{
  "schema_version": "1.0.0",
  "display_policy": "all_display_eligible_evidence_is_public_and_reviewable_by_annotation",
  "country": {
    "iso3": "TKM",
    "name": "Turkmenistan",
    "aliases": [
      "Turkmenistan"
    ],
    "type": "country",
    "who_region": "EUR",
    "who_region_source": "EUR",
    "wb_region": "Europe & Central Asia",
    "income_group": "upper_middle",
    "first_year": 2000,
    "last_core_year": 2023
  },
  "build": {
    "version": "2026-08-23+6c22928b",
    "built_at": "2026-08-23T06:47:49Z"
  },
  "summary": {
    "direct_typed_sources": 0,
    "direct_typed_claims": 0,
    "direct_typed_relationships": 0,
    "direct_typed_decision_rights": 0,
    "candidate_sources": 3,
    "candidate_facts": 0,
    "exact_contexts": 0,
    "source_linked_analytical_mappings": 10,
    "source_linked_analytical_object_rows": 38,
    "all_material_records": 69,
    "library_document_candidates": 39,
    "candidate_queue_records": 27,
    "current_public_projection_records": 3
  },
  "availability": [
    {
      "domain": "actors",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 20,
      "exact_context_count": 9,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "government_responsibilities",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 22,
      "exact_context_count": 8,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "ownership",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 5,
      "exact_context_count": 4,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "decision_rights",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 12,
      "exact_context_count": 5,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "autonomy",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 6,
      "exact_context_count": 3,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "primary_care",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 28,
      "exact_context_count": 7,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "hospital_organization",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 18,
      "exact_context_count": 8,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "referral_design",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 6,
      "exact_context_count": 4,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "observed_referral",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 4,
      "exact_context_count": 2,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "networks",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 16,
      "exact_context_count": 7,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "facility_data",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 7,
      "exact_context_count": 4,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "utilization",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 7,
      "exact_context_count": 5,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "patient_flows",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 8,
      "exact_context_count": 5,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "governance",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 19,
      "exact_context_count": 9,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "market_structure",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 7,
      "exact_context_count": 5,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "reform_history",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 18,
      "exact_context_count": 7,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    },
    {
      "domain": "authoritative_review",
      "period_id": "current-structure",
      "display_status": "evidence_displayed",
      "material_record_count": 9,
      "exact_context_count": 7,
      "direct_typed_mapping_count": 0,
      "rationale": "Every matching collected material record is public and open for annotation."
    }
  ],
  "direct_typed_objects": {
    "sources": [],
    "claims": [],
    "actors": [],
    "relationships": [],
    "decision_rights": [],
    "provider_organizations": [],
    "autonomy": [],
    "accountability": [],
    "referrals": [],
    "patient_flows": [],
    "networks": [],
    "integration": [],
    "reforms": []
  },
  "source_linked_analytical_mappings": [
    {
      "mapping_id": "candidate-mapping:TKM:actors-functions:historical-public-delivery-context",
      "country_id": "TKM",
      "mapping_group": "actors_and_functions",
      "target_view": "public-private",
      "target_slot": "historical-public-delivery-context-2000",
      "support_state": "candidate_supported",
      "annotation_state": "open",
      "mapping_basis": "European Observatory 2000 system review",
      "source_projection_ids": [
        "country-improvement-source:TKM:observatory-hit-2000"
      ],
      "typed_fields": {
        "reported_context": "The 2000 review describes nationally organized health services, Ministry operation, and regional public financing.",
        "boundary": "This historical review does not quantify the current public-private mix, provider market shares, or ownership of individual facilities."
      },
      "analytical_objects": {
        "graph_nodes": [
          {
            "node_id": "tkm:public-health-services-2000",
            "label": "National health services in 2000 review",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:52de4c8f7cef97449a5613c4"
            ],
            "display_source_ids": [
              "display-source:TKM:91fb97be1bc4b8a8d4eb6da7"
            ],
            "source_version_ids": [
              "display-source-version:3c1cb7520f6f1f7ba00eacb9"
            ],
            "display_evidence_object_id": "display-claim:52de4c8f7cef97449a5613c4"
          },
          {
            "node_id": "tkm:velayat-services-2000",
            "label": "Velayat regional health services",
            "family": "subnational",
            "display_claim_ids": [
              "display-claim:e31ad14f80a0f7694ebe228e"
            ],
            "display_source_ids": [
              "display-source:TKM:91fb97be1bc4b8a8d4eb6da7"
            ],
            "source_version_ids": [
              "display-source-version:3c1cb7520f6f1f7ba00eacb9"
            ],
            "display_evidence_object_id": "display-claim:e31ad14f80a0f7694ebe228e"
          }
        ],
        "graph_edges": [
          {
            "source_node_id": "tkm:velayat-services-2000",
            "target_node_id": "tkm:public-health-services-2000",
            "relationship": "reported as regionally financed within national organization",
            "relationship_family": "ownership",
            "display_claim_ids": [
              "display-claim:f69666207637147f918abee4"
            ],
            "display_source_ids": [
              "display-source:TKM:91fb97be1bc4b8a8d4eb6da7"
            ],
            "source_version_ids": [
              "display-source-version:3c1cb7520f6f1f7ba00eacb9"
            ],
            "display_evidence_object_id": "display-claim:f69666207637147f918abee4"
          }
        ],
        "provider_organizations": [
          {
            "label": "Regional health services",
            "ownership": "Not classified by the review excerpt",
            "scope": "Velayat financing described in 2000 review",
            "display_claim_ids": [
              "display-claim:9667c545a04e897049dc2891"
            ],
            "display_source_ids": [
              "display-source:TKM:91fb97be1bc4b8a8d4eb6da7"
            ],
            "source_version_ids": [
              "display-source-version:3c1cb7520f6f1f7ba00eacb9"
            ],
            "display_evidence_object_id": "display-claim:9667c545a04e897049dc2891"
          }
        ]
      },
      "title": "Public-delivery context is historical, not a current mix",
      "statement": "The 2000 review describes nationally organized services and regional financing. It is useful historical context but does not establish a current public-private ownership mix or care share.",
      "citation": "European Observatory on Health Care Systems, Turkmenistan: health system review 2000.",
      "url": "https://iris.who.int/bitstream/handle/10665/108347/HiT-tm-2000-eng.pdf?sequence=6",
      "locator": "Organizational structure and financing sections, pp. 19 and 37.",
      "period": "Health-system review published 2000",
      "territory": "Turkmenistan, national health system with velayat context",
      "evidence_mode_candidate": "reported",
      "verification_source_layer": "review_literature",
      "coverage_domains": [
        "actors",
        "ownership",
        "primary_care",
        "hospital_organization",
        "market_structure",
        "governance"
      ],
      "source_references": [
        {
          "title": "Turkmenistan: health system review 2000",
          "citation": "European Observatory on Health Care Systems. Turkmenistan: health system review 2000. Health Care Systems in Transition. 2000. https://iris.who.int/bitstream/handle/10665/108347/HiT-tm-2000-eng.pdf?sequence=6",
          "url": "https://iris.who.int/bitstream/handle/10665/108347/HiT-tm-2000-eng.pdf?sequence=6",
          "locator": {
            "locator_type": "pdf_page_set_anchor",
            "physical_pdf_pages": [
              19,
              37,
              61
            ],
            "sections": [
              "Organizational structure",
              "Financial resources",
              "Provision of services"
            ],
            "source_word_anchor": "The health system of Turkmenistan is organized",
            "source_word_count": 7
          },
          "source_version": {
            "file_sha256": "a859cc83d11508435744f1ce4fb6f39396083c22e60bea3f872887eb2dd1863f",
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:TKM:observatory-hit-2000",
          "display_source_id": "display-source:TKM:91fb97be1bc4b8a8d4eb6da7",
          "source_version_id": "display-source-version:3c1cb7520f6f1f7ba00eacb9"
        }
      ],
      "source_version": {
        "file_sha256": "a859cc83d11508435744f1ce4fb6f39396083c22e60bea3f872887eb2dd1863f",
        "detected_media_type": "application/pdf",
        "hash_verified": true,
        "retrieved_at": "2026-08-22"
      },
      "display_source_ids": [
        "display-source:TKM:91fb97be1bc4b8a8d4eb6da7"
      ],
      "source_version_ids": [
        "display-source-version:3c1cb7520f6f1f7ba00eacb9"
      ],
      "display_claim_ids": [
        "display-claim:925183463574709a39a5c76c",
        "display-claim:52de4c8f7cef97449a5613c4",
        "display-claim:e31ad14f80a0f7694ebe228e",
        "display-claim:f69666207637147f918abee4",
        "display-claim:9667c545a04e897049dc2891"
      ],
      "display_evidence_object_id": "display-claim:925183463574709a39a5c76c",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:TKM:actors-functions:ministry-service-portal",
      "country_id": "TKM",
      "mapping_group": "actors_and_functions",
      "target_view": "functions",
      "target_slot": "ministry-public-service-portal",
      "support_state": "candidate_supported",
      "annotation_state": "open",
      "mapping_basis": "Ministry interactive-services portal",
      "source_projection_ids": [
        "country-improvement-source:TKM:mohmi-services-2026"
      ],
      "typed_fields": {
        "formal_role": "The Ministry portal lists state voluntary health insurance and a health-care-facility list as interactive services.",
        "boundary": "The page does not give a complete statutory allocation of functions across public providers, local government, or private actors."
      },
      "analytical_objects": {
        "graph_nodes": [
          {
            "node_id": "tkm:mohmi",
            "label": "Ministry of Health and Medical Industry",
            "family": "national",
            "display_claim_ids": [
              "display-claim:d5d7a3e3c0a712bfcfe37692"
            ],
            "display_source_ids": [
              "display-source:TKM:bef27014fa5e5a3f414156a1"
            ],
            "source_version_ids": [
              "display-source-version:56a497bd09c2bd244c57e141"
            ],
            "display_evidence_object_id": "display-claim:d5d7a3e3c0a712bfcfe37692"
          },
          {
            "node_id": "tkm:service-users",
            "label": "Public service users",
            "family": "community",
            "display_claim_ids": [
              "display-claim:557b573219f074cca5fa8e72"
            ],
            "display_source_ids": [
              "display-source:TKM:bef27014fa5e5a3f414156a1"
            ],
            "source_version_ids": [
              "display-source-version:56a497bd09c2bd244c57e141"
            ],
            "display_evidence_object_id": "display-claim:557b573219f074cca5fa8e72"
          }
        ],
        "graph_edges": [
          {
            "source_node_id": "tkm:mohmi",
            "target_node_id": "tkm:service-users",
            "relationship": "publishes listed interactive health services",
            "relationship_family": "governance",
            "display_claim_ids": [
              "display-claim:4a2ce866c1f50b2a05e6d786"
            ],
            "display_source_ids": [
              "display-source:TKM:bef27014fa5e5a3f414156a1"
            ],
            "source_version_ids": [
              "display-source-version:56a497bd09c2bd244c57e141"
            ],
            "display_evidence_object_id": "display-claim:4a2ce866c1f50b2a05e6d786"
          }
        ],
        "function_assignments": [
          {
            "actor_label": "Ministry of Health and Medical Industry",
            "function_label": "Public-facing health-service information",
            "role": "Lists interactive services",
            "actor_family": "national",
            "display_claim_ids": [
              "display-claim:7fd5c0f056377556675841b9"
            ],
            "display_source_ids": [
              "display-source:TKM:bef27014fa5e5a3f414156a1"
            ],
            "source_version_ids": [
              "display-source-version:56a497bd09c2bd244c57e141"
            ],
            "display_evidence_object_id": "display-claim:7fd5c0f056377556675841b9"
          }
        ]
      },
      "title": "Ministry public-service role is formally visible",
      "statement": "The Ministry formally publishes a health-service portal that includes state voluntary health insurance and facility-list services. The portal is not a complete functional map of the system.",
      "citation": "Ministry of Health and Medical Industry of Turkmenistan, Ministry portal, retrieved 2026.",
      "url": "https://saglykhm.gov.tm/en",
      "locator": "Interactive services section.",
      "period": "Institutional webpage retrieved 2026-08-22",
      "territory": "Turkmenistan, Ministry public-service portal",
      "evidence_mode_candidate": "formal",
      "verification_source_layer": "official",
      "coverage_domains": [
        "actors",
        "government_responsibilities",
        "facility_data",
        "networks",
        "governance"
      ],
      "source_references": [
        {
          "title": "Ministry of Health and Medical Industry of Turkmenistan",
          "citation": "Ministry of Health and Medical Industry of Turkmenistan. Ministry of Health and Medical Industry of Turkmenistan. Retrieved 2026. https://saglykhm.gov.tm/en",
          "url": "https://saglykhm.gov.tm/en",
          "locator": {
            "locator_type": "web_section",
            "section": "Interactive services",
            "source_word_anchor": "List of healthcare facilities",
            "source_word_count": 4
          },
          "source_version": {
            "response_sha256": "25429bc5cbc284c8c5b88d111d0488b80d7b3a4535c821f2dd3d688a58d0e0f5",
            "detected_media_type": "text/html",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:TKM:mohmi-services-2026",
          "display_source_id": "display-source:TKM:bef27014fa5e5a3f414156a1",
          "source_version_id": "display-source-version:56a497bd09c2bd244c57e141"
        }
      ],
      "source_version": {
        "response_sha256": "25429bc5cbc284c8c5b88d111d0488b80d7b3a4535c821f2dd3d688a58d0e0f5",
        "detected_media_type": "text/html",
        "hash_verified": true,
        "retrieved_at": "2026-08-22"
      },
      "display_source_ids": [
        "display-source:TKM:bef27014fa5e5a3f414156a1"
      ],
      "source_version_ids": [
        "display-source-version:56a497bd09c2bd244c57e141"
      ],
      "display_claim_ids": [
        "display-claim:19bc4cd18afe762e714ecbdf",
        "display-claim:d5d7a3e3c0a712bfcfe37692",
        "display-claim:557b573219f074cca5fa8e72",
        "display-claim:4a2ce866c1f50b2a05e6d786",
        "display-claim:7fd5c0f056377556675841b9"
      ],
      "display_evidence_object_id": "display-claim:19bc4cd18afe762e714ecbdf",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:TKM:decision-autonomy:historical-national-regional-allocation",
      "country_id": "TKM",
      "mapping_group": "decision_rights_and_autonomy",
      "target_view": "decisions",
      "target_slot": "historical-policy-operation-financing-allocation-2000",
      "support_state": "candidate_supported",
      "annotation_state": "open",
      "mapping_basis": "European Observatory 2000 system review",
      "source_projection_ids": [
        "country-improvement-source:TKM:observatory-hit-2000"
      ],
      "typed_fields": {
        "reported_allocation": "The 2000 review assigns policy-making to the Cabinet, health-service operation to the Ministry, and regional-service financing to velayat governors.",
        "accountability_boundary": "The review does not provide a current accountability framework, audited oversight mechanism, or complete decision-rights matrix.",
        "boundary": "These reported allocations are historical and must not be read as current practice."
      },
      "analytical_objects": {
        "graph_nodes": [
          {
            "node_id": "tkm:cabinet-2000",
            "label": "Cabinet of Ministers",
            "family": "national",
            "display_claim_ids": [
              "display-claim:5230a5f90db403fcd3b48223"
            ],
            "display_source_ids": [
              "display-source:TKM:91fb97be1bc4b8a8d4eb6da7"
            ],
            "source_version_ids": [
              "display-source-version:3c1cb7520f6f1f7ba00eacb9"
            ],
            "display_evidence_object_id": "display-claim:5230a5f90db403fcd3b48223"
          },
          {
            "node_id": "tkm:mohmi-2000",
            "label": "Ministry of Health and Medical Industry",
            "family": "national",
            "display_claim_ids": [
              "display-claim:cd94db6e726ac50949ea324c"
            ],
            "display_source_ids": [
              "display-source:TKM:91fb97be1bc4b8a8d4eb6da7"
            ],
            "source_version_ids": [
              "display-source-version:3c1cb7520f6f1f7ba00eacb9"
            ],
            "display_evidence_object_id": "display-claim:cd94db6e726ac50949ea324c"
          },
          {
            "node_id": "tkm:velayat-hakim-2000",
            "label": "Velayat hakim",
            "family": "subnational",
            "display_claim_ids": [
              "display-claim:fb70b1561cb36e9a36eb8f5b"
            ],
            "display_source_ids": [
              "display-source:TKM:91fb97be1bc4b8a8d4eb6da7"
            ],
            "source_version_ids": [
              "display-source-version:3c1cb7520f6f1f7ba00eacb9"
            ],
            "display_evidence_object_id": "display-claim:fb70b1561cb36e9a36eb8f5b"
          }
        ],
        "graph_edges": [
          {
            "source_node_id": "tkm:cabinet-2000",
            "target_node_id": "tkm:mohmi-2000",
            "relationship": "reported policy-making and service-operation allocation",
            "relationship_family": "governance",
            "display_claim_ids": [
              "display-claim:9ac9864e40ebec6c689f4491"
            ],
            "display_source_ids": [
              "display-source:TKM:91fb97be1bc4b8a8d4eb6da7"
            ],
            "source_version_ids": [
              "display-source-version:3c1cb7520f6f1f7ba00eacb9"
            ],
            "display_evidence_object_id": "display-claim:9ac9864e40ebec6c689f4491"
          },
          {
            "source_node_id": "tkm:velayat-hakim-2000",
            "target_node_id": "tkm:mohmi-2000",
            "relationship": "reported financing of regional health services",
            "relationship_family": "governance",
            "display_claim_ids": [
              "display-claim:861bd9f9335cf49bf5bafe3a"
            ],
            "display_source_ids": [
              "display-source:TKM:91fb97be1bc4b8a8d4eb6da7"
            ],
            "source_version_ids": [
              "display-source-version:3c1cb7520f6f1f7ba00eacb9"
            ],
            "display_evidence_object_id": "display-claim:861bd9f9335cf49bf5bafe3a"
          }
        ],
        "decision_cells": [
          {
            "decision_id": "tkm-policy-making-2000",
            "decision_label": "Health-sector policy-making",
            "actor_label": "Cabinet of Ministers",
            "actor_family": "national",
            "role": "Reported policy-making remit in 2000 review",
            "constraint": "Does not establish current authority",
            "display_claim_ids": [
              "display-claim:872d00426693492bce48fbb6"
            ],
            "display_source_ids": [
              "display-source:TKM:91fb97be1bc4b8a8d4eb6da7"
            ],
            "source_version_ids": [
              "display-source-version:3c1cb7520f6f1f7ba00eacb9"
            ],
            "display_evidence_object_id": "display-claim:872d00426693492bce48fbb6"
          },
          {
            "decision_id": "tkm-regional-finance-2000",
            "decision_label": "Regional health-service financing",
            "actor_label": "Velayat hakim",
            "actor_family": "subnational",
            "role": "Reported financer of regional services in 2000 review",
            "constraint": "No current budget authority or accountability mechanism is established",
            "display_claim_ids": [
              "display-claim:bf4c81dabbcfb101c56d5ef7"
            ],
            "display_source_ids": [
              "display-source:TKM:91fb97be1bc4b8a8d4eb6da7"
            ],
            "source_version_ids": [
              "display-source-version:3c1cb7520f6f1f7ba00eacb9"
            ],
            "display_evidence_object_id": "display-claim:bf4c81dabbcfb101c56d5ef7"
          }
        ]
      },
      "title": "National and regional decision allocation is reported for 2000",
      "statement": "The 2000 review reports a Cabinet, Ministry and velayat division of policy, operation and financing roles. It does not verify current authority or accountability arrangements.",
      "citation": "European Observatory on Health Care Systems, Turkmenistan: health system review 2000.",
      "url": "https://iris.who.int/bitstream/handle/10665/108347/HiT-tm-2000-eng.pdf?sequence=6",
      "locator": "Organizational structure section, p. 19.",
      "period": "Health-system review published 2000",
      "territory": "Turkmenistan, national and velayat context",
      "evidence_mode_candidate": "reported",
      "verification_source_layer": "review_literature",
      "coverage_domains": [
        "actors",
        "government_responsibilities",
        "decision_rights",
        "autonomy",
        "governance",
        "reform_history"
      ],
      "source_references": [
        {
          "title": "Turkmenistan: health system review 2000",
          "citation": "European Observatory on Health Care Systems. Turkmenistan: health system review 2000. Health Care Systems in Transition. 2000. https://iris.who.int/bitstream/handle/10665/108347/HiT-tm-2000-eng.pdf?sequence=6",
          "url": "https://iris.who.int/bitstream/handle/10665/108347/HiT-tm-2000-eng.pdf?sequence=6",
          "locator": {
            "locator_type": "pdf_page_set_anchor",
            "physical_pdf_pages": [
              19,
              37,
              61
            ],
            "sections": [
              "Organizational structure",
              "Financial resources",
              "Provision of services"
            ],
            "source_word_anchor": "The health system of Turkmenistan is organized",
            "source_word_count": 7
          },
          "source_version": {
            "file_sha256": "a859cc83d11508435744f1ce4fb6f39396083c22e60bea3f872887eb2dd1863f",
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:TKM:observatory-hit-2000",
          "display_source_id": "display-source:TKM:91fb97be1bc4b8a8d4eb6da7",
          "source_version_id": "display-source-version:3c1cb7520f6f1f7ba00eacb9"
        }
      ],
      "source_version": {
        "file_sha256": "a859cc83d11508435744f1ce4fb6f39396083c22e60bea3f872887eb2dd1863f",
        "detected_media_type": "application/pdf",
        "hash_verified": true,
        "retrieved_at": "2026-08-22"
      },
      "display_source_ids": [
        "display-source:TKM:91fb97be1bc4b8a8d4eb6da7"
      ],
      "source_version_ids": [
        "display-source-version:3c1cb7520f6f1f7ba00eacb9"
      ],
      "display_claim_ids": [
        "display-claim:771e868926af3b371efc583c",
        "display-claim:5230a5f90db403fcd3b48223",
        "display-claim:cd94db6e726ac50949ea324c",
        "display-claim:fb70b1561cb36e9a36eb8f5b",
        "display-claim:9ac9864e40ebec6c689f4491",
        "display-claim:861bd9f9335cf49bf5bafe3a",
        "display-claim:872d00426693492bce48fbb6",
        "display-claim:bf4c81dabbcfb101c56d5ef7"
      ],
      "display_evidence_object_id": "display-claim:771e868926af3b371efc583c",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:TKM:decision-autonomy:provider-discretion-boundary",
      "country_id": "TKM",
      "mapping_group": "decision_rights_and_autonomy",
      "target_view": "autonomy",
      "target_slot": "provider-discretion-and-accountability-boundary",
      "support_state": "candidate_supported",
      "annotation_state": "open",
      "mapping_basis": "Historical system and reform reviews",
      "source_projection_ids": [
        "country-improvement-source:TKM:observatory-hit-2000",
        "country-improvement-source:TKM:world-bank-rationalizing-health-sector-1996",
        "country-improvement-source:TKM:who-hrh-plan-2020"
      ],
      "typed_fields": {
        "autonomy_boundary": "The cited material does not establish current provider authority over budgets, staffing, procurement, service configuration, or retained revenue.",
        "accountability_boundary": "The 2020 workforce-plan announcement names monitoring and evaluation as a goal but does not document an accountability audit or institutional results.",
        "historical_context": "The 1996 and 2000 sources concern earlier reform and organizational settings."
