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Its commencement and operational effects must not be inferred from the enactment text alone.", "tags": [], "territory": "Republic of Seychelles", "title": "2026 statutory repeal and transfer of former Agency functions", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.gazette.sc/sites/default/files/2026-03/Act%203%202026%20_Health%20Care%20Agency%20Act%2C%202026.pdf" }, { "kind": "source_reference", "source": "Government Functions Manual", "url": "https://www.psb.gov.sc/sites/default/files/documents/Govt%20Functions%20Manual%20Approved%20June%202019.pdf" }, { "kind": "source_reference", "source": "National Health Strategic Plan 2022-2026", "url": "https://www.health.gov.sc/wp-content/uploads/2023/02/National-Health-Strategic-Plan-2022-2026-Full-Version.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "Primary Health Care Annual Statistical Report 2023; 2023 Annual Hospital Services Statistical Report; Annual Health Sector Performance Report 2023", "mapping_group": "delivery_and_referrals", "mapping_id": "candidate-mapping:SYC:delivery-referrals:dated-service-statistical-reporting", "source_projection_ids": [ "country-improvement-source:SYC:primary-health-care-statistics-2023", "country-improvement-source:SYC:annual-hospital-statistics-2023", "country-improvement-source:SYC:annual-health-sector-performance-2023" ], "support_state": "candidate_supported", "target_slot": "dated-primary-care-and-hospital-statistical-reporting", "target_view": "delivery", "typed_fields": { "denominator_boundary": "The accessible source records establish dated reporting artifacts; no national activity or quality statistic is asserted here without quoting its table and denominator.", "reported_delivery_fact": "The Ministry publishes distinct 2023 primary-care, hospital-services and sector-performance reports." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ministry of Health, Primary Health Care Annual Statistical Report 2023; 2023 Annual Hospital Services Statistical Report; Annual Health Sector Performance Report 2023.", "country_ids": [ "SYC" ], "coverage_domains": [ "authoritative_review", "facility_data", "hospital_organization", "patient_flows", "primary_care", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "2023 Annual Hospital Services Statistical Report", "institution": null, "locator": { "description": "Title pages of the three Ministry reports." }, "material_id": "material:ba92070024eb162bec0d18d8", "notes": [ "Extract and cite a named table before making any numerical service claim." ], "origin": "candidate-analytical-mappings", "period": "Calendar year 2023", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "file_sha256": "8a891849dc4f518f3d0bb6a83a04dcebc6fbc77367b5750052575cb993079b1d" }, "statement": "The Ministry has publicly posted separate 2023 primary-care, hospital-services and sector-performance reports. Their existence supports a dated reporting map only; it does not demonstrate care quality, national coverage or referral completion.", "tags": [], "territory": "Seychelles health sector", "title": "Dated 2023 primary-care, hospital and sector reporting", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.health.gov.sc/wp-content/uploads/2024/03/2023-Annual-Hospital-Services-Statistical-Report.pdf" }, { "kind": "source_reference", "source": "Primary Health Care Annual Statistical Report 2023", "url": "https://www.health.gov.sc/wp-content/uploads/Primary-Health-Care-Annual-Statistical-Report-2023.pdf" }, { "kind": "source_reference", "source": "Annual Health Sector Performance Report 2023", "url": "https://www.health.gov.sc/wp-content/uploads/Annual-Health-Sector-Performance-Report-2023.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "World Development Indicators SH.MED.BEDS.ZS API; National Health Strategic Plan 2022-2026, page 87", "mapping_group": "delivery_and_referrals", "mapping_id": "candidate-mapping:SYC:delivery-referrals:dated-national-bed-density", "source_projection_ids": [ "country-improvement-source:SYC:wdi-hospital-beds-2026", "country-improvement-source:SYC:nhsp-2022-2026", "country-improvement-source:SYC:health-situation-review-2013" ], "support_state": "candidate_supported", "target_slot": "national-hospital-bed-density-2023", "target_view": "delivery", "typed_fields": { "boundary": "This is a national density measure. It does not describe individual facilities, ownership, occupancy, readiness, hospital activity, referral pathways or service quality.", "observed_capacity_fact": "The World Bank API returns 2.63 hospital beds per 1,000 people for Seychelles in 2023." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank, WDI SH.MED.BEDS.ZS; Ministry of Health, National Health Strategic Plan 2022-2026, page 87; Bovet et al., 2013.", "country_ids": [ "SYC" ], "coverage_domains": [ "authoritative_review", "facility_data", "hospital_organization", "patient_flows", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "Hospital beds per 1,000 people", "institution": null, "locator": { "description": "WDI API resource SH.MED.BEDS.ZS, fields date=2023 and value=2.63; NHSP page 87, Health Infrastructure; PubMed abstract." }, "material_id": "material:b813217c44cc301aa0a6c551", "notes": [ "Do not use bed density as a proxy for facility capability, access or quality." ], "origin": "candidate-analytical-mappings", "period": "Hospital-bed observation 2023; plan published 2022; historical review covers 2012", "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": { "response_sha256": "c01d0dfb655bada97874e1bff36e0bdd882f1e8dec262caeb75327f25863fb94" }, "statement": "The World Bank API returns 2.63 hospital beds per 1,000 people for Seychelles in 2023. The NHSP and 2013 review provide contextual discussion only and do not turn this density into a measure of present hospital performance.", "tags": [], "territory": "Seychelles national indicator series", "title": "Dated national hospital-bed density", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://api.worldbank.org/v2/country/SYC/indicator/SH.MED.BEDS.ZS?format=json" }, { "kind": "source_reference", "source": "National Health Strategic Plan 2022-2026", "url": "https://www.health.gov.sc/wp-content/uploads/2023/02/National-Health-Strategic-Plan-2022-2026-Full-Version.pdf" }, { "kind": "source_reference", "source": "Health situation and issues in the Seychelles in 2012", "url": "https://pubmed.ncbi.nlm.nih.gov/24280339/" } ] }, { "analytical_mapping": { "mapping_basis": "National Health Strategic Plan 2022-2026, pages 54-57", "mapping_group": "decision_rights_and_autonomy", "mapping_id": "candidate-mapping:SYC:decision-autonomy:planned-accountability-framework", "source_projection_ids": [ "country-improvement-source:SYC:nhsp-2022-2026", "country-improvement-source:SYC:annual-health-sector-performance-2023" ], "support_state": "candidate_supported", "target_slot": "planned-accountability-definition-and-annual-reporting", "target_view": "autonomy", "typed_fields": { "accountability_design": "The NHSP calls for an accountability framework defining who is accountable, for what and to whom, and proposes entity and sector results-based-management reporting.", "autonomy_boundary": "The plan identifies an accountability gap and a future framework. It does not verify adoption, enforcement, local discretion or individual provider accountability outcomes." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ministry of Health, National Health Strategic Plan 2022-2026, pages 54-57; Annual Health Sector Performance Report 2023.", "country_ids": [ "SYC" ], "coverage_domains": [ "authoritative_review", "autonomy", "decision_rights", "governance", "government_responsibilities" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "who is accountable, for what and to whom", "institution": null, "locator": { "description": "NHSP pages 54-57, Accountability and Strategic Direction 1 interventions; 2023 performance-report cover." }, "material_id": "material:81b0cf1f900142699427be43", "notes": [ "Do not infer that availability of a 2023 report proves the planned framework operated." ], "origin": "candidate-analytical-mappings", "period": "Strategic plan 2022-2026; performance report covers 2023", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "file_sha256": "aaf478c7f7a7b93b1f2d0c5c38c2e5ca034f7537e0e2acbdc5a381737934bcd5" }, "statement": "The NHSP proposes an accountability framework and annual reporting arrangements across sector entities. This constitutes a formal plan action, not proof of its implementation, enforcement or provider autonomy.", "tags": [], "territory": "Seychelles health sector", "title": "Planned accountability framework, not verified autonomy", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.health.gov.sc/wp-content/uploads/2023/02/National-Health-Strategic-Plan-2022-2026-Full-Version.pdf" }, { "kind": "source_reference", "source": "Annual Health Sector Performance Report 2023", "url": "https://www.health.gov.sc/wp-content/uploads/Annual-Health-Sector-Performance-Report-2023.