical Mapping · Open for annotation

Reported interior specialist-consultation and referral links

PAHO, Suriname - Country Profile, 2024; Mans et al., 2018.

Statement or annotation question

PAHO reports a telehealth project for specialist consultations in the interior, and a 2018 study historically describes referral to Paramaribo hospitals when needed. Neither proves an operating national pathway.

Source context or anchor

improve access to specialist consultations for the interior
Material reference
material:82941ddb28aa58357b2e31f9
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Reported
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
Suriname interior, with Paramaribo referral destination mentioned historically
Period
PAHO profile published 2024; historical-study description published 2018
Source layers
Official
Coverage domains
Authoritative review, Facility data, Hospital organization, Provider networks, Observed referral, Patient flows, Primary care organization, Referral design
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Description
PAHO profile, Perspective, Measures to reduce inequalities; Mans et al., Background.
Detected Media Type
text/html
Response Sha256
f31f62cec356a87f3d7fa6d56b47d008ece61a63a9768b8c146664dcb4c3dc7d

Annotation prompts and machine flags

  • Do not infer current specialist access, telehealth availability, transport, or referral completion.

Source links

Candidate Analytical Mapping · Open for annotation

Reported territorial primary-care actors and functions

PAHO, Suriname - Country Profile, 2024; Mans et al., 2018; Molijn, 2021.

Statement or annotation question

PAHO's 2024 profile distinguishes Medical Mission primary care in the rural interior from RGD primary care in the urban coastal area. Historical studies add interior-network context only.

Source context or anchor

a special health service provides primary care
Material reference
material:7d6b438173da81f0f599f204
Pipeline stage
Candidate-Analytical-Mappings
Evidence mode
Reported
Publication date
not supplied
Institution
not supplied
Document type
Not Supplied
Territory
Suriname, differentiating rural interior and urban coastal area
Period
PAHO profile published 2024; historical studies published 2018 and 2021
Source layers
Official
Coverage domains
Actors, Authoritative review, Governance and accountability, Government responsibilities, Provider networks, Provider ownership, Primary care organization
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Description
PAHO profile, Perspective, Measures to reduce inequalities in health; historical-study Background/Abstract.
Detected Media Type
text/html
Response Sha256
f31f62cec356a87f3d7fa6d56b47d008ece61a63a9768b8c146664dcb4c3dc7d

Annotation prompts and machine flags

  • Do not infer current facility ownership, staffing, contracts, or uniform services from this territorial description.

Source links

Country Improvement Source Lead · Open for annotation

Enablers and barriers associated with successful implementation of group antenatal care in primary care facilities in Suriname: a qualitative evaluation study

Enablers and barriers associated with successful implementation of group antenatal care in primary care facilities in Suriname: a qualitative evaluation study. Discover Health Systems. 2024. https://link.springer.com/article/10.1007/s44250-024-00082-w

Statement or annotation question

A qualitative evaluation reports group antenatal care introduced in four primary-care facilities in 2019 and describes midwives' expressed need for ownership and autonomy in adapting the model.

Source context or anchor

introduced in four primary care facilities
Material reference
material:41b37c2d0e3d739300a68525
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Observed
Publication date
2024-01-01
Institution
Discover Health Systems
Document type
Not Supplied
Territory
Four primary-care facilities in Suriname
Period
Group antenatal care introduced in 2019; qualitative evaluation published 2024
Source layers
Research Literature
Coverage domains
Actors, Authoritative review, Provider autonomy, Decision rights, Facility data, Governance and accountability, Provider networks, Primary care organization, Referral design, Utilization
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Locator Type
web_page
Source Word Anchor
introduced in four primary care facilities
Source Word Count
6
Detected Media Type
text/html
Response Sha256
32ed63159c77e21ee19ca1b9aa3213ccf0218eb59539560b132a8e68ef0e18ea

Annotation prompts and machine flags

  • This is a four-facility qualitative implementation study. Do not infer nationwide primary-care autonomy, antenatal coverage, or referral performance.

Source links

Country Improvement Source Lead · Open for annotation

Equity in health care: an urban and rural, and gender perspective; the Suriname Health Study

Smits CCF, Toelsie JR, Eersel MGM, Krishnadath ISK. Equity in health care: an urban and rural, and gender perspective; the Suriname Health Study. AIMS Public Health. 2018;5(1):1-12. https://pmc.ncbi.nlm.nih.gov/articles/PMC6070465/

Statement or annotation question

The study reports rural-interior policy context of local primary-care access with referral to coastal specialist care, and examines health-care-use differences by area and gender.