      },
      "analytical_objects": {
        "autonomy_cells": [
          {
            "dimension": "Financial management",
            "provider_group": "Hospitals",
            "authority_label": "Not established by cited sources",
            "counterpart": "Historical financing and reform discussion",
            "display_claim_ids": [
              "display-claim:6d7d58c517cc9533d090e79c"
            ],
            "display_source_ids": [
              "display-source:TKM:91fb97be1bc4b8a8d4eb6da7",
              "display-source:TKM:e7670e60035c871bfe730501",
              "display-source:TKM:015e08363db84161545644a5"
            ],
            "source_version_ids": [
              "display-source-version:3c1cb7520f6f1f7ba00eacb9",
              "display-source-version:d06eebf7f8c6d81ab052f14c",
              "display-source-version:47eecb561502348a48d2302b"
            ],
            "display_evidence_object_id": "display-claim:6d7d58c517cc9533d090e79c"
          },
          {
            "dimension": "Workforce",
            "provider_group": "Primary care",
            "authority_label": "Not established by cited sources",
            "counterpart": "2020 plan called for workforce-register development",
            "display_claim_ids": [
              "display-claim:18382dfb30b6225f51fd1e4e"
            ],
            "display_source_ids": [
              "display-source:TKM:91fb97be1bc4b8a8d4eb6da7",
              "display-source:TKM:e7670e60035c871bfe730501",
              "display-source:TKM:015e08363db84161545644a5"
            ],
            "source_version_ids": [
              "display-source-version:3c1cb7520f6f1f7ba00eacb9",
              "display-source-version:d06eebf7f8c6d81ab052f14c",
              "display-source-version:47eecb561502348a48d2302b"
            ],
            "display_evidence_object_id": "display-claim:18382dfb30b6225f51fd1e4e"
          },
          {
            "dimension": "Procurement",
            "provider_group": "Hospitals",
            "authority_label": "Not established by cited sources",
            "counterpart": "No complete current delegation is stated",
            "display_claim_ids": [
              "display-claim:e70021b07ded7a04cc4d3a18"
            ],
            "display_source_ids": [
              "display-source:TKM:91fb97be1bc4b8a8d4eb6da7",
              "display-source:TKM:e7670e60035c871bfe730501",
              "display-source:TKM:015e08363db84161545644a5"
            ],
            "source_version_ids": [
              "display-source-version:3c1cb7520f6f1f7ba00eacb9",
              "display-source-version:d06eebf7f8c6d81ab052f14c",
              "display-source-version:47eecb561502348a48d2302b"
            ],
            "display_evidence_object_id": "display-claim:e70021b07ded7a04cc4d3a18"
          }
        ],
        "decision_cells": [
          {
            "decision_id": "tkm-hrh-monitoring-plan-2020",
            "decision_label": "Health-workforce monitoring and evaluation",
            "actor_label": "Ministry of Health and Medical Industry",
            "actor_family": "national",
            "role": "WHO reports a plan goal",
            "constraint": "Goal does not verify implementation or accountability results",
            "display_claim_ids": [
              "display-claim:c2d3866d485213edeea06653"
            ],
            "display_source_ids": [
              "display-source:TKM:91fb97be1bc4b8a8d4eb6da7",
              "display-source:TKM:e7670e60035c871bfe730501",
              "display-source:TKM:015e08363db84161545644a5"
            ],
            "source_version_ids": [
              "display-source-version:3c1cb7520f6f1f7ba00eacb9",
              "display-source-version:d06eebf7f8c6d81ab052f14c",
              "display-source-version:47eecb561502348a48d2302b"
            ],
            "display_evidence_object_id": "display-claim:c2d3866d485213edeea06653"
          }
        ]
      },
      "title": "Provider autonomy and accountability are not established",
      "statement": "The available sources discuss past reform and a workforce-plan goal, but do not establish current provider autonomy or a complete accountability arrangement. No national autonomy score is inferred.",
      "citation": "World Bank, Turkmenistan: rationalizing the health sector, 1996; European Observatory, Turkmenistan: health system review 2000; WHO, health-workforce action plan announcement, 2020.",
      "url": "https://www.who.int/europe/news/item/03-01-2020-turkmenistan-approves-new-action-plan-for-development-of-human-resources-for-health",
      "locator": "WHO action-plan goals; historical reform and organization sections in the cited reports.",
      "period": "1996, 2000, and 2020 source periods",
      "territory": "Turkmenistan",
      "evidence_mode_candidate": "reported",
      "verification_source_layer": "official",
      "coverage_domains": [
        "decision_rights",
        "autonomy",
        "governance",
        "reform_history",
        "authoritative_review"
      ],
      "source_references": [
        {
          "title": "Turkmenistan: health system review 2000",
          "citation": "European Observatory on Health Care Systems. Turkmenistan: health system review 2000. Health Care Systems in Transition. 2000. https://iris.who.int/bitstream/handle/10665/108347/HiT-tm-2000-eng.pdf?sequence=6",
          "url": "https://iris.who.int/bitstream/handle/10665/108347/HiT-tm-2000-eng.pdf?sequence=6",
          "locator": {
            "locator_type": "pdf_page_set_anchor",
            "physical_pdf_pages": [
              19,
              37,
              61
            ],
            "sections": [
              "Organizational structure",
              "Financial resources",
              "Provision of services"
            ],
            "source_word_anchor": "The health system of Turkmenistan is organized",
            "source_word_count": 7
          },
          "source_version": {
            "file_sha256": "a859cc83d11508435744f1ce4fb6f39396083c22e60bea3f872887eb2dd1863f",
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:TKM:observatory-hit-2000",
          "display_source_id": "display-source:TKM:91fb97be1bc4b8a8d4eb6da7",
          "source_version_id": "display-source-version:3c1cb7520f6f1f7ba00eacb9"
        },
        {
          "title": "Turkmenistan: rationalizing the health sector",
          "citation": "World Bank. Turkmenistan: rationalizing the health sector. Report No. 14861-TM. 1996. https://documents.worldbank.org/curated/en/432211468761372739/pdf/multi0page.pdf",
          "url": "https://documents.worldbank.org/curated/en/432211468761372739/pdf/multi0page.pdf",
          "locator": {
            "locator_type": "pdf_page_set_anchor",
            "physical_pdf_pages": [
              35,
              36
            ],
            "sections": [
              "Alternative Systems of Health Care Provision and Financing"
            ],
            "source_word_anchor": "provision of health services and financing",
            "source_word_count": 6
          },
          "source_version": {
            "file_sha256": "cccf4508794dd10683e6d36a3f602db0aa5ac4dc1ad4b022d644173c059e8f38",
            "detected_media_type": "application/pdf",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:TKM:world-bank-rationalizing-health-sector-1996",
          "display_source_id": "display-source:TKM:e7670e60035c871bfe730501",
          "source_version_id": "display-source-version:d06eebf7f8c6d81ab052f14c"
        },
        {
          "title": "Turkmenistan approves new action plan for development of human resources for health",
          "citation": "World Health Organization Regional Office for Europe. Turkmenistan approves new action plan for development of human resources for health. 2020. https://www.who.int/europe/news/item/03-01-2020-turkmenistan-approves-new-action-plan-for-development-of-human-resources-for-health",
          "url": "https://www.who.int/europe/news/item/03-01-2020-turkmenistan-approves-new-action-plan-for-development-of-human-resources-for-health",
          "locator": {
            "locator_type": "web_section",
            "section": "Turkmenistan approves new action plan",
            "source_word_anchor": "approved a 5-year action plan",
            "source_word_count": 5
          },
          "source_version": {
            "response_sha256": "e8f779da99ffd419b1b2680e53e7ff22f3a9c47dada66922e0cd0911ebef09c1",
            "detected_media_type": "text/html",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:TKM:who-hrh-plan-2020",
          "display_source_id": "display-source:TKM:015e08363db84161545644a5",
          "source_version_id": "display-source-version:47eecb561502348a48d2302b"
        }
      ],
      "source_version": {
        "file_sha256": "a859cc83d11508435744f1ce4fb6f39396083c22e60bea3f872887eb2dd1863f",
        "detected_media_type": "application/pdf",
        "hash_verified": true,
        "retrieved_at": "2026-08-22"
      },
      "display_source_ids": [
        "display-source:TKM:91fb97be1bc4b8a8d4eb6da7",
        "display-source:TKM:e7670e60035c871bfe730501",
        "display-source:TKM:015e08363db84161545644a5"
      ],
      "source_version_ids": [
        "display-source-version:3c1cb7520f6f1f7ba00eacb9",
        "display-source-version:d06eebf7f8c6d81ab052f14c",
        "display-source-version:47eecb561502348a48d2302b"
      ],
      "display_claim_ids": [
        "display-claim:2d596c04c917f22dae55a846",
        "display-claim:6d7d58c517cc9533d090e79c",
        "display-claim:18382dfb30b6225f51fd1e4e",
        "display-claim:e70021b07ded7a04cc4d3a18",
        "display-claim:c2d3866d485213edeea06653"
      ],
      "display_evidence_object_id": "display-claim:2d596c04c917f22dae55a846",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:TKM:delivery-referrals:listed-facility-information-service",
      "country_id": "TKM",
      "mapping_group": "delivery_and_referrals",
      "target_view": "delivery",
      "target_slot": "formal-facility-information-service",
      "support_state": "candidate_supported",
      "annotation_state": "open",
      "mapping_basis": "Ministry interactive-services portal",
      "source_projection_ids": [
        "country-improvement-source:TKM:mohmi-services-2026"
      ],
      "typed_fields": {
        "formal_service": "The Ministry public portal lists a service for health-care-facility information.",
        "boundary": "The portal does not provide the list's contents, facility count, clinical capacity, delivery volumes, or referral links in the cited page."
      },
      "analytical_objects": {
        "graph_nodes": [
          {
            "node_id": "tkm:mohmi-facility-list",
            "label": "Ministry facility-list service",
            "family": "national",
            "display_claim_ids": [
              "display-claim:62b7f958c9bf2fdce5a36adb"
            ],
            "display_source_ids": [
              "display-source:TKM:bef27014fa5e5a3f414156a1"
            ],
            "source_version_ids": [
              "display-source-version:56a497bd09c2bd244c57e141"
            ],
            "display_evidence_object_id": "display-claim:62b7f958c9bf2fdce5a36adb"
          },
          {
            "node_id": "tkm:healthcare-facilities",
            "label": "Healthcare facilities",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:a736998f43cb5811859252be"
            ],
            "display_source_ids": [
              "display-source:TKM:bef27014fa5e5a3f414156a1"
            ],
            "source_version_ids": [
              "display-source-version:56a497bd09c2bd244c57e141"
            ],
            "display_evidence_object_id": "display-claim:a736998f43cb5811859252be"
          }
        ],
        "graph_edges": [
          {
            "source_node_id": "tkm:mohmi-facility-list",
            "target_node_id": "tkm:healthcare-facilities",
            "relationship": "lists a public information service about facilities",
            "relationship_family": "network",
            "display_claim_ids": [
              "display-claim:e23fb706b2d24451918108b2"
            ],
            "display_source_ids": [
              "display-source:TKM:bef27014fa5e5a3f414156a1"
            ],
            "source_version_ids": [
              "display-source-version:56a497bd09c2bd244c57e141"
            ],
            "display_evidence_object_id": "display-claim:e23fb706b2d24451918108b2"
          }
        ],
        "provider_delivery_observations": [
          {
            "label": "Facility information service",
            "observation": "A health-care-facility list is named on the Ministry portal.",
            "scope": "Current public portal listing only",
            "display_claim_ids": [
              "display-claim:c3158f67c68b85fc6b08bd32"
            ],
            "display_source_ids": [
              "display-source:TKM:bef27014fa5e5a3f414156a1"
            ],
            "source_version_ids": [
              "display-source-version:56a497bd09c2bd244c57e141"
            ],
            "display_evidence_object_id": "display-claim:c3158f67c68b85fc6b08bd32"
          }
        ]
      },
      "title": "Facility information is formally listed, not delivery measured",
      "statement": "The Ministry formally lists a health-care-facility information service. That listing does not establish the number, capacity, service mix, or performance of facilities.",
      "citation": "Ministry of Health and Medical Industry of Turkmenistan, Ministry portal, retrieved 2026.",
      "url": "https://saglykhm.gov.tm/en",
      "locator": "Interactive services section, List of healthcare facilities.",
      "period": "Institutional webpage retrieved 2026-08-22",
      "territory": "Turkmenistan, Ministry public-service portal",
      "evidence_mode_candidate": "formal",
      "verification_source_layer": "official",
      "coverage_domains": [
        "facility_data",
        "primary_care",
        "hospital_organization",
        "networks"
      ],
      "source_references": [
        {
          "title": "Ministry of Health and Medical Industry of Turkmenistan",
          "citation": "Ministry of Health and Medical Industry of Turkmenistan. Ministry of Health and Medical Industry of Turkmenistan. Retrieved 2026. https://saglykhm.gov.tm/en",
          "url": "https://saglykhm.gov.tm/en",
          "locator": {
            "locator_type": "web_section",
            "section": "Interactive services",
            "source_word_anchor": "List of healthcare facilities",
            "source_word_count": 4
          },
          "source_version": {
            "response_sha256": "25429bc5cbc284c8c5b88d111d0488b80d7b3a4535c821f2dd3d688a58d0e0f5",
            "detected_media_type": "text/html",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:TKM:mohmi-services-2026",
          "display_source_id": "display-source:TKM:bef27014fa5e5a3f414156a1",
          "source_version_id": "display-source-version:56a497bd09c2bd244c57e141"
        }
      ],
      "source_version": {
        "response_sha256": "25429bc5cbc284c8c5b88d111d0488b80d7b3a4535c821f2dd3d688a58d0e0f5",
        "detected_media_type": "text/html",
        "hash_verified": true,
        "retrieved_at": "2026-08-22"
      },
      "display_source_ids": [
        "display-source:TKM:bef27014fa5e5a3f414156a1"
      ],
      "source_version_ids": [
        "display-source-version:56a497bd09c2bd244c57e141"
      ],
      "display_claim_ids": [
        "display-claim:d68098f7ca2df73bd242cf38",
        "display-claim:62b7f958c9bf2fdce5a36adb",
        "display-claim:a736998f43cb5811859252be",
        "display-claim:e23fb706b2d24451918108b2",
        "display-claim:c3158f67c68b85fc6b08bd32"
      ],
      "display_evidence_object_id": "display-claim:d68098f7ca2df73bd242cf38",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:TKM:delivery-referrals:observed-hospital-bed-density-2021",
      "country_id": "TKM",
      "mapping_group": "delivery_and_referrals",
      "target_view": "delivery",
      "target_slot": "observed-hospital-bed-density-2021",
      "support_state": "candidate_supported",
      "annotation_state": "open",
      "mapping_basis": "World Development Indicators API observation",
      "source_projection_ids": [
        "country-improvement-source:TKM:world-bank-hospital-beds-2026"
      ],
      "typed_fields": {
        "observed_input": "World Development Indicators record 3.6 hospital beds per 1,000 people for Turkmenistan in 2021.",
        "denominator": "Hospital beds divided by total population, expressed per 1,000 people.",
        "boundary": "This capacity input does not measure admissions, occupancy, quality, geographical distribution, ownership, or referral function."
      },
      "analytical_objects": {
        "graph_nodes": [
          {
            "node_id": "tkm:hospital-bed-stock-2021",
            "label": "Hospital-bed stock, 2021",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:3aa551239c39e50361e7ef11"
            ],
            "display_source_ids": [
              "display-source:TKM:967bb560d2ec87c4410fc15e"
            ],
            "source_version_ids": [
              "display-source-version:96fc4ca534509e562c7ebfc1"
            ],
            "display_evidence_object_id": "display-claim:3aa551239c39e50361e7ef11"
          }
        ],
        "provider_delivery_observations": [
          {
            "label": "Hospital beds per population",
            "observation": "3.6 hospital beds per 1,000 people in 2021.",
            "scope": "Turkmenistan, national annual observation",
            "display_claim_ids": [
              "display-claim:a41bdc15f29795645b0656a5"
            ],
            "display_source_ids": [
              "display-source:TKM:967bb560d2ec87c4410fc15e"
            ],
            "source_version_ids": [
              "display-source-version:96fc4ca534509e562c7ebfc1"
            ],
            "display_evidence_object_id": "display-claim:a41bdc15f29795645b0656a5"
          }
        ]
      },
      "title": "Hospital-bed density is a denominator-labelled capacity input",
      "statement": "World Development Indicators record 3.6 hospital beds per 1,000 people in 2021. This observed capacity input does not establish use, distribution, or delivery performance.",
      "citation": "World Bank, World Development Indicators, SH.MED.BEDS.ZS, Turkmenistan 2021 observation.",
      "url": "https://api.worldbank.org/v2/country/TKM/indicator/SH.MED.BEDS.ZS?format=json&per_page=100",
      "locator": "API observation date=2021.",
      "period": "2021 annual observation",
      "territory": "Turkmenistan, national",
      "evidence_mode_candidate": "observed",
      "verification_source_layer": "official",
      "coverage_domains": [
        "facility_data",
        "hospital_organization",
        "utilization",
        "patient_flows",
        "market_structure"
      ],
      "source_references": [
        {
          "title": "Hospital beds per 1,000 people: Turkmenistan",
          "citation": "World Bank. Hospital beds (per 1,000 people), Turkmenistan, indicator SH.MED.BEDS.ZS. World Development Indicators API, retrieved 2026. https://api.worldbank.org/v2/country/TKM/indicator/SH.MED.BEDS.ZS?format=json&per_page=100",
          "url": "https://api.worldbank.org/v2/country/TKM/indicator/SH.MED.BEDS.ZS?format=json&per_page=100",
          "locator": {
            "locator_type": "api_observation",
            "endpoint": "v2/country/TKM/indicator/SH.MED.BEDS.ZS",
            "record_key": "date=2021",
            "source_word_anchor": "Hospital beds per 1,000 people",
            "source_word_count": 5
          },
          "source_version": {
            "response_sha256": "2d12a901a2a09aa6d973c41670c382f6d9ce7e0ffbd876034fce9d5668132f24",
            "detected_media_type": "application/json",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:TKM:world-bank-hospital-beds-2026",
          "display_source_id": "display-source:TKM:967bb560d2ec87c4410fc15e",
          "source_version_id": "display-source-version:96fc4ca534509e562c7ebfc1"
        }
      ],
      "source_version": {
        "response_sha256": "2d12a901a2a09aa6d973c41670c382f6d9ce7e0ffbd876034fce9d5668132f24",
        "detected_media_type": "application/json",
        "hash_verified": true,
        "retrieved_at": "2026-08-22"
      },
      "display_source_ids": [
        "display-source:TKM:967bb560d2ec87c4410fc15e"
      ],
      "source_version_ids": [
        "display-source-version:96fc4ca534509e562c7ebfc1"
      ],
      "display_claim_ids": [
        "display-claim:85f0f693c6835503b5c092d1",
        "display-claim:3aa551239c39e50361e7ef11",
        "display-claim:a41bdc15f29795645b0656a5"
      ],
      "display_evidence_object_id": "display-claim:85f0f693c6835503b5c092d1",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:TKM:relationships-networks:formal-referral-requirement",
      "country_id": "TKM",
      "mapping_group": "relationships_and_networks",
      "target_view": "referrals",
      "target_slot": "formal-referral-requirement-with-practice-boundary",
      "support_state": "candidate_supported",
      "annotation_state": "open",
      "mapping_basis": "Comparative primary-care review",
      "source_projection_ids": [
        "country-improvement-source:TKM:ncbi-primary-care-former-soviet-2014"
      ],
      "typed_fields": {
        "reported_design": "The comparative review identifies referral to access secondary care as an official requirement in Turkmenistan.",
        "practice_boundary": "The review expressly says this requirement was not necessarily practised and supplies no current compliance rate."