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "National Health Strategic Plan 2022-2026, pages 47, 57 and 63-64", "mapping_group": "relationships_and_networks", "mapping_id": "candidate-mapping:SYC:relationships-networks:planned-phc-hospital-coordination", "source_projection_ids": [ "country-improvement-source:SYC:nhsp-2022-2026", "country-improvement-source:SYC:who-ccs-2024-2030" ], "support_state": "candidate_supported", "target_slot": "planned-phc-hospital-coordination-and-referral-improvement", "target_view": "referrals", "typed_fields": { "formal_pathway_design": "The NHSP proposes improving referral and appointment systems, PHC and hospital coordination meetings, and defined packages for primary, inpatient and specialised care.", "implementation_boundary": "These are strategic actions and milestones, not evidence that a national pathway, closed-loop feedback or care coordination currently operates." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ministry of Health, National Health Strategic Plan 2022-2026, pages 47, 57 and 63-64; WHO, Country cooperation strategy 2024-2030: Seychelles.", "country_ids": [ "SYC" ], "coverage_domains": [ "authoritative_review", "governance", "hospital_organization", "networks", "primary_care", "referral_design", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "Improve referral and appointment systems", "institution": null, "locator": { "description": "NHSP pages 47, 57 and 63-64, priority areas, coordination interventions and care packages; WHO CCS Overview." }, "material_id": "material:4fb473d45e6536270a8b96b3", "notes": [ "Do not convert planned coordination into observed referral pathways." ], "origin": "candidate-analytical-mappings", "period": "NHSP 2022-2026; WHO cooperation framework 2024-2030", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "file_sha256": "aaf478c7f7a7b93b1f2d0c5c38c2e5ca034f7537e0e2acbdc5a381737934bcd5" }, "statement": "The NHSP proposes referral and appointment improvements, coordination meetings and clearer service packages across primary, inpatient and specialised care. WHO's cooperation strategy is a planning framework, not implementation evidence.", "tags": [], "territory": "Seychelles primary, inpatient and specialised care", "title": "Planned primary-care and hospital coordination", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.health.gov.sc/wp-content/uploads/2023/02/National-Health-Strategic-Plan-2022-2026-Full-Version.pdf" }, { "kind": "source_reference", "source": "Country cooperation strategy, 2024-2030: Seychelles", "url": "https://www.who.int/publications/i/item/9789290314295" }, { "kind": "resolved_document", "source": "locator-gap traceability audit", "url": "https://iris.who.int/server/api/core/bitstreams/fd1beb8a-e92a-41f1-99e9-133583d52e4e/content" } ] }, { "analytical_mapping": { "mapping_basis": "Government Functions Manual, 2019, pages 183-185; National Health Strategic Plan 2022-2026, pages 108-109", "mapping_group": "actors_and_functions", "mapping_id": "candidate-mapping:SYC:actors-functions:pre-repeal-public-delivery-architecture", "source_projection_ids": [ "country-improvement-source:SYC:government-functions-manual-2019", "country-improvement-source:SYC:nhsp-2022-2026", "country-improvement-source:SYC:health-care-agency-repeal-act-2026" ], "support_state": "candidate_supported", "target_slot": "pre-repeal-ministry-policy-and-agency-delivery-roles", "target_view": "functions", "typed_fields": { "formal_arrangement": "Before the 2026 repeal, the Government Functions Manual assigned the former Health Care Agency planning, delivery and evaluation of primary, secondary and tertiary public care under Ministry policy. The NHSP separately assigned Ministry and entity responsibilities.", "temporal_boundary": "This allocation predates the repeal. The repeal Act transfers former Agency functions and powers to the Ministry upon commencement, but does not document post-transfer operating arrangements." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Public Service Bureau, Government Functions Manual, pages 183-185; Republic of Seychelles, Health Care Agency (Repeal) Act, 2026, section 3.", "country_ids": [ "SYC" ], "coverage_domains": [ "actors", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "Plan, deliver and evaluate primary, secondary and tertiary", "institution": null, "locator": { "description": "Government Functions Manual pages 183-185, Ministry, PHA and HCA; Repeal Act section 3." }, "material_id": "material:b53428329fff8b7e63b9f6f8", "notes": [ "Do not infer current practice from a pre-repeal manual or an unverified commencement status." ], "origin": "candidate-analytical-mappings", "period": "Manual approved June 2019; statutory repeal dated 31 March 