Source context or anchor

free access to local primary health care
Material reference
material:c3a458675e88bc5ad7600b41
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Observed
Publication date
2018-01-11
Institution
AIMS Public Health
Document type
Not Supplied
Territory
Suriname, with urban/coastal and rural-interior comparison
Period
Suriname Health Study evidence published 2018; source discusses policy dating from the 1960s
Source layers
Research Literature
Coverage domains
Authoritative review, Facility data, Observed referral, Patient flows, Primary care organization, Referral design, Utilization
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Locator Type
web_page
Source Word Anchor
free access to local primary health care
Source Word Count
7
Detected Media Type
text/html
Response Sha256
86302344aa131016083cfe8410a75a4ff8d1c5aa74eee633132a4d58c2cf8a05

Annotation prompts and machine flags

  • Do not relabel area- and gender-associated study findings as current national access, referral completion, or causal policy effects.

Source links

Country Improvement Source Lead · Open for annotation

Fifty years of primary health care in the rainforest: temporal trends in morbidity and mortality in indigenous Amerindian populations of Suriname

Mans DRA, et al. Fifty years of primary health care in the rainforest: temporal trends in morbidity and mortality in indigenous Amerindian populations of Suriname. BMC International Health and Human Rights. 2018;18:24. https://pmc.ncbi.nlm.nih.gov/articles/PMC6119814/

Statement or annotation question

The study describes Medical Mission's historical interior network of primary-care centres and referral, when necessary, to hospitals in Paramaribo; its observations are not a national referral-performance measure.

Source context or anchor

with referral if necessary to hospitals
Material reference
material:786b1345362e1fe397559bda
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Observed
Publication date
2018-08-22
Institution
BMC International Health and Human Rights
Document type
Not Supplied
Territory
Indigenous Amerindian populations in Suriname's rainforest/interior
Period
Study published 2018; reports temporal data and historical network development
Source layers
Research Literature
Coverage domains
Actors, Authoritative review, Facility data, Hospital organization, Provider networks, Observed referral, Provider ownership, Patient flows, Primary care organization, Referral design, Utilization
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Locator Type
web_page
Source Word Anchor
with referral if necessary to hospitals
Source Word Count
6
Detected Media Type
text/html
Response Sha256
08f6e6aec9912b2241855e0a530ed5004cb967ae0ada2be2e5d494f3d1095420

Annotation prompts and machine flags

  • Retain the interior Indigenous-population scope. Do not generalise this historical network description to all Suriname or infer current referral completion.

Source links

Country Improvement Source Lead · Open for annotation

Gezondheidszorg onder de Marrons: Historische ontwikkelingen van het gezondheidszorgmodel in het binnenland van Suriname

Molijn A. Gezondheidszorg onder de Marrons: Historische ontwikkelingen van het gezondheidszorgmodel in het binnenland van Suriname. Academic Journal of Suriname. 2021;10(1):20-33. https://adekusjournal.uvs.edu/index.php/acjoursu/article/view/29

Statement or annotation question

This historical review describes development of an integrated primary-health-care model for Suriname's interior; it is used as historical context, not as evidence of current operations or outcomes.

Source context or anchor

geïntegreerd Primary Health Care model
Material reference
material:1e650cf853d02ef7f52039ce
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Reported
Publication date
2021-01-01
Institution
Academic Journal of Suriname
Document type
Not Supplied
Territory
Marron communities and the interior of Suriname
Period
Historical review published 2021
Source layers
Research Literature
Coverage domains
Actors, Authoritative review, Provider networks, Primary care organization, Referral design, Reform history
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Locator Type
web_page
Source Word Anchor
geïntegreerd Primary Health Care model
Source Word Count
5
Detected Media Type
text/html
Response Sha256
a290a13c5b13359b0bd0a5b1a2e2b8721e51c2bcda930b3a8795e4c9883443a2

Annotation prompts and machine flags

  • Maintain the historical interior/Marron scope. The review does not establish present facility configuration, authority, utilisation, or national performance.

Source links

Country Improvement Source Lead · Open for annotation

Hospital beds (per 1,000 people), Suriname

World Bank. Hospital beds (per 1,000 people), Suriname, World Development Indicators. Data response accessed 22 August 2026. https://api.worldbank.org/v2/country/SUR/indicator/SH.MED.BEDS.ZS?format=json&per_page=100

Statement or annotation question

The World Bank WDI response reports Suriname's latest non-null hospital-bed density as 2.87 beds per 1,000 people in 2022.