      },
      "analytical_objects": {
        "graph_nodes": [
          {
            "node_id": "tkm:primary-care-2015-review",
            "label": "Primary care",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:95e5afc68d1ae8790c5bf211"
            ],
            "display_source_ids": [
              "display-source:TKM:2cec0137d1a3eab61bdc3af9"
            ],
            "source_version_ids": [
              "display-source-version:0c952b73d59d997c225e7975"
            ],
            "display_evidence_object_id": "display-claim:95e5afc68d1ae8790c5bf211"
          },
          {
            "node_id": "tkm:secondary-care-2015-review",
            "label": "Secondary care",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:9ad28098e2b709ac4e9eec4b"
            ],
            "display_source_ids": [
              "display-source:TKM:2cec0137d1a3eab61bdc3af9"
            ],
            "source_version_ids": [
              "display-source-version:0c952b73d59d997c225e7975"
            ],
            "display_evidence_object_id": "display-claim:9ad28098e2b709ac4e9eec4b"
          }
        ],
        "graph_edges": [
          {
            "source_node_id": "tkm:primary-care-2015-review",
            "target_node_id": "tkm:secondary-care-2015-review",
            "relationship": "reported official referral requirement for access",
            "relationship_family": "referral",
            "display_claim_ids": [
              "display-claim:7f263a300235028f2fdf7f29"
            ],
            "display_source_ids": [
              "display-source:TKM:2cec0137d1a3eab61bdc3af9"
            ],
            "source_version_ids": [
              "display-source-version:0c952b73d59d997c225e7975"
            ],
            "display_evidence_object_id": "display-claim:7f263a300235028f2fdf7f29"
          }
        ]
      },
      "title": "Referral requirement is reported with an explicit practice limit",
      "statement": "A comparative review identifies an official referral requirement for secondary care, while stating that this was not necessarily practised. It is not evidence of current gatekeeping compliance.",
      "citation": "Kringos D, et al., Primary health care, European Observatory, 2015.",
      "url": "https://www.ncbi.nlm.nih.gov/books/NBK458296/",
      "locator": "Gatekeeping and referral functions of primary care, Table 7.3 and adjacent text.",
      "period": "Comparative literature published 2015; cited country evidence includes 2009",
      "territory": "Turkmenistan in comparative former-Soviet-country review",
      "evidence_mode_candidate": "reported",
      "verification_source_layer": "research_literature",
      "coverage_domains": [
        "primary_care",
        "hospital_organization",
        "referral_design",
        "observed_referral",
        "networks",
        "patient_flows"
      ],
      "source_references": [
        {
          "title": "Primary health care",
          "citation": "Kringos D, Boerma W, Hutchinson A, Saltman RB, eds. Building primary care in a changing Europe: Primary health care. European Observatory on Health Systems and Policies; 2015. NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK458296/",
          "url": "https://www.ncbi.nlm.nih.gov/books/NBK458296/",
          "locator": {
            "locator_type": "web_section",
            "section": "Gatekeeping and referral functions of primary care",
            "source_word_anchor": "official requirement but not necessarily practised",
            "source_word_count": 6
          },
          "source_version": {
            "response_sha256": "054b5e4352e0c5a681fa088a7ef2fc359a7692bf2ade6672283e3b7eff051926",
            "detected_media_type": "text/html",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:TKM:ncbi-primary-care-former-soviet-2014",
          "display_source_id": "display-source:TKM:2cec0137d1a3eab61bdc3af9",
          "source_version_id": "display-source-version:0c952b73d59d997c225e7975"
        }
      ],
      "source_version": {
        "response_sha256": "054b5e4352e0c5a681fa088a7ef2fc359a7692bf2ade6672283e3b7eff051926",
        "detected_media_type": "text/html",
        "hash_verified": true,
        "retrieved_at": "2026-08-22"
      },
      "display_source_ids": [
        "display-source:TKM:2cec0137d1a3eab61bdc3af9"
      ],
      "source_version_ids": [
        "display-source-version:0c952b73d59d997c225e7975"
      ],
      "display_claim_ids": [
        "display-claim:36b2c23758d03fa40e660242",
        "display-claim:95e5afc68d1ae8790c5bf211",
        "display-claim:9ad28098e2b709ac4e9eec4b",
        "display-claim:7f263a300235028f2fdf7f29"
      ],
      "display_evidence_object_id": "display-claim:36b2c23758d03fa40e660242",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:TKM:relationships-networks:reported-self-referral",
      "country_id": "TKM",
      "mapping_group": "relationships_and_networks",
      "target_view": "referrals",
      "target_slot": "reported-self-referral-historical-context",
      "support_state": "candidate_supported",
      "annotation_state": "open",
      "mapping_basis": "Comparative primary-care review",
      "source_projection_ids": [
        "country-improvement-source:TKM:ncbi-primary-care-former-soviet-2014"
      ],
      "typed_fields": {
        "reported_pathway": "The review reports self-referral in Turkmenistan among countries with formally introduced gatekeeping.",
        "boundary": "The cited underlying Turkmenistan evidence is historical and the review does not give a current national bypass rate or a complete patient-flow map."
      },
      "analytical_objects": {
        "graph_nodes": [
          {
            "node_id": "tkm:patients-2009-context",
            "label": "Patients",
            "family": "community",
            "display_claim_ids": [
              "display-claim:9b4b44cb0ca02f7afef121dc"
            ],
            "display_source_ids": [
              "display-source:TKM:2cec0137d1a3eab61bdc3af9"
            ],
            "source_version_ids": [
              "display-source-version:0c952b73d59d997c225e7975"
            ],
            "display_evidence_object_id": "display-claim:9b4b44cb0ca02f7afef121dc"
          },
          {
            "node_id": "tkm:specialist-inpatient-care-2009-context",
            "label": "Specialist and inpatient care",
            "family": "provider",
            "display_claim_ids": [
              "display-claim:8d966d69badbb48b974ec4e8"
            ],
            "display_source_ids": [
              "display-source:TKM:2cec0137d1a3eab61bdc3af9"
            ],
            "source_version_ids": [
              "display-source-version:0c952b73d59d997c225e7975"
            ],
            "display_evidence_object_id": "display-claim:8d966d69badbb48b974ec4e8"
          }
        ],
        "graph_edges": [
          {
            "source_node_id": "tkm:patients-2009-context",
            "target_node_id": "tkm:specialist-inpatient-care-2009-context",
            "relationship": "self-referral reported in historical comparative evidence",
            "relationship_family": "referral",
            "display_claim_ids": [
              "display-claim:6b6d7f776fe7541cae13d28f"
            ],
            "display_source_ids": [
              "display-source:TKM:2cec0137d1a3eab61bdc3af9"
            ],
            "source_version_ids": [
              "display-source-version:0c952b73d59d997c225e7975"
            ],
            "display_evidence_object_id": "display-claim:6b6d7f776fe7541cae13d28f"
          }
        ]
      },
      "title": "Self-referral is reported as historical comparative evidence",
      "statement": "The comparative review reports self-referral in Turkmenistan, but the evidence is historical and cannot establish a current bypass rate, patient preference, or national referral performance.",
      "citation": "Kringos D, et al., Primary health care, European Observatory, 2015.",
      "url": "https://www.ncbi.nlm.nih.gov/books/NBK458296/",
      "locator": "Gatekeeping and referral functions of primary care, text citing Turkmenistan evidence.",
      "period": "Comparative literature published 2015; cited Turkmenistan evidence includes 2009",
      "territory": "Turkmenistan in comparative former-Soviet-country review",
      "evidence_mode_candidate": "reported",
      "verification_source_layer": "research_literature",
      "coverage_domains": [
        "primary_care",
        "hospital_organization",
        "referral_design",
        "observed_referral",
        "utilization",
        "patient_flows",
        "networks"
      ],
      "source_references": [
        {
          "title": "Primary health care",
          "citation": "Kringos D, Boerma W, Hutchinson A, Saltman RB, eds. Building primary care in a changing Europe: Primary health care. European Observatory on Health Systems and Policies; 2015. NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK458296/",
          "url": "https://www.ncbi.nlm.nih.gov/books/NBK458296/",
          "locator": {
            "locator_type": "web_section",
            "section": "Gatekeeping and referral functions of primary care",
            "source_word_anchor": "official requirement but not necessarily practised",
            "source_word_count": 6
          },
          "source_version": {
            "response_sha256": "054b5e4352e0c5a681fa088a7ef2fc359a7692bf2ade6672283e3b7eff051926",
            "detected_media_type": "text/html",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:TKM:ncbi-primary-care-former-soviet-2014",
          "display_source_id": "display-source:TKM:2cec0137d1a3eab61bdc3af9",
          "source_version_id": "display-source-version:0c952b73d59d997c225e7975"
        }
      ],
      "source_version": {
        "response_sha256": "054b5e4352e0c5a681fa088a7ef2fc359a7692bf2ade6672283e3b7eff051926",
        "detected_media_type": "text/html",
        "hash_verified": true,
        "retrieved_at": "2026-08-22"
      },
      "display_source_ids": [
        "display-source:TKM:2cec0137d1a3eab61bdc3af9"
      ],
      "source_version_ids": [
        "display-source-version:0c952b73d59d997c225e7975"
      ],
      "display_claim_ids": [
        "display-claim:08451c75e08c844b67d7a549",
        "display-claim:9b4b44cb0ca02f7afef121dc",
        "display-claim:8d966d69badbb48b974ec4e8",
        "display-claim:6b6d7f776fe7541cae13d28f"
      ],
      "display_evidence_object_id": "display-claim:08451c75e08c844b67d7a549",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:TKM:time-reform:health-programme-instruments-2024-2028",
      "country_id": "TKM",
      "mapping_group": "time_and_reform",
      "target_view": "reforms",
      "target_slot": "formally-named-health-programme-instruments-2024-2028",
      "support_state": "candidate_supported",
      "annotation_state": "open",
      "mapping_basis": "Official government health-policy statement",
      "source_projection_ids": [
        "country-improvement-source:TKM:mfa-healthcare-programmes-2022"
      ],
      "typed_fields": {
        "formal_reform_object": "The official webpage names the National Program for the Development of Physiology, National Strategy for Medical Health and Rehabilitation Activities, and National Immunoprophylaxis Program for 2024 to 2028.",
        "boundary": "The dated webpage's programme list does not verify enactment, nationwide implementation, coverage, or effects."
      },
      "analytical_objects": {
        "graph_nodes": [
          {
            "node_id": "tkm:health-programmes-2024-2028",
            "label": "Named health programmes for 2024 to 2028",
            "family": "national",
            "display_claim_ids": [
              "display-claim:369f41656c6408e0034cf5e3"
            ],
            "display_source_ids": [
              "display-source:TKM:13c7e75003b56e9b9481929e"
            ],
            "source_version_ids": [
              "display-source-version:6032c5672060ebd0faa66826"
            ],
            "display_evidence_object_id": "display-claim:369f41656c6408e0034cf5e3"
          }
        ],
        "graph_edges": [
          {
            "source_node_id": "tkm:health-programmes-2024-2028",
            "target_node_id": "tkm:mohmi",
            "relationship": "named as national health-policy instruments",
            "relationship_family": "governance",
            "display_claim_ids": [
              "display-claim:8d7e44693691ed653b1fccf7"
            ],
            "display_source_ids": [
              "display-source:TKM:13c7e75003b56e9b9481929e"
            ],
            "source_version_ids": [
              "display-source-version:6032c5672060ebd0faa66826"
            ],
            "display_evidence_object_id": "display-claim:8d7e44693691ed653b1fccf7"
          }
        ],
        "reform_events": [
          {
            "event_id": "tkm-programmes-2024-2028",
            "label": "Named national health-related programmes and strategies",
            "year": 2024,
            "status": "Formally named on official webpage; implementation not verified",
            "display_claim_ids": [
              "display-claim:9cb2abf65b117fae778127c6"
            ],
            "display_source_ids": [
              "display-source:TKM:13c7e75003b56e9b9481929e"
            ],
            "source_version_ids": [
              "display-source-version:6032c5672060ebd0faa66826"
            ],
            "display_evidence_object_id": "display-claim:9cb2abf65b117fae778127c6"
          }
        ]
      },
      "title": "Health programmes are named reform objects",
      "statement": "An official government webpage names several health-related programmes for 2024 to 2028. It establishes policy objects, not their completion or outcomes.",
      "citation": "Ministry of Foreign Affairs of Turkmenistan, Healthcare, 2022.",
      "url": "https://mfa.gov.tm/en/articles/7",
      "locator": "Healthcare webpage, paragraph naming current 2024-2028 programmes.",
      "period": "Official webpage dated 2022; it names programmes for 2024 to 2028",
      "territory": "Turkmenistan, national policy statement",
      "evidence_mode_candidate": "formal",
      "verification_source_layer": "official",
      "coverage_domains": [
        "reform_history",
        "actors",
        "government_responsibilities",
        "governance",
        "primary_care",
        "hospital_organization",
        "networks"
      ],
      "source_references": [
        {
          "title": "Healthcare",
          "citation": "Ministry of Foreign Affairs of Turkmenistan. Healthcare. 2022. https://mfa.gov.tm/en/articles/7",
          "url": "https://mfa.gov.tm/en/articles/7",
          "locator": {
            "locator_type": "web_section",
            "section": "Healthcare",
            "source_word_anchor": "National Immunoprophylaxis Program of Turkmenistan",
            "source_word_count": 5
          },
          "source_version": {
            "response_sha256": "d49b9a070719810af8c96fc59155cf421717ea7fb63ad9eb2089d5263569db71",
            "detected_media_type": "text/html",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:TKM:mfa-healthcare-programmes-2022",
          "display_source_id": "display-source:TKM:13c7e75003b56e9b9481929e",
          "source_version_id": "display-source-version:6032c5672060ebd0faa66826"
        }
      ],
      "source_version": {
        "response_sha256": "d49b9a070719810af8c96fc59155cf421717ea7fb63ad9eb2089d5263569db71",
        "detected_media_type": "text/html",
        "hash_verified": true,
        "retrieved_at": "2026-08-22"
      },
      "display_source_ids": [
        "display-source:TKM:13c7e75003b56e9b9481929e"
      ],
      "source_version_ids": [
        "display-source-version:6032c5672060ebd0faa66826"
      ],
      "display_claim_ids": [
        "display-claim:bf84723c62f06d80ab7a1d14",
        "display-claim:369f41656c6408e0034cf5e3",
        "display-claim:8d7e44693691ed653b1fccf7",
        "display-claim:9cb2abf65b117fae778127c6"
      ],
      "display_evidence_object_id": "display-claim:bf84723c62f06d80ab7a1d14",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    },
    {
      "mapping_id": "candidate-mapping:TKM:time-reform:health-workforce-action-plan-2020",
      "country_id": "TKM",
      "mapping_group": "time_and_reform",
      "target_view": "reforms",
      "target_slot": "reported-health-workforce-action-plan-2020",
      "support_state": "candidate_supported",
      "annotation_state": "open",
      "mapping_basis": "WHO action-plan announcement",
      "source_projection_ids": [
        "country-improvement-source:TKM:who-hrh-plan-2020",
        "country-improvement-source:TKM:who-country-office-about-2020"
      ],
      "typed_fields": {
        "reported_reform": "WHO reports Ministry approval of a five-year health-workforce action plan in 2020, including a call for a workforce register.",
        "boundary": "The announcement does not establish that the plan, register, or monitoring goals were completed or changed current service delivery."