2026", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "file_sha256": "580db68bda7b1b9b72c088a51b620d2eafec318ca008591bf48bdcf8a573b704" }, "statement": "The 2019 manual formally allocated public primary, secondary and tertiary care delivery to the former Health Care Agency under Ministry policy. The 2026 repeal Act provides for transfer of those functions to the Ministry subject to commencement; it does not verify current arrangements.", "tags": [], "territory": "Seychelles public health services", "title": "Pre-repeal public delivery architecture and formal transfer", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.psb.gov.sc/sites/default/files/documents/Govt%20Functions%20Manual%20Approved%20June%202019.pdf" }, { "kind": "source_reference", "source": "National Health Strategic Plan 2022-2026", "url": "https://www.health.gov.sc/wp-content/uploads/2023/02/National-Health-Strategic-Plan-2022-2026-Full-Version.pdf" }, { "kind": "source_reference", "source": "Health Care Agency (Repeal) Act, 2026", "url": "https://www.gazette.sc/sites/default/files/2026-03/Act%203%202026%20_Health%20Care%20Agency%20Act%2C%202026.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "Government Functions Manual, 2019, page 185; Health Care Agency (Repeal) Act, 2026, section 3", "mapping_group": "decision_rights_and_autonomy", "mapping_id": "candidate-mapping:SYC:decision-autonomy:former-agency-budget-and-service-decisions", "source_projection_ids": [ "country-improvement-source:SYC:government-functions-manual-2019", "country-improvement-source:SYC:health-care-agency-repeal-act-2026" ], "support_state": "candidate_supported", "target_slot": "pre-repeal-agency-service-planning-within-budget", "target_view": "decisions", "typed_fields": { "boundary": "The manual does not establish facility-level discretion. The 2026 transfer Act changes the formal institutional locus subject to commencement but does not describe delegated authority thereafter.", "decision_allocation": "The 2019 manual formally gave the former Agency service planning, delivery and evaluation functions within available budget and required it to develop annual infrastructure, equipment, human and financial-resource plans." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Public Service Bureau, Government Functions Manual, page 185; Republic of Seychelles, Health Care Agency (Repeal) Act, 2026, section 3.", "country_ids": [ "SYC" ], "coverage_domains": [ "autonomy", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "within the available budget", "institution": null, "locator": { "description": "Government Functions Manual page 185, HCA functions (a), (b), (i); Repeal Act section 3." }, "material_id": "material:24d113a666e8f3c01a67a28f", "notes": [ "Do not translate entity functions into facility autonomy or current practice." ], "origin": "candidate-analytical-mappings", "period": "Manual approved June 2019; repeal Act dated 31 March 2026", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "file_sha256": "580db68bda7b1b9b72c088a51b620d2eafec318ca008591bf48bdcf8a573b704" }, "statement": "The 2019 manual assigned the former Health Care Agency service planning and annual resource planning within policy and budget constraints. It does not establish provider-level autonomy, and the 2026 statutory transfer is not evidence of how decisions now operate.", "tags": [], "territory": "Seychelles public care", "title": "Pre-repeal service-planning and resource-plan decisions", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.psb.gov.sc/sites/default/files/documents/Govt%20Functions%20Manual%20Approved%20June%202019.pdf" }, { "kind": "source_reference", "source": "Health Care Agency (Repeal) Act, 2026", "url": "https://www.gazette.sc/sites/default/files/2026-03/Act%203%202026%20_Health%20Care%20Agency%20Act%2C%202026.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "National Health Strategic Plan 2022-2026, pages 67, 70 and 110", "mapping_group": "actors_and_functions", "mapping_id": "candidate-mapping:SYC:actors-functions:public-private-and-public-health-boundaries", "source_projection_ids": [ "country-improvement-source:SYC:nhsp-2022-2026", "country-improvement-source:SYC:uhc-reform-review-2018" ], "support_state": "candidate_supported", "target_slot": "planned-private-sector-collaboration-and-public-health-regulation", "target_view": "public-private", "typed_fields": { "boundary": "It reports rapid private-sector expansion and regulatory gaps in its plan-period situation analysis; it does not give a current ownership census, market share or provider-quality comparison.", "provider_ownership_operation": "The plan distinguishes government institutions, the private health sector and health-related NGOs, and records proposed collaboration and regulatory work." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ministry of Health, National Health Strategic Plan 2022-2026, pages 67, 70 and 110; Gaudart et al., 2018.", "country_ids": [ "SYC" ], "coverage_domains": [ "actors", "authoritative_review", "governance", "government_responsibilities", "market_structure", "ownership", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "Improve collaboration with private health sector", "institution": null, "locator": { "description": "NHSP pages 67, 70 and 110, private-sector collaboration, regulatory structure and roles." }, "material_id": "material:e6ff1dcf118f533c876f6996", "notes": [ "Keep planned collaboration separate from observed contracting or service use." ], "origin": "candidate-analytical-mappings", "period": "Strategic plan 2022-2026; historical review published 2018", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "file_sha256": "aaf478c7f7a7b93b1f2d0c5c38c2e5ca034f7537e0e2acbdc5a381737934bcd5" }, "statement": "The NHSP distinguishes government institutions from private providers and NGOs, and proposes private-sector collaboration and strengthened regulation. These are plan-period descriptions and actions, not evidence of current market structure or performance.", "tags": [], "territory": "Seychelles health sector", "title": "Public-private boundary in the 2022-2026 plan", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.health.gov.sc/wp-content/uploads/2023/02/National-Health-Strategic-Plan-2022-2026-Full-Version.pdf" }, { "kind": "source_reference", "source": "Who Needs Big Health Sector Reforms Anyway? Seychelles' Road to UHC Provides Lessons for Sub-Saharan Africa and Island Nations", "url": "https://pubmed.ncbi.nlm.nih.gov/30398402/" } ] }, { "analytical_mapping": { "mapping_basis": "National Health Strategic Plan 2022-2026, page 44", "mapping_group": "relationships_and_networks", "mapping_id": "candidate-mapping:SYC:relationships-networks:reported-referral-and-back-referral-gap", "source_projection_ids": [ "country-improvement-source:SYC:nhsp-2022-2026", "country-improvement-source:SYC:primary-health-care-statistics-2023", "country-improvement-source:SYC:annual-hospital-statistics-2023" ], "support_state": "candidate_supported", "target_slot": "reported-referral-back-referral-and-feedback-gap", "target_view": "referrals", "typed_fields": { "patient_access_boundary": "This is a plan-period diagnosis. 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The cited 2023 service statistical reports do not by themselves provide referral-completion measures.", "tags": [], "territory": "Seychelles health services", "title": "Reported referral, back-referral and feedback gap", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.health.gov.sc/wp-content/uploads/2023/02/National-Health-Strategic-Plan-2022-2026-Full-Version.pdf" }, { "kind": "source_reference", "source": "Primary Health Care Annual Statistical Report 2023", "url": "https://www.health.gov.sc/wp-content/uploads/Primary-Health-Care-Annual-Statistical-Report-2023.pdf" }, { "kind": "source_reference", "source": "2023 Annual Hospital Services Statistical Report", "url": "https://www.health.gov.sc/wp-content/uploads/2024/03/2023-Annual-Hospital-Services-Statistical-Report.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ministry of Health, Seychelles. 2023 Annual Hospital Services Statistical Report. 2024. https://www.health.gov.sc/wp-content/uploads/2024/03/2023-Annual-Hospital-Services-Statistical-Report.pdf", "country_ids": [ "SYC" ], "coverage_domains": [ "authoritative_review", "facility_data", "hospital_organization", "patient_flows", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "2023 Annual Hospital Services Statistical Report", "institution": "Ministry of Health, Seychelles", "locator": { "locator_type": "document_cover", "source_word_anchor": "2023 Annual Hospital Services Statistical Report", "source_word_count": 6 }, "material_id": "material:34c5554a46332aa85ac00b01", "notes": [ "Retain published denominators and distinguish episodes from unique people." ], "origin": "country-evidence-improvement-sources", "period": "Calendar year 2023", "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": "8a891849dc4f518f3d0bb6a83a04dcebc6fbc77367b5750052575cb993079b1d", "response_sha256": "8a891849dc4f518f3d0bb6a83a04dcebc6fbc77367b5750052575cb993079b1d" }, "statement": "This Ministry statistical report is a dated official hospital-services source for calendar year 2023, not a measure of referral completion or care quality.", "tags": [], "territory": "Seychelles hospital services", "title": "2023 Annual Hospital Services Statistical Report", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.health.gov.sc/wp-content/uploads/2024/03/2023-Annual-Hospital-Services-Statistical-Report.