Source context or anchor

Hospital beds (per 1,000 people)
Material reference
material:b93ea3fcba1cb07070d271db
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Observed
Publication date
2026-07-13
Institution
World Bank, World Development Indicators
Document type
Not Supplied
Territory
Suriname national series
Period
World Development Indicators response last updated 13 July 2026; latest non-null observation returned is 2022
Source layers
Grey Literature
Coverage domains
Facility data, Hospital organization
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Locator Type
api_resource_and_fields
Source Word Anchor
Hospital beds (per 1,000 people)
Source Word Count
5
Detected Media Type
application/json
Response Sha256
62d35b61140d761247c3e3385d05dc5000d304918c8fe5249d88538a70413496

Annotation prompts and machine flags

  • This is a national capacity indicator only. It does not identify hospital ownership, bed distribution, occupancy, care quality, referral completion, or current service performance.

Source links

Country Improvement Source Lead · Open for annotation

Moving toward universal access to health and universal health coverage: a review of comprehensive primary health care in Suriname

Larye S, Goede H, Barten F. Moving toward universal access to health and universal health coverage: a review of comprehensive primary health care in Suriname. Revista Panamericana de Salud Pública. 2015;37(6):415-421. https://pubmed.ncbi.nlm.nih.gov/26245177/

Statement or annotation question

This literature review found only three eligible articles and reports that those articles gave partial accounts of comprehensive primary care and interior service-delivery arrangements.

Source context or anchor

Only three of the 58 articles met
Material reference
material:9ad6f788376f7695d3b93867
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Reported
Publication date
2015-06-01
Institution
Revista Panamericana de Salud Pública
Document type
Not Supplied
Territory
Suriname, including the interior service-delivery network
Period
Literature review published 2015; covers prior published evidence and late-1990s to early-2000s reform context
Source layers
Review Literature
Coverage domains
Authoritative review, Governance and accountability, Government responsibilities, Provider networks, Primary care organization, Reform history
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Locator Type
web_page
Source Word Anchor
Only three of the 58 articles met
Source Word Count
7
Detected Media Type
text/html
Response Sha256
9300772a44f99728b74d12d209c2e2d28c9a42ec1e9b1cce69ea5fbf987d2e52

Annotation prompts and machine flags

  • Preserve the review's historical evidence base and literature-gap finding. It cannot establish current comprehensive-primary-care implementation.

Source links

Country Improvement Source Lead · Open for annotation

PAHO Suriname Office Holds Stakeholder Meeting to Discuss Biennial Work Plan 2024-2025

Pan American Health Organization. PAHO Suriname Office Holds Stakeholder Meeting to Discuss Biennial Work Plan 2024-2025. 24 October 2023. https://www.paho.org/en/news/24-10-2023-paho-suriname-office-holds-stakeholder-meeting-discuss-biennial-work-plan-2024-2025

Statement or annotation question

PAHO reports a stakeholder meeting to deliberate its 2024-2025 biennial work plan, framed around priorities in the Country Cooperation Strategy.

Source context or anchor

deliberate the Biennial Work Plan for 2024-2025
Material reference
material:0591750c031c3eba5d095f8c
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Reported
Publication date
2023-10-24
Institution
Pan American Health Organization
Document type
Not Supplied
Territory
Suriname national health sector
Period
Stakeholder meeting October 2023; biennial work-plan period 2024-2025
Source layers
Official
Coverage domains
Actors, Authoritative review, Decision rights, Governance and accountability, Government responsibilities, Provider networks, Reform history
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Locator Type
web_page
Source Word Anchor
deliberate the Biennial Work Plan for 2024-2025
Source Word Count
8
Detected Media Type
text/html
Response Sha256
62030e2ef7bdd01c4d67f89deed52b35237bfa83658e3b73064f35168148b35d

Annotation prompts and machine flags

  • A reported meeting and proposed work-plan discussion are not evidence of programme implementation or national accountability performance.

Source links

Country Improvement Source Lead · Open for annotation

PAHO/WHO in Suriname

Pan American Health Organization. PAHO/WHO in Suriname. Accessed 22 August 2026. https://www.paho.org/en/suriname

Statement or annotation question

The PAHO/WHO country-office page identifies Suriname as a country-office context for PAHO/WHO cooperation; it is used only to identify the international actor, not to infer operational authority.

