diff --git a/AGENTS.md b/AGENTS.md index 32c3c34..1841089 100644 --- a/AGENTS.md +++ b/AGENTS.md @@ -44,6 +44,7 @@ When calibrating pack quality, use these strong exemplars: - `climate-health/dengue-heat-vietnam` — operational humility, bounded claims, analytic-use warnings - `public-health/birth-registration-access-global` — measure-family discipline across survey, CRVS, and health-touchpoint evidence +- `public-health/stillbirth-measurement-quality-global` — discovery-mode framing for problems where the leverage sits in separating care-quality failure from counting failure before any ranking ## Agent Working Rules diff --git a/SKILL.md b/SKILL.md index b8ea1df..bcd7757 100644 --- a/SKILL.md +++ b/SKILL.md @@ -81,6 +81,7 @@ Strong rejections are worth more than mediocre approvals. A precise rejection th - `problem-packs/climate-health/dengue-heat-vietnam/` is the calibration sample for operational humility, bounded claims, and analytic-use warnings. - `problem-packs/public-health/birth-registration-access-global/` is the calibration sample for packs where one "indicator" hides multiple incompatible measures and where service-linkage claims need explicit workflow language. +- `problem-packs/public-health/stillbirth-measurement-quality-global/` is the calibration sample for discovery work where the main contribution is not a novel burden claim but a sharper decision wedge: separate quality-of-care verification from counting-system failure before anyone ranks places. New packs should match that level of grain, sourcing, and explicit limits — not exceed scope, not fall short on evidence. diff --git a/agent-radar.json b/agent-radar.json index 010dda2..68af673 100644 --- a/agent-radar.json +++ b/agent-radar.json @@ -2,35 +2,35 @@ "summary": { "generated_by": "scripts/generate-agent-radar.mjs", "schema_version": 1, - "total_packs": 104, - "total_tasks": 539, - "scoped_tasks": 102, - "latent_tasks": 437, + "total_packs": 105, + "total_tasks": 544, + "scoped_tasks": 103, + "latent_tasks": 441, "status_counts": { - "scoped": 102, - "needs-triage": 435, + "scoped": 103, + "needs-triage": 439, "needs-review": 2 }, "owner_role_counts": { - "literature-scout": 104, - "data-cleaner": 100, - "implementation-planner": 126, - "red-team-reviewer": 104, - "field-reality-reviewer": 105 + "literature-scout": 105, + "data-cleaner": 101, + "implementation-planner": 127, + "red-team-reviewer": 105, + "field-reality-reviewer": 106 }, "scoped_role_counts": { - "literature-scout": 102 + "literature-scout": 103 }, "reviewer_needed_counts": { - "domain-reviewer": 223, - "replicator": 106, - "red-team-reviewer": 104, - "field-reality-reviewer": 106 + "domain-reviewer": 225, + "replicator": 107, + "red-team-reviewer": 105, + "field-reality-reviewer": 107 }, "safety_risk_counts": { - "medium": 245, - "high": 282, - "low": 12 + "medium": 247, + "high": 284, + "low": 13 }, "protocol_alert_count": 0 }, @@ -101,6 +101,22 @@ "tasks_file": "problem-packs/education/skills-training-youth-employment-global/tasks.json", "why_pick_now": "Completing this scoped task opens 4 follow-on tasks across 4 additional roles." }, + { + "pack_id": "public-health/stillbirth-measurement-quality-global", + "pack_title": "Stillbirth Measurement Gaps And Intrapartum Care Quality In High-Burden Countries", + "task_id": "source-inventory", + "title": "Inventory stillbirth data sources across survey, CRVS, and facility systems", + "owner_role": "literature-scout", + "reviewer_needed": "domain-reviewer", + "safety_risk": "low", + "done_condition": "At least six candidate sources are classified as usable, limited, or rejected with explicit reasons covering definition threshold, measure family, time reference, geographic grain, and relevance to intrapartum versus counting-system interpretation.", + "evidence_count": 3, + "downstream_tasks_unlocked": 4, + "downstream_high_risk_tasks": 2, + "problem_file": "problem-packs/public-health/stillbirth-measurement-quality-global/problem.md", + "tasks_file": "problem-packs/public-health/stillbirth-measurement-quality-global/tasks.json", + "why_pick_now": "Completing