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ministry of Health, Seychelles. Annual Health Sector Performance Report 2023. 2024. https://www.health.gov.sc/wp-content/uploads/Annual-Health-Sector-Performance-Report-2023.pdf", "country_ids": [ "SYC" ], "coverage_domains": [ "actors", "authoritative_review", "facility_data", "governance", "government_responsibilities", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "Annual Health Sector Performance Report 2023", "institution": "Ministry of Health, Seychelles", "locator": { "locator_type": "document_cover", "source_word_anchor": "Annual Health Sector Performance Report 2023", "source_word_count": 6 }, "material_id": "material:e69eceb30ff7f8f6438f1474", "notes": [ "Use only explicitly labelled 2023 results; do not infer national performance from report availability." ], "origin": "country-evidence-improvement-sources", "period": "Calendar year 2023", "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": "21db38cce93f7e554e586ba07afe6d283e9cef07b449308a5864f337d8467ac8", "response_sha256": "21db38cce93f7e554e586ba07afe6d283e9cef07b449308a5864f337d8467ac8" }, "statement": "This Ministry report is a dated official performance-reporting source for the health sector in calendar year 2023.", "tags": [], "territory": "Seychelles health sector", "title": "Annual Health Sector Performance Report 2023", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.health.gov.sc/wp-content/uploads/Annual-Health-Sector-Performance-Report-2023.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Health Organization Regional Office for Africa. Country cooperation strategy, 2024-2030: Seychelles. 25 February 2025. https://www.who.int/publications/i/item/9789290314295", "country_ids": [ "SYC" ], "coverage_domains": [ "actors", "authoritative_review", "governance", "government_responsibilities", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "guides health sector cooperation", "institution": "World Health Organization Regional Office for Africa", "locator": { "locator_type": "web_section", "section": "Overview", "source_word_anchor": "guides health sector cooperation", "source_word_count": 4 }, "material_id": "material:4bb17069c986e7806b967e56", "notes": [ "A cooperation strategy does not establish implementation or country performance." ], "origin": "country-evidence-improvement-sources", "period": "WHO cooperation framework 2024-2030; published 25 February 2025", "publication_date": null, "publication_year": 2025, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "review_literature" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "d80f35170fcb85e812506007a0921e1d07a88fce012e10cf7f9aa200a6c00eaa" }, "statement": "WHO reports that its fourth Seychelles cooperation strategy guides health-sector cooperation for 2024-2030 and was developed through a Ministry-guided technical working group and multi-stakeholder consultation.", "tags": [], "territory": "Republic of Seychelles", "title": "Country cooperation strategy, 2024-2030: Seychelles", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.who.int/publications/i/item/9789290314295" }, { "kind": "resolved_document", "source": "locator-gap traceability audit", "url": "https://iris.who.int/server/api/core/bitstreams/fd1beb8a-e92a-41f1-99e9-133583d52e4e/content" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Public Service Bureau, Republic of Seychelles. Government Functions Manual. June 2019. https://www.psb.gov.sc/sites/default/files/documents/Govt%20Functions%20Manual%20Approved%20June%202019.pdf", "country_ids": [ "SYC" ], "coverage_domains": [ "actors", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "Plan, deliver and evaluate primary, secondary and tertiary", "institution": "Public Service Bureau, Republic of Seychelles", "locator": { "locator_type": "pdf_page_set_anchor", "source_word_anchor": "Plan, deliver and evaluate primary, secondary and tertiary", "source_word_count": 8 }, "material_id": "material:c8291f9ece718ef42bbbc79d", "notes": [ "This is pre-repeal functional allocation, not evidence of 2026 operational practice." ], "origin": "country-evidence-improvement-sources", "period": "Manual approved June 2019; it describes the then Health Care Agency framework", "publication_date": null, "publication_year": 2019, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "580db68bda7b1b9b72c088a51b620d2eafec318ca008591bf48bdcf8a573b704", "response_sha256": "580db68bda7b1b9b72c088a51b620d2eafec318ca008591bf48bdcf8a573b704" }, "statement": "The manual assigns the former Health Care Agency functions to plan, deliver and evaluate primary, secondary and tertiary services under Ministry policies and within available budgets.", "tags": [], "territory": "Republic of Seychelles government functions", "title": "Government Functions Manual", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.psb.gov.sc/sites/default/files/documents/Govt%20Functions%20Manual%20Approved%20June%202019.