Source context or anchor

PAHO/WHO in Suriname
Material reference
material:265cd6cb5099baaaef4ba3f4
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Reported
Publication date
2026-08-22
Institution
Pan American Health Organization and World Health Organization
Document type
Not Supplied
Territory
Suriname
Period
Organisation country page accessed 22 August 2026
Source layers
Official
Coverage domains
Actors, Authoritative review, Governance and accountability, Government responsibilities, Provider networks, Reform history
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Locator Type
web_page
Source Word Anchor
PAHO WHO in Suriname
Source Word Count
4
Detected Media Type
text/html
Response Sha256
edb95ee89d11c6ee98de38086ccda2668a9b196bae9f7d521c799fa516ec6827

Annotation prompts and machine flags

  • Do not infer PAHO/WHO decision rights, implementation responsibility, or current programme coverage from a country-office page.

Source links

Country Improvement Source Lead · Open for annotation

Signing of the Country Cooperation Strategy 2023-2025 between PAHO/WHO and Ministry of Health Suriname

Pan American Health Organization. Signing of the Country Cooperation Strategy 2023-2025 between PAHO/WHO and Ministry of Health Suriname. 15 May 2023. https://www.paho.org/en/news/15-5-2023-signing-country-cooperation-strategy-ccs-2023-2025-between-pahowho-and-ministry

Statement or annotation question

PAHO reports formal signing of the 2023-2025 Country Cooperation Strategy with the Ministry of Health and says it guides bilateral work plans and budgets aligned with named national plans.

Source context or anchor

formal signing of the Country Cooperation Strategy
Material reference
material:d238f1685286a60506505f0a
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Formal
Publication date
2023-05-15
Institution
Pan American Health Organization and World Health Organization
Document type
Not Supplied
Territory
Suriname national health sector
Period
Country Cooperation Strategy 2023-2025; signing reported 15 May 2023
Source layers
Official
Coverage domains
Actors, Authoritative review, Provider autonomy, Decision rights, Governance and accountability, Government responsibilities, Reform history
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Locator Type
web_page
Source Word Anchor
formal signing of the Country Cooperation Strategy
Source Word Count
7
Detected Media Type
text/html
Response Sha256
7f82821bacfffac6619633946ab48f9b032725a4ae90e98c78116f011487ae11

Annotation prompts and machine flags

  • Treat this as evidence of a signed cooperation framework only. It does not establish execution, delegated authority, expenditure, or health-system effects.

Source links

Country Improvement Source Lead · Open for annotation

Suriname - Country Profile

Pan American Health Organization. Suriname - Country Profile. 2024. https://hia.paho.org/en/country-profiles/suriname

Statement or annotation question

PAHO reports that Medical Mission provides primary care in the rural interior, RGD serves the urban coastal area, and telehealth implementation in primary care was under way to improve specialist-consultation access in the interior.

Source context or anchor

a project to implement telehealth in primary health care
Material reference
material:352fb7ce9188aca0a343340a
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Reported
Publication date
2024-10-17
Institution
Pan American Health Organization
Document type
Not Supplied
Territory
Suriname, with distinct references to the rural interior and urban coastal area
Period
Country profile published 2024; describes policies and indicators from multiple stated years
Source layers
Official
Coverage domains
Actors, Authoritative review, Facility data, Governance and accountability, Government responsibilities, Market structure, Provider networks, Primary care organization, Referral design, Reform history
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Locator Type
web_page
Source Word Anchor
a project to implement telehealth in primary health care
Source Word Count
9
Detected Media Type
text/html
Response Sha256
f31f62cec356a87f3d7fa6d56b47d008ece61a63a9768b8c146664dcb4c3dc7d

Annotation prompts and machine flags

  • This reports a 2024 profile description and project status, not current national telehealth coverage, referral completion, or provider performance.

Source links

Country Improvement Source Lead · Open for annotation

Suriname - WHO Country Page

World Health Organization. Suriname - WHO Country Page. Accessed 22 August 2026. https://www.who.int/countries/sur/

Statement or annotation question

The WHO country resource identifies Suriname as the territorial scope of WHO country information. It supplies no facility-level governance or delivery finding in this wave.