      },
      "analytical_objects": {
        "graph_nodes": [
          {
            "node_id": "tkm:hrh-action-plan-2020",
            "label": "Health-workforce action plan",
            "family": "national",
            "display_claim_ids": [
              "display-claim:4fc4d1083902551a3ce061d3"
            ],
            "display_source_ids": [
              "display-source:TKM:015e08363db84161545644a5",
              "display-source:TKM:204b5c4458ce3a46004b105a"
            ],
            "source_version_ids": [
              "display-source-version:47eecb561502348a48d2302b",
              "display-source-version:7254eb8108f2d372f168f8e1"
            ],
            "display_evidence_object_id": "display-claim:4fc4d1083902551a3ce061d3"
          },
          {
            "node_id": "tkm:hrh-register",
            "label": "Health-workforce register",
            "family": "national",
            "display_claim_ids": [
              "display-claim:9c531b938ba910a0ab336554"
            ],
            "display_source_ids": [
              "display-source:TKM:015e08363db84161545644a5",
              "display-source:TKM:204b5c4458ce3a46004b105a"
            ],
            "source_version_ids": [
              "display-source-version:47eecb561502348a48d2302b",
              "display-source-version:7254eb8108f2d372f168f8e1"
            ],
            "display_evidence_object_id": "display-claim:9c531b938ba910a0ab336554"
          }
        ],
        "graph_edges": [
          {
            "source_node_id": "tkm:hrh-action-plan-2020",
            "target_node_id": "tkm:hrh-register",
            "relationship": "reported to call for register establishment",
            "relationship_family": "governance",
            "display_claim_ids": [
              "display-claim:3b3b8760082209c613de64cf"
            ],
            "display_source_ids": [
              "display-source:TKM:015e08363db84161545644a5",
              "display-source:TKM:204b5c4458ce3a46004b105a"
            ],
            "source_version_ids": [
              "display-source-version:47eecb561502348a48d2302b",
              "display-source-version:7254eb8108f2d372f168f8e1"
            ],
            "display_evidence_object_id": "display-claim:3b3b8760082209c613de64cf"
          }
        ],
        "reform_events": [
          {
            "event_id": "tkm-hrh-plan-2020",
            "label": "Five-year health-workforce action plan",
            "year": 2020,
            "status": "Reported by WHO as approved",
            "display_claim_ids": [
              "display-claim:1e9ca85b3a43823f161d163f"
            ],
            "display_source_ids": [
              "display-source:TKM:015e08363db84161545644a5",
              "display-source:TKM:204b5c4458ce3a46004b105a"
            ],
            "source_version_ids": [
              "display-source-version:47eecb561502348a48d2302b",
              "display-source-version:7254eb8108f2d372f168f8e1"
            ],
            "display_evidence_object_id": "display-claim:1e9ca85b3a43823f161d163f"
          }
        ]
      },
      "title": "Health-workforce plan is a reported 2020 reform event",
      "statement": "WHO reports Ministry approval of a five-year health-workforce plan in 2020 and a proposed workforce register. The announcement does not demonstrate completed implementation or present performance.",
      "citation": "WHO Regional Office for Europe, Turkmenistan approves new action plan for development of human resources for health, 2020.",
      "url": "https://www.who.int/europe/news/item/03-01-2020-turkmenistan-approves-new-action-plan-for-development-of-human-resources-for-health",
      "locator": "Announcement text and Workforce register to plan and manage health workforce section.",
      "period": "Five-year action plan approved 2020; stated goals to 2025",
      "territory": "Turkmenistan, national health-workforce policy",
      "evidence_mode_candidate": "reported",
      "verification_source_layer": "official",
      "coverage_domains": [
        "reform_history",
        "actors",
        "government_responsibilities",
        "decision_rights",
        "autonomy",
        "governance",
        "authoritative_review"
      ],
      "source_references": [
        {
          "title": "Turkmenistan approves new action plan for development of human resources for health",
          "citation": "World Health Organization Regional Office for Europe. Turkmenistan approves new action plan for development of human resources for health. 2020. https://www.who.int/europe/news/item/03-01-2020-turkmenistan-approves-new-action-plan-for-development-of-human-resources-for-health",
          "url": "https://www.who.int/europe/news/item/03-01-2020-turkmenistan-approves-new-action-plan-for-development-of-human-resources-for-health",
          "locator": {
            "locator_type": "web_section",
            "section": "Turkmenistan approves new action plan",
            "source_word_anchor": "approved a 5-year action plan",
            "source_word_count": 5
          },
          "source_version": {
            "response_sha256": "e8f779da99ffd419b1b2680e53e7ff22f3a9c47dada66922e0cd0911ebef09c1",
            "detected_media_type": "text/html",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:TKM:who-hrh-plan-2020",
          "display_source_id": "display-source:TKM:015e08363db84161545644a5",
          "source_version_id": "display-source-version:47eecb561502348a48d2302b"
        },
        {
          "title": "About WHO in Turkmenistan",
          "citation": "World Health Organization Regional Office for Europe. About WHO in Turkmenistan. 2020. https://www.who.int/turkmenistan/about-us",
          "url": "https://www.who.int/turkmenistan/about-us",
          "locator": {
            "locator_type": "web_section",
            "section": "About WHO in Turkmenistan",
            "source_word_anchor": "assist the Government to develop",
            "source_word_count": 5
          },
          "source_version": {
            "response_sha256": "029895870a66a71ca5d09e6c12f54292694dde30dcbc44f8e46213ae09fc6152",
            "detected_media_type": "text/html",
            "hash_verified": true,
            "retrieved_at": "2026-08-22"
          },
          "source_projection_id": "country-improvement-source:TKM:who-country-office-about-2020",
          "display_source_id": "display-source:TKM:204b5c4458ce3a46004b105a",
          "source_version_id": "display-source-version:7254eb8108f2d372f168f8e1"
        }
      ],
      "source_version": {
        "response_sha256": "e8f779da99ffd419b1b2680e53e7ff22f3a9c47dada66922e0cd0911ebef09c1",
        "detected_media_type": "text/html",
        "hash_verified": true,
        "retrieved_at": "2026-08-22"
      },
      "display_source_ids": [
        "display-source:TKM:015e08363db84161545644a5",
        "display-source:TKM:204b5c4458ce3a46004b105a"
      ],
      "source_version_ids": [
        "display-source-version:47eecb561502348a48d2302b",
        "display-source-version:7254eb8108f2d372f168f8e1"
      ],
      "display_claim_ids": [
        "display-claim:79bc13f3b384d58e39bf59a2",
        "display-claim:4fc4d1083902551a3ce061d3",
        "display-claim:9c531b938ba910a0ab336554",
        "display-claim:3b3b8760082209c613de64cf",
        "display-claim:1e9ca85b3a43823f161d163f"
      ],
      "display_evidence_object_id": "display-claim:79bc13f3b384d58e39bf59a2",
      "display_eligible": true,
      "canonical_claim": false,
      "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim"
    }
  ],
  "displayed_evidence": {
    "candidate_sources": [
      {
        "candidate_source_id": "candidate-source:TKM:ebc9679b64316cbe8601",
        "evidence_layer": "candidate_source_metadata",
        "evidence_layers": [
          "candidate_source_metadata"
        ],
        "source_layers": [
          "candidate_source_metadata"
        ],
        "source_type": "candidate source metadata",
        "display_eligible": true,
        "title": "Historical evolution of healthcare systems of post-soviet Russia, Belarus, Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, Uzbekistan, Armenia, and Azerbaijan: A scoping review.",
        "citation": "Semenova Y, Lim L, Salpynov Z, Gaipov A, Jakovljevic M. Historical evolution of healthcare systems of post-soviet Russia, Belarus, Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, Uzbekistan, Armenia, and Azerbaijan: A scoping review.. Heliyon. 2024. doi:10.1016/j.heliyon.2024.e29550.",
        "citation_string": "Semenova Y, Lim L, Salpynov Z, Gaipov A, Jakovljevic M. Historical evolution of healthcare systems of post-soviet Russia, Belarus, Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, Uzbekistan, Armenia, and Azerbaijan: A scoping review.. Heliyon. 2024. doi:10.1016/j.heliyon.2024.e29550.",
        "citation_status": "supplied",
        "citation_provenance": "source metadata",
        "url": "https://pubmed.ncbi.nlm.nih.gov/38655295/",
        "publication_year": 2024,
        "source_families": [
          "pubmed_global_country_system_review_discovery"
        ],
        "channels": [
          "pubmed_review"
        ],
        "verification_source_layer": "review_literature",
        "coverage_domains": [
          "decision_rights",
          "governance",
          "government_responsibilities",
          "hospital_organization",
          "networks",
          "primary_care",
          "reform_history"
        ],
        "url_verification_status": null,
        "source_version": {
          "file_sha256": null,
          "text_sha256": null,
          "response_sha256": null,
          "page_count": null
        },
        "locator": null,
        "display_status": "shown_in_full",
        "review_channel": "text_anchored_annotation",
        "verification_requirements": []
      },
      {
        "candidate_source_id": "candidate-source:TKM:a9c844f9e9d3018fc6c5",
        "evidence_layer": "candidate_source_metadata",
        "evidence_layers": [
          "candidate_source_metadata"
        ],
        "source_layers": [
          "candidate_source_metadata"
        ],
        "source_type": "candidate source metadata",
        "display_eligible": true,
        "title": "Implementing health sector reform in Central Asia : papers from an EDI Health Policy Seminar held in Ashgabat, Turkmenistan, June 1996",
        "citation": "World Bank Documents and Reports. Implementing health sector reform in Central Asia : papers from an EDI Health Policy Seminar held in Ashgabat, Turkmenistan, June 1996. World Bank Documents and Reports; 1998. https://documents.worldbank.org/curated/en/954321468780945557/pdf/multi-page.pdf",
        "citation_string": "World Bank Documents and Reports. Implementing health sector reform in Central Asia : papers from an EDI Health Policy Seminar held in Ashgabat, Turkmenistan, June 1996. World Bank Documents and Reports; 1998. https://documents.worldbank.org/curated/en/954321468780945557/pdf/multi-page.pdf",
        "citation_status": "supplied",
        "citation_provenance": "source metadata",
        "url": "https://documents.worldbank.org/curated/en/954321468780945557/pdf/multi-page.pdf",
        "publication_year": 1998,
        "source_families": [
          "global_literature"
        ],
        "channels": [
          "grey_library"
        ],
        "verification_source_layer": "grey_literature",
        "coverage_domains": [
          "actors",
          "government_responsibilities",
          "primary_care",
          "reform_history"
        ],
        "url_verification_status": null,
        "source_version": {
          "file_sha256": null,
          "text_sha256": null,
          "response_sha256": null,
          "page_count": null
        },
        "locator": null,
        "display_status": "shown_in_full",
        "review_channel": "text_anchored_annotation",
        "verification_requirements": []
      },
      {
        "candidate_source_id": "candidate-source:TKM:590c5e68593989ccf0c3",
        "evidence_layer": "candidate_source_metadata",
        "evidence_layers": [
          "candidate_source_metadata"
        ],
        "source_layers": [
          "candidate_source_metadata"
        ],
        "source_type": "candidate source metadata",
        "display_eligible": true,
        "title": "Turkmenistan - Rationalizing the health sector",
        "citation": "World Bank Documents and Reports. Turkmenistan - Rationalizing the health sector. World Bank Documents and Reports; 1996. https://documents.worldbank.org/curated/en/432211468761372739/pdf/multi0page.pdf",
        "citation_string": "World Bank Documents and Reports. Turkmenistan - Rationalizing the health sector. World Bank Documents and Reports; 1996. https://documents.worldbank.org/curated/en/432211468761372739/pdf/multi0page.pdf",
        "citation_status": "supplied",
        "citation_provenance": "source metadata",
        "url": "https://documents.worldbank.org/curated/en/432211468761372739/pdf/multi0page.pdf",
        "publication_year": 1996,
        "source_families": [
          "global_literature"
        ],
        "channels": [
          "grey_library"
        ],
        "verification_source_layer": "grey_literature",
        "coverage_domains": [
          "actors",
          "government_responsibilities",
          "primary_care"
        ],
        "url_verification_status": null,
        "source_version": {
          "file_sha256": null,
          "text_sha256": null,
          "response_sha256": null,
          "page_count": null
        },
        "locator": null,
        "display_status": "shown_in_full",
        "review_channel": "text_anchored_annotation",
        "verification_requirements": []
      }
    ],
    "candidate_facts": [],
    "exact_contexts": []
  },
  "evidence_scorecard": {
    "country_id": "TKM",
    "audit_passed": true,
    "preparation_stage": "direct_typed_mapping",
    "preparation_stage_label": "Explicit analytical mappings",
    "scores": {
      "analytical_mapping_groups": {
        "denominator": 5,
        "numerator": 5,
        "score": 100,
        "unit": "explicit analytical object groups"
      },
      "controlled_domain_leads": {
        "denominator": 17,
        "numerator": 17,
        "score": 100,
        "unit": "controlled domains with displayed candidate leads"
      },
      "material_locator_coverage": {
        "denominator": 69,
        "numerator": 60,
        "score": 87,
        "unit": "material records with an exact locator"
      },
      "material_url_coverage": {
        "denominator": 69,
        "numerator": 69,
        "score": 100,
        "unit": "material records with at least one public URL"
      },
      "material_version_coverage": {
        "denominator": 69,
        "numerator": 69,
        "score": 100,
        "unit": "material records with an immutable source version"
      },
      "source_layer_presence": {
        "denominator": 3,
        "numerator": 3,
        "score": 100,
        "unit": "displayed candidate-source layers"
      }
    },
    "represented_domain_ids": [
      "actors",
      "government_responsibilities",
      "ownership",
      "decision_rights",
      "autonomy",
      "primary_care",
      "hospital_organization",
      "referral_design",
      "observed_referral",
      "networks",
      "facility_data",
      "utilization",
      "patient_flows",
      "governance",
      "market_structure",
      "reform_history",
      "authoritative_review"
    ],
    "missing_domain_ids": [],
    "direct_typed_domain_ids": [
      "actors",
      "government_responsibilities",
      "ownership",
      "decision_rights",
      "autonomy",
      "primary_care",
      "hospital_organization",
      "referral_design",
      "observed_referral",
      "networks",
      "facility_data",
      "utilization",
      "patient_flows",
      "governance",
      "market_structure",
      "reform_history",
      "authoritative_review"
    ],
    "priority_actions": [
      {
        "action_id": "annotate-country-synthesis",
        "detail": "All six preparation dimensions meet the target. Every source-linked finding and supporting material remains open for correction, qualification, and additional evidence through annotations.",
        "label": "Review and annotate the country synthesis"
      }
    ],
    "review_ready_material_ids": [
      "material:ddf4a542e31bec45fffbceea",
      "material:cbfbc4f8381ce4479f42c0b5",
      "material:b38e7bfb0d87780c91c8d494",
      "material:9c6ef7547fdfac21754c1bbf",
      "material:731f48dba100ea89b2261f93"
    ],
    "full_scorecard_url": "https://wb-works.site/tools/health-organization/data/evidence-scorecards.json"
  },
  "materials": [
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [
        "Semenova Y",
        "Lim L",
        "Salpynov Z",
        "Gaipov A",
        "Jakovljevic M"
      ],
      "availability": {
        "metadata_only": true,
        "source_bytes_verified": false
      },
      "citation": "Semenova Y, Lim L, Salpynov Z, Gaipov A, Jakovljevic M. Historical evolution of healthcare systems of post-soviet Russia, Belarus, Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, Uzbekistan, Armenia, and Azerbaijan: A scoping review.. Heliyon. 2024. doi:10.1016/j.heliyon.2024.e29550.",
      "country_ids": [
        "ARM",
        "AZE",
        "BLR",
        "KAZ",
        "KGZ",
        "RUS",
        "TJK",
        "TKM",
        "UZB"
      ],
      "coverage_domains": [
        "decision_rights",
        "governance",
        "government_responsibilities",
        "hospital_organization",
        "networks",
        "primary_care",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": "pubmed_review_candidate",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "Heliyon",
      "locator": null,
      "material_id": "material:d40c0747c71c13503de51962",
      "notes": [
        "The title screen is conservative and cannot replace abstract or full-text review.",
        "This candidate is not formal authority for jurisdictional rules.",
        "NCBI E-utilities metadata candidate. Human relevance and full-text appraisal are pending.",
        "Returned by the country-specific PubMed query and passed conservative title checks for country mention, review relevance, broad country-system scope, and health-system organization or delivery relevance.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-pubmed-review-leads",
      "period": null,
      "publication_date": "2024 Apr 30",
      "publication_year": 2024,
      "record_kind": "pubmed_review_source_lead",
      "record_kind_label": "Pubmed Review Source Lead",
      "screening": {
        "previous_boundary_detected": true,
        "previous_visibility": "previously_not_projected",
        "review_status": "needs_review",
        "source_version_linked_from_country_score_acquisition": true,
        "triage_status": "new"
      },
      "source_layers": [],
      "source_system": "PubMed E-utilities",
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "2ef9ec2a6e8bd5d4af45ceb77638caa2ae655f1c4520cffe0a814cc63732fa5e"
      },
      "statement": null,
      "tags": [
        "NCBI E-utilities metadata candidate. Human relevance and full-text appraisal are pending."
      ],
      "territory": null,
      "title": "Historical evolution of healthcare systems of post-soviet Russia, Belarus, Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, Uzbekistan, Armenia, and Azerbaijan: A scoping review.",
      "urls": [
        {
          "kind": "pubmed",
          "source": "not supplied",
          "url": "https://pubmed.ncbi.nlm.nih.gov/38655295/"
        },
        {
          "kind": "doi",
          "source": "not supplied",
          "url": "https://doi.org/10.1016/j.heliyon.2024.e29550"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Semenova Y, Lim L, Salpynov Z, Gaipov A, Jakovljevic M. Historical evolution of healthcare systems of post-soviet Russia, Belarus, Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, Uzbekistan, Armenia, and Azerbaijan: A scoping review.. Heliyon. 2024. doi:10.1016/j.heliyon.2024.e29550.",
      "country_ids": [
        "ARM",
        "AZE",
        "BLR",
        "KAZ",
        "KGZ",
        "RUS",
        "TJK",
        "TKM",
        "UZB"
      ],
      "coverage_domains": [
        "decision_rights",
        "governance",
        "government_responsibilities",
        "hospital_organization",
        "networks",
        "primary_care",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": null,
      "excerpt": null,
      "institution": null,
      "locator": null,
      "material_id": "material:84f3d3f7888c96762b75f545",
      "notes": [
        "Citation metadata identifies a country-scoped review lead, but no locally acquired full text was selected for an exact excerpt.",
        "No country statement is created from title or bibliographic metadata alone.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-review-evidence-context",
      "period": null,
      "publication_date": null,
      "publication_year": 2024,
      "record_kind": "review_literature_context",
      "record_kind_label": "Review Literature Context",
      "screening": {
        "context_status": "metadata_only",
        "previous_boundary_detected": true,
        "previous_visibility": "previously_not_projected",
        "review_status": "needs_review",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [],
      "source_system": "pubmed_global_country_system_review_discovery",
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "2ef9ec2a6e8bd5d4af45ceb77638caa2ae655f1c4520cffe0a814cc63732fa5e"
      },
      "statement": null,
      "tags": [],
      "territory": null,
      "title": "Review Literature Context",
      "urls": [
        {
          "kind": "doi",
          "source": "not supplied",
          "url": "https://doi.org/10.1016/j.heliyon.2024.e29550"
        },
        {
          "kind": "pubmed",
          "source": "not supplied",
          "url": "https://pubmed.ncbi.nlm.nih.gov/38655295/"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Implementing health sector reform in Central Asia : papers from an EDI Health Policy Seminar held in Ashgabat, Turkmenistan, June 1996. 1998. https://documents.worldbank.org/curated/en/954321468780945557",
      "country_ids": [
        "AZE",
        "KAZ",
        "ROU",
        "TJK",
        "TKM",
        "UZB"
      ],
      "coverage_domains": [
        "health_financing",
        "leadership_governance",
        "pooling_insurance",
        "primary_care",
        "provider_payment",
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 6,
        "source_word_anchor": "to policymaking and effective governance and to build an engaged and informed",
        "source_word_count": 12
      },
      "material_id": "material:07a273df804b71fefaeb97bd",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the priority traceability audit.",
        "A recoverable source locator was retrieved from this exact public source URL in the priority traceability audit."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "1998-12-31",
      "publication_year": 1998,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_priority_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_priority_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 165,
        "response_sha256": "657f034e72fb88963e8f8289bbac33a682eb9c957d13843f81c184a2461380ff"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "control_knob:payment",
        "health_system_topic:pooling_insurance",
        "health_system_topic:primary_care",
        "health_system_topic:provider_payment",
        "population_group:rural_remote",
        "service_area:cross_cutting",
        "service_area:infectious_disease",
        "service_area:maternal_reproductive",
        "service_area:primary_care",
        "who_building_block:health_financing",
        "who_building_block:leadership_governance",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Implementing health sector reform in Central Asia : papers from an EDI Health Policy Seminar held in Ashgabat, Turkmenistan, June 1996",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/954321468780945557"
        },
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/954321468780945557/pdf/multi-page.pdf"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/954321468780945557/text/multi-page.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "经济学能力建设: 转型经济体的教育与研究. 2002. https://documents.worldbank.org/curated/en/399491468774295687",
      "country_ids": [
        "BLR",
        "EST",
        "LTU",
        "LVA",
        "SVN",
        "TKM"
      ],
      "coverage_domains": [],
      "display_status": "shown_in_full",
      "document_type": "national health policy",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": null,
      "material_id": "material:13cf293d15bbaa11c5c5192a",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2002-01-31",
      "publication_year": 2002,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 56,
        "response_sha256": "6028033b037d54186ac88a6d545d43a1604adc8c3d7f93850e119b40006a7f5e"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "control_knob:persuasion_behaviour",
        "control_knob:regulation"
      ],
      "territory": "national",
      "title": "经济学能力建设: 转型经济体的教育与研究",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/399491468774295687"
        },
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/399491468774295687/pdf/multi0page.pdf"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/399491468774295687/text/multi0page.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Afghanistan Border States Development Framework approach paper : discussion draft. 2001. https://documents.worldbank.org/curated/en/521401468778179719",
      "country_ids": [
        "IRN",
        "TKM"
      ],
      "coverage_domains": [
        "leadership_governance"
      ],
      "display_status": "shown_in_full",
      "document_type": "working paper",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 9,
        "source_word_anchor": "also rise taxing public health services that are already overstretched 3 Yet",
        "source_word_count": 12
      },
      "material_id": "material:be4489c8dba449534dfe8234",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2001-11-12",
      "publication_year": 2001,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 56,
        "response_sha256": "ffc77b9230fa78fb5ad87888347d32f91a30c1bec21bc094d678632b3c7b59da"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "who_building_block:leadership_governance"
      ],
      "territory": "national",
      "title": "Afghanistan Border States Development Framework approach paper : discussion draft",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/521401468778179719"
        },
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/521401468778179719/text/multi0page.txt"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/521401468778179719/pdf/multi0page.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "Ministry interactive-services portal",
        "mapping_group": "delivery_and_referrals",
        "mapping_id": "candidate-mapping:TKM:delivery-referrals:listed-facility-information-service",
        "source_projection_ids": [
          "country-improvement-source:TKM:mohmi-services-2026"
        ],
        "support_state": "candidate_supported",
        "target_slot": "formal-facility-information-service",
        "target_view": "delivery",
        "typed_fields": {
          "boundary": "The portal does not provide the list's contents, facility count, clinical capacity, delivery volumes, or referral links in the cited page.",
          "formal_service": "The Ministry public portal lists a service for health-care-facility information."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Ministry of Health and Medical Industry of Turkmenistan, Ministry portal, retrieved 2026.",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "facility_data",
        "hospital_organization",
        "networks",
        "primary_care"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "formal",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "Interactive services section, List of healthcare facilities."
      },
      "material_id": "material:74d671ae4600ab1820ad2bbb",
      "notes": [],
      "origin": "candidate-analytical-mappings",
      "period": "Institutional webpage retrieved 2026-08-22",
      "publication_date": null,
      "publication_year": null,
      "record_kind": "candidate_analytical_mapping",
      "record_kind_label": "Candidate Analytical Mapping",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "official"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "25429bc5cbc284c8c5b88d111d0488b80d7b3a4535c821f2dd3d688a58d0e0f5"
      },
      "statement": "The Ministry formally lists a health-care-facility information service. That listing does not establish the number, capacity, service mix, or performance of facilities.",
      "tags": [],
      "territory": "Turkmenistan, Ministry public-service portal",
      "title": "Facility information is formally listed, not delivery measured",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://saglykhm.gov.tm/en"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "Official government health-policy statement",
        "mapping_group": "time_and_reform",
        "mapping_id": "candidate-mapping:TKM:time-reform:health-programme-instruments-2024-2028",
        "source_projection_ids": [
          "country-improvement-source:TKM:mfa-healthcare-programmes-2022"
        ],
        "support_state": "candidate_supported",
        "target_slot": "formally-named-health-programme-instruments-2024-2028",
        "target_view": "reforms",
        "typed_fields": {
          "boundary": "The dated webpage's programme list does not verify enactment, nationwide implementation, coverage, or effects.",
          "formal_reform_object": "The official webpage names the National Program for the Development of Physiology, National Strategy for Medical Health and Rehabilitation Activities, and National Immunoprophylaxis Program for 2024 to 2028."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Ministry of Foreign Affairs of Turkmenistan, Healthcare, 2022.",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "actors",
        "governance",
        "government_responsibilities",
        "hospital_organization",
        "networks",
        "primary_care",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "formal",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "Healthcare webpage, paragraph naming current 2024-2028 programmes."