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Republic of Seychelles. Health Care Agency (Repeal) Act, 2026, Act No. 3 of 2026. 31 March 2026. https://www.gazette.sc/sites/default/files/2026-03/Act%203%202026%20_Health%20Care%20Agency%20Act%2C%202026.pdf", "country_ids": [ "SYC" ], "coverage_domains": [ "actors", "autonomy", "decision_rights", "governance", "government_responsibilities", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "all operational, service delivery, regulatory and administrative functions", "institution": "Republic of Seychelles Official Gazette", "locator": { "locator_type": "legal_sections", "source_word_anchor": "all operational, service delivery, regulatory and administrative functions", "source_word_count": 7 }, "material_id": "material:cb9d5f42d320e71c65083c6a", "notes": [ "Do not infer the actual commencement date, completed transition, or post-transfer service performance." ], "origin": "country-evidence-improvement-sources", "period": "Act dated 31 March 2026; commencement is appointed by ministerial notice", "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": "application/pdf", "file_sha256": "b06880bc25943ba63feb61652adce90b4de579eb21447205ec57516fb409fba1", "response_sha256": "b06880bc25943ba63feb61652adce90b4de579eb21447205ec57516fb409fba1" }, "statement": "The Act repeals the 2013 Health Care Agency Act and provides that former Agency services, functions, powers, records, assets and liabilities transfer to the Ministry subject to its commencement and savings provisions.", "tags": [], "territory": "Republic of Seychelles", "title": "Health Care Agency (Repeal) Act, 2026", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.gazette.sc/sites/default/files/2026-03/Act%203%202026%20_Health%20Care%20Agency%20Act%2C%202026.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Bovet P, et al. Health situation and issues in the Seychelles in 2012. Médecine et Santé Tropicales. 2013. PMID: 24280339. https://pubmed.ncbi.nlm.nih.gov/24280339/", "country_ids": [ "SYC" ], "coverage_domains": [ "actors", "authoritative_review", "facility_data", "hospital_organization", "market_structure", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "Geographic isolation, the small and aging population", "institution": "Médecine et Santé Tropicales", "locator": { "locator_type": "web_section", "section": "Abstract", "source_word_anchor": "Geographic isolation, the small and aging population", "source_word_count": 7 }, "material_id": "material:b4f8a8de6038158a7d24f42f", "notes": [ "Do not generalise its 2012 observations into contemporary capacity or performance claims." ], "origin": "country-evidence-improvement-sources", "period": "Review of health situation in 2012; article published 2013", "publication_date": null, "publication_year": 2013, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "research_literature" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "25ac38f02eac76205308e8f9aaac95b6815d2034ecf68964f91863b9f832e68a" }, "statement": "The review describes the 2012 health situation and identifies geographic isolation, population ageing and constrained health-workforce and technical-platform sustainability as historical system challenges.", "tags": [], "territory": "Republic of Seychelles", "title": "Health situation and issues in the Seychelles in 2012", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://pubmed.ncbi.nlm.nih.gov/24280339/" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank. World Development Indicators: Hospital beds (per 1,000 people), Seychelles, SH.MED.BEDS.ZS. Retrieved 22 August 2026. https://api.worldbank.org/v2/country/SYC/indicator/SH.MED.BEDS.ZS?format=json", "country_ids": [ "SYC" ], "coverage_domains": [ "facility_data", "hospital_organization", "patient_flows", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "Hospital beds per 1,000 people", "institution": "World Bank, World Development