{ "schema_version": "1.0.0", "display_policy": "all_display_eligible_evidence_is_public_and_reviewable_by_annotation", "country": { "iso3": "VCT", "name": "Saint Vincent and the Grenadines", "aliases": [ "Saint Vincent and the Grenadines" ], "type": "country", "who_region": "AMR", "who_region_source": "AMR", "wb_region": "Latin America & Caribbean", "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": 1, "candidate_facts": 0, "exact_contexts": 0, "source_linked_analytical_mappings": 10, "source_linked_analytical_object_rows": 21, "all_material_records": 23, "library_document_candidates": 0, "candidate_queue_records": 22, "current_public_projection_records": 1 }, "availability": [ { "domain": "actors", "period_id": "current-structure", "display_status": "evidence_displayed", "material_record_count": 8, "exact_context_count": 2, "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": 10, "exact_context_count": 3, "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": 3, "exact_context_count": 2, "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": 5, "exact_context_count": 2, "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": 3, "exact_context_count": 2, "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": 14, "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": 7, "exact_context_count": 3, "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": 7, "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": 2, "exact_context_count": 1, "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": 9, "exact_context_count": 6, "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": 8, "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": 4, "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": 5, "exact_context_count": 2, "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": 16, "exact_context_count": 7, "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": 3, "exact_context_count": 2, "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": 8, "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": 13, "exact_context_count": 8, "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:VCT:actors-functions:historic-leadership-roles", "country_id": "VCT", "mapping_group": "actors_and_functions", "target_view": "functions", "target_slot": "historic-leadership-roles", "support_state": "candidate_supported", "mapping_basis": "PAHO historical country narrative", "source_projection_ids": [ "country-improvement-source:VCT:paho-health-in-americas-2007" ], "typed_fields": { "function": "PAHO identified political, administrative and technical leadership roles.", "boundary": "The narrative does not verify present officeholders or current allocation of authority." }, "title": "Historical leadership roles", "statement": "PAHO's 2007 narrative distinguished the Minister as political director, the Permanent Secretary as administrative leader and the Chief Medical Officer as technical head.", "citation": "Pan American Health Organization. Saint Vincent and the Grenadines: Health in the Americas 2007, Volume II.", "url": "https://ais.paho.org/hia_cp/en/2007/Saint%20Vincent%20and%20the%20Grenadines%20English.pdf", "locator": "PDF page 7, Organization of the Health System.", "period": "Narrative through 2006", "territory": "Saint Vincent and the Grenadines", "evidence_mode_candidate": "reported", "verification_source_layer": "official", "coverage_domains": [ "actors", "government_responsibilities", "governance", "authoritative_review" ], "annotation_state": "open", "analytical_objects": { "function_assignments": [ { "actor_label": "Senior Management Committee", "function_label": "Policy development and implementation", "role": "Reported historical responsibility", "actor_family": "national", "display_claim_ids": [ "display-claim:2fe327d48899753e01759b29" ], "display_source_ids": [ "display-source:VCT:90f42e6f72fe51858bee387e" ], "source_version_ids": [ "display-source-version:e572aabea8d71dfa0a8c4034" ], "display_evidence_object_id": "display-claim:2fe327d48899753e01759b29" } ] }, "source_references": [ { "title": "Saint Vincent and the Grenadines: Health in the Americas 2007", "citation": "Pan American Health Organization. Saint Vincent and the Grenadines: Health in the Americas 2007, Volume II. https://ais.paho.org/hia_cp/en/2007/Saint%20Vincent%20and%20the%20Grenadines%20English.pdf", "url": "https://ais.paho.org/hia_cp/en/2007/Saint%20Vincent%20and%20the%20Grenadines%20English.pdf", "locator": { "locator_type": "pdf_pages", "physical_pdf_pages": [ 7, 8 ], "source_word_anchor": "The Ministry of Health is", "source_word_count": 5 }, "source_version": { "file_sha256": "ff11b4a81d54e3d5665840d604f56cc735f208e87a24609a1660327750aa7a95", "response_sha256": "ff11b4a81d54e3d5665840d604f56cc735f208e87a24609a1660327750aa7a95", "page_count": 10, "detected_media_type": "application/pdf", "hash_verified": true, "retrieved_at": "2026-08-22" }, "source_projection_id": "country-improvement-source:VCT:paho-health-in-americas-2007", "display_source_id": "display-source:VCT:90f42e6f72fe51858bee387e", "source_version_id": "display-source-version:e572aabea8d71dfa0a8c4034" } ], "source_version": { "file_sha256": "ff11b4a81d54e3d5665840d604f56cc735f208e87a24609a1660327750aa7a95", "response_sha256": "ff11b4a81d54e3d5665840d604f56cc735f208e87a24609a1660327750aa7a95", "page_count": 10, "detected_media_type": "application/pdf", "hash_verified": true, "retrieved_at": "2026-08-22" }, "display_source_ids": [ "display-source:VCT:90f42e6f72fe51858bee387e" ], "source_version_ids": [ "display-source-version:e572aabea8d71dfa0a8c4034" ], "display_claim_ids": [ "display-claim:00670274d95cc911bc9305c3", "display-claim:2fe327d48899753e01759b29" ], "display_evidence_object_id": "display-claim:00670274d95cc911bc9305c3", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:VCT:actors-functions:historical-ministry-organization", "country_id": "VCT", "mapping_group": "actors_and_functions", "target_view": "functions", "target_slot": "historical-ministry-organization", "support_state": "candidate_supported", "mapping_basis": "Formal 2007-2012 strategic-plan description of the Ministry organization", "source_projection_ids": [ "country-improvement-source:VCT:strategic-plan-health-2007-2012" ], "typed_fields": { "function": "The plan assigned policy and service-delivery responsibility to the Ministry.", "boundary": "The plan describes a historical organization and formal period, not a current organization chart." }, "title": "Historical ministry organization", "statement": "The strategic plan described a ministry responsible for health policy and service delivery, with political, administrative and technical leadership roles.", "citation": "Ministry of Health and the Environment, Saint Vincent and the Grenadines. Strategic Plan for Health 2007-2012.", "url": "https://extranet.who.int/countryplanningcycles/sites/default/files/planning_cycle_repository/saint_vincent_and_the_grenedines/national_health_policies-st_vincent_grenadines_strategic_plan_2007-2012.pdf", "locator": "PDF pages 38-39, Institutional Capacity.", "period": "2007-2012 plan; organization described in the plan", "territory": "Saint Vincent and the Grenadines", "evidence_mode_candidate": "formal", "verification_source_layer": "official", "coverage_domains": [ "actors", "government_responsibilities", "governance", "decision_rights" ], "annotation_state": "open", "analytical_objects": { "graph_nodes": [ { "node_id": "vct:ministry-2007", "label": "Ministry of Health and the Environment", "family": "national", "display_claim_ids": [ "display-claim:72fc22b0028ed8703550771e" ], "display_source_ids": [ "display-source:VCT:ba97f538f6ca02276b3e8498" ], "source_version_ids": [ "display-source-version:cfdda0fb09eb1d94a5963c49" ], "display_evidence_object_id": "display-claim:72fc22b0028ed8703550771e" }, { "node_id": "vct:health-services-2007", "label": "Public health services", "family": "provider", "display_claim_ids": [ "display-claim:c393710682d3ca5779c91310" ], "display_source_ids": [ "display-source:VCT:ba97f538f6ca02276b3e8498" ], "source_version_ids": [ "display-source-version:cfdda0fb09eb1d94a5963c49" ], "display_evidence_object_id": "display-claim:c393710682d3ca5779c91310" } ], "graph_edges": [ { "source_node_id": "vct:ministry-2007", "target_node_id": "vct:health-services-2007", "relationship": "was assigned policy and service-delivery responsibility for", "relationship_family": "governance", "display_claim_ids": [ "display-claim:127436bfcdaf46d2dfebb58d" ], "display_source_ids": [ "display-source:VCT:ba97f538f6ca02276b3e8498" ], "source_version_ids": [ "display-source-version:cfdda0fb09eb1d94a5963c49" ], "display_evidence_object_id": "display-claim:127436bfcdaf46d2dfebb58d" } ], "function_assignments": [ { "actor_label": "Ministry of Health and the Environment", "function_label": "Health policy and service delivery", "role": "Formal plan assignment", "actor_family": "national", "display_claim_ids": [ "display-claim:f73f72dd0850460f332e7899" ], "display_source_ids": [ "display-source:VCT:ba97f538f6ca02276b3e8498" ], "source_version_ids": [ "display-source-version:cfdda0fb09eb1d94a5963c49" ], "display_evidence_object_id": "display-claim:f73f72dd0850460f332e7899" } ] }, "source_references": [ { "title": "Strategic Plan for Health 2007-2012", "citation": "Ministry of Health and the Environment, Saint Vincent and the Grenadines. Strategic Plan for Health 2007-2012. World Health Organization Country Planning Cycles repository. https://extranet.who.int/countryplanningcycles/sites/default/files/planning_cycle_repository/saint_vincent_and_the_grenedines/national_health_policies-st_vincent_grenadines_strategic_plan_2007-2012.pdf", "url": "https://extranet.who.int/countryplanningcycles/sites/default/files/planning_cycle_repository/saint_vincent_and_the_grenedines/national_health_policies-st_vincent_grenadines_strategic_plan_2007-2012.pdf", "locator": { "locator_type": "pdf_pages", "physical_pdf_pages": [ 38, 40, 43 ], "source_word_anchor": "responsibility for Health and Environmental", "source_word_count": 5 }, "source_version": { "file_sha256": "cd14307de919274c2ccb24709a7cc77c99567d30880ec63f1c0e19cb18a7c207", "response_sha256": "cd14307de919274c2ccb24709a7cc77c99567d30880ec63f1c0e19cb18a7c207", "page_count": 80, "detected_media_type": "application/pdf", "hash_verified": true, "retrieved_at": "2026-08-22" }, "source_projection_id": "country-improvement-source:VCT:strategic-plan-health-2007-2012", "display_source_id": "display-source:VCT:ba97f538f6ca02276b3e8498", "source_version_id": "display-source-version:cfdda0fb09eb1d94a5963c49" } ], "source_version": { "file_sha256": "cd14307de919274c2ccb24709a7cc77c99567d30880ec63f1c0e19cb18a7c207", "response_sha256": "cd14307de919274c2ccb24709a7cc77c99567d30880ec63f1c0e19cb18a7c207", "page_count": 80, "detected_media_type": "application/pdf", "hash_verified": true, "retrieved_at": "2026-08-22" }, "display_source_ids": [ "display-source:VCT:ba97f538f6ca02276b3e8498" ], "source_version_ids": [ "display-source-version:cfdda0fb09eb1d94a5963c49" ], "display_claim_ids": [ "display-claim:6d7ab40e49707513da73ccf7", "display-claim:72fc22b0028ed8703550771e", "display-claim:c393710682d3ca5779c91310", "display-claim:127436bfcdaf46d2dfebb58d", "display-claim:f73f72dd0850460f332e7899" ], "display_evidence_object_id": "display-claim:6d7ab40e49707513da73ccf7", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:VCT:decision-autonomy:historical-policy-setting", "country_id": "VCT", "mapping_group": "decision_rights_and_autonomy", "target_view": "decisions", "target_slot": "historical-policy-setting", "support_state": "candidate_supported", "mapping_basis": "Formal strategic-plan institutional-capacity section", "source_projection_ids": [ "country-improvement-source:VCT:strategic-plan-health-2007-2012" ], "typed_fields": { "decision": "Policy development and implementation was assigned to the Senior Management Committee in the formal plan.", "boundary": "This does not establish current statutory decision rights or provider authority." }, "title": "Historical policy-setting arrangement", "statement": "The formal plan assigned policy development and implementation to a Senior Management Committee involving senior ministry personnel.", "citation": "Ministry of Health and the Environment, Saint Vincent and the Grenadines. Strategic Plan for Health 2007-2012.", "url": "https://extranet.who.int/countryplanningcycles/sites/default/files/planning_cycle_repository/saint_vincent_and_the_grenedines/national_health_policies-st_vincent_grenadines_strategic_plan_2007-2012.pdf", "locator": "PDF page 38, Institutional Capacity.", "period": "2007-2012 plan", "territory": "Saint Vincent and the Grenadines", "evidence_mode_candidate": "formal", "verification_source_layer": "official", "coverage_domains": [ "decision_rights", "government_responsibilities", "governance", "actors" ], "annotation_state": "open", "analytical_objects": { "decision_cells": [ { "decision_id": "vct-policy-development-2007", "decision_label": "Policy development and implementation", "actor_label": "Senior Management Committee", "actor_family": "national", "role": "Formal plan responsibility", "constraint": "Historic plan assignment; current authority requires direct, current evidence.", "display_claim_ids": [ "display-claim:be67f1082e0c6fad987b6906" ], "display_source_ids": [ "display-source:VCT:ba97f538f6ca02276b3e8498" ], "source_version_ids": [ "display-source-version:cfdda0fb09eb1d94a5963c49" ], "display_evidence_object_id": "display-claim:be67f1082e0c6fad987b6906" } ] }, "source_references": [ { "title": "Strategic Plan for Health 2007-2012", "citation": "Ministry of Health and the Environment, Saint Vincent and the Grenadines. Strategic Plan for Health 2007-2012. World Health Organization Country Planning Cycles repository. https://extranet.who.int/countryplanningcycles/sites/default/files/planning_cycle_repository/saint_vincent_and_the_grenedines/national_health_policies-st_vincent_grenadines_strategic_plan_2007-2012.pdf", "url": "https://extranet.who.int/countryplanningcycles/sites/default/files/planning_cycle_repository/saint_vincent_and_the_grenedines/national_health_policies-st_vincent_grenadines_strategic_plan_2007-2012.pdf", "locator": { "locator_type": "pdf_pages", "physical_pdf_pages": [ 38, 40, 43 ], "source_word_anchor": "responsibility for Health and Environmental", "source_word_count": 5 }, "source_version": { "file_sha256": "cd14307de919274c2ccb24709a7cc77c99567d30880ec63f1c0e19cb18a7c207", "response_sha256": "cd14307de919274c2ccb24709a7cc77c99567d30880ec63f1c0e19cb18a7c207", "page_count": 80, "detected_media_type": "application/pdf", "hash_verified": true, "retrieved_at": "2026-08-22" }, "source_projection_id": "country-improvement-source:VCT:strategic-plan-health-2007-2012", "display_source_id": "display-source:VCT:ba97f538f6ca02276b3e8498", "source_version_id": "display-source-version:cfdda0fb09eb1d94a5963c49" } ], "source_version": { "file_sha256": "cd14307de919274c2ccb24709a7cc77c99567d30880ec63f1c0e19cb18a7c207", "response_sha256": "cd14307de919274c2ccb24709a7cc77c99567d30880ec63f1c0e19cb18a7c207", "page_count": 80, "detected_media_type": "application/pdf", "hash_verified": true, "retrieved_at": "2026-08-22" }, "display_source_ids": [ "display-source:VCT:ba97f538f6ca02276b3e8498" ], "source_version_ids": [ "display-source-version:cfdda0fb09eb1d94a5963c49" ], "display_claim_ids": [ "display-claim:b587ba35ee9529cf583aba85", "display-claim:be67f1082e0c6fad987b6906" ], "display_evidence_object_id": "display-claim:b587ba35ee9529cf583aba85", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:VCT:decision-autonomy:provider-authority-unclassified", "country_id": "VCT", "mapping_group": "decision_rights_and_autonomy", "target_view": "autonomy", "target_slot": "provider-authority-unclassified", "support_state": "candidate_supported", "mapping_basis": "Bounded reading of historical plans and public assessments", "source_projection_ids": [ "country-improvement-source:VCT:strategic-plan-health-2007-2012", "country-improvement-source:VCT:global-health-security-index-2021" ], "typed_fields": { "autonomy": "Displayed sources do not allocate financial, workforce or operational authority to individual facilities.", "boundary": "No categorical provider-autonomy rating is made." }, "title": "Provider autonomy remains unclassified", "statement": "The displayed sources do not justify a current categorical autonomy rating for primary-care facilities or hospitals.", "citation": "Ministry of Health and the Environment, Strategic Plan for Health 2007-2012; Nuclear Threat Initiative and Johns Hopkins Center for Health Security, 2021 Global Health Security Index.", "url": "https://extranet.who.int/countryplanningcycles/sites/default/files/planning_cycle_repository/saint_vincent_and_the_grenedines/national_health_policies-st_vincent_grenadines_strategic_plan_2007-2012.pdf", "locator": "Strategic Plan PDF pages 38-43; GHS Index public-evidence assessment.", "period": "Sources dated 2007-2021", "territory": "Saint Vincent and the Grenadines", "evidence_mode_candidate": "reported", "verification_source_layer": "grey_literature", "coverage_domains": [ "autonomy", "decision_rights", "primary_care", "hospital_organization", "facility_data" ], "annotation_state": "open", "analytical_objects": { "autonomy_cells": [ { "dimension": "Financial management", "provider_group": "Primary care", "authority_label": "Not classified from displayed sources", "counterpart": "No source allocates facility financial authority.", "display_claim_ids": [ "display-claim:89a878043e2dcdb8bf7802ec" ], "display_source_ids": [ "display-source:VCT:ba97f538f6ca02276b3e8498", "display-source:VCT:0cd12340d6bcc768a779049f" ], "source_version_ids": [ "display-source-version:cfdda0fb09eb1d94a5963c49", "display-source-version:b6cd0d78b9a5b1db49c6dba1" ], "display_evidence_object_id": "display-claim:89a878043e2dcdb8bf7802ec" }, { "dimension": "Operations", "provider_group": "Hospitals", "authority_label": "Not classified from displayed sources", "counterpart": "No source allocates hospital operational authority.", "display_claim_ids": [ "display-claim:82aa9b9762b9abce721aa7d9" ], "display_source_ids": [ "display-source:VCT:ba97f538f6ca02276b3e8498", "display-source:VCT:0cd12340d6bcc768a779049f" ], "source_version_ids": [ "display-source-version:cfdda0fb09eb1d94a5963c49", "display-source-version:b6cd0d78b9a5b1db49c6dba1" ], "display_evidence_object_id": "display-claim:82aa9b9762b9abce721aa7d9" } ] }, "source_references": [ { "title": "Strategic Plan for Health 2007-2012", "citation": "Ministry of Health and the Environment, Saint Vincent and the Grenadines. Strategic Plan for Health 2007-2012. World Health Organization Country Planning Cycles repository. https://extranet.who.int/countryplanningcycles/sites/default/files/planning_cycle_repository/saint_vincent_and_the_grenedines/national_health_policies-st_vincent_grenadines_strategic_plan_2007-2012.pdf", "url": "https://extranet.who.int/countryplanningcycles/sites/default/files/planning_cycle_repository/saint_vincent_and_the_grenedines/national_health_policies-st_vincent_grenadines_strategic_plan_2007-2012.pdf", "locator": { "locator_type": "pdf_pages", "physical_pdf_pages": [ 38, 40, 43 ], "source_word_anchor": "responsibility for Health and Environmental", "source_word_count": 5 }, "source_version": { "file_sha256": "cd14307de919274c2ccb24709a7cc77c99567d30880ec63f1c0e19cb18a7c207", "response_sha256": "cd14307de919274c2ccb24709a7cc77c99567d30880ec63f1c0e19cb18a7c207", "page_count": 80, "detected_media_type": "application/pdf", "hash_verified": true, "retrieved_at": "2026-08-22" }, "source_projection_id": "country-improvement-source:VCT:strategic-plan-health-2007-2012", "display_source_id": "display-source:VCT:ba97f538f6ca02276b3e8498", "source_version_id": "display-source-version:cfdda0fb09eb1d94a5963c49" }, { "title": "2021 Global Health Security Index: St. Vincent & The Grenadines", "citation": "Nuclear Threat Initiative and Johns Hopkins Center for Health Security. 2021 Global Health Security Index: St. Vincent & The Grenadines. https://ghsindex.org/wp-content/uploads/2021/12/St-Vincent-The-Grenadines.pdf", "url": "https://ghsindex.org/wp-content/uploads/2021/12/St-Vincent-The-Grenadines.pdf", "locator": { "locator_type": "pdf_pages", "physical_pdf_pages": [ 1, 9, 47 ], "source_word_anchor": "no publicly available evidence", "source_word_count": 4 }, "source_version": { "file_sha256": "0d752dc46d62d3bd1fe7e387543193caaa5e3f9020344d67f6691bf17a881bb7", "response_sha256": "0d752dc46d62d3bd1fe7e387543193caaa5e3f9020344d67f6691bf17a881bb7", "page_count": 111, "detected_media_type": "application/pdf", "hash_verified": true, "retrieved_at": "2026-08-22" }, "source_projection_id": "country-improvement-source:VCT:global-health-security-index-2021", "display_source_id": "display-source:VCT:0cd12340d6bcc768a779049f", "source_version_id": "display-source-version:b6cd0d78b9a5b1db49c6dba1" } ], "source_version": { "file_sha256": "cd14307de919274c2ccb24709a7cc77c99567d30880ec63f1c0e19cb18a7c207", "response_sha256": "cd14307de919274c2ccb24709a7cc77c99567d30880ec63f1c0e19cb18a7c207", "page_count": 80, "detected_media_type": "application/pdf", "hash_verified": true, "retrieved_at": "2026-08-22" }, "display_source_ids": [ "display-source:VCT:ba97f538f6ca02276b3e8498", "display-source:VCT:0cd12340d6bcc768a779049f" ], "source_version_ids": [ "display-source-version:cfdda0fb09eb1d94a5963c49", "display-source-version:b6cd0d78b9a5b1db49c6dba1" ], "display_claim_ids": [ "display-claim:43b5db02ac4e191a87f02585", "display-claim:89a878043e2dcdb8bf7802ec", "display-claim:82aa9b9762b9abce721aa7d9" ], "display_evidence_object_id": "display-claim:43b5db02ac4e191a87f02585", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:VCT:delivery-referrals:dated-primary-secondary-architecture", "country_id": "VCT", "mapping_group": "delivery_and_referrals", "target_view": "delivery", "target_slot": "dated-primary-secondary-architecture", "support_state": "candidate_supported", "mapping_basis": "PAHO 2012 historical country narrative", "source_projection_ids": [ "country-improvement-source:VCT:paho-health-in-americas-2012" ], "typed_fields": { "delivery": "PAHO described 39 centres in nine districts and secondary care mainly at Milton Cato Memorial Hospital.", "boundary": "This is reported architecture for 2006-2010, not observed flow or current capacity." }, "title": "Dated primary and secondary architecture", "statement": "PAHO's 2012 account presents primary and secondary service organization for 2006-2010 without estimating referral completion or patient flow.", "citation": "Pan American Health Organization. Health in the Americas, 2012 Edition: Saint Vincent and the Grenadines.", "url": "https://hia.paho.org/sites/default/files/2021-05/hia-2012-en.pdf", "locator": "PDF page 198, Health Policies, the Health System, and Social Protection.", "period": "2006-2010 conditions, published 2012", "territory": "Saint Vincent and the Grenadines", "evidence_mode_candidate": "reported", "verification_source_layer": "official", "coverage_domains": [ "primary_care", "hospital_organization", "referral_design", "facility_data", "utilization", "patient_flows" ], "annotation_state": "open", "analytical_objects": { "graph_nodes": [ { "node_id": "vct:health-centres-2010", "label": "39 health centers", "family": "provider", "display_claim_ids": [ "display-claim:ffb810a7c017e659ffa34584" ], "display_source_ids": [ "display-source:VCT:28f98587e1719a548de836c6" ], "source_version_ids": [ "display-source-version:47ea25bef71826b06474cfdc" ], "display_evidence_object_id": "display-claim:ffb810a7c017e659ffa34584" }, { "node_id": "vct:milton-cato-2010", "label": "Milton Cato Memorial Hospital", "family": "provider", "display_claim_ids": [ "display-claim:a4b0ae0ec0d89f000b0a6ad0" ], "display_source_ids": [ "display-source:VCT:28f98587e1719a548de836c6" ], "source_version_ids": [ "display-source-version:47ea25bef71826b06474cfdc" ], "display_evidence_object_id": "display-claim:a4b0ae0ec0d89f000b0a6ad0" } ], "graph_edges": [ { "source_node_id": "vct:health-centres-2010", "target_node_id": "vct:milton-cato-2010", "relationship": "were described as primary and mainly secondary care components alongside", "relationship_family": "referral", "display_claim_ids": [ "display-claim:66e8c5f5d689dd4bb60b742a" ], "display_source_ids": [ "display-source:VCT:28f98587e1719a548de836c6" ], "source_version_ids": [ "display-source-version:47ea25bef71826b06474cfdc" ], "display_evidence_object_id": "display-claim:66e8c5f5d689dd4bb60b742a" } ], "provider_delivery_observations": [ { "label": "Dated service configuration", "observation": "PAHO reported 39 health centers across nine districts and secondary care mainly at Milton Cato Memorial Hospital.", "scope": "National description for 2006-2010; not a current census or flow measure.", "display_claim_ids": [ "display-claim:2ddd43d8412e08cd8115ad72" ], "display_source_ids": [ "display-source:VCT:28f98587e1719a548de836c6" ], "source_version_ids": [ "display-source-version:47ea25bef71826b06474cfdc" ], "display_evidence_object_id": "display-claim:2ddd43d8412e08cd8115ad72" } ] }, "source_references": [ { "title": "Health in the Americas, 2012 Edition: Saint Vincent and the Grenadines", "citation": "Pan American Health Organization. Health in the Americas, 2012 Edition: Saint Vincent and the Grenadines. https://hia.paho.org/sites/default/files/2021-05/hia-2012-en.pdf", "url": "https://hia.paho.org/sites/default/files/2021-05/hia-2012-en.pdf", "locator": { "locator_type": "pdf_pages", "physical_pdf_pages": [ 196, 198, 199 ], "source_word_anchor": "Primary health care is provided", "source_word_count": 6 }, "source_version": { "file_sha256": "a9c38a1f1f210e815bc16d5cc1edfed5a33ae2841bf7222e84e092ccd3fe7faf", "response_sha256": "a9c38a1f1f210e815bc16d5cc1edfed5a33ae2841bf7222e84e092ccd3fe7faf", "page_count": 227, "detected_media_type": "application/pdf", "hash_verified": true, "retrieved_at": "2026-08-22" }, "source_projection_id": "country-improvement-source:VCT:paho-health-in-americas-2012", "display_source_id": "display-source:VCT:28f98587e1719a548de836c6", "source_version_id": "display-source-version:47ea25bef71826b06474cfdc" } ], "source_version": { "file_sha256": "a9c38a1f1f210e815bc16d5cc1edfed5a33ae2841bf7222e84e092ccd3fe7faf", "response_sha256": "a9c38a1f1f210e815bc16d5cc1edfed5a33ae2841bf7222e84e092ccd3fe7faf", "page_count": 227, "detected_media_type": "application/pdf", "hash_verified": true, "retrieved_at": "2026-08-22" }, "display_source_ids": [ "display-source:VCT:28f98587e1719a548de836c6" ], "source_version_ids": [ "display-source-version:47ea25bef71826b06474cfdc" ], "display_claim_ids": [ "display-claim:697295398c5fb4b1aa2e6002", "display-claim:ffb810a7c017e659ffa34584", "display-claim:a4b0ae0ec0d89f000b0a6ad0", "display-claim:66e8c5f5d689dd4bb60b742a", "display-claim:2ddd43d8412e08cd8115ad72" ], "display_evidence_object_id": "display-claim:697295398c5fb4b1aa2e6002", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:VCT:delivery-referrals:observed-evidence-boundary", "country_id": "VCT", "mapping_group": "delivery_and_referrals", "target_view": "referrals", "target_slot": "observed-evidence-boundary", "support_state": "candidate_supported", "mapping_basis": "Regional health-workforce review and country-specific cross-sectional study", "source_projection_ids": [ "country-improvement-source:VCT:research-caribbean-health-workforce-2023", "country-improvement-source:VCT:research-national-health-insurance-2015" ], "typed_fields": { "observation": "One study observed stated insurance preferences; the regional review identifies referral-related gaps without a national flow estimate.", "boundary": "No current Vincentian referral completion, bypass, waiting-time or utilization rate is inferred." }, "title": "Observed evidence remains bounded", "statement": "Displayed research does not provide a national observed referral-flow measure for Saint Vincent and the Grenadines.", "citation": "Adams R, Chen Y, Piggott C. BMC Health Services Research. 