      },
      "material_id": "material:9db08685fde0301f301d26f1",
      "notes": [],
      "origin": "candidate-analytical-mappings",
      "period": "Official webpage dated 2022; it names programmes for 2024 to 2028",
      "publication_date": null,
      "publication_year": null,
      "record_kind": "candidate_analytical_mapping",
      "record_kind_label": "Candidate Analytical Mapping",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "official"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "d49b9a070719810af8c96fc59155cf421717ea7fb63ad9eb2089d5263569db71"
      },
      "statement": "An official government webpage names several health-related programmes for 2024 to 2028. It establishes policy objects, not their completion or outcomes.",
      "tags": [],
      "territory": "Turkmenistan, national policy statement",
      "title": "Health programmes are named reform objects",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://mfa.gov.tm/en/articles/7"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "WHO action-plan announcement",
        "mapping_group": "time_and_reform",
        "mapping_id": "candidate-mapping:TKM:time-reform:health-workforce-action-plan-2020",
        "source_projection_ids": [
          "country-improvement-source:TKM:who-hrh-plan-2020",
          "country-improvement-source:TKM:who-country-office-about-2020"
        ],
        "support_state": "candidate_supported",
        "target_slot": "reported-health-workforce-action-plan-2020",
        "target_view": "reforms",
        "typed_fields": {
          "boundary": "The announcement does not establish that the plan, register, or monitoring goals were completed or changed current service delivery.",
          "reported_reform": "WHO reports Ministry approval of a five-year health-workforce action plan in 2020, including a call for a workforce register."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "WHO Regional Office for Europe, Turkmenistan approves new action plan for development of human resources for health, 2020.",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "actors",
        "authoritative_review",
        "autonomy",
        "decision_rights",
        "governance",
        "government_responsibilities",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "Announcement text and Workforce register to plan and manage health workforce section."
      },
      "material_id": "material:0ef756031bcac5652bb3ba05",
      "notes": [],
      "origin": "candidate-analytical-mappings",
      "period": "Five-year action plan approved 2020; stated goals to 2025",
      "publication_date": null,
      "publication_year": null,
      "record_kind": "candidate_analytical_mapping",
      "record_kind_label": "Candidate Analytical Mapping",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "official"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "e8f779da99ffd419b1b2680e53e7ff22f3a9c47dada66922e0cd0911ebef09c1"
      },
      "statement": "WHO reports Ministry approval of a five-year health-workforce plan in 2020 and a proposed workforce register. The announcement does not demonstrate completed implementation or present performance.",
      "tags": [],
      "territory": "Turkmenistan, national health-workforce policy",
      "title": "Health-workforce plan is a reported 2020 reform event",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://www.who.int/europe/news/item/03-01-2020-turkmenistan-approves-new-action-plan-for-development-of-human-resources-for-health"
        },
        {
          "kind": "source_reference",
          "source": "About WHO in Turkmenistan",
          "url": "https://www.who.int/turkmenistan/about-us"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "World Development Indicators API observation",
        "mapping_group": "delivery_and_referrals",
        "mapping_id": "candidate-mapping:TKM:delivery-referrals:observed-hospital-bed-density-2021",
        "source_projection_ids": [
          "country-improvement-source:TKM:world-bank-hospital-beds-2026"
        ],
        "support_state": "candidate_supported",
        "target_slot": "observed-hospital-bed-density-2021",
        "target_view": "delivery",
        "typed_fields": {
          "boundary": "This capacity input does not measure admissions, occupancy, quality, geographical distribution, ownership, or referral function.",
          "denominator": "Hospital beds divided by total population, expressed per 1,000 people.",
          "observed_input": "World Development Indicators record 3.6 hospital beds per 1,000 people for Turkmenistan in 2021."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank, World Development Indicators, SH.MED.BEDS.ZS, Turkmenistan 2021 observation.",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "facility_data",
        "hospital_organization",
        "market_structure",
        "patient_flows",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "observed",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "API observation date=2021."
      },
      "material_id": "material:bf2d7ba2bd15e74a1f1a7cee",
      "notes": [],
      "origin": "candidate-analytical-mappings",
      "period": "2021 annual observation",
      "publication_date": null,
      "publication_year": null,
      "record_kind": "candidate_analytical_mapping",
      "record_kind_label": "Candidate Analytical Mapping",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "official"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "application/json",
        "response_sha256": "2d12a901a2a09aa6d973c41670c382f6d9ce7e0ffbd876034fce9d5668132f24"
      },
      "statement": "World Development Indicators record 3.6 hospital beds per 1,000 people in 2021. This observed capacity input does not establish use, distribution, or delivery performance.",
      "tags": [],
      "territory": "Turkmenistan, national",
      "title": "Hospital-bed density is a denominator-labelled capacity input",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://api.worldbank.org/v2/country/TKM/indicator/SH.MED.BEDS.ZS?format=json&per_page=100"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "Ministry interactive-services portal",
        "mapping_group": "actors_and_functions",
        "mapping_id": "candidate-mapping:TKM:actors-functions:ministry-service-portal",
        "source_projection_ids": [
          "country-improvement-source:TKM:mohmi-services-2026"
        ],
        "support_state": "candidate_supported",
        "target_slot": "ministry-public-service-portal",
        "target_view": "functions",
        "typed_fields": {
          "boundary": "The page does not give a complete statutory allocation of functions across public providers, local government, or private actors.",
          "formal_role": "The Ministry portal lists state voluntary health insurance and a health-care-facility list as interactive services."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Ministry of Health and Medical Industry of Turkmenistan, Ministry portal, retrieved 2026.",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "actors",
        "facility_data",
        "governance",
        "government_responsibilities",
        "networks"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "formal",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "Interactive services section."
      },
      "material_id": "material:d2e8281b8afff68587722397",
      "notes": [],
      "origin": "candidate-analytical-mappings",
      "period": "Institutional webpage retrieved 2026-08-22",
      "publication_date": null,
      "publication_year": null,
      "record_kind": "candidate_analytical_mapping",
      "record_kind_label": "Candidate Analytical Mapping",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "official"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "25429bc5cbc284c8c5b88d111d0488b80d7b3a4535c821f2dd3d688a58d0e0f5"
      },
      "statement": "The Ministry formally publishes a health-service portal that includes state voluntary health insurance and facility-list services. The portal is not a complete functional map of the system.",
      "tags": [],
      "territory": "Turkmenistan, Ministry public-service portal",
      "title": "Ministry public-service role is formally visible",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://saglykhm.gov.tm/en"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "European Observatory 2000 system review",
        "mapping_group": "decision_rights_and_autonomy",
        "mapping_id": "candidate-mapping:TKM:decision-autonomy:historical-national-regional-allocation",
        "source_projection_ids": [
          "country-improvement-source:TKM:observatory-hit-2000"
        ],
        "support_state": "candidate_supported",
        "target_slot": "historical-policy-operation-financing-allocation-2000",
        "target_view": "decisions",
        "typed_fields": {
          "accountability_boundary": "The review does not provide a current accountability framework, audited oversight mechanism, or complete decision-rights matrix.",
          "boundary": "These reported allocations are historical and must not be read as current practice.",
          "reported_allocation": "The 2000 review assigns policy-making to the Cabinet, health-service operation to the Ministry, and regional-service financing to velayat governors."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "European Observatory on Health Care Systems, Turkmenistan: health system review 2000.",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "actors",
        "autonomy",
        "decision_rights",
        "governance",
        "government_responsibilities",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "Organizational structure section, p. 19."
      },
      "material_id": "material:d51c5bb249b927ea4c1b29f7",
      "notes": [],
      "origin": "candidate-analytical-mappings",
      "period": "Health-system review published 2000",
      "publication_date": null,
      "publication_year": null,
      "record_kind": "candidate_analytical_mapping",
      "record_kind_label": "Candidate Analytical Mapping",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "review_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "application/pdf",
        "file_sha256": "a859cc83d11508435744f1ce4fb6f39396083c22e60bea3f872887eb2dd1863f"
      },
      "statement": "The 2000 review reports a Cabinet, Ministry and velayat division of policy, operation and financing roles. It does not verify current authority or accountability arrangements.",
      "tags": [],
      "territory": "Turkmenistan, national and velayat context",
      "title": "National and regional decision allocation is reported for 2000",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://iris.who.int/bitstream/handle/10665/108347/HiT-tm-2000-eng.pdf?sequence=6"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "Historical system and reform reviews",
        "mapping_group": "decision_rights_and_autonomy",
        "mapping_id": "candidate-mapping:TKM:decision-autonomy:provider-discretion-boundary",
        "source_projection_ids": [
          "country-improvement-source:TKM:observatory-hit-2000",
          "country-improvement-source:TKM:world-bank-rationalizing-health-sector-1996",
          "country-improvement-source:TKM:who-hrh-plan-2020"
        ],
        "support_state": "candidate_supported",
        "target_slot": "provider-discretion-and-accountability-boundary",
        "target_view": "autonomy",
        "typed_fields": {
          "accountability_boundary": "The 2020 workforce-plan announcement names monitoring and evaluation as a goal but does not document an accountability audit or institutional results.",
          "autonomy_boundary": "The cited material does not establish current provider authority over budgets, staffing, procurement, service configuration, or retained revenue.",
          "historical_context": "The 1996 and 2000 sources concern earlier reform and organizational settings."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank, Turkmenistan: rationalizing the health sector, 1996; European Observatory, Turkmenistan: health system review 2000; WHO, health-workforce action plan announcement, 2020.",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "authoritative_review",
        "autonomy",
        "decision_rights",
        "governance",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "WHO action-plan goals; historical reform and organization sections in the cited reports."
      },
      "material_id": "material:19cf5ca1a431e4c94cd645c2",
      "notes": [],
      "origin": "candidate-analytical-mappings",
      "period": "1996, 2000, and 2020 source periods",
      "publication_date": null,
      "publication_year": null,
      "record_kind": "candidate_analytical_mapping",
      "record_kind_label": "Candidate Analytical Mapping",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "official"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "application/pdf",
        "file_sha256": "a859cc83d11508435744f1ce4fb6f39396083c22e60bea3f872887eb2dd1863f"
      },
      "statement": "The available sources discuss past reform and a workforce-plan goal, but do not establish current provider autonomy or a complete accountability arrangement. No national autonomy score is inferred.",
      "tags": [],
      "territory": "Turkmenistan",
      "title": "Provider autonomy and accountability are not established",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://www.who.int/europe/news/item/03-01-2020-turkmenistan-approves-new-action-plan-for-development-of-human-resources-for-health"
        },
        {
          "kind": "source_reference",
          "source": "Turkmenistan: health system review 2000",
          "url": "https://iris.who.int/bitstream/handle/10665/108347/HiT-tm-2000-eng.pdf?sequence=6"
        },
        {
          "kind": "source_reference",
          "source": "Turkmenistan: rationalizing the health sector",
          "url": "https://documents.worldbank.org/curated/en/432211468761372739/pdf/multi0page.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "European Observatory 2000 system review",
        "mapping_group": "actors_and_functions",
        "mapping_id": "candidate-mapping:TKM:actors-functions:historical-public-delivery-context",
        "source_projection_ids": [
          "country-improvement-source:TKM:observatory-hit-2000"
        ],
        "support_state": "candidate_supported",
        "target_slot": "historical-public-delivery-context-2000",
        "target_view": "public-private",
        "typed_fields": {
          "boundary": "This historical review does not quantify the current public-private mix, provider market shares, or ownership of individual facilities.",
          "reported_context": "The 2000 review describes nationally organized health services, Ministry operation, and regional public financing."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "European Observatory on Health Care Systems, Turkmenistan: health system review 2000.",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "actors",
        "governance",
        "hospital_organization",
        "market_structure",
        "ownership",
        "primary_care"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "Organizational structure and financing sections, pp. 19 and 37."
      },
      "material_id": "material:d01c49b42c8b92e5d9841113",
      "notes": [],
      "origin": "candidate-analytical-mappings",
      "period": "Health-system review published 2000",
      "publication_date": null,
      "publication_year": null,
      "record_kind": "candidate_analytical_mapping",
      "record_kind_label": "Candidate Analytical Mapping",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "review_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "application/pdf",
        "file_sha256": "a859cc83d11508435744f1ce4fb6f39396083c22e60bea3f872887eb2dd1863f"
      },
      "statement": "The 2000 review describes nationally organized services and regional financing. It is useful historical context but does not establish a current public-private ownership mix or care share.",
      "tags": [],
      "territory": "Turkmenistan, national health system with velayat context",
      "title": "Public-delivery context is historical, not a current mix",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://iris.who.int/bitstream/handle/10665/108347/HiT-tm-2000-eng.pdf?sequence=6"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "Comparative primary-care review",
        "mapping_group": "relationships_and_networks",
        "mapping_id": "candidate-mapping:TKM:relationships-networks:formal-referral-requirement",
        "source_projection_ids": [
          "country-improvement-source:TKM:ncbi-primary-care-former-soviet-2014"
        ],
        "support_state": "candidate_supported",
        "target_slot": "formal-referral-requirement-with-practice-boundary",
        "target_view": "referrals",
        "typed_fields": {
          "practice_boundary": "The review expressly says this requirement was not necessarily practised and supplies no current compliance rate.",
          "reported_design": "The comparative review identifies referral to access secondary care as an official requirement in Turkmenistan."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Kringos D, et al., Primary health care, European Observatory, 2015.",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "hospital_organization",
        "networks",
        "observed_referral",
        "patient_flows",
        "primary_care",
        "referral_design"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "Gatekeeping and referral functions of primary care, Table 7.3 and adjacent text."
      },
      "material_id": "material:862edce9db82ecc70fc0f9e2",
      "notes": [],
      "origin": "candidate-analytical-mappings",
      "period": "Comparative literature published 2015; cited country evidence includes 2009",
      "publication_date": null,
      "publication_year": null,
      "record_kind": "candidate_analytical_mapping",
      "record_kind_label": "Candidate Analytical Mapping",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "research_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "054b5e4352e0c5a681fa088a7ef2fc359a7692bf2ade6672283e3b7eff051926"
      },
      "statement": "A comparative review identifies an official referral requirement for secondary care, while stating that this was not necessarily practised. It is not evidence of current gatekeeping compliance.",
      "tags": [],
      "territory": "Turkmenistan in comparative former-Soviet-country review",
      "title": "Referral requirement is reported with an explicit practice limit",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://www.ncbi.nlm.nih.gov/books/NBK458296/"
        }
      ]
    },
    {
      "analytical_mapping": {
        "mapping_basis": "Comparative primary-care review",
        "mapping_group": "relationships_and_networks",
        "mapping_id": "candidate-mapping:TKM:relationships-networks:reported-self-referral",
        "source_projection_ids": [
          "country-improvement-source:TKM:ncbi-primary-care-former-soviet-2014"
        ],
        "support_state": "candidate_supported",
        "target_slot": "reported-self-referral-historical-context",
        "target_view": "referrals",
        "typed_fields": {
          "boundary": "The cited underlying Turkmenistan evidence is historical and the review does not give a current national bypass rate or a complete patient-flow map.",
          "reported_pathway": "The review reports self-referral in Turkmenistan among countries with formally introduced gatekeeping."
        }
      },
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Kringos D, et al., Primary health care, European Observatory, 2015.",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "hospital_organization",
        "networks",
        "observed_referral",
        "patient_flows",
        "primary_care",
        "referral_design",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": null,
      "institution": null,
      "locator": {
        "description": "Gatekeeping and referral functions of primary care, text citing Turkmenistan evidence."