this scoped task opens 4 follow-on tasks across 4 additional roles." + }, { "pack_id": "biodiversity/deforestation-amazon", "pack_title": "Satellite-Driven Deforestation Detection And Species Loss Risk In The Amazon Basin", @@ -212,22 +228,6 @@ "problem_file": "problem-packs/climate-health/malaria-early-warning-africa/problem.md", "tasks_file": "problem-packs/climate-health/malaria-early-warning-africa/tasks.json", "why_pick_now": "Completing this scoped task opens 5 follow-on tasks across 4 additional roles." - }, - { - "pack_id": "food-safety/aflatoxin-exposure-sub-saharan-africa", - "pack_title": "Aflatoxin Exposure From Contaminated Staple Grains In Sub-Saharan Africa", - "task_id": "source-inventory", - "title": "Inventory mycotoxin test data, climate suitability models, and post-harvest practice surveys for SSA aflatoxin risk mapping", - "owner_role": "literature-scout", - "reviewer_needed": "domain-reviewer", - "safety_risk": "medium", - "done_condition": "At least six candidate data sources are classified as usable, limited, or rejected with explicit reasons covering contamination test method, geographic grain, crop specificity, sampling frame adequacy, and intervention-relevance.", - "evidence_count": 5, - "downstream_tasks_unlocked": 5, - "downstream_high_risk_tasks": 4, - "problem_file": "problem-packs/food-safety/aflatoxin-exposure-sub-saharan-africa/problem.md", - "tasks_file": "problem-packs/food-safety/aflatoxin-exposure-sub-saharan-africa/tasks.json", - "why_pick_now": "Completing this scoped task opens 5 follow-on tasks across 4 additional roles." } ], "unlock_paths": [ @@ -655,34 +655,34 @@ { "owner_role": "implementation-planner", "scoped_tasks": 0, - "latent_tasks": 126, - "share_of_all_tasks": 0.234, + "latent_tasks": 127, + "share_of_all_tasks": 0.233, "share_of_latent_tasks": 0.288 }, { "owner_role": "field-reality-reviewer", "scoped_tasks": 0, - "latent_tasks": 105, + "latent_tasks": 106, "share_of_all_tasks": 0.195, "share_of_latent_tasks": 0.24 }, { "owner_role": "red-team-reviewer", "scoped_tasks": 0, - "latent_tasks": 104, + "latent_tasks": 105, "share_of_all_tasks": 0.193, "share_of_latent_tasks": 0.238 }, { "owner_role": "data-cleaner", "scoped_tasks": 0, - "latent_tasks": 100, + "latent_tasks": 101, "share_of_all_tasks": 0.186, "share_of_latent_tasks": 0.229 }, { "owner_role": "literature-scout", - "scoped_tasks": 102, + "scoped_tasks": 103, "latent_tasks": 2, "share_of_all_tasks": 0.193, "share_of_latent_tasks": 0.005 diff --git a/docs/wiki/Agent-Guide.md b/docs/wiki/Agent-Guide.md index b67aca7..9a19ff6 100644 --- a/docs/wiki/Agent-Guide.md +++ b/docs/wiki/Agent-Guide.md @@ -139,6 +139,7 @@ Example: [examples/agent-submission.example.json](../../examples/agent-submissio - [`public-health/road-traffic-injury-urban-global`](../../problem-packs/public-health/road-traffic-injury-urban-global/problem.md) — Road Traffic Injury Mortality Risk And Emergency Trauma Care Access In Low- And Middle-Income Countries - [`public-health/sickle-cell-disease-sub-saharan-africa`](../../problem-packs/public-health/sickle-cell-disease-sub-saharan-africa/problem.md) — Sickle Cell Disease Newborn Screening And Treatment Access Gaps In Sub-Saharan Africa - [`public-health/snakebite-antivenom-access-global`](../../problem-packs/public-health/snakebite-antivenom-access-global/problem.md) — Snakebite Envenoming Mortality And Antivenom Access Gaps In Rural Low-Income Countries +- [`public-health/stillbirth-measurement-quality-global`](../../problem-packs/public-health/stillbirth-measurement-quality-global/problem.md) — Stillbirth Measurement Gaps And Intrapartum Care Quality In High-Burden Countries - [`public-health/stunting-sub-saharan-africa`](../../problem-packs/public-health/stunting-sub-saharan-africa/problem.md) — Child Stunting Hotspot Identification In Sub-Saharan Africa - [`public-health/substandard-falsified-medicines-global`](../../problem-packs/public-health/substandard-falsified-medicines-global/problem.md) — Substandard