2015; Bourne PA, et al. Human Resources for Health. 2023.", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC9976228/fullTextXML", "locator": "Research XML Background, Methods, Results and Discussion sections.", "period": "Published 2015 and 2023; underlying evidence dates vary", "territory": "Saint Vincent and the Grenadines and Caribbean regional review context", "evidence_mode_candidate": "observed", "verification_source_layer": "research_literature", "coverage_domains": [ "observed_referral", "patient_flows", "utilization", "referral_design", "authoritative_review" ], "annotation_state": "open", "analytical_objects": { "provider_delivery_observations": [ { "label": "Observed-study boundary", "observation": "The country study observed stated preferences for proposed insurance, while the regional review did not report a national referral-flow estimate.", "scope": "Not evidence of utilization, referral completion, or provider performance.", "display_claim_ids": [ "display-claim:d1f69a9950acf49390a169ab" ], "display_source_ids": [ "display-source:VCT:4d5f0118f23b39ddd18d0cc2", "display-source:VCT:9b03880d71cc8bd19266c87f" ], "source_version_ids": [ "display-source-version:f198d868a983339ee6fb3add", "display-source-version:0fa0baa0e779310c986794e3" ], "display_evidence_object_id": "display-claim:d1f69a9950acf49390a169ab" } ] }, "source_references": [ { "title": "Addressing the move toward universal health in the Caribbean through strengthening the health workforce", "citation": "Bourne PA, et al. Addressing the move toward universal health in the Caribbean through strengthening the health workforce. Human Resources for Health. 2023;21:11. https://www.ebi.ac.uk/europepmc/webservices/rest/PMC9976228/fullTextXML", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC9976228/fullTextXML", "locator": { "locator_type": "xml_sections", "sections": [ "Results", "Discussion" ], "source_word_anchor": "referral services, system navigation", "source_word_count": 4 }, "source_version": { "file_sha256": "8848fe2e457c6b16822caf20989783d292c9d6fe20a44b5ddd528b661e556a55", "response_sha256": "8848fe2e457c6b16822caf20989783d292c9d6fe20a44b5ddd528b661e556a55", "detected_media_type": "application/xml", "hash_verified": true, "retrieved_at": "2026-08-22" }, "source_projection_id": "country-improvement-source:VCT:research-caribbean-health-workforce-2023", "display_source_id": "display-source:VCT:4d5f0118f23b39ddd18d0cc2", "source_version_id": "display-source-version:f198d868a983339ee6fb3add" }, { "title": "Willingness to participate and pay for a proposed national health insurance in St. Vincent and the Grenadines", "citation": "Adams R, Chen Y, Piggott C. Willingness to participate and pay for a proposed national health insurance in St. Vincent and the Grenadines: a cross-sectional contingent valuation approach. BMC Health Services Research. 2015;15:148. https://www.ebi.ac.uk/europepmc/webservices/rest/PMC4404596/fullTextXML", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC4404596/fullTextXML", "locator": { "locator_type": "xml_sections", "sections": [ "Background", "Methods" ], "source_word_anchor": "government owns and operates", "source_word_count": 4 }, "source_version": { "file_sha256": "830c4e2a8842c1ee1d90f22687f091f16186b76dbc685c831cad1401516acd14", "response_sha256": "830c4e2a8842c1ee1d90f22687f091f16186b76dbc685c831cad1401516acd14", "detected_media_type": "application/xml", "hash_verified": true, "retrieved_at": "2026-08-22" }, "source_projection_id": "country-improvement-source:VCT:research-national-health-insurance-2015", "display_source_id": "display-source:VCT:9b03880d71cc8bd19266c87f", "source_version_id": "display-source-version:0fa0baa0e779310c986794e3" } ], "source_version": { "file_sha256": "8848fe2e457c6b16822caf20989783d292c9d6fe20a44b5ddd528b661e556a55", "response_sha256": "8848fe2e457c6b16822caf20989783d292c9d6fe20a44b5ddd528b661e556a55", "detected_media_type": "application/xml", "hash_verified": true, "retrieved_at": "2026-08-22" }, "display_source_ids": [ "display-source:VCT:4d5f0118f23b39ddd18d0cc2", "display-source:VCT:9b03880d71cc8bd19266c87f" ], "source_version_ids": [ "display-source-version:f198d868a983339ee6fb3add", "display-source-version:0fa0baa0e779310c986794e3" ], "display_claim_ids": [ "display-claim:1e60ef5f72c713dcfa17d89f", "display-claim:d1f69a9950acf49390a169ab" ], "display_evidence_object_id": "display-claim:1e60ef5f72c713dcfa17d89f", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:VCT:delivery-referrals:public-evidence-assessment-boundary", "country_id": "VCT", "mapping_group": "delivery_and_referrals", "target_view": "delivery", "target_slot": "public-evidence-assessment-boundary", "support_state": "candidate_supported", "mapping_basis": "2021 Global Health Security Index public-evidence assessment", "source_projection_ids": [ "country-improvement-source:VCT:global-health-security-index-2021" ], "typed_fields": { "data": "The index evaluates publicly available evidence for health-security capacities.", "boundary": "Its evidence assessments do not establish service delivery, facility completeness, utilization, or referral performance." }, "title": "Health-security evidence assessment boundary", "statement": "The Global Health Security Index is retained as a public-evidence assessment, not a facility census or measure of routine service performance.", "citation": "Nuclear Threat Initiative and Johns Hopkins Center for Health Security. 2021 Global Health Security Index: St. Vincent & The Grenadines.", "url": "https://ghsindex.org/wp-content/uploads/2021/12/St-Vincent-The-Grenadines.pdf", "locator": "PDF pages 1, 9 and 47, index evidence statements.", "period": "Evidence assessed for the 2021 index", "territory": "Saint Vincent and the Grenadines", "evidence_mode_candidate": "reported", "verification_source_layer": "grey_literature", "coverage_domains": [ "facility_data", "utilization", "patient_flows", "hospital_organization", "networks", "authoritative_review" ], "annotation_state": "open", "analytical_objects": { "provider_delivery_observations": [ { "label": "Public-evidence assessment boundary", "observation": "The index assesses publicly available evidence, not routine service delivery or provider performance.", "scope": "Index evidence scope for 2021; not a current operational audit.", "display_claim_ids": [ "display-claim:a479e30358eb53837fcc37c8" ], "display_source_ids": [ "display-source:VCT:0cd12340d6bcc768a779049f" ], "source_version_ids": [ "display-source-version:b6cd0d78b9a5b1db49c6dba1" ], "display_evidence_object_id": "display-claim:a479e30358eb53837fcc37c8" } ] }, "source_references": [ { "title": "2021 Global Health Security Index: St. Vincent & The Grenadines", "citation": "Nuclear Threat Initiative and Johns Hopkins Center for Health Security. 2021 Global Health Security Index: St. Vincent & The Grenadines. https://ghsindex.org/wp-content/uploads/2021/12/St-Vincent-The-Grenadines.pdf", "url": "https://ghsindex.org/wp-content/uploads/2021/12/St-Vincent-The-Grenadines.pdf", "locator": { "locator_type": "pdf_pages", "physical_pdf_pages": [ 1, 9, 47 ], "source_word_anchor": "no publicly available evidence", "source_word_count": 4 }, "source_version": { "file_sha256": "0d752dc46d62d3bd1fe7e387543193caaa5e3f9020344d67f6691bf17a881bb7", "response_sha256": "0d752dc46d62d3bd1fe7e387543193caaa5e3f9020344d67f6691bf17a881bb7", "page_count": 111, "detected_media_type": "application/pdf", "hash_verified": true, "retrieved_at": "2026-08-22" }, "source_projection_id": "country-improvement-source:VCT:global-health-security-index-2021", "display_source_id": "display-source:VCT:0cd12340d6bcc768a779049f", "source_version_id": "display-source-version:b6cd0d78b9a5b1db49c6dba1" } ], "source_version": { "file_sha256": "0d752dc46d62d3bd1fe7e387543193caaa5e3f9020344d67f6691bf17a881bb7", "response_sha256": "0d752dc46d62d3bd1fe7e387543193caaa5e3f9020344d67f6691bf17a881bb7", "page_count": 111, "detected_media_type": "application/pdf", "hash_verified": true, "retrieved_at": "2026-08-22" }, "display_source_ids": [ "display-source:VCT:0cd12340d6bcc768a779049f" ], "source_version_ids": [ "display-source-version:b6cd0d78b9a5b1db49c6dba1" ], "display_claim_ids": [ "display-claim:8b5d1a1511e60896a671b484", "display-claim:a479e30358eb53837fcc37c8" ], "display_evidence_object_id": "display-claim:8b5d1a1511e60896a671b484", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:VCT:relationships-networks:historical-state-organization", "country_id": "VCT", "mapping_group": "relationships_and_networks", "target_view": "public-private", "target_slot": "historical-state-organization", "support_state": "candidate_supported", "mapping_basis": "Formal strategic-plan description of service organization", "source_projection_ids": [ "country-improvement-source:VCT:strategic-plan-health-2007-2012" ], "typed_fields": { "ownership": "The plan described health services as significantly state-owned and centralized.", "boundary": "This is not a present ownership census or market-share estimate." }, "title": "Historical state-owned service organization", "statement": "The 2007-2012 plan described a significantly state-owned and centralized health-service organization, while noting increased private-sector involvement.", "citation": "Ministry of Health and the Environment, Saint Vincent and the Grenadines. Strategic Plan for Health 2007-2012.", "url": "https://extranet.who.int/countryplanningcycles/sites/default/files/planning_cycle_repository/saint_vincent_and_the_grenedines/national_health_policies-st_vincent_grenadines_strategic_plan_2007-2012.pdf", "locator": "PDF page 40, Overview of the Health Service.", "period": "2007-2012 plan; historical description", "territory": "Saint Vincent and the Grenadines", "evidence_mode_candidate": "formal", "verification_source_layer": "official", "coverage_domains": [ "ownership", "market_structure", "governance", "primary_care", "hospital_organization" ], "annotation_state": "open", "analytical_objects": { "provider_organizations": [ { "label": "Historical public service organization", "ownership": "Plan described significantly state-owned and centralized services", "scope": "Historical plan description; no current ownership denominator.", "display_claim_ids": [ "display-claim:5d76feb467adc2e8c402873c" ], "display_source_ids": [ "display-source:VCT:ba97f538f6ca02276b3e8498" ], "source_version_ids": [ "display-source-version:cfdda0fb09eb1d94a5963c49" ], "display_evidence_object_id": "display-claim:5d76feb467adc2e8c402873c" } ] }, "source_references": [ { "title": "Strategic Plan for Health 2007-2012", "citation": "Ministry of Health and the Environment, Saint Vincent and the Grenadines. Strategic Plan for Health 2007-2012. World Health Organization Country Planning Cycles repository. https://extranet.who.int/countryplanningcycles/sites/default/files/planning_cycle_repository/saint_vincent_and_the_grenedines/national_health_policies-st_vincent_grenadines_strategic_plan_2007-2012.pdf", "url": "https://extranet.who.int/countryplanningcycles/sites/default/files/planning_cycle_repository/saint_vincent_and_the_grenedines/national_health_policies-st_vincent_grenadines_strategic_plan_2007-2012.pdf", "locator": { "locator_type": "pdf_pages", "physical_pdf_pages": [ 38, 40, 43 ], "source_word_anchor": "responsibility for Health and Environmental", "source_word_count": 5 }, "source_version": { "file_sha256": "cd14307de919274c2ccb24709a7cc77c99567d30880ec63f1c0e19cb18a7c207", "response_sha256": "cd14307de919274c2ccb24709a7cc77c99567d30880ec63f1c0e19cb18a7c207", "page_count": 80, "detected_media_type": "application/pdf", "hash_verified": true, "retrieved_at": "2026-08-22" }, "source_projection_id": "country-improvement-source:VCT:strategic-plan-health-2007-2012", "display_source_id": "display-source:VCT:ba97f538f6ca02276b3e8498", "source_version_id": "display-source-version:cfdda0fb09eb1d94a5963c49" } ], "source_version": { "file_sha256": "cd14307de919274c2ccb24709a7cc77c99567d30880ec63f1c0e19cb18a7c207", "response_sha256": "cd14307de919274c2ccb24709a7cc77c99567d30880ec63f1c0e19cb18a7c207", "page_count": 