      },
      "material_id": "material:c54afa6ea666a60f846b88b1",
      "notes": [],
      "origin": "candidate-analytical-mappings",
      "period": "Comparative literature published 2015; cited Turkmenistan evidence includes 2009",
      "publication_date": null,
      "publication_year": null,
      "record_kind": "candidate_analytical_mapping",
      "record_kind_label": "Candidate Analytical Mapping",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "research_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "054b5e4352e0c5a681fa088a7ef2fc359a7692bf2ade6672283e3b7eff051926"
      },
      "statement": "The comparative review reports self-referral in Turkmenistan, but the evidence is historical and cannot establish a current bypass rate, patient preference, or national referral performance.",
      "tags": [],
      "territory": "Turkmenistan in comparative former-Soviet-country review",
      "title": "Self-referral is reported as historical comparative evidence",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://www.ncbi.nlm.nih.gov/books/NBK458296/"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Health Organization Regional Office for Europe. About WHO in Turkmenistan. 2020. https://www.who.int/turkmenistan/about-us",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "actors",
        "authoritative_review",
        "decision_rights",
        "governance",
        "government_responsibilities",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "assist the Government to develop its health policy",
      "institution": "World Health Organization Regional Office for Europe",
      "locator": {
        "locator_type": "web_section",
        "section": "About WHO in Turkmenistan",
        "source_word_anchor": "assist the Government to develop",
        "source_word_count": 5
      },
      "material_id": "material:3cd5a57e08f07f5c04b0e7a7",
      "notes": [
        "WHO technical cooperation does not allocate statutory authority or prove adoption of its advice."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Country-office description published 2020; office established 1995",
      "publication_date": null,
      "publication_year": 2020,
      "record_kind": "country_improvement_source_lead",
      "record_kind_label": "Country Improvement Source Lead",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "official"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "029895870a66a71ca5d09e6c12f54292694dde30dcbc44f8e46213ae09fc6152"
      },
      "statement": "WHO reports that its country office assists the Government on health policy, health systems and public-health programmes.",
      "tags": [],
      "territory": "Turkmenistan, WHO country-office cooperation context",
      "title": "About WHO in Turkmenistan",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://www.who.int/turkmenistan/about-us"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Health Organization Regional Office for Europe. Better noncommunicable disease outcomes: challenges and opportunities for health systems: Turkmenistan country assessment. 2019. https://www.who.int/europe/publications/i/item/WHO-EURO-2019-3612-43371-60842",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "actors",
        "authoritative_review",
        "facility_data",
        "governance",
        "government_responsibilities",
        "hospital_organization",
        "networks",
        "patient_flows",
        "primary_care",
        "referral_design",
        "reform_history",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "challenges and opportunities for health systems",
      "institution": "World Health Organization Regional Office for Europe",
      "locator": {
        "locator_type": "web_section",
        "section": "Overview",
        "source_word_anchor": "challenges and opportunities for health systems",
        "source_word_count": 6
      },
      "material_id": "material:731f48dba100ea89b2261f93",
      "notes": [
        "The 2019 assessment provides contextual review, not a current nationwide performance or implementation audit."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Country assessment published 2019",
      "publication_date": null,
      "publication_year": 2019,
      "record_kind": "country_improvement_source_lead",
      "record_kind_label": "Country Improvement Source Lead",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "review_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "32ab479ee3b2dc9a6a4e06c633163e4c805c90b896c2b4c1ce73dbdc5e1aace4"
      },
      "statement": "WHO describes this as an assessment of health-system challenges and opportunities for core NCD prevention, diagnosis and management services.",
      "tags": [],
      "territory": "Turkmenistan, national NCD-service context",
      "title": "Better noncommunicable disease outcomes: challenges and opportunities for health systems: Turkmenistan country assessment",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://www.who.int/europe/publications/i/item/WHO-EURO-2019-3612-43371-60842"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Ministry of Foreign Affairs of Turkmenistan. Healthcare. 2022. https://mfa.gov.tm/en/articles/7",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "actors",
        "facility_data",
        "governance",
        "government_responsibilities",
        "hospital_organization",
        "networks",
        "primary_care",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "formal",
      "excerpt": "National Immunoprophylaxis Program of Turkmenistan for 2024-2028",
      "institution": "Ministry of Foreign Affairs of Turkmenistan",
      "locator": {
        "locator_type": "web_section",
        "section": "Healthcare",
        "source_word_anchor": "National Immunoprophylaxis Program of Turkmenistan",
        "source_word_count": 5
      },
      "material_id": "material:1c3aea56fd202d8e703fb36c",
      "notes": [
        "Naming a programme does not verify its implementation, coverage, or effect on current practice."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Official webpage dated 2022; it names programmes for 2024 to 2028",
      "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": "text/html",
        "response_sha256": "d49b9a070719810af8c96fc59155cf421717ea7fb63ad9eb2089d5263569db71"
      },
      "statement": "An official government webpage names national health-related programmes and strategies, including 2024 to 2028 instruments.",
      "tags": [],
      "territory": "Turkmenistan, national policy statement",
      "title": "Healthcare",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://mfa.gov.tm/en/articles/7"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Semenova Y, Lim L, Salpynov Z, Gaipov A, Jakovljevic M. Historical evolution of healthcare systems of post-soviet Russia, Belarus, Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, Uzbekistan, Armenia, and Azerbaijan: A scoping review. Heliyon. 2024;10(8):e29550. doi:10.1016/j.heliyon.2024.e29550. https://www.ebi.ac.uk/europepmc/webservices/rest/PMC11036062/fullTextXML",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "actors",
        "authoritative_review",
        "decision_rights",
        "governance",
        "government_responsibilities",
        "hospital_organization",
        "market_structure",
        "networks",
        "ownership",
        "primary_care",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "Historical evolution of healthcare systems of post-soviet",
      "institution": "Heliyon",
      "locator": {
        "locator_type": "web_section",
        "section": "Abstract and Materials and methods",
        "source_word_anchor": "Historical evolution of healthcare systems of post-soviet",
        "source_word_count": 7
      },
      "material_id": "material:658e6a96f8d5d0f3d4c2023b",
      "notes": [
        "The multicountry review is contextual synthesis, not verification of present national implementation or performance."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Review searches conducted January 2023 to March 2024; historical scope from 1991",
      "publication_date": null,
      "publication_year": 2024,
      "record_kind": "country_improvement_source_lead",
      "record_kind_label": "Country Improvement Source Lead",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "research_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "application/xml",
        "response_sha256": "0feffb03ee2bcb3014bf404966ffcb0ada3d66fb6640830830d298954caa048a"
      },
      "statement": "This scoping review synthesizes post-1991 health-system transformation evidence for Turkmenistan and eight other countries.",
      "tags": [],
      "territory": "Turkmenistan within a nine-country post-Soviet review",
      "title": "Historical evolution of healthcare systems of post-soviet Russia, Belarus, Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, Uzbekistan, Armenia, and Azerbaijan: A scoping review",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC11036062/fullTextXML"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank. Hospital beds (per 1,000 people), Turkmenistan, indicator SH.MED.BEDS.ZS. World Development Indicators API, retrieved 2026. https://api.worldbank.org/v2/country/TKM/indicator/SH.MED.BEDS.ZS?format=json&per_page=100",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "facility_data",
        "hospital_organization",
        "market_structure",
        "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_observation",
        "source_word_anchor": "Hospital beds per 1,000 people",
        "source_word_count": 5
      },
      "material_id": "material:b38e7bfb0d87780c91c8d494",
      "notes": [
        "Beds per population are a capacity input, not admissions, occupancy, quality, ownership, or referral performance."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Annual observation for 2021; API last updated 2026-07-13",
      "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/json",
        "response_sha256": "2d12a901a2a09aa6d973c41670c382f6d9ce7e0ffbd876034fce9d5668132f24"
      },
      "statement": "The API records 3.6 hospital beds per 1,000 people for Turkmenistan in 2021.",
      "tags": [],
      "territory": "Turkmenistan, national",
      "title": "Hospital beds per 1,000 people: Turkmenistan",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://api.worldbank.org/v2/country/TKM/indicator/SH.MED.BEDS.ZS?format=json&per_page=100"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Ministry of Health and Medical Industry of Turkmenistan. Ministry of Health and Medical Industry of Turkmenistan. Retrieved 2026. https://saglykhm.gov.tm/en",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "actors",
        "facility_data",
        "governance",
        "government_responsibilities",
        "hospital_organization",
        "market_structure",
        "networks",
        "ownership",
        "primary_care"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "formal",
      "excerpt": "List of healthcare facilities",
      "institution": "Ministry of Health and Medical Industry of Turkmenistan",
      "locator": {
        "locator_type": "web_section",
        "section": "Interactive services",
        "source_word_anchor": "List of healthcare facilities",
        "source_word_count": 4
      },
      "material_id": "material:9c6ef7547fdfac21754c1bbf",
      "notes": [
        "The portal establishes listed services, not facility ownership, operating capacity, or service use."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Institutional webpage retrieved 2026-08-22",
      "publication_date": null,
      "publication_year": 2026,
      "record_kind": "country_improvement_source_lead",
      "record_kind_label": "Country Improvement Source Lead",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "official"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "25429bc5cbc284c8c5b88d111d0488b80d7b3a4535c821f2dd3d688a58d0e0f5"
      },
      "statement": "The Ministry's public portal identifies state voluntary health insurance and a list of health-care facilities among its interactive services.",
      "tags": [],
      "territory": "Turkmenistan, Ministry public-service portal",
      "title": "Ministry of Health and Medical Industry of Turkmenistan",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://saglykhm.gov.tm/en"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Kringos D, Boerma W, Hutchinson A, Saltman RB, eds. Building primary care in a changing Europe: Primary health care. European Observatory on Health Systems and Policies; 2015. NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK458296/",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "actors",
        "authoritative_review",
        "governance",
        "hospital_organization",
        "networks",
        "observed_referral",
        "patient_flows",
        "primary_care",
        "referral_design",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "official requirement – but not necessarily practised",
      "institution": "European Observatory on Health Systems and Policies",
      "locator": {
        "locator_type": "web_section",
        "section": "Gatekeeping and referral functions of primary care",
        "source_word_anchor": "official requirement but not necessarily practised",
        "source_word_count": 6
      },
      "material_id": "material:cbfbc4f8381ce4479f42c0b5",
      "notes": [
        "The comparative account does not supply a current national referral-completion, bypass, or waiting-time measure."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Comparative literature published 2015; cited Turkmenistan evidence includes 2009",
      "publication_date": null,
      "publication_year": 2015,
      "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": "054b5e4352e0c5a681fa088a7ef2fc359a7692bf2ade6672283e3b7eff051926"
      },
      "statement": "The comparative review identifies a referral requirement for secondary care in Turkmenistan and warns that formal gatekeeping was not necessarily practised.",
      "tags": [],
      "territory": "Turkmenistan in a comparative former-Soviet-country review",
      "title": "Primary health care",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://www.ncbi.nlm.nih.gov/books/NBK458296/"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Health Organization Regional Office for Europe. Turkmenistan approves new action plan for development of human resources for health. 2020. https://www.who.int/europe/news/item/03-01-2020-turkmenistan-approves-new-action-plan-for-development-of-human-resources-for-health",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "actors",
        "authoritative_review",
        "autonomy",
        "decision_rights",
        "governance",
        "government_responsibilities",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "approved a 5-year action plan",
      "institution": "World Health Organization Regional Office for Europe",
      "locator": {
        "locator_type": "web_section",
        "section": "Turkmenistan approves new action plan",
        "source_word_anchor": "approved a 5-year action plan",
        "source_word_count": 5
      },
      "material_id": "material:3127398024b50d427f9ba9ab",
      "notes": [
        "The announcement does not verify register completion, workforce deployment, or accountability in practice."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Five-year action plan approved 2020; stated goals to 2025",
      "publication_date": null,
      "publication_year": 2020,
      "record_kind": "country_improvement_source_lead",
      "record_kind_label": "Country Improvement Source Lead",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "official"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "e8f779da99ffd419b1b2680e53e7ff22f3a9c47dada66922e0cd0911ebef09c1"
      },
      "statement": "WHO reports Ministry approval of a five-year health-workforce action plan that called for a national workforce register.",
      "tags": [],
      "territory": "Turkmenistan, national health-workforce policy",
      "title": "Turkmenistan approves new action plan for development of human resources for health",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://www.who.int/europe/news/item/03-01-2020-turkmenistan-approves-new-action-plan-for-development-of-human-resources-for-health"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "European Observatory on Health Care Systems. Turkmenistan: health system review 2000. Health Care Systems in Transition. 2000. https://iris.who.int/bitstream/handle/10665/108347/HiT-tm-2000-eng.pdf?sequence=6",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "actors",
        "authoritative_review",
        "autonomy",
        "decision_rights",
        "governance",
        "government_responsibilities",
        "hospital_organization",
        "market_structure",
        "networks",
        "observed_referral",
        "ownership",
        "patient_flows",
        "primary_care",
        "referral_design",
        "reform_history",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "The health system of Turkmenistan is organized",
      "institution": "European Observatory on Health Care Systems",
      "locator": {
        "locator_type": "pdf_page_set_anchor",
        "source_word_anchor": "The health system of Turkmenistan is organized",
        "source_word_count": 7
      },
      "material_id": "material:0c0eb84e91f832eb8d984d3a",
      "notes": [
        "This 2000 review is historical context and does not establish current organization, financing, autonomy, or referral practice."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "Health-system review published 2000",
      "publication_date": null,
      "publication_year": 2000,
      "record_kind": "country_improvement_source_lead",
      "record_kind_label": "Country Improvement Source Lead",
      "screening": {
        "previous_boundary_detected": false,
        "previous_visibility": "previously_not_projected"
      },
      "source_layers": [
        "review_literature"
      ],
      "source_system": null,
      "source_version": {
        "detected_media_type": "application/pdf",
        "file_sha256": "a859cc83d11508435744f1ce4fb6f39396083c22e60bea3f872887eb2dd1863f"
      },
      "statement": "The review describes a nationally organized system in 2000, with Cabinet policy-making, Ministry operation and velayat financing of regional services.",
      "tags": [],
      "territory": "Turkmenistan, national health system with velayat context",
      "title": "Turkmenistan: health system review 2000",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://iris.who.int/bitstream/handle/10665/108347/HiT-tm-2000-eng.pdf?sequence=6"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank. Turkmenistan: rationalizing the health sector. Report No. 14861-TM. 1996. https://documents.worldbank.org/curated/en/432211468761372739/pdf/multi0page.pdf",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "actors",
        "authoritative_review",
        "autonomy",
        "decision_rights",
        "governance",
        "government_responsibilities",
        "hospital_organization",
        "market_structure",
        "networks",
        "ownership",
        "patient_flows",
        "primary_care",
        "referral_design",
        "reform_history",
        "utilization"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": "reported",
      "excerpt": "provision of health services, and financing of health services",
      "institution": "World Bank",
      "locator": {
        "locator_type": "pdf_page_set_anchor",
        "source_word_anchor": "provision of health services and financing",
        "source_word_count": 6
      },
      "material_id": "material:ddf4a542e31bec45fffbceea",
      "notes": [
        "This 1996 assessment cannot establish subsequent reform implementation, present payment arrangements, or current delivery performance."
      ],
      "origin": "country-evidence-improvement-sources",
      "period": "World Bank sector report, 1996",
      "publication_date": null,
      "publication_year": 1996,
      "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": "cccf4508794dd10683e6d36a3f602db0aa5ac4dc1ad4b022d644173c059e8f38"
      },
      "statement": "The World Bank's 1996 sector report distinguishes service provision from financing and records the then-emerging Lukman reform planning context.",
      "tags": [],
      "territory": "Turkmenistan, national health-sector reform context",
      "title": "Turkmenistan: rationalizing the health sector",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/432211468761372739/pdf/multi0page.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Semenova Y, Lim L, Salpynov Z, Gaipov A, Jakovljevic M. Historical evolution of healthcare systems of post-soviet Russia, Belarus, Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, Uzbekistan, Armenia, and Azerbaijan: A scoping review.. Heliyon. 2024. doi:10.1016/j.heliyon.2024.e29550.",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "decision_rights",
        "governance",
        "government_responsibilities",
        "hospital_organization",
        "networks",
        "primary_care",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": "candidate source metadata",
      "evidence_mode": null,
      "excerpt": null,
      "institution": null,
      "locator": null,
      "material_id": "candidate-source:TKM:ebc9679b64316cbe8601",
      "notes": [
        "Public source projection retained as a distinct stage record.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "current-public-source-projection",
      "period": null,
      "publication_date": null,
      "publication_year": 2024,
      "record_kind": "displayed_source_projection",
      "record_kind_label": "Displayed source projection",
      "screening": {
        "previous_visibility": "previously_projected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "candidate_source_metadata",
        "review_literature"
      ],
      "source_system": "pubmed_global_country_system_review_discovery",
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "2ef9ec2a6e8bd5d4af45ceb77638caa2ae655f1c4520cffe0a814cc63732fa5e"
      },
      "statement": null,
      "tags": [
        "pubmed_review"
      ],
      "territory": null,
      "title": "Historical evolution of healthcare systems of post-soviet Russia, Belarus, Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, Uzbekistan, Armenia, and Azerbaijan: A scoping review.",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://pubmed.ncbi.nlm.nih.gov/38655295/"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank Documents and Reports. Implementing health sector reform in Central Asia : papers from an EDI Health Policy Seminar held in Ashgabat, Turkmenistan, June 1996. World Bank Documents and Reports; 1998. https://documents.worldbank.org/curated/en/954321468780945557/pdf/multi-page.pdf",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "actors",
        "government_responsibilities",
        "primary_care",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": "candidate source metadata",
      "evidence_mode": null,
      "excerpt": null,
      "institution": null,
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 6,
        "source_word_anchor": "to policymaking and effective governance and to build an engaged and informed",
        "source_word_count": 12
      },
      "material_id": "candidate-source:TKM:a9c844f9e9d3018fc6c5",
      "notes": [
        "Public source projection retained as a distinct stage record.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the priority traceability audit.",
        "A recoverable source locator was retrieved from this exact public source URL in the priority traceability audit."
      ],
      "origin": "current-public-source-projection",
      "period": null,
      "publication_date": null,
      "publication_year": 1998,
      "record_kind": "displayed_source_projection",
      "record_kind_label": "Displayed source projection",
      "screening": {
        "page_locator_linked_from_priority_acquisition": true,
        "previous_visibility": "previously_projected",
        "source_version_linked_from_priority_acquisition": true
      },
      "source_layers": [
        "candidate_source_metadata",
        "grey_literature"
      ],
      "source_system": "global_literature",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 165,
        "response_sha256": "657f034e72fb88963e8f8289bbac33a682eb9c957d13843f81c184a2461380ff"
      },
      "statement": null,
      "tags": [
        "grey_library"
      ],
      "territory": null,
      "title": "Implementing health sector reform in Central Asia : papers from an EDI Health Policy Seminar held in Ashgabat, Turkmenistan, June 1996",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/954321468780945557/pdf/multi-page.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank Documents and Reports. Turkmenistan - Rationalizing the health sector. World Bank Documents and Reports; 1996. https://documents.worldbank.org/curated/en/432211468761372739/pdf/multi0page.pdf",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "actors",
        "government_responsibilities",
        "primary_care"
      ],
      "display_status": "shown_in_full",
      "document_type": "candidate source metadata",
      "evidence_mode": null,
      "excerpt": null,
      "institution": null,
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 7,
        "source_word_anchor": "with multiple tiers of referral and poor case management v Policy making",
        "source_word_count": 12
      },
      "material_id": "candidate-source:TKM:590c5e68593989ccf0c3",
      "notes": [
        "Public source projection retained as a distinct stage record.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the priority traceability audit.",
        "A recoverable source locator was retrieved from this exact public source URL in the priority traceability audit."
      ],
      "origin": "current-public-source-projection",
      "period": null,
      "publication_date": null,
      "publication_year": 1996,
      "record_kind": "displayed_source_projection",
      "record_kind_label": "Displayed source projection",
      "screening": {
        "page_locator_linked_from_priority_acquisition": true,
        "previous_visibility": "previously_projected",
        "source_version_linked_from_priority_acquisition": true
      },
      "source_layers": [
        "candidate_source_metadata",
        "grey_literature"
      ],
      "source_system": "global_literature",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 100,
        "response_sha256": "cccf4508794dd10683e6d36a3f602db0aa5ac4dc1ad4b022d644173c059e8f38"
      },
      "statement": null,
      "tags": [
        "grey_library"
      ],
      "territory": null,
      "title": "Turkmenistan - Rationalizing the health sector",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/432211468761372739/pdf/multi0page.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "url_status": "available"
      },
      "citation": "World Bank Documents and Reports. Implementing health sector reform in Central Asia : papers from an EDI Health Policy Seminar held in Ashgabat, Turkmenistan, June 1996. World Bank Documents and Reports; 1998. https://documents.worldbank.org/curated/en/954321468780945557/pdf/multi-page.pdf",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "actors",
        "government_responsibilities",
        "primary_care",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 6,
        "source_word_anchor": "to policymaking and effective governance and to build an engaged and informed",
        "source_word_count": 12
      },
      "material_id": "material:aa3f6ae3edf55cc3547dc811",
      "notes": [
        "Catalogue lead displayed in full for source and claim annotation.",
        "Catalogue geography, title matching, and taxonomy tags require human confirmation.",
        "No source bytes, exact locator, or atomic claim has been reviewed by the Health Organization registry.",
        "Grey literature does not by itself establish current formal authority.",
        "Catalogue ISO3 jurisdiction and an explicit metadata country alias in the title both matched.",
        "Catalogue has the Organization control-knob tag.",
        "Catalogue has organization-relevant topic tags: primary_care.",
        "Source family: global_literature.",
        "Title signal: health_sector.",
        "Title signal: health_policy.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the priority traceability audit.",
        "A recoverable source locator was retrieved from this exact public source URL in the priority traceability audit."
      ],
      "origin": "global-grey-source-leads",
      "period": null,
      "publication_date": "1998-12-31",
      "publication_year": 1998,
      "record_kind": "grey_literature_source_lead",
      "record_kind_label": "Grey Literature Source Lead",
      "screening": {
        "candidate_status": "candidate",
        "page_locator_linked_from_priority_acquisition": true,
        "previous_boundary_detected": true,
        "previous_visibility": "previously_not_projected",
        "review_status": "unreviewed",
        "source_version_linked_from_priority_acquisition": true,
        "status": "candidate",
        "triage_status": "new"
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "global_literature",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 165,
        "response_sha256": "657f034e72fb88963e8f8289bbac33a682eb9c957d13843f81c184a2461380ff"
      },
      "statement": null,
      "tags": [
        "Catalogue ISO3 jurisdiction and an explicit metadata country alias in the title both matched.",
        "Catalogue has organization-relevant topic tags: primary_care.",
        "Catalogue has the Organization control-knob tag.",
        "Source family: global_literature.",
        "Title signal: health_policy.",
        "Title signal: health_sector.",
        "catalogue_iso3_match",
        "catalogue_topic:pooling_insurance",
        "catalogue_topic:primary_care",
        "catalogue_topic:provider_payment",
        "explicit_country_alias",
        "grey_literature",
        "health_system_organization",
        "title:health_policy",
        "title:health_sector",
        "title_country_alias_match"
      ],
      "territory": null,
      "title": "Implementing health sector reform in Central Asia : papers from an EDI Health Policy Seminar held in Ashgabat, Turkmenistan, June 1996",
      "urls": [
        {
          "kind": "stable_url",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/954321468780945557/pdf/multi-page.pdf"
        },
        {
          "kind": "catalogue",
          "source": "not supplied",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/954321468780945557/text/multi-page.txt"
        },
        {
          "kind": "landing",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/954321468780945557"
        },
        {
          "kind": "source",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "url_status": "available"
      },
      "citation": "World Bank Documents and Reports. Turkmenistan - Rationalizing the health sector. World Bank Documents and Reports; 1996. https://documents.worldbank.org/curated/en/432211468761372739/pdf/multi0page.pdf",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "actors",
        "government_responsibilities",
        "primary_care"
      ],
      "display_status": "shown_in_full",
      "document_type": "health law",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 7,
        "source_word_anchor": "with multiple tiers of referral and poor case management v Policy making",
        "source_word_count": 12
      },
      "material_id": "material:a7c9645dafd09835d0c41644",
      "notes": [
        "Catalogue lead displayed in full for source and claim annotation.",
        "Catalogue geography, title matching, and taxonomy tags require human confirmation.",
        "No source bytes, exact locator, or atomic claim has been reviewed by the Health Organization registry.",
        "Grey literature does not by itself establish current formal authority.",
        "Catalogue ISO3 jurisdiction and an explicit metadata country alias in the title both matched.",
        "Catalogue document type: health law.",
        "Catalogue has organization-relevant topic tags: primary_care.",
        "Source family: global_literature.",
        "Title signal: health_sector.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the priority traceability audit.",
        "A recoverable source locator was retrieved from this exact public source URL in the priority traceability audit."