Source context or anchor

Suriname
Material reference
material:f114802140315c13af1ef752
Pipeline stage
Country-Evidence-Improvement-Sources
Evidence mode
Reported
Publication date
2026-08-22
Institution
World Health Organization
Document type
Not Supplied
Territory
Suriname
Period
WHO country resource accessed 22 August 2026
Source layers
Official
Coverage domains
Actors, Authoritative review, Governance and accountability, Government responsibilities, Reform history
Current display status
Shown in full and open for annotation
Previous Boundary Detected
False
Previous Visibility
Previously not projected
Locator Type
web_page
Source Word Anchor
Suriname
Source Word Count
1
Detected Media Type
application/javascript
Response Sha256
4d3d8ce81e23a4f6265492055672de87b993682b9c1239e6a5ad1994a87bbd3e

Annotation prompts and machine flags

  • This source is contextual only. Do not use it as evidence of current health-system structure, service quality, or national performance.

Source links

Displayed source projection · Open for annotation

Suriname - Country Profile

Pan American Health Organization. Suriname - Country Profile. 2024. https://hia.paho.org/en/country-profiles/suriname

Material reference
candidate-source:SUR:f7bba20b0c36579e1699
Pipeline stage
Current-Public-Source-Projection
Evidence mode
Not classified
Publication date
2024
Institution
not supplied
Document type
Candidate Source Metadata
Territory
not supplied
Period
Not supplied
Source layers
Candidate Source Metadata, Official
Coverage domains
Actors, Governance and accountability, Government responsibilities, Primary care organization, Service Delivery
Current display status
Shown in full and open for annotation
Page Locator Linked From Locator Gap Acquisition
True
Previous Visibility
Previously projected
Heading
Measures to achieve universal health coverage
Html Text Block
46
Locator Type
html_text_anchor
Source Word Anchor
coverage 5 The Suriname Ministry of Health has developed a healthcare vision
Source Word Count
12
Response Sha256
ed196aa12342539e9317c68bdb06cf2207db0fc7054b10bacb87ad18276505a1

Annotation prompts and machine flags

  • 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.

Source links

Library document candidate · Open for annotation

Minutes of a Meeting of the Executive Directors of IBRD and IDA and the Boards of Directors of IFC and MIGA held on October 1, 2024 and the Record of Approvals September 20 thru October 1

Minutes of a Meeting of the Executive Directors of IBRD and IDA and the Boards of Directors of IFC and MIGA held on October 1, 2024 and the Record of Approvals September 20 thru October 1. 2024. https://search.worldbank.org/api/v3/wds

Material reference
material:6df06d7b3d1591484ece7d13
Pipeline stage
Global-Health-Systems-Library
Evidence mode
Not classified
Publication date
2024-10-01
Institution
World Bank Documents and Reports
Document type
Unknown
Territory
national
Period
Not supplied
Source layers
Global Literature
Coverage domains
Emergency Preparedness, Health Financing, Health Information, Primary care organization, Service Delivery
Current display status
Shown in full and open for annotation
Evidence Work Review State
Auto
Machine Screening State
Organization tag candidate
Organization Tag Confidence
0.85
Page Locator Linked From Country Score Acquisition
True
Previous Visibility
Previously not projected unless selected
Source Version Linked From Country Score Acquisition
True
Download Status
Availability or relevance uncertain
Downloaded
False
Extracted
False
Physical Pdf Page
5
Source Word Anchor
Guinea Credit Guinea Enhancing Health System Transformation GUEST Project 1 The Executive
Source Word Count
12
Detected Media Type
application/pdf
Page Count
9
Response Sha256
382ed5a7081a2b89488f01a5da647bd8455531726bfdfcd0438fe2079296e7bf

Annotation prompts and machine flags

  • Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.
  • Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.
  • A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Library document candidate · Open for annotation

Minutes of a Meeting of the Executive Directors of the Bank and IDA and the Boards of Directors of IFC and MIGA, of the Executive Directors of the Bank and IDA held on July 11, 2019 and Record of Approvals July 3 thru 11

Minutes of a Meeting of the Executive Directors of the Bank and IDA and the Boards of Directors of IFC and MIGA, of the Executive Directors of the Bank and IDA held on July 11, 2019 and Record of Approvals July 3 thru 11. 2019. https://search.worldbank.org/api/v3/wds

Material reference
material:c07fb4d569d19d4360800ce4
Pipeline stage
Global-Health-Systems-Library
Evidence mode
Not classified
Publication date
2019-07-11
Institution
World Bank Documents and Reports
Document type
Unknown
Territory
national
Period
Not supplied
Source layers
Global Literature
Coverage domains
Service Delivery
Current display status
Shown in full and open for annotation
Evidence Work Review State
Auto
Machine Screening State
Organization tag candidate
Organization Tag Confidence
0.85
Previous Visibility
Previously not projected unless selected
Source Version Linked From Country Score Acquisition
True
Download Status
Availability or relevance uncertain
Downloaded
False
Extracted
False
Detected Media Type
application/pdf
Page Count
7
Response Sha256
ece9fec0a204737db4dec66626118bf8704a8d56392751ad97723335aef2ba21