80, "detected_media_type": "application/pdf", "hash_verified": true, "retrieved_at": "2026-08-22" }, "display_source_ids": [ "display-source:VCT:ba97f538f6ca02276b3e8498" ], "source_version_ids": [ "display-source-version:cfdda0fb09eb1d94a5963c49" ], "display_claim_ids": [ "display-claim:f2291ea611d481e3b35ae2ad", "display-claim:5d76feb467adc2e8c402873c" ], "display_evidence_object_id": "display-claim:f2291ea611d481e3b35ae2ad", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:VCT:relationships-networks:multisectoral-primary-care", "country_id": "VCT", "mapping_group": "relationships_and_networks", "target_view": "referrals", "target_slot": "multisectoral-primary-care", "support_state": "candidate_supported", "mapping_basis": "PAHO regional annual report", "source_projection_ids": [ "country-improvement-source:VCT:paho-eastern-caribbean-report-2025", "country-improvement-source:VCT:paho-surveillance-guidelines-2026" ], "typed_fields": { "network": "PAHO reported multisectoral work on mental-health integration and collaborative surveillance-guideline development.", "boundary": "Neither report supplies a national referral rule or observed referral-flow measure." }, "title": "Reported multisectoral integration context", "statement": "PAHO reports support a bounded context of multisectoral primary-care integration and ministry-PAHO surveillance collaboration, not a national referral-pathway claim.", "citation": "Pan American Health Organization. Barbados and the Eastern Caribbean Countries: Country Annual Report 2025; PAHO surveillance-guidelines news release, 2026.", "url": "https://www.paho.org/en/publications/barbados-and-eastern-caribbean-countries-country-annual-report-2025", "locator": "PAHO report description and 2026 news-release body.", "period": "2025-2026 reported activities", "territory": "Saint Vincent and the Grenadines, within an Eastern Caribbean regional context", "evidence_mode_candidate": "reported", "verification_source_layer": "official", "coverage_domains": [ "networks", "primary_care", "referral_design", "governance", "authoritative_review" ], "annotation_state": "open", "analytical_objects": { "graph_nodes": [ { "node_id": "vct:ministry-2026", "label": "Ministry health-surveillance context", "family": "national", "display_claim_ids": [ "display-claim:538da78b16cda1adb89320b0" ], "display_source_ids": [ "display-source:VCT:7b01da8bfb06eec0e2442c4c", "display-source:VCT:7d2bec9f67a287196e084149" ], "source_version_ids": [ "display-source-version:eb2f4ef1d9dd1f2165a44613", "display-source-version:c45fbf1dfce7f03a5c55b763" ], "display_evidence_object_id": "display-claim:538da78b16cda1adb89320b0" }, { "node_id": "vct:paho-support", "label": "PAHO technical support", "family": "national", "display_claim_ids": [ "display-claim:a6ff68a3f036e530253c9fa4" ], "display_source_ids": [ "display-source:VCT:7b01da8bfb06eec0e2442c4c", "display-source:VCT:7d2bec9f67a287196e084149" ], "source_version_ids": [ "display-source-version:eb2f4ef1d9dd1f2165a44613", "display-source-version:c45fbf1dfce7f03a5c55b763" ], "display_evidence_object_id": "display-claim:a6ff68a3f036e530253c9fa4" } ], "graph_edges": [ { "source_node_id": "vct:ministry-2026", "target_node_id": "vct:paho-support", "relationship": "was reported to collaborate with", "relationship_family": "network", "display_claim_ids": [ "display-claim:f4314a3123a8ec1d562ab223" ], "display_source_ids": [ "display-source:VCT:7b01da8bfb06eec0e2442c4c", "display-source:VCT:7d2bec9f67a287196e084149" ], "source_version_ids": [ "display-source-version:eb2f4ef1d9dd1f2165a44613", "display-source-version:c45fbf1dfce7f03a5c55b763" ], "display_evidence_object_id": "display-claim:f4314a3123a8ec1d562ab223" } ] }, "source_references": [ { "title": "Barbados and the Eastern Caribbean Countries: Country Annual Report 2025", "citation": "Pan American Health Organization. Barbados and the Eastern Caribbean Countries: Country Annual Report 2025. https://www.paho.org/en/publications/barbados-and-eastern-caribbean-countries-country-annual-report-2025", "url": "https://www.paho.org/en/publications/barbados-and-eastern-caribbean-countries-country-annual-report-2025", "locator": { "locator_type": "web_sections", "sections": [ "Report description" ], "source_word_anchor": "integration of mental health into primary care", "source_word_count": 7 }, "source_version": { "file_sha256": "6fbfeb719f0ef2ed8f4a50eae7e96c9e52dc77c6908528e08c124e7478019b61", "response_sha256": "6fbfeb719f0ef2ed8f4a50eae7e96c9e52dc77c6908528e08c124e7478019b61", "detected_media_type": "text/html; charset=UTF-8", "hash_verified": true, "retrieved_at": "2026-08-22" }, "source_projection_id": "country-improvement-source:VCT:paho-eastern-caribbean-report-2025", "display_source_id": "display-source:VCT:7b01da8bfb06eec0e2442c4c", "source_version_id": "display-source-version:eb2f4ef1d9dd1f2165a44613" }, { "title": "St. Vincent and the Grenadines advances Integrated Health Surveillance Guidelines with PAHO support", "citation": "Pan American Health Organization. St. Vincent and the Grenadines advances Integrated Health Surveillance Guidelines with PAHO support. 19 June 2026. https://www.paho.org/en/news/19-6-2026-st-vincent-and-grenadines-advances-integrated-health-surveillance-guidelines-paho", "url": "https://www.paho.org/en/news/19-6-2026-st-vincent-and-grenadines-advances-integrated-health-surveillance-guidelines-paho", "locator": { "locator_type": "web_sections", "sections": [ "News release body" ], "source_word_anchor": "coordinated framework for collecting", "source_word_count": 4 }, "source_version": { "file_sha256": "1f95d3b8a6224a0144cfb421cef357fefd7046540daf4f71a68a6e8b24827569", "response_sha256": "1f95d3b8a6224a0144cfb421cef357fefd7046540daf4f71a68a6e8b24827569", "detected_media_type": "text/html; charset=UTF-8", "hash_verified": true, "retrieved_at": "2026-08-22" }, "source_projection_id": "country-improvement-source:VCT:paho-surveillance-guidelines-2026", "display_source_id": "display-source:VCT:7d2bec9f67a287196e084149", "source_version_id": "display-source-version:c45fbf1dfce7f03a5c55b763" } ], "source_version": { "file_sha256": "6fbfeb719f0ef2ed8f4a50eae7e96c9e52dc77c6908528e08c124e7478019b61", "response_sha256": "6fbfeb719f0ef2ed8f4a50eae7e96c9e52dc77c6908528e08c124e7478019b61", "detected_media_type": "text/html; charset=UTF-8", "hash_verified": true, "retrieved_at": "2026-08-22" }, "display_source_ids": [ "display-source:VCT:7b01da8bfb06eec0e2442c4c", "display-source:VCT:7d2bec9f67a287196e084149" ], "source_version_ids": [ "display-source-version:eb2f4ef1d9dd1f2165a44613", "display-source-version:c45fbf1dfce7f03a5c55b763" ], "display_claim_ids": [ "display-claim:893ebb753c8223adf955138c", "display-claim:538da78b16cda1adb89320b0", "display-claim:a6ff68a3f036e530253c9fa4", "display-claim:f4314a3123a8ec1d562ab223" ], "display_evidence_object_id": "display-claim:893ebb753c8223adf955138c", "display_eligible": true, "canonical_claim": false, "publication_boundary": "source_linked_typed_mapping_visible_for_annotation_not_a_canonical_claim" }, { "mapping_id": "candidate-mapping:VCT:time-reform:formal-and-reported-reform-separation", "country_id": "VCT", "mapping_group": "time_and_reform", "target_view": "reforms", "target_slot": "formal-and-reported-reform-separation", "support_state": "candidate_supported", "mapping_basis": "National plans and PAHO historical and current reporting", "source_projection_ids": [ "country-improvement-source:VCT:strategic-plan-health-2007-2012", "country-improvement-source:VCT:national-economic-social-plan-2013-2025", "country-improvement-source:VCT:paho-country-profile-2024", "country-improvement-source:VCT:paho-surveillance-guidelines-2026" ], "typed_fields": { "time": "Formal plans, reported priorities, and 2026 guideline development are kept separate.", "boundary": "No plan, proposal, or development activity is represented as implemented service reform." }, "title": "Formal, reported and developing reforms separated", "statement": "The evidence records formal plans, PAHO-reported priorities and surveillance-guideline development as distinct dated states rather than a single current-reform claim.", "citation": "Government and Ministry plans; Pan American Health Organization country profile and surveillance-guidelines news release.", "url": "https://hia.paho.org/en/country-profiles/saint-vincent-and-the-grenadines", "locator": "Strategic Plan PDF pages 38-43; national development plan; PAHO Perspective and 2026 news release.", "period": "2007-2026 source periods", "territory": "Saint Vincent and the Grenadines", "evidence_mode_candidate": "formal", "verification_source_layer": "official", "coverage_domains": [ "reform_history", "government_responsibilities", "governance", "facility_data", "networks", "authoritative_review" ], "annotation_state": "open", "analytical_objects": { "reform_events": [ { "event_id": "vct-health-plan-2007", "label": "Strategic Plan for Health", "year": 2007, "status": "Formal plan for 2007-2012; historical only.", "display_claim_ids": [ "display-claim:d0c7c3239dd1c39bf69be8d4" ], "display_source_ids": [ "display-source:VCT:ba97f538f6ca02276b3e8498", "display-source:VCT:295d78f7949f229c2e71d5e5", "display-source:VCT:78f61af4624e92af32e282b4", "display-source:VCT:7d2bec9f67a287196e084149" ], "source_version_ids": [ "display-source-version:cfdda0fb09eb1d94a5963c49", "display-source-version:5e4dea26fd76364c4d78a7b8", "display-source-version:25c37805325fd698c088429c", "display-source-version:c45fbf1dfce7f03a5c55b763" ], "display_evidence_object_id": "display-claim:d0c7c3239dd1c39bf69be8d4" }, { "event_id": "vct-development-plan-2013", "label": "National Economic and Social Development Plan", "year": 2013, "status": "Formal 2013-2025 plan; expiration does not evidence completion.", "display_claim_ids": [ "display-claim:7828f8655f539ed7a11f5941" ], "display_source_ids": [ "display-source:VCT:ba97f538f6ca02276b3e8498", "display-source:VCT:295d78f7949f229c2e71d5e5", "display-source:VCT:78f61af4624e92af32e282b4", "display-source:VCT:7d2bec9f67a287196e084149" ], "source_version_ids": [ "display-source-version:cfdda0fb09eb1d94a5963c49", "display-source-version:5e4dea26fd76364c4d78a7b8", "display-source-version:25c37805325fd698c088429c", "display-source-version:c45fbf1dfce7f03a5c55b763" ], "display_evidence_object_id": "display-claim:7828f8655f539ed7a11f5941" }, { "event_id": "vct-surveillance-guidelines-2026", "label": "Integrated Health Surveillance Guidelines development", "year": 2026, "status": "PAHO reported guideline development, not completed implementation.", "display_claim_ids": [ "display-claim:11e45b62e5e04e1a7350c723" ], "display_source_ids": [ "display-source:VCT:ba97f538f6ca02276b3e8498", "display-source:VCT:295d78f7949f229c2e71d5e5", "display-source:VCT:78f61af4624e92af32e282b4", "display-source:VCT:7d2bec9f67a287196e084149" ], "source_version_ids": [ "display-source-version:cfdda0fb09eb1d94a5963c49", "display-source-version:5e4dea26fd76364c4d78a7b8", "display-source-version:25c37805325fd698c088429c", "display-source-version:c45fbf1dfce7f03a5c55b763" ], "display_evidence_object_id": "display-claim:11e45b62e5e04e1a7350c723" } ] }, "source_references": [ { "title": "Strategic Plan for Health 2007-2012", "citation": "Ministry of Health and the Environment, Saint Vincent and the Grenadines. Strategic Plan for Health 2007-2012. World Health Organization Country Planning Cycles repository. https://extranet.who.int/countryplanningcycles/sites/default/files/planning_cycle_repository/saint_vincent_and_the_grenedines/national_health_policies-st_vincent_grenadines_strategic_plan_2007-2012.pdf", "url": "https://extranet.who.int/countryplanningcycles/sites/default/files/planning_cycle_repository/saint_vincent_and_the_grenedines/national_health_policies-st_vincent_grenadines_strategic_plan_2007-2012.pdf", "locator": { "locator_type": "pdf_pages", "physical_pdf_pages": [ 38, 40, 43 ], "source_word_anchor": "responsibility for Health and Environmental", "source_word_count": 5 }, "source_version": { "file_sha256": "cd14307de919274c2ccb24709a7cc77c99567d30880ec63f1c0e19cb18a7c207", "response_sha256": "cd14307de919274c2ccb24709a7cc77c99567d30880ec63f1c0e19cb18a7c207", "page_count": 80, "detected_media_type": "application/pdf", "hash_verified": true, "retrieved_at": "2026-08-22" }, "source_projection_id": "country-improvement-source:VCT:strategic-plan-health-2007-2012", "display_source_id": "display-source:VCT:ba97f538f6ca02276b3e8498", "source_version_id": "display-source-version:cfdda0fb09eb1d94a5963c49" }, { "title": "National Economic and Social Development Plan 2013-2025", "citation": "Government of Saint Vincent and the Grenadines. National Economic and Social Development Plan 2013-2025. World Health Organization Country Planning Cycles repository. https://extranet.who.int/countryplanningcycles/sites/default/files/public_file_rep/VCT_Saint-Vincent-and-the-Grenadines_National-Economic-and-Social-Development-Plan_2013-2025.pdf", "url": "https://extranet.who.int/countryplanningcycles/sites/default/files/public_file_rep/VCT_Saint-Vincent-and-the-Grenadines_National-Economic-and-Social-Development-Plan_2013-2025.pdf", "locator": { "locator_type": "pdf_pages", "physical_pdf_pages": [ 20, 46, 70 ], "source_word_anchor": "Promoting Good Governance", "source_word_count": 3 }, "source_version": { "file_sha256": "97898c953b058e0acd0cf715e387e60d0bd975e7d9a380148793c4d54ab68244", "response_sha256": "97898c953b058e0acd0cf715e387e60d0bd975e7d9a380148793c4d54ab68244", "page_count": 148, "detected_media_type": "application/pdf", "hash_verified": true, "retrieved_at": "2026-08-22" }, "source_projection_id": "country-improvement-source:VCT:national-economic-social-plan-2013-2025", "display_source_id": "display-source:VCT:295d78f7949f229c2e71d5e5", "source_version_id": "display-source-version:5e4dea26fd76364c4d78a7b8" }, { "title": "Saint Vincent and the Grenadines: Country Profile", "citation": "Pan American Health Organization. Saint Vincent and the Grenadines: Country Profile, Health in the Americas. 