Indicators", "locator": { "locator_type": "api_resource_and_field", "source_word_anchor": "Hospital beds per 1,000 people", "source_word_count": 5 }, "material_id": "material:897aded768754d1beb74fd01", "notes": [ "Bed density is not a measure of ownership, access, referral completion, readiness or quality." ], "origin": "country-evidence-improvement-sources", "period": "2023 national observation returned by API; retrieved 22 August 2026", "publication_date": null, "publication_year": 2026, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/json", "response_sha256": "c01d0dfb655bada97874e1bff36e0bdd882f1e8dec262caeb75327f25863fb94" }, "statement": "The API returns a Seychelles national hospital-bed density of 2.63 beds per 1,000 people for 2023.", "tags": [], "territory": "Seychelles national indicator series", "title": "Hospital beds (per 1,000 people), Seychelles", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://api.worldbank.org/v2/country/SYC/indicator/SH.MED.BEDS.ZS?format=json" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ministry of Health, Seychelles. National Health Strategic Plan 2022-2026. January 2022. https://www.health.gov.sc/wp-content/uploads/2023/02/National-Health-Strategic-Plan-2022-2026-Full-Version.pdf", "country_ids": [ "SYC" ], "coverage_domains": [ "actors", "autonomy", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "market_structure", "networks", "observed_referral", "ownership", "primary_care", "referral_design", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "Referral systems are weak", "institution": "Ministry of Health, Seychelles", "locator": { "locator_type": "pdf_page_set_anchor", "source_word_anchor": "Referral systems are weak", "source_word_count": 4 }, "material_id": "material:e5130341d4db85521cc03603", "notes": [ "Treat diagnoses and interventions as plan-period statements, not current-practice verification." ], "origin": "country-evidence-improvement-sources", "period": "National strategic plan 2022-2026; its situation analysis cites earlier data", "publication_date": null, "publication_year": 2022, "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": "aaf478c7f7a7b93b1f2d0c5c38c2e5ca034f7537e0e2acbdc5a381737934bcd5", "response_sha256": "aaf478c7f7a7b93b1f2d0c5c38c2e5ca034f7537e0e2acbdc5a381737934bcd5" }, "statement": "The plan specifies proposed roles for the Ministry, Public Health Authority and former Health Care Agency, identifies referral and accountability gaps, and sets 2022-2026 reform actions.", "tags": [], "territory": "Republic of Seychelles national health sector", "title": "National Health Strategic Plan 2022-2026", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.health.gov.sc/wp-content/uploads/2023/02/National-Health-Strategic-Plan-2022-2026-Full-Version.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ministry of Health, Seychelles. Primary Health Care Annual Statistical Report 2023. 2024. https://www.health.gov.sc/wp-content/uploads/Primary-Health-Care-Annual-Statistical-Report-2023.pdf", "country_ids": [ "SYC" ], "coverage_domains": [ "authoritative_review", "facility_data", "patient_flows", "primary_care", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "Primary Health Care Annual Statistical Report 2023", "institution": "Ministry of Health, Seychelles", "locator": { "locator_type": "document_cover", "source_word_anchor": "Primary Health Care Annual Statistical Report 2023", "source_word_count": 7 }, "material_id": "material:4bebab8190980da2df1c5b6e", "notes": [ "Do not equate consultation statistics with access, quality or referral completion." ], "origin": "country-evidence-improvement-sources", "period": "Calendar year 2023", "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": "49ea4a80ce0a153699b8f88f37758fd0b6193ed269a461fa2c276824f20c55ea", "response_sha256": "49ea4a80ce0a153699b8f88f37758fd0b6193ed269a461fa2c276824f20c55ea" }, "statement": "This Ministry statistical report is a dated official primary-care source for calendar year 2023; the title alone does not establish pathways or performance.", "tags": [], "territory": "Seychelles primary health care services", "title": "Primary Health Care Annual Statistical Report 2023", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.health.gov.sc/wp-content/uploads/Primary-Health-Care-Annual-Statistical-Report-2023.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Gaudart J, et al. Who Needs Big Health Sector Reforms Anyway? Seychelles' Road to UHC Provides Lessons for Sub-Saharan Africa and Island Nations. International Journal of Health Policy and Management. 2018. 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