      ],
      "origin": "global-grey-source-leads",
      "period": null,
      "publication_date": "1996-01-19",
      "publication_year": 1996,
      "record_kind": "grey_literature_source_lead",
      "record_kind_label": "Grey Literature Source Lead",
      "screening": {
        "candidate_status": "candidate",
        "page_locator_linked_from_priority_acquisition": true,
        "previous_boundary_detected": true,
        "previous_visibility": "previously_not_projected",
        "review_status": "unreviewed",
        "source_version_linked_from_priority_acquisition": true,
        "status": "candidate",
        "triage_status": "new"
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "global_literature",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 100,
        "response_sha256": "cccf4508794dd10683e6d36a3f602db0aa5ac4dc1ad4b022d644173c059e8f38"
      },
      "statement": null,
      "tags": [
        "Catalogue ISO3 jurisdiction and an explicit metadata country alias in the title both matched.",
        "Catalogue document type: health law.",
        "Catalogue has organization-relevant topic tags: primary_care.",
        "Source family: global_literature.",
        "Title signal: health_sector.",
        "catalogue_iso3_match",
        "catalogue_topic:accreditation_quality",
        "catalogue_topic:pooling_insurance",
        "catalogue_topic:primary_care",
        "catalogue_topic:provider_payment",
        "explicit_country_alias",
        "grey_literature",
        "health_system_organization",
        "title:health_sector",
        "title_country_alias_match"
      ],
      "territory": null,
      "title": "Turkmenistan - Rationalizing the health sector",
      "urls": [
        {
          "kind": "stable_url",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/432211468761372739/pdf/multi0page.pdf"
        },
        {
          "kind": "catalogue",
          "source": "not supplied",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/432211468761372739/text/multi0page.txt"
        },
        {
          "kind": "landing",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/432211468761372739"
        },
        {
          "kind": "source",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Appraisal Environmental and Social Review Summary (ESRS) - COVID-19 Response Project - P175131. 2021. https://documents.worldbank.org/curated/en/339541623339208281",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "primary_care",
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "health system review",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 2,
        "source_word_anchor": "s Implementing Agency ies Ministry of Finance and Economy of Turkmenistan UNDP",
        "source_word_count": 12
      },
      "material_id": "material:b16d1b451296312345483323",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2021-06-10",
      "publication_year": 2021,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 12,
        "response_sha256": "8b37d05d90d3caa747997e0c8aad5760c1b061513f3d677fec8c2355bbdaad12"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:primary_care",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "service_area:primary_care",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Appraisal Environmental and Social Review Summary (ESRS) - COVID-19 Response Project - P175131",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/339541623339208281"
        },
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/339541623339208281/text/Appraisal-Environmental-and-Social-Review-Summary-ESRS-COVID-19-Response-Project-P175131.txt"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/339541623339208281/pdf/Appraisal-Environmental-and-Social-Review-Summary-ESRS-COVID-19-Response-Project-P175131.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Conformed Copy - L4171 - Water Supply and Sanitation Project - Japanese Grant Agreement. 1997. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 6,
        "source_word_anchor": "reports final designs and contract documents Initiation of health education December 31",
        "source_word_count": 12
      },
      "material_id": "material:18ffa69caa15ac29a846a4d5",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "1997-05-29",
      "publication_year": 1997,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 8,
        "response_sha256": "1edf472dc9b2af2656c717db393b853aecc660112464a654cbb17d5f4e073fdc"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "population_group:children",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Conformed Copy - L4171 - Water Supply and Sanitation Project - Japanese Grant Agreement",
      "urls": [
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/979711468319524016/pdf/100338F78D06F58085256F03000A5572.pdf"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/979711468319524016"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/979711468319524016/text/100338F78D06F58085256F03000A5572.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Conformed Copy - L4171 - Water Supply and Sanitation Project - Loan Agreement. 1997. https://documents.worldbank.org/curated/en/318701468317052385",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 2,
        "source_word_anchor": "means the Borrower s Ministry of Health and Medical Industries f MWR",
        "source_word_count": 12
      },
      "material_id": "material:ffb0b0adb67b5ed851d59d25",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "1997-05-29",
      "publication_year": 1997,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 14,
        "response_sha256": "37212ffc2ca86f62b2ea1c35bf387a986d539a33527e50ba8f5d5b2b69277dad"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "control_knob:persuasion_behaviour",
        "health_system_topic:service_delivery",
        "population_group:children",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Conformed Copy - L4171 - Water Supply and Sanitation Project - Loan Agreement",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/318701468317052385"
        },
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/318701468317052385/pdf/4B539751C22686F285256F03000A54C5.pdf"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/318701468317052385/text/4B539751C22686F285256F03000A54C5.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Disclosable Restructuring Paper - COVID-19 Response Project - P175131. 2023. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 9,
        "source_word_anchor": "to 8-9 months from contract signing which will bring the completion of",
        "source_word_count": 12
      },
      "material_id": "material:e5021ba011af99ad2967ccf0",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2023-05-03",
      "publication_year": 2023,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 19,
        "response_sha256": "c3b8cf21787daa265c03071b580a03bddcf496d089ec42e813272e8d6a365a6f"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Disclosable Restructuring Paper - COVID-19 Response Project - P175131",
      "urls": [
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099050323060057446/pdf/P17513103064780a508e490c2e7f1c927fc.pdf"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099050323060057446"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099050323060057446/text/P17513103064780a508e490c2e7f1c927fc.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Disclosable Restructuring Paper - Turkmenistan One Health for Pandemic Prevention Food Systems Resilience and Ecosystem Health - P512354. 2026. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "emergency_preparedness",
        "health_information",
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 4,
        "source_word_anchor": "of Finance and Economy Ministry of Health and Medical Industry Ministry of",
        "source_word_count": 12
      },
      "material_id": "material:b1bf0cba612ae9f66c77db00",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2026-05-05",
      "publication_year": 2026,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 9,
        "response_sha256": "4cd8e6b6eee0608f0ce1d11fa2d56a417be5d58187b94432eab3bdef417fdfda"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:emergency_preparedness",
        "health_system_topic:health_information",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Disclosable Restructuring Paper - Turkmenistan One Health for Pandemic Prevention Food Systems Resilience and Ecosystem Health - P512354",
      "urls": [
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099050526092036433/pdf/P512354-37eea84c-1625-4850-a6df-e4d599205301.pdf"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099050526092036433"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099050526092036433/text/P512354-37eea84c-1625-4850-a6df-e4d599205301.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Disclosable Version of the ISR - COVID-19 Response Project - P175131 - Sequence No : 01. 2021. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "hospital_referral",
        "primary_care",
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "technical report",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 3,
        "source_word_anchor": "Current Rating Political and Governance Moderate Moderate Macroeconomic Substantial Substantial Sector Strategies",
        "source_word_count": 12
      },
      "material_id": "material:4299e38988187946e7a6286d",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: project information or status.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2021-10-06",
      "publication_year": 2021,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "project_information_or_status",
        "machine_screening_state": "machine_flagged_administration",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 8,
        "response_sha256": "70d3468ea2f6def1402f99c0fe00e8dbb102ae569e5a2e8081bdc3c06fa0ab5b"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "control_knob:persuasion_behaviour",
        "health_system_topic:hospital_referral",
        "health_system_topic:primary_care",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "service_area:immunization",
        "service_area:primary_care",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Disclosable Version of the ISR - COVID-19 Response Project - P175131 - Sequence No : 01",
      "urls": [
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/723631633544004318/pdf/Disclosable-Version-of-the-ISR-COVID-19-Response-Project-P175131-Sequence-No-01.pdf"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/723631633544004318/text/Disclosable-Version-of-the-ISR-COVID-19-Response-Project-P175131-Sequence-No-01.txt"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/723631633544004318"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Disclosable Version of the ISR - COVID-19 Response Project - P175131 - Sequence No : 02. 2022. https://documents.worldbank.org/curated/en/099450005122231616",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "technical report",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 3,
        "source_word_anchor": "of 9 Political and Governance Moderate Moderate Moderate Macroeconomic Substantial Substantial Substantial",
        "source_word_count": 12
      },
      "material_id": "material:406d676d52783f79d163c35a",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: project information or status.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2022-05-11",
      "publication_year": 2022,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "project_information_or_status",
        "machine_screening_state": "machine_flagged_administration",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 9,
        "response_sha256": "00b2bdfdeef2ee244e0eae54672ffb952b3c7585de9bca9090050823fa789743"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Disclosable Version of the ISR - COVID-19 Response Project - P175131 - Sequence No : 02",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099450005122231616"
        },
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099450005122231616/pdf/P17513103595b407a0ad29094b0240e7138.pdf"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099450005122231616/text/P17513103595b407a0ad29094b0240e7138.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Disclosable Version of the ISR - COVID-19 Response Project - P175131 - Sequence No : 03. 2022. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "technical report",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 3,
        "source_word_anchor": "Current Rating Political and Governance Moderate Moderate Moderate Macroeconomic Substantial Substantial Substantial",
        "source_word_count": 12
      },
      "material_id": "material:f4a942fc77abd5741f8650bf",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: project information or status.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2022-06-28",
      "publication_year": 2022,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "project_information_or_status",
        "machine_screening_state": "machine_flagged_administration",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 9,
        "response_sha256": "48e726064185d1cc2f22075aed7601ad3e6b3b42e45d64f4adcacb1d939930af"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Disclosable Version of the ISR - COVID-19 Response Project - P175131 - Sequence No : 03",
      "urls": [
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099725006282234354/pdf/P17513105b587d0640917f03ec9421579f3.pdf"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099725006282234354"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099725006282234354/text/P17513105b587d0640917f03ec9421579f3.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Disclosable Version of the ISR - COVID-19 Response Project - P175131 - Sequence No : 04. 2023. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "technical report",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 2,
        "source_word_anchor": "Current Rating Political and Governance Moderate Moderate Moderate Macroeconomic Substantial Substantial Substantial",
        "source_word_count": 12
      },
      "material_id": "material:aa6f17842016e3dedf747e09",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: project information or status.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2023-01-30",
      "publication_year": 2023,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "project_information_or_status",
        "machine_screening_state": "machine_flagged_administration",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 9,
        "response_sha256": "69181e11b94e2d12b157c21947ca433a6ce49fb6250316d96007dd0ff02d8c17"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Disclosable Version of the ISR - COVID-19 Response Project - P175131 - Sequence No : 04",
      "urls": [
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099085101312335215/pdf/P1751310fc6fcf05c094c60fbb4ce9f6aff.pdf"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099085101312335215"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099085101312335215/text/P1751310fc6fcf05c094c60fbb4ce9f6aff.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Disclosable Version of the ISR - COVID-19 Response Project - P175131 - Sequence No : 05. 2023. https://documents.worldbank.org/curated/en/099080423075533706",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "technical report",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 3,
        "source_word_anchor": "Current Rating Political and Governance Moderate Moderate Moderate Macroeconomic Substantial Substantial Moderate",
        "source_word_count": 12
      },
      "material_id": "material:3c3dcf6b88db0589efcb1865",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: project information or status.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2023-08-04",
      "publication_year": 2023,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "project_information_or_status",
        "machine_screening_state": "machine_flagged_administration",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 9,
        "response_sha256": "5c909e08758f60822fe83b5d144578b750e1e6cd6384a54b9cf7b953ce868d0c"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Disclosable Version of the ISR - COVID-19 Response Project - P175131 - Sequence No : 05",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099080423075533706"
        },
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099080423075533706/text/P1751310afda4706b0b7a707032e73768d0.txt"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099080423075533706/pdf/P1751310afda4706b0b7a707032e73768d0.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Disclosable Version of the ISR - COVID-19 Response Project - P175131 - Sequence No : 06. 2023. https://documents.worldbank.org/curated/en/099121923030523274",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "technical report",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 3,
        "source_word_anchor": "Current Rating Political and Governance Moderate Moderate Moderate Macroeconomic Substantial Moderate Moderate",
        "source_word_count": 12
      },
      "material_id": "material:a037acf79f464fba2aa12440",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: project information or status.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2023-12-19",
      "publication_year": 2023,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "project_information_or_status",
        "machine_screening_state": "machine_flagged_administration",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 8,
        "response_sha256": "c422eba0dd68fffb156b9a54f7302e5cf51729890f614fad5ca8532a9bc6f9d1"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Disclosable Version of the ISR - COVID-19 Response Project - P175131 - Sequence No : 06",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099121923030523274"
        },
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099121923030523274/pdf/P175131042db080800a461020abd84fb8ea.pdf"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099121923030523274/text/P175131042db080800a461020abd84fb8ea.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Disclosable Version of the ISR - COVID-19 Response Project - P175131 - Sequence No : 07. 2024. https://documents.worldbank.org/curated/en/099041724141526779",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "technical report",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 3,
        "source_word_anchor": "Current Rating Political and Governance Moderate Moderate Moderate Macroeconomic Substantial Moderate Moderate",
        "source_word_count": 12
      },
      "material_id": "material:b8c487a260a5419510d68c14",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: project information or status.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2024-04-17",
      "publication_year": 2024,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "project_information_or_status",
        "machine_screening_state": "machine_flagged_administration",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 9,
        "response_sha256": "af09d585d74751ed088cd0ec1efc109aa00a9ed107fac8d1e023b1829c7f4a53"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Disclosable Version of the ISR - COVID-19 Response Project - P175131 - Sequence No : 07",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099041724141526779"
        },
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099041724141526779/pdf/P17513115b848400d1a64a124708fc91700.pdf"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099041724141526779/text/P17513115b848400d1a64a124708fc91700.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Environmental and Social Commitment Plan (ESCP) - COVID-19 Response Project - P175131. 2021. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "national health strategy",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "heading": "ENVIRONMENTAL AND SOCIAL COMMITMENT PLAN",
        "paragraph_index_on_page": 4,
        "physical_pdf_page": 2,
        "source_word_anchor": "following Ministries agencies units Ministry of Health and Medical Industry MoHMI and",
        "source_word_count": 12
      },
      "material_id": "material:24e25f211dc19ce3d25fde95",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: environmental or social project administration.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2021-06-10",
      "publication_year": 2021,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "environmental_or_social_project_administration",
        "machine_screening_state": "machine_flagged_administration",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 5,
        "response_sha256": "b86aac40b0e6758a8a296252b91151bbcde451ab60ea538602f5a751d3a21362"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Environmental and Social Commitment Plan (ESCP) - COVID-19 Response Project - P175131",
      "urls": [
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/244861623339150898/pdf/Environmental-and-Social-Commitment-Plan-ESCP-COVID-19-Response-Project-P175131.pdf"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/244861623339150898"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/244861623339150898/text/Environmental-and-Social-Commitment-Plan-ESCP-COVID-19-Response-Project-P175131.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Environmental and Social Management Framework (ESMF) COVID-19 Response Project (P175131). 2022. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "national health strategy",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": null,
      "material_id": "material:b372a77f2ff7391013fcf29b",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: environmental or social project administration.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2022-06-23",
      "publication_year": 2022,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "environmental_or_social_project_administration",
        "machine_screening_state": "machine_flagged_administration",
        "organization_tag_confidence": 0.85,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 147,
        "response_sha256": "7b42a8901d6b9e188ed4264d440d076817c3d9762d58d82a775d9d01ace93e73"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Environmental and Social Management Framework (ESMF) COVID-19 Response Project (P175131)",
      "urls": [
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099905006232237705/pdf/P17513102825960240a5330dcd933c2f6cf.pdf"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099905006232237705"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099905006232237705/text/P17513102825960240a5330dcd933c2f6cf.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Environmental and Social Management Framework (ESMF) COVID-19 Response Project (P175131). 2022. https://documents.worldbank.org/curated/en/099840106232242759",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "national health strategy",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 5,
        "physical_pdf_page": 10,
        "source_word_anchor": "prior to signing the contract by the UNDP It also verifies compliance",
        "source_word_count": 12
      },
      "material_id": "material:dcda5aebb771c2300de71fce",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: environmental or social project administration.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2022-06-23",
      "publication_year": 2022,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "environmental_or_social_project_administration",
        "machine_screening_state": "machine_flagged_administration",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 146,
        "response_sha256": "9c12ec99be4751c03c868d06644b462bc3a800aaf9c74ea95306672df4739a8a"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Environmental and Social Management Framework (ESMF) COVID-19 Response Project (P175131)",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099840106232242759"
        },
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099840106232242759/pdf/P1751310474c3d0cd093da0219cd173c359.pdf"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099840106232242759/text/P1751310474c3d0cd093da0219cd173c359.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Official Documents- Amendment No. 1 to the Grant Agreement for Grant TF0C9689.pdf. 2026. https://documents.worldbank.org/curated/en/099052026101530278",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "emergency_preparedness",
        "health_information",
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "heading": "Dear Mr Astanagulov",
        "paragraph_index_on_page": 4,
        "physical_pdf_page": 1,
        "source_word_anchor": "NUMBER TF-C9689 Turkmenistan One Health for Pandemic Prevention Food Systems Resilience and",
        "source_word_count": 12
      },
      "material_id": "material:ac03ee4ac6e62e34f670d15f",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2026-05-19",
      "publication_year": 2026,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 2,
        "response_sha256": "12c8dd1cc6c0893a6c0323525e29b7ed23ae2649e2232fba3b8ad864c696b57c"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:emergency_preparedness",
        "health_system_topic:health_information",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Official Documents- Amendment No. 1 to the Grant Agreement for Grant TF0C9689.pdf",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099052026101530278"
        },
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099052026101530278/pdf/P512354-0ce8b4a3-3ef5-4886-bcf5-57f6e091d7cf.pdf"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099052026101530278/text/P512354-0ce8b4a3-3ef5-4886-bcf5-57f6e091d7cf.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Official Documents- Disbursement and Financial Information Letter for Loan 9285-TM. 2021. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 3,
        "source_word_anchor": "With copies Ministry of Health and Medical Industry MoHMI 20 Archabil Avenue",
        "source_word_count": 12
      },
      "material_id": "material:1ab775a62f12a2dc678f1a57",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2021-07-08",
      "publication_year": 2021,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 8,
        "response_sha256": "4ddd90526f71f18c8d4fdc4cee598cdbaaeafd4aca6088fb946ffe32662c9887"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Official Documents- Disbursement and Financial Information Letter for Loan 9285-TM",
      "urls": [
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/746041627318872791/text/Official-Documents-Disbursement-and-Financial-Information-Letter-for-Loan-9285-TM.txt"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/746041627318872791"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/746041627318872791/pdf/Official-Documents-Disbursement-and-Financial-Information-Letter-for-Loan-9285-TM.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Official Documents- First Restatement of the Disbursement and Financial Information Letter for Grant TF0C9689.pdf. 2026. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "emergency_preparedness",
        "health_information",
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 2,
        "physical_pdf_page": 1,
        "source_word_anchor": "Grant No TF0C9689 One Health for Pandemic Prevention Food Systems Resilience and",
        "source_word_count": 12
      },
      "material_id": "material:5a6369c4d563b260c864b9ca",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2026-05-07",
      "publication_year": 2026,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 8,
        "response_sha256": "696ab209265c9e79bc26d1f34ce11eec59d0a66505fa6c08e23df02adc34bb3b"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:emergency_preparedness",
        "health_system_topic:health_information",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Official Documents- First Restatement of the Disbursement and Financial Information Letter for Grant TF0C9689.pdf",
      "urls": [
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099052026102035803/text/P512354-b2b223d1-91d9-487a-a265-b1ae2a371aff.txt"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099052026102035803"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099052026102035803/pdf/P512354-b2b223d1-91d9-487a-a265-b1ae2a371aff.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Official Documents- Loan Agreement for Loan 9285-TM. 2021. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "health_information",
        "health_information_systems",
        "primary_care",
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 2,
        "physical_pdf_page": 8,
        "source_word_anchor": "IPC programme for the health system including i capacity to continuously implement",
        "source_word_count": 12
      },
      "material_id": "material:4a8e533abc455295c9116a46",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2021-07-26",
      "publication_year": 2021,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 17,
        "response_sha256": "66f4ec4d43c3d2d86f7d63011b44208e865e67db7f19d6b4d0d1c9314eec92a0"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:health_information",
        "health_system_topic:primary_care",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "service_area:infectious_disease",
        "service_area:primary_care",
        "who_building_block:health_information_systems",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Official Documents- Loan Agreement for Loan 9285-TM",
      "urls": [
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/948481627318877506/pdf/Official-Documents-Loan-Agreement-for-Loan-9285-TM.pdf"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/948481627318877506"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/948481627318877506/text/Official-Documents-Loan-Agreement-for-Loan-9285-TM.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Project Information Document - COVID-19 Response Project - P175131. 2020. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "accreditation_quality",
        "health_financing",
        "health_information",
        "health_information_systems",
        "pooling_insurance",
        "primary_care",
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 5,
        "physical_pdf_page": 2,
        "source_word_anchor": "Agency Investment Project Financing Ministry of Finance and Economy of Turkmenistan Ministry",
        "source_word_count": 12
      },
      "material_id": "material:49fd20fa4eea899f2f7f0199",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: project information or status.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2020-12-24",
      "publication_year": 2020,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "project_information_or_status",
        "machine_screening_state": "machine_flagged_administration",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 13,
        "response_sha256": "c93a63904e49f980c274d87f22e95d11a5932fc3b4c2b618750b779edf025403"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "control_knob:persuasion_behaviour",
        "health_system_topic:accreditation_quality",
        "health_system_topic:health_information",
        "health_system_topic:pooling_insurance",
        "health_system_topic:primary_care",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "service_area:immunization",
        "service_area:infectious_disease",
        "service_area:primary_care",
        "who_building_block:health_financing",
        "who_building_block:health_information_systems",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Project Information Document - COVID-19 Response Project - P175131",
      "urls": [
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/994971608844662443/text/Project-Information-Document-COVID-19-Response-Project-P175131.txt"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/994971608844662443"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/994971608844662443/pdf/Project-Information-Document-COVID-19-Response-Project-P175131.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Revised Stakeholder Engagement Plan (SEP) COVID-19 Response Project (P175131). 2022. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "national health strategy",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "physical_pdf_page": 11,