Annotation prompts and machine flags

  • Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.
  • Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Library document candidate · Open for annotation

Suriname - Report on the Observance of Standards and Codes (ROSC) : Accounting and Auditing (A&A)

Suriname - Report on the Observance of Standards and Codes (ROSC) : Accounting and Auditing (A&A). 2012. https://search.worldbank.org/api/v3/wds

Material reference
material:7479a0b5e125368b2720a8eb
Pipeline stage
Global-Health-Systems-Library
Evidence mode
Not classified
Publication date
2012-05-31
Institution
World Bank Documents and Reports
Document type
Unknown
Territory
national
Period
Not supplied
Source layers
Global Literature
Coverage domains
Service Delivery
Current display status
Shown in full and open for annotation
Evidence Work Review State
Auto
Machine Screening State
Organization tag candidate
Organization Tag Confidence
0.85
Page Locator Linked From Country Score Acquisition
True
Previous Visibility
Previously not projected unless selected
Source Version Linked From Country Score Acquisition
True
Download Status
Availability or relevance uncertain
Downloaded
False
Extracted
False
Paragraph Index On Page
1
Physical Pdf Page
7
Source Word Anchor
regard to the economic health of a country The Report on Observance
Source Word Count
12
Detected Media Type
application/pdf
Page Count
41
Response Sha256
fca66a7c1ddf72f852c86b9d1f0e4e9cc6d901763fcdf3c787b470745e1f725a

Annotation prompts and machine flags

  • Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.
  • Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.
  • A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition.

Source links

Source Triage Record · Open for annotation

Suriname - Country Profile

Pan American Health Organization. Suriname - Country Profile. 2024. https://hia.paho.org/en/country-profiles/suriname

Material reference
material:3e91481789ffcda4dc848de9
Pipeline stage
Global-Source-Triage-Queue
Evidence mode
Not classified
Publication date
2024
Institution
not supplied
Document type
Not Supplied
Territory
not supplied
Period
Not supplied
Source layers
Paho Health In The Americas
Coverage domains
Actors, Governance and accountability, Government responsibilities, Primary care organization, Service Delivery
Current display status
Shown in full and open for annotation
Page Locator Linked From Locator Gap Acquisition
True
Previous Boundary Detected
True
Previous Visibility
Previously not projected
Earlier source-record status
Open for annotation
Heading
Measures to achieve universal health coverage
Html Text Block
46
Locator Type
html_text_anchor
Source Word Anchor
coverage 5 The Suriname Ministry of Health has developed a healthcare vision
Source Word Count
12
Response Sha256
ed196aa12342539e9317c68bdb06cf2207db0fc7054b10bacb87ad18276505a1

Annotation prompts and machine flags

  • 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.

Source links

Targeted Source Lead · Open for annotation

Suriname - Country Profile

Pan American Health Organization. Suriname - Country Profile. 2024. https://hia.paho.org/en/country-profiles/suriname

Material reference
material:d5addfd6a8b59edb3df847ef
Pipeline stage
Targeted-Gap-Source-Leads
Evidence mode
Not classified
Publication date
2024
Institution
Pan American Health Organization
Document type
Country Health Profile
Territory
not supplied
Period
Not supplied
Source layers
Not supplied
Coverage domains
Actors, Governance and accountability, Government responsibilities, Primary care organization, Service Delivery
Current display status
Shown in full and open for annotation
Page Locator Linked From Locator Gap Acquisition
True
Previous Boundary Detected
True
Previous Visibility
Previously not projected
Earlier source-record status
Unreviewed
Source Version Linked From Locator Gap Acquisition
True
Status
Candidate
Heading
Measures to achieve universal health coverage
Html Text Block
46
Locator Type
html_text_anchor
Source Word Anchor
coverage 5 The Suriname Ministry of Health has developed a healthcare vision
Source Word Count
12
Detected Media Type
text/html
Response Sha256
e7f7129bfb8cef939a0c08dc01bc6c419d3a739d02e805e25497aee0bd55082d

Annotation prompts and machine flags

  • 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.

Source links