17 October 2024. https://hia.paho.org/en/country-profiles/saint-vincent-and-the-grenadines", "url": "https://hia.paho.org/en/country-profiles/saint-vincent-and-the-grenadines", "locator": { "locator_type": "web_sections", "sections": [ "Perspective", "Measures to achieve universal health coverage" ], "source_word_anchor": "radical reorientation of the healthcare system", "source_word_count": 6 }, "source_version": { "file_sha256": "bffb05fc16eee8aa0fc12f91bdd73b43a053457f43efeb1220c9e4e98ccb77f1", "response_sha256": "bffb05fc16eee8aa0fc12f91bdd73b43a053457f43efeb1220c9e4e98ccb77f1", "detected_media_type": "text/html; charset=UTF-8", "hash_verified": true, "retrieved_at": "2026-08-22" }, "source_projection_id": "country-improvement-source:VCT:paho-country-profile-2024", "display_source_id": "display-source:VCT:78f61af4624e92af32e282b4", "source_version_id": "display-source-version:25c37805325fd698c088429c" }, { "title": "St. Vincent and the Grenadines advances Integrated Health Surveillance Guidelines with PAHO support", "citation": "Pan American Health Organization. St. Vincent and the Grenadines advances Integrated Health Surveillance Guidelines with PAHO support. 19 June 2026. https://www.paho.org/en/news/19-6-2026-st-vincent-and-grenadines-advances-integrated-health-surveillance-guidelines-paho", "url": "https://www.paho.org/en/news/19-6-2026-st-vincent-and-grenadines-advances-integrated-health-surveillance-guidelines-paho", "locator": { "locator_type": "web_sections", "sections": [ "News release body" ], "source_word_anchor": "coordinated framework for collecting", "source_word_count": 4 }, "source_version": { "file_sha256": "1f95d3b8a6224a0144cfb421cef357fefd7046540daf4f71a68a6e8b24827569", "response_sha256": "1f95d3b8a6224a0144cfb421cef357fefd7046540daf4f71a68a6e8b24827569", "detected_media_type": "text/html; charset=UTF-8", "hash_verified": true, "retrieved_at": "2026-08-22" }, "source_projection_id": "country-improvement-source:VCT:paho-surveillance-guidelines-2026", "display_source_id": "display-source:VCT:7d2bec9f67a287196e084149", "source_version_id": "display-source-version:c45fbf1dfce7f03a5c55b763" } ], "source_version": { "file_sha256": "cd14307de919274c2ccb24709a7cc77c99567d30880ec63f1c0e19cb18a7c207", "response_sha256": "cd14307de919274c2ccb24709a7cc77c99567d30880ec63f1c0e19cb18a7c207", "page_count": 80, "detected_media_type": "application/pdf", "hash_verified": true, "retrieved_at": "2026-08-22" }, "display_source_ids": [ "display-source:VCT:ba97f538f6ca02276b3e8498", "display-source:VCT:295d78f7949f229c2e71d5e5", "display-source:VCT:78f61af4624e92af32e282b4", "display-source:VCT:7d2bec9f67a287196e084149" ], "source_version_ids": [ "display-source-version:cfdda0fb09eb1d94a5963c49", "display-source-version:5e4dea26fd76364c4d78a7b8", "display-source-version:25c37805325fd698c088429c", "display-source-version:c45fbf1dfce7f03a5c55b763" ], "display_claim_ids": [ "display-claim:dbd4850453cfdaf34fe80763", "display-claim:d0c7c3239dd1c39bf69be8d4", "display-claim:7828f8655f539ed7a11f5941", "display-claim:11e45b62e5e04e1a7350c723" ], "display_evidence_object_id": "display-claim:dbd4850453cfdaf34fe80763", "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:VCT:1bc2a4e4861e0ef68b8f", "evidence_layer": "candidate_source_metadata", "evidence_layers": [ "candidate_source_metadata" ], "source_layers": [ "candidate_source_metadata" ], "source_type": "candidate source metadata", "display_eligible": true, "title": "Saint Vincent and the Grenadines - Country Profile", "citation": "Pan American Health Organization. Saint Vincent and the Grenadines - Country Profile. 2024. https://hia.paho.org/en/country-profiles/saint-vincent-and-the-grenadines", "citation_string": "Pan American Health Organization. Saint Vincent and the Grenadines - Country Profile. 2024. https://hia.paho.org/en/country-profiles/saint-vincent-and-the-grenadines", "citation_status": "supplied", "citation_provenance": "source metadata", "url": "https://hia.paho.org/en/country-profiles/saint-vincent-and-the-grenadines", "publication_year": 2024, "source_families": [ "PAHO_Health_in_the_Americas" ], "channels": [ "targeted_official" ], "verification_source_layer": "official", "coverage_domains": [ "actors", "governance", "government_responsibilities", "primary_care", "service_delivery" ], "url_verification_status": "verified", "source_version": { "file_sha256": null, "text_sha256": null, "response_sha256": "ad09153d2c3d6ddb68774309c67edb3f1405c75e659eefbe8c4729a1a5be8a53", "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": "VCT", "audit_passed": true, "preparation_stage": "direct_typed_mapping", "preparation_stage_label": "Explicit analytical mappings", "scores": { "analytical_mapping_groups": { "denominator": 5, "numerator": 5, "score": 100, "unit": "explicit analytical object groups" }, "controlled_domain_leads": { "denominator": 17, "numerator": 17, "score": 100, "unit": "controlled domains with displayed candidate leads" }, "material_locator_coverage": { "denominator": 23, "numerator": 23, "score": 100, "unit": "material records with an exact locator" }, "material_url_coverage": { "denominator": 23, "numerator": 23, "score": 100, "unit": "material records with at least one public URL" }, "material_version_coverage": { "denominator": 23, "numerator": 23, "score": 100, "unit": "material records with an immutable source version" }, "source_layer_presence": { "denominator": 3, "numerator": 3, "score": 100, "unit": "displayed candidate-source layers" } }, "represented_domain_ids": [ "actors", "government_responsibilities", "ownership", "decision_rights", "autonomy", "primary_care", "hospital_organization", "referral_design", "observed_referral", "networks", "facility_data", "utilization", "patient_flows", "governance", "market_structure", "reform_history", "authoritative_review" ], "missing_domain_ids": [], "direct_typed_domain_ids": [ "actors", "government_responsibilities", "ownership", "decision_rights", "autonomy", "primary_care", "hospital_organization", "referral_design", "observed_referral", "networks", "facility_data", "utilization", "patient_flows", "governance", "market_structure", "reform_history", "authoritative_review" ], "priority_actions": [ { "action_id": "annotate-country-synthesis", "detail": "All six preparation dimensions meet the target. Every source-linked finding and supporting material remains open for correction, qualification, and additional evidence through annotations.", "label": "Review and annotate the country synthesis" } ], "review_ready_material_ids": [ "material:e2298a3d14b9419772239707", "material:d84c213c5cfaf6a24420d49c", "material:904f7fcaa6694554963f554c", "material:870778d0c67d7ef43ae3bbcf", "material:6d9848d7877bfd47472851d3" ], "full_scorecard_url": "https://wb-works.site/tools/health-organization/data/evidence-scorecards.json" }, "materials": [ { "analytical_mapping": { "mapping_basis": "PAHO 2012 historical country narrative", "mapping_group": "delivery_and_referrals", "mapping_id": "candidate-mapping:VCT:delivery-referrals:dated-primary-secondary-architecture", "source_projection_ids": [ "country-improvement-source:VCT:paho-health-in-americas-2012" ], "support_state": "candidate_supported", "target_slot": "dated-primary-secondary-architecture", "target_view": "delivery", "typed_fields": { "boundary": "This is reported architecture for 2006-2010, not observed flow or current capacity.", "delivery": "PAHO described 39 centres in nine districts and secondary care mainly at Milton Cato Memorial Hospital." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Pan American Health Organization. Health in the Americas, 2012 Edition: Saint Vincent and the Grenadines.", "country_ids": [ "VCT" ], "coverage_domains": [ "facility_data", "hospital_organization", "patient_flows", "primary_care", "referral_design", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "PDF page 198, Health Policies, the Health System, and Social Protection." }, "material_id": "material:604764665679a1fbe17a34fa", "notes": [], "origin": "candidate-analytical-mappings", "period": "2006-2010 conditions, published 2012", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "a9c38a1f1f210e815bc16d5cc1edfed5a33ae2841bf7222e84e092ccd3fe7faf", "page_count": 227, "response_sha256": "a9c38a1f1f210e815bc16d5cc1edfed5a33ae2841bf7222e84e092ccd3fe7faf" }, "statement": "PAHO's 2012 account presents primary and secondary service organization for 2006-2010 without estimating referral completion or patient flow.", "tags": [], "territory": "Saint Vincent and the Grenadines", "title": "Dated primary and secondary architecture", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://hia.paho.org/sites/default/files/2021-05/hia-2012-en.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "National plans and PAHO historical and current reporting", "mapping_group": "time_and_reform", "mapping_id": "candidate-mapping:VCT:time-reform:formal-and-reported-reform-separation", "source_projection_ids": [ "country-improvement-source:VCT:strategic-plan-health-2007-2012", "country-improvement-source:VCT:national-economic-social-plan-2013-2025", "country-improvement-source:VCT:paho-country-profile-2024", "country-improvement-source:VCT:paho-surveillance-guidelines-2026" ], "support_state": "candidate_supported", "target_slot": "formal-and-reported-reform-separation", "target_view": "reforms", "typed_fields": { "boundary": "No plan, proposal, or development activity is represented as implemented service reform.", "time": "Formal plans, reported priorities, and 2026 guideline development are kept separate." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Government and Ministry plans; Pan American Health Organization country profile and surveillance-guidelines news release.", "country_ids": [ "VCT" ], "coverage_domains": [ "authoritative_review", "facility_data", "governance", "government_responsibilities", "networks", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "Strategic Plan PDF pages 38-43; national development plan; PAHO Perspective and 2026 news release." }, "material_id": "material:4603a6d93210c10817bb5d2d", "notes": [], "origin": "candidate-analytical-mappings", "period": "2007-2026 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": "cd14307de919274c2ccb24709a7cc77c99567d30880ec63f1c0e19cb18a7c207", "page_count": 80, "response_sha256": "cd14307de919274c2ccb24709a7cc77c99567d30880ec63f1c0e19cb18a7c207" }, "statement": "The evidence records formal plans, PAHO-reported priorities and surveillance-guideline development as distinct dated states rather than a single current-reform claim.", "tags": [], "territory": "Saint Vincent and the Grenadines", "title": "Formal, reported and developing reforms separated", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://hia.paho.org/en/country-profiles/saint-vincent-and-the-grenadines" }, { "kind": "source_reference", "source": "Strategic Plan for Health 2007-2012", "url": "https://extranet.who.int/countryplanningcycles/sites/default/files/planning_cycle_repository/saint_vincent_and_the_grenedines/national_health_policies-st_vincent_grenadines_strategic_plan_2007-2012.pdf" }, { "kind": "source_reference", "source": "National Economic and Social Development Plan 2013-2025", "url": "https://extranet.who.int/countryplanningcycles/sites/default/files/public_file_rep/VCT_Saint-Vincent-and-the-Grenadines_National-Economic-and-Social-Development-Plan_2013-2025.pdf" }, { "kind": "source_reference", "source": "St. Vincent and the Grenadines advances Integrated Health Surveillance Guidelines with PAHO support", "url": "https://www.paho.org/en/news/19-6-2026-st-vincent-and-grenadines-advances-integrated-health-surveillance-guidelines-paho" } ] }, { "analytical_mapping": { "mapping_basis": "2021 Global Health Security Index public-evidence assessment", "mapping_group": "delivery_and_referrals", "mapping_id": "candidate-mapping:VCT:delivery-referrals:public-evidence-assessment-boundary", "source_projection_ids": [ "country-improvement-source:VCT:global-health-security-index-2021" ], "support_state": "candidate_supported", "target_slot": "public-evidence-assessment-boundary", "target_view": "delivery", "typed_fields": { "boundary": "Its evidence assessments do not establish service delivery, facility completeness, utilization, or referral performance.", "data": "The index evaluates publicly available evidence for health-security capacities." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Nuclear Threat Initiative and Johns Hopkins Center for Health Security. 