        "source_word_anchor": "conditions After signing the contract the initial SEP was published on the",
        "source_word_count": 12
      },
      "material_id": "material:1fc59544ffaf5e1f1fd4e52a",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: environmental or social project administration.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2022-06-23",
      "publication_year": 2022,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "environmental_or_social_project_administration",
        "machine_screening_state": "machine_flagged_administration",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 31,
        "response_sha256": "c30bea619d808e239172476070ea893bff878c8cdf9e09302d6e28ff8cc8da25"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Revised Stakeholder Engagement Plan (SEP) COVID-19 Response Project (P175131)",
      "urls": [
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099840006232211689/pdf/P1751310c283450890b1f705e3e030fe8a2.pdf"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099840006232211689"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099840006232211689/text/P1751310c283450890b1f705e3e030fe8a2.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Stakeholder Engagement Plan (SEP) - COVID-19 Response Project - P175131. 2021. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "health_information",
        "health_information_systems",
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "national health strategy",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "physical_pdf_page": 1,
        "source_word_anchor": "Ministry of Health and Medical Industry of Turkmenistan Turkmenistan COVID-19 Response Project",
        "source_word_count": 12
      },
      "material_id": "material:777781e6339822e957828d15",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: environmental or social project administration.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2021-06-10",
      "publication_year": 2021,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "environmental_or_social_project_administration",
        "machine_screening_state": "machine_flagged_administration",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 21,
        "response_sha256": "66eee995428db9efe6b12047f3a7b51934883a14a58eb5b10a98ff2aa87a527a"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "control_knob:persuasion_behaviour",
        "health_system_topic:health_information",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "service_area:infectious_disease",
        "who_building_block:health_information_systems",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Stakeholder Engagement Plan (SEP) - COVID-19 Response Project - P175131",
      "urls": [
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/856451623339173163/text/Stakeholder-Engagement-Plan-SEP-COVID-19-Response-Project-P175131.txt"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/856451623339173163"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/856451623339173163/pdf/Stakeholder-Engagement-Plan-SEP-COVID-19-Response-Project-P175131.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Stakeholder Engagement Plan (SEP) COVID-19 Response Project (P175131). 2023. https://documents.worldbank.org/curated/en/099082323165015445",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "national health strategy",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "physical_pdf_page": 1,
        "source_word_anchor": "Ministry of Health and Medical Industry of Turkmenistan Turkmenistan COVID-19 Response Project",
        "source_word_count": 12
      },
      "material_id": "material:2c9f3014d8dd5dc3d17aa33b",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: environmental or social project administration.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2023-08-23",
      "publication_year": 2023,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "environmental_or_social_project_administration",
        "machine_screening_state": "machine_flagged_administration",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 21,
        "response_sha256": "57e58143112fd7df03eb8cff9f4df26318a09d907ac1a1f454777c76bf7ede78"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Stakeholder Engagement Plan (SEP) COVID-19 Response Project (P175131)",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099082323165015445"
        },
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099082323165015445/pdf/P17513102aea8a050882e010e2a24beff4.pdf"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099082323165015445/text/P17513102aea8a050882e010e2a24beff4.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Stakeholder Engagement Plan (SEP) COVID-19 Response Project (P175131). 2022. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "national health strategy",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": null,
      "material_id": "material:e09a826de51b00b78ff7a19f",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: environmental or social project administration.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2022-06-23",
      "publication_year": 2022,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "environmental_or_social_project_administration",
        "machine_screening_state": "machine_flagged_administration",
        "organization_tag_confidence": 0.85,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 39,
        "response_sha256": "9bf6faa4dd8f19690213cecea3f4bbbeba64ec717d7bbc32b777bea7c0b287d3"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Stakeholder Engagement Plan (SEP) COVID-19 Response Project (P175131)",
      "urls": [
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099905106232237602/pdf/P175131024e7410840b56f01ee5a82ce38b.pdf"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099905106232237602"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099905106232237602/text/P175131024e7410840b56f01ee5a82ce38b.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Statement by Andrei Bugrov at the Board meeting of May 27, 1997. 1997. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 3,
        "source_word_anchor": "Dashkhovuz velayet most of health indicators including the incidence of water and",
        "source_word_count": 12
      },
      "material_id": "material:163fd9932ef8178b95e7854b",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "1997-05-27",
      "publication_year": 1997,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 3,
        "response_sha256": "405b689bdcf4d5e812605dbe93048fe39a409b849a0e457c2c729eae16e16b13"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "population_group:children",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Statement by Andrei Bugrov at the Board meeting of May 27, 1997",
      "urls": [
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/932761468319524330/text/871870EDS0P01900Box385191B00PUBLIC0.txt"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/932761468319524330"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/932761468319524330/pdf/871870EDS0P01900Box385191B00PUBLIC0.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Statement by Jan Piercy at the meeting of January 23, 2001. 2001. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "leadership_governance"
      ],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 3,
        "source_word_anchor": "do under its own health sector lending to address HIV I AIDS",
        "source_word_count": 12
      },
      "material_id": "material:4a4e2966d56e1cdc1703188f",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2001-01-22",
      "publication_year": 2001,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 4,
        "response_sha256": "248ed2854724a4f20572cc47e98cf1f8062af4b4eb5cf70866022f3c9109f7d0"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "who_building_block:leadership_governance"
      ],
      "territory": "national",
      "title": "Statement by Jan Piercy at the meeting of January 23, 2001",
      "urls": [
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/902791468338955974/text/873130EDS0P05500Box385194B00PUBLIC0.txt"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/902791468338955974/pdf/873130EDS0P05500Box385194B00PUBLIC0.pdf"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/902791468338955974"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Turkmenistan - COVID-19 Response Project. 2021. https://documents.worldbank.org/curated/en/965111625145938937",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "accreditation_quality",
        "health_financing",
        "health_information",
        "health_information_systems",
        "pooling_insurance",
        "primary_care",
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "heading": "SYSTEMATIC OPERATIONS RISK-RATING TOOL SORT",
        "paragraph_index_on_page": 9,
        "physical_pdf_page": 9,
        "source_word_anchor": "Rating 1 Political and Governance Moderate 2 Macroeconomic Substantial 3 Sector Strategies",
        "source_word_count": 12
      },
      "material_id": "material:7d51b70de7682d913d1afb01",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2021-07-01",
      "publication_year": 2021,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 56,
        "response_sha256": "b0af9108ab0475e29146c33b6a762b57918476d7e1c016037334d66d31c153f6"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "control_knob:persuasion_behaviour",
        "health_system_topic:accreditation_quality",
        "health_system_topic:health_information",
        "health_system_topic:pooling_insurance",
        "health_system_topic:primary_care",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "service_area:infectious_disease",
        "service_area:primary_care",
        "who_building_block:health_financing",
        "who_building_block:health_information_systems",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Turkmenistan - COVID-19 Response Project",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/965111625145938937"
        },
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/965111625145938937/text/Turkmenistan-COVID-19-Response-Project.txt"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/965111625145938937/pdf/Turkmenistan-COVID-19-Response-Project.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Turkmenistan - EUROPE AND CENTRAL ASIA- P175131- COVID-19 Response Project - Procurement Plan. 2021. https://documents.worldbank.org/curated/en/295451631789535488",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "national health strategy",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 2,
        "source_word_anchor": "UNDP Outputs Agreement processing Contract description Estimated budget Submission of the draft",
        "source_word_count": 12
      },
      "material_id": "material:4e7078dda93a8e1fadf45267",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: procurement plan.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2021-09-16",
      "publication_year": 2021,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "procurement_plan",
        "machine_screening_state": "machine_flagged_administration",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 3,
        "response_sha256": "2fae57a03d3008227d69e7bc120ddeee7685f937e6bd3bb929440c3eb34c2c5a"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Turkmenistan - EUROPE AND CENTRAL ASIA- P175131- COVID-19 Response Project - Procurement Plan",
      "urls": [
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/295451631789535488"
        },
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/295451631789535488/pdf/Turkmenistan-EUROPE-AND-CENTRAL-ASIA-P175131-COVID-19-Response-Project-Procurement-Plan.pdf"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/295451631789535488/text/Turkmenistan-EUROPE-AND-CENTRAL-ASIA-P175131-COVID-19-Response-Project-Procurement-Plan.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Turkmenistan - EUROPE AND CENTRAL ASIA- P512354- Turkmenistan One Health for Pandemic Prevention, Food Systems Resilience, and Ecosystem Health - Procurement Plan. 2026. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "emergency_preparedness",
        "health_information",
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "national health strategy",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 2,
        "source_word_anchor": "Recommendation for Award Signed Contract Contract Complet ion Planned Actual Planned Actual",
        "source_word_count": 12
      },
      "material_id": "material:0ca50647c6ad3dd97d6c1a18",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Machine title screen flag: procurement plan.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2026-07-28",
      "publication_year": 2026,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": "procurement_plan",
        "machine_screening_state": "machine_flagged_administration",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 2,
        "response_sha256": "ca31025aeb9293faa0609223e67b54c16a7426728426e4a91b5f7108b0c3c380"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:emergency_preparedness",
        "health_system_topic:health_information",
        "health_system_topic:service_delivery",
        "service_area:cross_cutting",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Turkmenistan - EUROPE AND CENTRAL ASIA- P512354- Turkmenistan One Health for Pandemic Prevention, Food Systems Resilience, and Ecosystem Health - Procurement Plan",
      "urls": [
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099072826033540447/pdf/P512354-699feed8-c687-431d-a768-c6ef8e069cea.pdf"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099072826033540447/text/P512354-699feed8-c687-431d-a768-c6ef8e069cea.txt"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/099072826033540447"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Turkmenistan - Proposed Water Supply and Sanitation Project. 1997. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 5,
        "source_word_anchor": "accompanies by hygiene and health education activates This will include improved latrine",
        "source_word_count": 12
      },
      "material_id": "material:04a0eafd632e8695e4c197b7",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "1997-09-05",
      "publication_year": 1997,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 5,
        "response_sha256": "5f2299ef0e03fa34db37f5c3a07c9fb42dddc850bf09c867b573a79bcff410f2"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "population_group:children",
        "population_group:rural_remote",
        "service_area:infectious_disease",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Turkmenistan - Proposed Water Supply and Sanitation Project",
      "urls": [
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/633071468781789017/pdf/multi0page.pdf"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/633071468781789017/text/multi0page.txt"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/633071468781789017"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Turkmenistan - Report on the Observance of Standards and Codes (ROSC) : accounting and auditing. 2009. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": null,
      "material_id": "material:73f35039810be0b3580377e4",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2009-06-30",
      "publication_year": 2009,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 26,
        "response_sha256": "b541cc7ba7506d03ab5fc4c0217f399873fa106fc674bcfce3ee91f023e44175"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "population_group:children",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Turkmenistan - Report on the Observance of Standards and Codes (ROSC) : accounting and auditing",
      "urls": [
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/355361468317089112/pdf/626020WP0P112800Box0361486B0PUBLIC0.pdf"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/355361468317089112"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/355361468317089112/text/626020WP0P112800Box0361486B0PUBLIC0.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Turkmenistan - Report on the Observance of Standards and Codes (ROSC) : accounting and auditing. 2009. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": null,
      "material_id": "material:cf676744ccab643ffefaa0d6",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2009-06-30",
      "publication_year": 2009,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 33,
        "response_sha256": "6617c7c8660fc0ea960130f2da1c11cf2ed86c7d501b829816517fe70f0dfc5a"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "population_group:children",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Turkmenistan - Report on the Observance of Standards and Codes (ROSC) : accounting and auditing",
      "urls": [
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/801821468338956292/pdf/626020WP0RUSSI00Box0361486B0PUBLIC0.pdf"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/801821468338956292/text/626020WP0RUSSI00Box0361486B0PUBLIC0.txt"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/801821468338956292"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Turkmenistan - Water Supply And Sanitation. 2004. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "health system review",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 1,
        "source_word_anchor": "public administration sector 7 Health 7 Sanitation 7 Other social services 2",
        "source_word_count": 12
      },
      "material_id": "material:9cd3f861ead7f8ada1dd2493",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2004-06-16",
      "publication_year": 2004,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 3,
        "response_sha256": "75d62e8973863e553543f8f2944b1d78491b5a7940b952357a4db2aab4f5c522"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "population_group:children",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Turkmenistan - Water Supply And Sanitation",
      "urls": [
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/948131474854309337/pdf/000020051-20140612131335.pdf"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/948131474854309337"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/948131474854309337/text/000020051-20140612131335.txt"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Turkmenistan - Water Supply and Sanitation Project. 2004. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "leadership_governance",
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "technical report",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 2,
        "source_word_anchor": "Attitudes and Practices MOA Ministry of Agriculture MOH Ministry of Health and",
        "source_word_count": 12
      },
      "material_id": "material:5f1a669d28949a4cc25e4913",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "2004-04-29",
      "publication_year": 2004,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 33,
        "response_sha256": "6e561c5566e457ba6bac79f239644172c7e787e54a97c19c9ee05623503f35cb"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "population_group:children",
        "who_building_block:leadership_governance",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Turkmenistan - Water Supply and Sanitation Project",
      "urls": [
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/552091468779125043/text/277580TU.txt"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/552091468779125043"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/552091468779125043/pdf/277580TU.pdf"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Turkmenistan - Water Supply and Sanitation Project. 1997. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "technical report",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 7,
        "source_word_anchor": "and Water Management MWR Ministry of Health and Medical Industries MOH Poverty",
        "source_word_count": 12
      },
      "material_id": "material:77651c7e108c20be191d42c4",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "1997-04-24",
      "publication_year": 1997,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 198,
        "response_sha256": "f53fe96b818571eef4b5ed7d05f58fff806bcdff55ba03ef339bb141202c33dd"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "health_system_topic:service_delivery",
        "population_group:children",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Turkmenistan - Water Supply and Sanitation Project",
      "urls": [
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/857081468779379875/text/multi-page.txt"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/857081468779379875/pdf/multi-page.pdf"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/857081468779379875"
        }
      ]
    },
    {
      "annotation_status": "open",
      "authors": [],
      "availability": {
        "download_status": "Availability or relevance uncertain",
        "downloaded": false,
        "extracted": false,
        "text_pages": null,
        "text_words": null
      },
      "citation": "Turkmenistan - Water Supply and Sanitation Project. 1997. https://search.worldbank.org/api/v3/wds",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "service_delivery"
      ],
      "display_status": "shown_in_full",
      "document_type": "unknown",
      "evidence_mode": null,
      "excerpt": null,
      "institution": "World Bank Documents and Reports",
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 3,
        "source_word_anchor": "and Water Management MWR Ministry of Health and Medical Industries MOH Poverty",
        "source_word_count": 12
      },
      "material_id": "material:8a9db0c46d0271cd44abcb83",
      "notes": [
        "Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.",
        "A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-health-systems-library",
      "period": null,
      "publication_date": "1997-04-24",
      "publication_year": 1997,
      "record_kind": "library_document_candidate",
      "record_kind_label": "Library document candidate",
      "screening": {
        "evidence_work_review_state": "auto",
        "machine_screening_reason": null,
        "machine_screening_state": "organization_tag_candidate",
        "organization_tag_confidence": 0.85,
        "page_locator_linked_from_country_score_acquisition": true,
        "previous_visibility": "previously_not_projected_unless_selected",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "Global Health Systems Library",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 30,
        "response_sha256": "3c574732a2394adf3f26eba5d69aafbd17518585b566febc0984a15ea70d0098"
      },
      "statement": null,
      "tags": [
        "control_knob:organization",
        "control_knob:persuasion_behaviour",
        "health_system_topic:service_delivery",
        "population_group:children",
        "who_building_block:service_delivery"
      ],
      "territory": "national",
      "title": "Turkmenistan - Water Supply and Sanitation Project",
      "urls": [
        {
          "kind": "catalogue",
          "source": "World Bank Documents and Reports",
          "url": "https://search.worldbank.org/api/v3/wds"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/292561506460403075/text/multi-page.txt"
        },
        {
          "kind": "source",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/"
        },
        {
          "kind": "file",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/292561506460403075/pdf/multi-page.pdf"
        },
        {
          "kind": "landing",
          "source": "World Bank Documents and Reports",
          "url": "https://documents.worldbank.org/curated/en/292561506460403075"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "Semenova Y, Lim L, Salpynov Z, Gaipov A, Jakovljevic M. Historical evolution of healthcare systems of post-soviet Russia, Belarus, Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, Uzbekistan, Armenia, and Azerbaijan: A scoping review.. Heliyon. 2024. doi:10.1016/j.heliyon.2024.e29550.",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "decision_rights",
        "governance",
        "government_responsibilities",
        "hospital_organization",
        "networks",
        "primary_care",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": null,
      "excerpt": null,
      "institution": null,
      "locator": null,
      "material_id": "material:6025ea9ef7163547776425f9",
      "notes": [
        "Verify the exact bibliographic citation against the original source.",
        "Confirm that the document applies to the named country and intended territorial scope.",
        "Confirm document type, issuing institution, authority, and claim-specific suitability.",
        "Retrieve and hash the exact source version when it is not already verified.",
        "Check publication date, effective period, currency, and supersession risk.",
        "Confirm only domains directly supported by the reviewed source.",
        "Add substantive feedback directly through the text-anchored annotation layer.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition."
      ],
      "origin": "global-source-triage-queue",
      "period": null,
      "publication_date": null,
      "publication_year": 2024,
      "record_kind": "source_triage_record",
      "record_kind_label": "Source Triage Record",
      "screening": {
        "previous_boundary_detected": true,
        "previous_visibility": "previously_not_projected",
        "review_status": "needs_review",
        "source_version_linked_from_country_score_acquisition": true
      },
      "source_layers": [
        "pubmed_global_country_system_review_discovery"
      ],
      "source_system": "pubmed_global_country_system_review_discovery",
      "source_version": {
        "detected_media_type": "text/html",
        "response_sha256": "2ef9ec2a6e8bd5d4af45ceb77638caa2ae655f1c4520cffe0a814cc63732fa5e"
      },
      "statement": null,
      "tags": [],
      "territory": null,
      "title": "Historical evolution of healthcare systems of post-soviet Russia, Belarus, Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, Uzbekistan, Armenia, and Azerbaijan: A scoping review.",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://pubmed.ncbi.nlm.nih.gov/38655295/"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank Documents and Reports. Implementing health sector reform in Central Asia : papers from an EDI Health Policy Seminar held in Ashgabat, Turkmenistan, June 1996. World Bank Documents and Reports; 1998. https://documents.worldbank.org/curated/en/954321468780945557/pdf/multi-page.pdf",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "actors",
        "government_responsibilities",
        "primary_care",
        "reform_history"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": null,
      "excerpt": null,
      "institution": null,
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 6,
        "source_word_anchor": "to policymaking and effective governance and to build an engaged and informed",
        "source_word_count": 12
      },
      "material_id": "material:6034c2af5a03c1f22172d0c8",
      "notes": [
        "Verify the exact bibliographic citation against the original source.",
        "Confirm that the document applies to the named country and intended territorial scope.",
        "Confirm document type, issuing institution, authority, and claim-specific suitability.",
        "Retrieve and hash the exact source version when it is not already verified.",
        "Check publication date, effective period, currency, and supersession risk.",
        "Confirm only domains directly supported by the reviewed source.",
        "Add substantive feedback directly through the text-anchored annotation layer.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the priority traceability audit.",
        "A recoverable source locator was retrieved from this exact public source URL in the priority traceability audit."
      ],
      "origin": "global-source-triage-queue",
      "period": null,
      "publication_date": null,
      "publication_year": 1998,
      "record_kind": "source_triage_record",
      "record_kind_label": "Source Triage Record",
      "screening": {
        "page_locator_linked_from_priority_acquisition": true,
        "previous_boundary_detected": true,
        "previous_visibility": "previously_not_projected",
        "review_status": "needs_review",
        "source_version_linked_from_priority_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "global_literature",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 165,
        "response_sha256": "657f034e72fb88963e8f8289bbac33a682eb9c957d13843f81c184a2461380ff"
      },
      "statement": null,
      "tags": [],
      "territory": null,
      "title": "Implementing health sector reform in Central Asia : papers from an EDI Health Policy Seminar held in Ashgabat, Turkmenistan, June 1996",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/954321468780945557/pdf/multi-page.pdf"
        }
      ]
    },
    {
      "analytical_mapping": {},
      "annotation_status": "open",
      "authors": [],
      "availability": {},
      "citation": "World Bank Documents and Reports. Turkmenistan - Rationalizing the health sector. World Bank Documents and Reports; 1996. https://documents.worldbank.org/curated/en/432211468761372739/pdf/multi0page.pdf",
      "country_ids": [
        "TKM"
      ],
      "coverage_domains": [
        "actors",
        "government_responsibilities",
        "primary_care"
      ],
      "display_status": "shown_in_full",
      "document_type": null,
      "evidence_mode": null,
      "excerpt": null,
      "institution": null,
      "locator": {
        "paragraph_index_on_page": 1,
        "physical_pdf_page": 7,
        "source_word_anchor": "with multiple tiers of referral and poor case management v Policy making",
        "source_word_count": 12
      },
      "material_id": "material:915be17e494eb0d89481d157",
      "notes": [
        "Verify the exact bibliographic citation against the original source.",
        "Confirm that the document applies to the named country and intended territorial scope.",
        "Confirm document type, issuing institution, authority, and claim-specific suitability.",
        "Retrieve and hash the exact source version when it is not already verified.",
        "Check publication date, effective period, currency, and supersession risk.",
        "Confirm only domains directly supported by the reviewed source.",
        "Add substantive feedback directly through the text-anchored annotation layer.",
        "Immutable source-version metadata was retrieved from this exact public source URL in the priority traceability audit.",
        "A recoverable source locator was retrieved from this exact public source URL in the priority traceability audit."
      ],
      "origin": "global-source-triage-queue",
      "period": null,
      "publication_date": null,
      "publication_year": 1996,
      "record_kind": "source_triage_record",
      "record_kind_label": "Source Triage Record",
      "screening": {
        "page_locator_linked_from_priority_acquisition": true,
        "previous_boundary_detected": true,
        "previous_visibility": "previously_not_projected",
        "review_status": "needs_review",
        "source_version_linked_from_priority_acquisition": true
      },
      "source_layers": [
        "global_literature"
      ],
      "source_system": "global_literature",
      "source_version": {
        "detected_media_type": "application/pdf",
        "page_count": 100,
        "response_sha256": "cccf4508794dd10683e6d36a3f602db0aa5ac4dc1ad4b022d644173c059e8f38"
      },
      "statement": null,
      "tags": [],
      "territory": null,
      "title": "Turkmenistan - Rationalizing the health sector",
      "urls": [
        {
          "kind": "url",
          "source": "not supplied",
          "url": "https://documents.worldbank.org/curated/en/432211468761372739/pdf/multi0page.pdf"
        }
      ]
    }
  ]
}