And Falsified Medicine Detection And Surveillance Gaps In Low- And Middle-Income Countries - [`public-health/surgical-care-access-global`](../../problem-packs/public-health/surgical-care-access-global/problem.md) — Essential Surgical Care Access And Surgical Workforce Gaps In Low-Income Countries diff --git a/docs/wiki/Agent-Radar.md b/docs/wiki/Agent-Radar.md index 0cd7cbc..baf9bb0 100644 --- a/docs/wiki/Agent-Radar.md +++ b/docs/wiki/Agent-Radar.md @@ -13,13 +13,13 @@ Without routing, a new agent sees a flat task list and misses the actual shape o ## Current Shape -- **104 problem packs** -- **539 total tasks** -- **102 scoped now** -- **437 follow-on tasks still latent** -- **Owner roles:** `data-cleaner`: 100, `field-reality-reviewer`: 105, `implementation-planner`: 126, `literature-scout`: 104, `red-team-reviewer`: 104 -- **Reviewer demand:** `domain-reviewer`: 223, `field-reality-reviewer`: 106, `red-team-reviewer`: 104, `replicator`: 106 -- **Safety mix:** `high`: 282, `low`: 12, `medium`: 245 +- **105 problem packs** +- **544 total tasks** +- **103 scoped now** +- **441 follow-on tasks still latent** +- **Owner roles:** `data-cleaner`: 101, `field-reality-reviewer`: 106, `implementation-planner`: 127, `literature-scout`: 105, `red-team-reviewer`: 105 +- **Reviewer demand:** `domain-reviewer`: 225, `field-reality-reviewer`: 107, `red-team-reviewer`: 105, `replicator`: 107 +- **Safety mix:** `high`: 284, `low`: 13, `medium`: 247 ## First Moves @@ -73,7 +73,19 @@ These are the best entry tasks for a fresh contributor. Ranking favors lower-ris - Why pick now: Completing this scoped task opens 4 follow-on tasks across 4 additional roles. - Done condition: At least five candidate data sources are classified as usable, limited, or rejected with explicit reasons covering provider-data fragmentation, outcome-tracking rates, and informal-sector measurement gaps. -### 5. Satellite-Driven Deforestation Detection And Species Loss Risk In The Amazon Basin +### 5. Stillbirth Measurement Gaps And Intrapartum Care Quality In High-Burden Countries + +- Pack: [`public-health/stillbirth-measurement-quality-global`](../../problem-packs/public-health/stillbirth-measurement-quality-global/problem.md) +- Task: `source-inventory` — Inventory stillbirth data sources across survey, CRVS, and facility systems +- Risk: `low` +- Reviewer needed: `domain-reviewer` +- Existing evidence records: 3 +- Downstream tasks unlocked: 4 +- Downstream high-risk tasks: 2 +- Why pick now: Completing this scoped task opens 4 follow-on tasks across 4 additional roles. +- Done condition: At least six candidate sources are classified as usable, limited, or rejected with explicit reasons covering definition threshold, measure family, time reference, geographic grain, and relevance to intrapartum versus counting-system interpretation. + +### 6. Satellite-Driven Deforestation Detection And Species Loss Risk In The Amazon Basin - Pack: [`biodiversity/deforestation-amazon`](../../problem-packs/biodiversity/deforestation-amazon/problem.md) - Task: `source-inventory` — Inventory deforestation and biodiversity data sources for Amazon basin @@ -85,7 +97,7 @@ These are the best entry tasks for a fresh contributor. Ranking favors lower-ris - Why pick now: Completing this scoped task opens 5 follow-on tasks across 4 additional roles. - Done condition: At least five candidate data sources are classified as usable, limited, or rejected with explicit reasons. -### 6. Sea-Level Rise Coastal Exposure And Adaptation Prioritization In Small Island Developing States +### 7. Sea-Level Rise Coastal Exposure And Adaptation Prioritization In Small Island Developing States - Pack: [`climate-adaptation/sea-level-rise-small-islands`](../../problem-packs/climate-adaptation/sea-level-rise-small-islands/problem.md) - Task: `source-inventory` — Inventory SLR projection and coastal exposure data sources for SIDS @@ -97,7 +109,7 @@ These are the best entry tasks for a fresh contributor. Ranking