2021 Global Health Security Index: St. Vincent & The Grenadines.", "country_ids": [ "VCT" ], "coverage_domains": [ "authoritative_review", "facility_data", "hospital_organization", "networks", "patient_flows", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "PDF pages 1, 9 and 47, index evidence statements." }, "material_id": "material:1f2a6897f55745243a7b57db", "notes": [], "origin": "candidate-analytical-mappings", "period": "Evidence assessed for the 2021 index", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "0d752dc46d62d3bd1fe7e387543193caaa5e3f9020344d67f6691bf17a881bb7", "page_count": 111, "response_sha256": "0d752dc46d62d3bd1fe7e387543193caaa5e3f9020344d67f6691bf17a881bb7" }, "statement": "The Global Health Security Index is retained as a public-evidence assessment, not a facility census or measure of routine service performance.", "tags": [], "territory": "Saint Vincent and the Grenadines", "title": "Health-security evidence assessment boundary", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://ghsindex.org/wp-content/uploads/2021/12/St-Vincent-The-Grenadines.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "PAHO historical country narrative", "mapping_group": "actors_and_functions", "mapping_id": "candidate-mapping:VCT:actors-functions:historic-leadership-roles", "source_projection_ids": [ "country-improvement-source:VCT:paho-health-in-americas-2007" ], "support_state": "candidate_supported", "target_slot": "historic-leadership-roles", "target_view": "functions", "typed_fields": { "boundary": "The narrative does not verify present officeholders or current allocation of authority.", "function": "PAHO identified political, administrative and technical leadership roles." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Pan American Health Organization. Saint Vincent and the Grenadines: Health in the Americas 2007, Volume II.", "country_ids": [ "VCT" ], "coverage_domains": [ "actors", "authoritative_review", "governance", "government_responsibilities" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "PDF page 7, Organization of the Health System." }, "material_id": "material:fa2805ea8bfd59f530aef329", "notes": [], "origin": "candidate-analytical-mappings", "period": "Narrative through 2006", "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": "ff11b4a81d54e3d5665840d604f56cc735f208e87a24609a1660327750aa7a95", "page_count": 10, "response_sha256": "ff11b4a81d54e3d5665840d604f56cc735f208e87a24609a1660327750aa7a95" }, "statement": "PAHO's 2007 narrative distinguished the Minister as political director, the Permanent Secretary as administrative leader and the Chief Medical Officer as technical head.", "tags": [], "territory": "Saint Vincent and the Grenadines", "title": "Historical leadership roles", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://ais.paho.org/hia_cp/en/2007/Saint%20Vincent%20and%20the%20Grenadines%20English.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "Formal 2007-2012 strategic-plan description of the Ministry organization", "mapping_group": "actors_and_functions", "mapping_id": "candidate-mapping:VCT:actors-functions:historical-ministry-organization", "source_projection_ids": [ "country-improvement-source:VCT:strategic-plan-health-2007-2012" ], "support_state": "candidate_supported", "target_slot": "historical-ministry-organization", "target_view": "functions", "typed_fields": { "boundary": "The plan describes a historical organization and formal period, not a current organization chart.", "function": "The plan assigned policy and service-delivery responsibility to the Ministry." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ministry of Health and the Environment, Saint Vincent and the Grenadines. Strategic Plan for Health 2007-2012.", "country_ids": [ "VCT" ], "coverage_domains": [ "actors", "decision_rights", "governance", "government_responsibilities" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "PDF pages 38-39, Institutional Capacity." }, "material_id": "material:8ff07c9eb39fc842c8e77247", "notes": [], "origin": "candidate-analytical-mappings", "period": "2007-2012 plan; organization described in the plan", "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": "cd14307de919274c2ccb24709a7cc77c99567d30880ec63f1c0e19cb18a7c207", "page_count": 80, "response_sha256": "cd14307de919274c2ccb24709a7cc77c99567d30880ec63f1c0e19cb18a7c207" }, "statement": "The strategic plan described a ministry responsible for health policy and service delivery, with political, administrative and technical leadership roles.", "tags": [], "territory": "Saint Vincent and the Grenadines", "title": "Historical ministry organization", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://extranet.who.int/countryplanningcycles/sites/default/files/planning_cycle_repository/saint_vincent_and_the_grenedines/national_health_policies-st_vincent_grenadines_strategic_plan_2007-2012.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "Formal strategic-plan institutional-capacity section", "mapping_group": "decision_rights_and_autonomy", "mapping_id": "candidate-mapping:VCT:decision-autonomy:historical-policy-setting", "source_projection_ids": [ "country-improvement-source:VCT:strategic-plan-health-2007-2012" ], "support_state": "candidate_supported", "target_slot": "historical-policy-setting", "target_view": "decisions", "typed_fields": { "boundary": "This does not establish current statutory decision rights or provider authority.", "decision": "Policy development and implementation was assigned to the Senior Management Committee in the formal plan." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ministry of Health and the Environment, Saint Vincent and the Grenadines. Strategic Plan for Health 2007-2012.", "country_ids": [ "VCT" ], "coverage_domains": [ "actors", "decision_rights", "governance", "government_responsibilities" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "PDF page 38, Institutional Capacity." }, "material_id": "material:b25f72993feadab40d956e97", "notes": [], "origin": "candidate-analytical-mappings", "period": "2007-2012 plan", "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": "cd14307de919274c2ccb24709a7cc77c99567d30880ec63f1c0e19cb18a7c207", "page_count": 80, "response_sha256": "cd14307de919274c2ccb24709a7cc77c99567d30880ec63f1c0e19cb18a7c207" }, "statement": "The formal plan assigned policy development and implementation to a Senior Management Committee involving senior ministry personnel.", "tags": [], "territory": "Saint Vincent and the Grenadines", "title": "Historical policy-setting arrangement", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://extranet.who.int/countryplanningcycles/sites/default/files/planning_cycle_repository/saint_vincent_and_the_grenedines/national_health_policies-st_vincent_grenadines_strategic_plan_2007-2012.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "Formal strategic-plan description of service organization", "mapping_group": "relationships_and_networks", "mapping_id": "candidate-mapping:VCT:relationships-networks:historical-state-organization", "source_projection_ids": [ "country-improvement-source:VCT:strategic-plan-health-2007-2012" ], "support_state": "candidate_supported", "target_slot": "historical-state-organization", "target_view": "public-private", "typed_fields": { "boundary": "This is not a present ownership census or market-share estimate.", "ownership": "The plan described health services as significantly state-owned and centralized." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ministry of Health and the Environment, Saint Vincent and the Grenadines. Strategic Plan for Health 2007-2012.", "country_ids": [ "VCT" ], "coverage_domains": [ "governance", "hospital_organization", "market_structure", "ownership", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": null, "institution": null, "locator": { "description": "PDF page 40, Overview of the Health Service." }, "material_id": "material:3683d2e554177d331b3b3821", "notes": [], "origin": "candidate-analytical-mappings", "period": "2007-2012 plan; historical description", "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": "cd14307de919274c2ccb24709a7cc77c99567d30880ec63f1c0e19cb18a7c207", "page_count": 80, "response_sha256": "cd14307de919274c2ccb24709a7cc77c99567d30880ec63f1c0e19cb18a7c207" }, "statement": "The 2007-2012 plan described a significantly state-owned and centralized health-service organization, while noting increased private-sector involvement.", "tags": [], "territory": "Saint Vincent and the Grenadines", "title": "Historical state-owned service organization", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://extranet.who.int/countryplanningcycles/sites/default/files/planning_cycle_repository/saint_vincent_and_the_grenedines/national_health_policies-st_vincent_grenadines_strategic_plan_2007-2012.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "Regional health-workforce review and country-specific cross-sectional study", "mapping_group": "delivery_and_referrals", "mapping_id": "candidate-mapping:VCT:delivery-referrals:observed-evidence-boundary", "source_projection_ids": [ "country-improvement-source:VCT:research-caribbean-health-workforce-2023", "country-improvement-source:VCT:research-national-health-insurance-2015" ], "support_state": "candidate_supported", "target_slot": "observed-evidence-boundary", "target_view": "referrals", "typed_fields": { "boundary": "No current Vincentian referral completion, bypass, waiting-time or utilization rate is inferred.", "observation": "One study observed stated insurance preferences; the regional review identifies referral-related gaps without a national flow estimate." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Adams R, Chen Y, Piggott C. BMC Health Services Research. 2015; Bourne PA, et al. Human Resources for Health. 2023.", "country_ids": [ "VCT" ], "coverage_domains": [ "authoritative_review", "observed_referral", "patient_flows", "referral_design", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": null, "institution": null, "locator": { "description": "Research XML Background, Methods, Results and Discussion sections." }, "material_id": "material:435a8382ed30ad580dfc1714", "notes": [], "origin": "candidate-analytical-mappings", "period": "Published 2015 and 2023; underlying evidence dates vary", "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": "application/xml", "file_sha256": "8848fe2e457c6b16822caf20989783d292c9d6fe20a44b5ddd528b661e556a55", "response_sha256": "8848fe2e457c6b16822caf20989783d292c9d6fe20a44b5ddd528b661e556a55" }, "statement": "Displayed research does not provide a national observed referral-flow measure for Saint Vincent and the Grenadines.", "tags": [], "territory": "Saint Vincent and the Grenadines and Caribbean regional review context", "title": "Observed evidence remains bounded", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC9976228/fullTextXML" }, { "kind": "source_reference", "source": "Willingness to participate and pay for a proposed national health insurance in St. Vincent and the Grenadines", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC4404596/fullTextXML" } ] }, { "analytical_mapping": { "mapping_basis": "Bounded reading of historical plans and public assessments", "mapping_group": "decision_rights_and_autonomy", "mapping_id": "candidate-mapping:VCT:decision-autonomy:provider-authority-unclassified", "source_projection_ids": [ "country-improvement-source:VCT:strategic-plan-health-2007-2012", "country-improvement-source:VCT:global-health-security-index-2021" ], "support_state": "candidate_supported", "target_slot": "provider-authority-unclassified", "target_view": "autonomy", "typed_fields": { "autonomy": "Displayed sources do not allocate financial, workforce or operational authority to individual facilities.", "boundary": "No categorical provider-autonomy rating is made." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ministry of Health and the Environment, Strategic Plan for Health 2007-2012; Nuclear Threat Initiative and Johns Hopkins Center for Health Security, 2021 Global Health Security Index.", "country_ids": [ "VCT" ], "coverage_domains": [ "autonomy", "decision_rights", "facility_data", "hospital_organization", "primary_care" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "Strategic Plan PDF pages 38-43; GHS Index public-evidence assessment." }, "material_id": "material:bedcd77a7dbc4688e0bc81c6", "notes": [], "origin": "candidate-analytical-mappings", "period": "Sources dated 2007-2021", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "cd14307de919274c2ccb24709a7cc77c99567d30880ec63f1c0e19cb18a7c207", "page_count": 80, "response_sha256": "cd14307de919274c2ccb24709a7cc77c99567d30880ec63f1c0e19cb18a7c207" }, "statement": "The displayed sources do not justify a current categorical autonomy rating for primary-care facilities or hospitals.", "tags": [], "territory": "Saint Vincent and the Grenadines", "title": "Provider autonomy remains unclassified", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://extranet.who.int/countryplanningcycles/sites/default/files/planning_cycle_repository/saint_vincent_and_the_grenedines/national_health_policies-st_vincent_grenadines_strategic_plan_2007-2012.pdf" }, { "kind": "source_reference", "source": "2021 Global Health Security Index: St. Vincent & The Grenadines", "url": "https://ghsindex.org/wp-content/uploads/2021/12/St-Vincent-The-Grenadines.pdf" } ] }, { "analytical_mapping": { "mapping_basis": "PAHO regional annual report", "mapping_group": "relationships_and_networks", "mapping_id": "candidate-mapping:VCT:relationships-networks:multisectoral-primary-care", "source_projection_ids": [ "country-improvement-source:VCT:paho-eastern-caribbean-report-2025", "country-improvement-source:VCT:paho-surveillance-guidelines-2026" ], "support_state": "candidate_supported", "target_slot": "multisectoral-primary-care", "target_view": "referrals", "typed_fields": { "boundary": "Neither report supplies a national referral rule or observed referral-flow measure.", "network": "PAHO reported multisectoral work on mental-health integration and collaborative surveillance-guideline development." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Pan American Health Organization. Barbados and the Eastern Caribbean Countries: Country Annual Report 2025; PAHO surveillance-guidelines news release, 2026.", "country_ids": [ "VCT" ], "coverage_domains": [ "authoritative_review", "governance", "networks", "primary_care", "referral_design" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": null, "institution": null, "locator": { "description": "PAHO report description and 2026 news-release body." }, "material_id": "material:8e5e82363867d27033ea268d", "notes": [], "origin": "candidate-analytical-mappings", "period": "2025-2026 reported activities", "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; charset=UTF-8", "file_sha256": "6fbfeb719f0ef2ed8f4a50eae7e96c9e52dc77c6908528e08c124e7478019b61", "response_sha256": "6fbfeb719f0ef2ed8f4a50eae7e96c9e52dc77c6908528e08c124e7478019b61" }, "statement": "PAHO reports support a bounded context of multisectoral primary-care integration and ministry-PAHO surveillance collaboration, not a national referral-pathway claim.", "tags": [], "territory": "Saint Vincent and the Grenadines, within an Eastern Caribbean regional context", "title": "Reported multisectoral integration context", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.paho.org/en/publications/barbados-and-eastern-caribbean-countries-country-annual-report-2025" }, { "kind": "source_reference", "source": "St. Vincent and the Grenadines advances Integrated Health Surveillance Guidelines with PAHO support", "url": "https://www.paho.org/en/news/19-6-2026-st-vincent-and-grenadines-advances-integrated-health-surveillance-guidelines-paho" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Nuclear Threat Initiative and Johns Hopkins Center for Health Security. 2021 Global Health Security Index: St. Vincent & The Grenadines. https://ghsindex.org/wp-content/uploads/2021/12/St-Vincent-The-Grenadines.pdf", "country_ids": [ "VCT" ], "coverage_domains": [ "authoritative_review", "facility_data", "governance", "networks", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "no publicly available evidence", "institution": "Nuclear Threat Initiative and Johns Hopkins Center for Health Security", "locator": { "locator_type": "pdf_pages", "source_word_anchor": "no publicly available evidence", "source_word_count": 4 }, "material_id": "material:2b09b5093c8c8c1ec2c0bda9", "notes": [ "An index finding about public evidence is not evidence of absence, implementation quality, or current service performance." ], "origin": "country-evidence-improvement-sources", "period": "Evidence assessed for the 2021 index from publicly available materials", "publication_date": null, "publication_year": 2021, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "0d752dc46d62d3bd1fe7e387543193caaa5e3f9020344d67f6691bf17a881bb7", "page_count": 111, "response_sha256": "0d752dc46d62d3bd1fe7e387543193caaa5e3f9020344d67f6691bf17a881bb7" }, "statement": "The index assessed publicly available evidence relevant to health-security capacities, rather than auditing routine service operations or provider autonomy.", "tags": [], "territory": "Saint Vincent and the Grenadines GHS Index country assessment", "title": "2021 Global Health Security Index: St. Vincent & The Grenadines", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://ghsindex.org/wp-content/uploads/2021/12/St-Vincent-The-Grenadines.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Bourne PA, et al. Addressing the move toward universal health in the Caribbean through strengthening the health workforce. Human Resources for Health. 2023;21:11. https://www.ebi.ac.uk/europepmc/webservices/rest/PMC9976228/fullTextXML", "country_ids": [ "VCT" ], "coverage_domains": [ "authoritative_review", "networks", "observed_referral", "patient_flows", "primary_care", "referral_design", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "referral services, system navigation, wait times", "institution": "Human Resources for Health", "locator": { "locator_type": "xml_sections", "source_word_anchor": "referral services, system navigation", "source_word_count": 4 }, "material_id": "material:d84c213c5cfaf6a24420d49c", "notes": [ "Regional review findings are not converted to a country-specific observed-flow, wait-time, or workforce-performance estimate." ], "origin": "country-evidence-improvement-sources", "period": "Review published 2023; underlying literature has varying dates", "publication_date": null, "publication_year": 2023, "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/xml", "file_sha256": "8848fe2e457c6b16822caf20989783d292c9d6fe20a44b5ddd528b661e556a55", "response_sha256": "8848fe2e457c6b16822caf20989783d292c9d6fe20a44b5ddd528b661e556a55" }, "statement": "The Caribbean review listed referral services, system navigation and waiting times as service-gap areas; it does not estimate a national Vincentian referral-flow rate.", "tags": [], "territory": "Caribbean regional review, with Saint Vincent and the Grenadines included in the country comparison", "title": "Addressing the move toward universal health in the Caribbean through strengthening the health workforce", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC9976228/fullTextXML" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Pan American Health Organization. Barbados and the Eastern Caribbean Countries: Country Annual Report 2025. https://www.paho.org/en/publications/barbados-and-eastern-caribbean-countries-country-annual-report-2025", "country_ids": [ "VCT" ], "coverage_domains": [ "authoritative_review", "governance", "networks", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "advanced the integration of mental health into primary care", "institution": "Pan American Health Organization", "locator": { "locator_type": "web_sections", "source_word_anchor": "integration of mental health into primary care", "source_word_count": 7 }, "material_id": "material:870778d0c67d7ef43ae3bbcf", "notes": [ "This regional report does not identify local operational arrangements, coverage, or observed patient outcomes." ], "origin": "country-evidence-improvement-sources", "period": "Annual report for 2025", "publication_date": null, "publication_year": 2025, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html; charset=UTF-8", "file_sha256": "6fbfeb719f0ef2ed8f4a50eae7e96c9e52dc77c6908528e08c124e7478019b61", "response_sha256": "6fbfeb719f0ef2ed8f4a50eae7e96c9e52dc77c6908528e08c124e7478019b61" }, "statement": "PAHO's regional report named Saint Vincent and the Grenadines among countries advancing mental-health integration into primary care through a multisectoral approach.", "tags": [], "territory": "Eastern Caribbean regional report, with Saint Vincent and the Grenadines named for selected activities", "title": "Barbados and the Eastern Caribbean Countries: Country Annual Report 2025", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.paho.org/en/publications/barbados-and-eastern-caribbean-countries-country-annual-report-2025" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Pan American Health Organization. Health in the Americas, 2012 Edition: Saint Vincent and the Grenadines. https://hia.paho.org/sites/default/files/2021-05/hia-2012-en.pdf", "country_ids": [ "VCT" ], "coverage_domains": [ "authoritative_review", "facility_data", "hospital_organization", "networks", "primary_care", "referral_design", "reform_history", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "Primary health care is provided at 39 health centers", "institution": "Pan American Health Organization", "locator": { "locator_type": "pdf_pages", "source_word_anchor": "Primary health care is provided", "source_word_count": 6 }, "material_id": "material:08f55d3b6e3e3ffe9c019698", "notes": [ "This is a 2006-2010 account and does not establish the present facility configuration or referral performance." ], "origin": "country-evidence-improvement-sources", "period": "Reported 2006-2010 conditions; published 2012", "publication_date": null, "publication_year": 2012, "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": "a9c38a1f1f210e815bc16d5cc1edfed5a33ae2841bf7222e84e092ccd3fe7faf", "page_count": 227, "response_sha256": "a9c38a1f1f210e815bc16d5cc1edfed5a33ae2841bf7222e84e092ccd3fe7faf" }, "statement": "PAHO reported 39 health centers across nine districts and secondary care mainly at Milton Cato Memorial Hospital for 2006-2010.", "tags": [], "territory": "Saint Vincent and the Grenadines national narrative", "title": "Health in the Americas, 2012 Edition: Saint Vincent and the Grenadines", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://hia.paho.org/sites/default/files/2021-05/hia-2012-en.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Government of Saint Vincent and the Grenadines. National Economic and Social Development Plan 2013-2025. World Health Organization Country Planning Cycles repository. https://extranet.who.int/countryplanningcycles/sites/default/files/public_file_rep/VCT_Saint-Vincent-and-the-Grenadines_National-Economic-and-Social-Development-Plan_2013-2025.pdf", "country_ids": [ "VCT" ], "coverage_domains": [ "authoritative_review", "governance", "government_responsibilities", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "Promoting Good Governance and Increasing the Effectiveness", "institution": "Government of Saint Vincent and the Grenadines", "locator": { "locator_type": "pdf_pages", "source_word_anchor": "Promoting Good Governance", "source_word_count": 3 }, "material_id": "material:23d1c93dfcf325339c36e36b", "notes": [ "The 2013-2025 plan expired and does not establish whether its priorities were implemented or retained." ], "origin": "country-evidence-improvement-sources", "period": "Plan period 2013-2025", "publication_date": null, "publication_year": 2013, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "97898c953b058e0acd0cf715e387e60d0bd975e7d9a380148793c4d54ab68244", "page_count": 148, "response_sha256": "97898c953b058e0acd0cf715e387e60d0bd975e7d9a380148793c4d54ab68244" }, "statement": "The development plan set a formal cross-government framework for social development and governance; it is not a current health-service operations manual.", "tags": [], "territory": "Saint Vincent and the Grenadines national development plan", "title": "National Economic and Social Development Plan 2013-2025", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://extranet.who.int/countryplanningcycles/sites/default/files/public_file_rep/VCT_Saint-Vincent-and-the-Grenadines_National-Economic-and-Social-Development-Plan_2013-2025.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Pan American Health Organization. Saint Vincent and the Grenadines: Country Profile, Health in the Americas. 17 October 2024. https://hia.paho.org/en/country-profiles/saint-vincent-and-the-grenadines", "country_ids": [ "VCT" ], "coverage_domains": [ "authoritative_review", "governance", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "radical reorientation of the healthcare system", "institution": "Pan American Health Organization", "locator": { "locator_type": "web_sections", "source_word_anchor": "radical reorientation of the healthcare system", "source_word_count": 6 }, "material_id": "material:e2298a3d14b9419772239707", "notes": [ "The profile reports plans and priorities, not delivery completion, present authority allocation, or observed referral performance." ], "origin": "country-evidence-improvement-sources", "period": "Profile published 2024; indicators and plans have source-specific years", "publication_date": null, "publication_year": 2024, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html; charset=UTF-8", "file_sha256": "bffb05fc16eee8aa0fc12f91bdd73b43a053457f43efeb1220c9e4e98ccb77f1", "response_sha256": "bffb05fc16eee8aa0fc12f91bdd73b43a053457f43efeb1220c9e4e98ccb77f1" }, "statement": "PAHO reported that the 2013-2025 development plan and 2017-2025 NCD plan included governance, primary-care and chronic-care reorientation priorities.", "tags": [], "territory": "Saint Vincent and the Grenadines national country profile", "title": "Saint Vincent and the Grenadines: Country Profile", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://hia.paho.org/en/country-profiles/saint-vincent-and-the-grenadines" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Pan American Health Organization. Saint Vincent and the Grenadines: Health in the Americas 2007, Volume II. https://ais.paho.org/hia_cp/en/2007/Saint%20Vincent%20and%20the%20Grenadines%20English.pdf", "country_ids": [ "VCT" ], "coverage_domains": [ "actors", "autonomy", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "networks", "primary_care", "referral_design", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "The Ministry of Health is the agency", "institution": "Pan American Health Organization", "locator": { "locator_type": "pdf_pages", "source_word_anchor": "The Ministry of Health is", "source_word_count": 5 }, "material_id": "material:6d9848d7877bfd47472851d3", "notes": [ "This is a historical narrative and does not confirm current ministry titles, statutory arrangements, or present decision rights." ], "origin": "country-evidence-improvement-sources", "period": "Narrative describes policy and service arrangements through 2006", "publication_date": null, "publication_year": 2007, "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": "ff11b4a81d54e3d5665840d604f56cc735f208e87a24609a1660327750aa7a95", "page_count": 10, "response_sha256": "ff11b4a81d54e3d5665840d604f56cc735f208e87a24609a1660327750aa7a95" }, "statement": "PAHO described a ministry-led arrangement with a political Minister, administrative Permanent Secretary, technical Chief Medical Officer, and 39 health centers in nine districts.", "tags": [], "territory": "Saint Vincent and the Grenadines national narrative", "title": "Saint Vincent and the Grenadines: Health in the Americas 2007", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://ais.paho.org/hia_cp/en/2007/Saint%20Vincent%20and%20the%20Grenadines%20English.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Pan American Health Organization. St. Vincent and the Grenadines advances Integrated Health Surveillance Guidelines with PAHO support. 19 June 2026. https://www.paho.org/en/news/19-6-2026-st-vincent-and-grenadines-advances-integrated-health-surveillance-guidelines-paho", "country_ids": [ "VCT" ], "coverage_domains": [ "authoritative_review", "facility_data", "governance", "networks", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "coordinated framework for collecting, analysing, reporting", "institution": "Pan American Health Organization", "locator": { "locator_type": "web_sections", "source_word_anchor": "coordinated framework for collecting", "source_word_count": 4 }, "material_id": "material:904f7fcaa6694554963f554c", "notes": [ "The news release concerns guideline development and does not demonstrate implementation, completeness, or facility-level data performance." ], "origin": "country-evidence-improvement-sources", "period": "Technical mission 15-16 June 2026; guidelines reported as under development", "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; charset=UTF-8", "file_sha256": "1f95d3b8a6224a0144cfb421cef357fefd7046540daf4f71a68a6e8b24827569", "response_sha256": "1f95d3b8a6224a0144cfb421cef357fefd7046540daf4f71a68a6e8b24827569" }, "statement": "PAHO reported that the Ministry and PAHO were advancing surveillance guidelines intended to coordinate collection, analysis, reporting and data use.", "tags": [], "territory": "Saint Vincent and the Grenadines national surveillance-policy development", "title": "St. Vincent and the Grenadines advances Integrated Health Surveillance Guidelines with PAHO support", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.paho.org/en/news/19-6-2026-st-vincent-and-grenadines-advances-integrated-health-surveillance-guidelines-paho" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Ministry of Health and the Environment, Saint Vincent and the Grenadines. Strategic Plan for Health 2007-2012. World Health Organization Country Planning Cycles repository. https://extranet.who.int/countryplanningcycles/sites/default/files/planning_cycle_repository/saint_vincent_and_the_grenedines/national_health_policies-st_vincent_grenadines_strategic_plan_2007-2012.pdf", "country_ids": [ "VCT" ], "coverage_domains": [ "actors", "autonomy", "decision_rights", "facility_data", "governance", "government_responsibilities", "hospital_organization", "market_structure", "ownership", "primary_care", "referral_design", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "responsibility for Health and Environmental policies and service delivery", "institution": "Ministry of Health and the Environment, Saint Vincent and the Grenadines", "locator": { "locator_type": "pdf_pages", "source_word_anchor": "responsibility for Health and Environmental", "source_word_count": 5 }, "material_id": "material:309e9b8beee1cd5cc35f6876", "notes": [ "The plan records formal 2007-2012 intent and historical service descriptions; proposed restructuring is not treated as completed reform." ], "origin": "country-evidence-improvement-sources", "period": "Strategic plan period 2007-2012; service descriptions principally use 2002-2006 data", "publication_date": null, "publication_year": 2007, "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": "cd14307de919274c2ccb24709a7cc77c99567d30880ec63f1c0e19cb18a7c207", "page_count": 80, "response_sha256": "cd14307de919274c2ccb24709a7cc77c99567d30880ec63f1c0e19cb18a7c207" }, "statement": "The formal plan assigned the Ministry responsibility for health policy and service delivery and described a state-owned, centralized service organization at that time.", "tags": [], "territory": "Saint Vincent and the Grenadines national strategic plan", "title": "Strategic Plan for Health 2007-2012", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://extranet.who.int/countryplanningcycles/sites/default/files/planning_cycle_repository/saint_vincent_and_the_grenedines/national_health_policies-st_vincent_grenadines_strategic_plan_2007-2012.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Adams R, Chen Y, Piggott C. Willingness to participate and pay for a proposed national health insurance in St. Vincent and the Grenadines: a cross-sectional contingent valuation approach. BMC Health Services Research. 2015;15:148. https://www.ebi.ac.uk/europepmc/webservices/rest/PMC4404596/fullTextXML", "country_ids": [ "VCT" ], "coverage_domains": [ "authoritative_review", "market_structure", "ownership", "patient_flows", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "observed", "excerpt": "government owns and operates most of the health care facilities", "institution": "BMC Health Services Research", "locator": { "locator_type": "xml_sections", "source_word_anchor": "government owns and operates", "source_word_count": 4 }, "material_id": "material:5bea15ed9bad222c9eb39285", "notes": [ "The observed outcome is stated insurance preference, not healthcare utilization, referral flow, facility ownership census, or provider performance." ], "origin": "country-evidence-improvement-sources", "period": "Cross-sectional study published 2015; background describes 2010 government data", "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": "application/xml", "file_sha256": "830c4e2a8842c1ee1d90f22687f091f16186b76dbc685c831cad1401516acd14", "response_sha256": "830c4e2a8842c1ee1d90f22687f091f16186b76dbc685c831cad1401516acd14" }, "statement": "The study observed stated preferences for a proposed insurance scheme; background context described government ownership and operation of most facilities, not current service performance.", "tags": [], "territory": "Saint Vincent and the Grenadines study respondents", "title": "Willingness to participate and pay for a proposed national health insurance in St. Vincent and the Grenadines", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC4404596/fullTextXML" } ] }, { "annotation_status": "open", "authors": [], "availability": {}, "citation": "Pan American Health Organization. Saint Vincent and the Grenadines - Country Profile. 2024. https://hia.paho.org/en/country-profiles/saint-vincent-and-the-grenadines", "country_ids": [ "VCT" ], "coverage_domains": [ "actors", "governance", "government_responsibilities", "primary_care", "service_delivery" ], "display_status": "shown_in_full", "document_type": "candidate source metadata", "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "heading": "Measures to achieve universal health coverage", "html_text_block": 49, "locator_type": "html_text_anchor", "source_word_anchor": "administrative capacity for healthcare governance expanding public health and primary care for", "source_word_count": 12 }, "material_id": "candidate-source:VCT:1bc2a4e4861e0ef68b8f", "notes": [ "Public source projection retained as a distinct stage record.", "A recoverable source locator was retrieved from this exact public source URL in the locator-gap traceability audit." ], "origin": "current-public-source-projection", "period": null, "publication_date": null, "publication_year": 2024, "record_kind": "displayed_source_projection", "record_kind_label": "Displayed source projection", "screening": { "page_locator_linked_from_locator_gap_acquisition": true, "previous_visibility": "previously_projected" }, "source_layers": [ "candidate_source_metadata", "official" ], "source_system": "PAHO_Health_in_the_Americas", "source_version": { "response_sha256": "ad09153d2c3d6ddb68774309c67edb3f1405c75e659eefbe8c4729a1a5be8a53" }, "statement": null, "tags": [ "targeted_official" ], "territory": null, "title": "Saint Vincent and the Grenadines - Country Profile", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://hia.paho.org/en/country-profiles/saint-vincent-and-the-grenadines" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Pan American Health Organization. Saint Vincent and the Grenadines - Country Profile. 2024. https://hia.paho.org/en/country-profiles/saint-vincent-and-the-grenadines", "country_ids": [ "VCT" ], "coverage_domains": [ "actors", "governance", "government_responsibilities", "primary_care", "service_delivery" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": null, "institution": null, "locator": { "heading": "Measures to achieve universal health coverage", "html_text_block": 49, "locator_type": "html_text_anchor", "source_word_anchor": "administrative capacity for healthcare governance expanding public health and primary care for", "source_word_count": 12 }, "material_id": "material:cc4c920b5d821d1d64034798", "notes": [ "Verify the exact bibliographic citation against the original source.", "Confirm that the document applies to the named country and intended territorial scope.", "Confirm document type, issuing institution, authority, and claim-specific suitability.", "Retrieve and hash the exact source version when it is not already verified.", "Check publication date, effective period, currency, and supersession risk.", "Confirm only domains directly supported by the reviewed source.", "Add substantive feedback directly through the text-anchored annotation layer.", "A recoverable source locator was retrieved from this exact public source URL in the locator-gap traceability audit." ], "origin": "global-source-triage-queue", "period": null, "publication_date": null, "publication_year": 2024, "record_kind": "source_triage_record", "record_kind_label": "Source Triage Record", "screening": { "page_locator_linked_from_locator_gap_acquisition": true, "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "needs_review" }, "source_layers": [ "PAHO_Health_in_the_Americas" ], "source_system": "PAHO_Health_in_the_Americas", "source_version": { "response_sha256": "ad09153d2c3d6ddb68774309c67edb3f1405c75e659eefbe8c4729a1a5be8a53" }, "statement": null, "tags": [], "territory": null, "title": "Saint Vincent and the Grenadines - Country Profile", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://hia.paho.org/en/country-profiles/saint-vincent-and-the-grenadines" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Pan American Health Organization. Saint Vincent and the Grenadines - Country Profile. 2024. https://hia.paho.org/en/country-profiles/saint-vincent-and-the-grenadines", "country_ids": [ "VCT" ], "coverage_domains": [ "actors", "governance", "government_responsibilities", "primary_care", "service_delivery" ], "display_status": "shown_in_full", "document_type": "country_health_profile", "evidence_mode": null, "excerpt": null, "institution": "Pan American Health Organization", "locator": { "heading": "Measures to achieve universal health coverage", "html_text_block": 49, "locator_type": "html_text_anchor", "source_word_anchor": "administrative capacity for healthcare governance expanding public health and primary care for", "source_word_count": 12 }, "material_id": "material:af69a2c5f4e7a76226d80d1b", "notes": [ "Authoritative official source page or publication exposes country-specific health-system organization, governance, delivery, or primary-care context.", "Immutable source-version metadata was retrieved from this exact public source URL in the locator-gap traceability audit.", "A recoverable source locator was retrieved from this exact public source URL in the locator-gap traceability audit." ], "origin": "targeted-gap-source-leads", "period": null, "publication_date": "2024-10-17", "publication_year": 2024, "record_kind": "targeted_source_lead", "record_kind_label": "Targeted Source Lead", "screening": { "page_locator_linked_from_locator_gap_acquisition": true, "previous_boundary_detected": true, "previous_visibility": "previously_not_projected", "review_status": "unreviewed", "source_version_linked_from_locator_gap_acquisition": true, "status": "candidate" }, "source_layers": [], "source_system": "PAHO_Health_in_the_Americas", "source_version": { "detected_media_type": "text/html", "response_sha256": "5c1942d604ac2f133811a484aab37caac43f9818d570932f57434e18dfe6bb80" }, "statement": null, "tags": [ "health_system_design", "health_system_organization", "service_delivery" ], "territory": null, "title": "Saint Vincent and the Grenadines - Country Profile", "urls": [ { "kind": "stable_url", "source": "not supplied", "url": "https://hia.paho.org/en/country-profiles/saint-vincent-and-the-grenadines" } ] } ] }