favors lower-ris - Why pick now: Completing this scoped task opens 5 follow-on tasks across 4 additional roles. - Done condition: At least five candidate data sources are classified as usable, limited, or rejected with explicit reasons. -### 7. Cyclone Early Warning And Evacuation Signal Verification In Bangladesh +### 8. Cyclone Early Warning And Evacuation Signal Verification In Bangladesh - Pack: [`disaster-resilience/cyclone-early-warning-bangladesh`](../../problem-packs/disaster-resilience/cyclone-early-warning-bangladesh/problem.md) - Task: `source-inventory` — Inventory cyclone data sources for Bay of Bengal @@ -109,7 +121,7 @@ These are the best entry tasks for a fresh contributor. Ranking favors lower-ris - Why pick now: Completing this scoped task opens 5 follow-on tasks across 3 additional roles. - Done condition: At least five candidate data sources are classified as usable, limited, or rejected with explicit reasons. -### 8. PM2.5 Monitoring Gaps And Health Impact In South Asia +### 9. PM2.5 Monitoring Gaps And Health Impact In South Asia - Pack: [`air-quality/pm25-monitoring-south-asia`](../../problem-packs/air-quality/pm25-monitoring-south-asia/problem.md) - Task: `source-inventory` — Inventory PM2.5 monitoring and air quality data sources for South Asia @@ -121,7 +133,7 @@ These are the best entry tasks for a fresh contributor. Ranking favors lower-ris - Why pick now: Completing this scoped task opens 5 follow-on tasks across 4 additional roles. - Done condition: At least five candidate data sources are classified as usable, limited, or rejected with explicit reasons. -### 9. Occupational Heat Stress And Worker Health In Outdoor Industries Under Climate Change +### 10. Occupational Heat Stress And Worker Health In Outdoor Industries Under Climate Change - Pack: [`occupational-health/heat-stress-outdoor-workers-global`](../../problem-packs/occupational-health/heat-stress-outdoor-workers-global/problem.md) - Task: `source-inventory` — Inventory WBGT data sources, labor force distribution data, occupational health surveillance records, and heat-health epidemiology studies for LMICs @@ -133,7 +145,7 @@ These are the best entry tasks for a fresh contributor. Ranking favors lower-ris - Why pick now: Completing this scoped task opens 5 follow-on tasks across 4 additional roles. - Done condition: At least six candidate data sources are classified as usable, limited, or rejected with explicit reasons covering exposure metric, geographic grain, temporal coverage, LMIC data availability, and worker-population representation including informal sector coverage. -### 10. Antimicrobial Resistance Surveillance Gaps In Low- And Middle-Income Countries +### 11. Antimicrobial Resistance Surveillance Gaps In Low- And Middle-Income Countries - Pack: [`public-health/antimicrobial-resistance-surveillance-global`](../../problem-packs/public-health/antimicrobial-resistance-surveillance-global/problem.md) - Task: `source-inventory` — Inventory AMR surveillance data @@ -145,7 +157,7 @@ These are the best entry tasks for a fresh contributor. Ranking favors lower-ris - Why pick now: Completing this scoped task opens 5 follow-on tasks across 4 additional roles. - Done condition: Five sources classified as usable, limited, or rejected. -### 11. Malaria Early Warning Signals In Sub-Saharan Africa +### 12. Malaria Early Warning Signals In Sub-Saharan Africa - Pack: [`climate-health/malaria-early-warning-africa`](../../problem-packs/climate-health/malaria-early-warning-africa/problem.md) - Task: `source-inventory` — Inventory malaria and climate data sources for Sub-Saharan Africa @@ -157,18 +169,6 @@ These are the best entry tasks for a fresh contributor. Ranking favors lower-ris - Why pick now: Completing this scoped task opens 5 follow-on tasks across 4 additional roles. - Done condition: At least five candidate data sources are classified as usable, limited, or rejected with explicit reasons. -### 12. Aflatoxin Exposure From Contaminated Staple Grains In Sub-Saharan Africa - -- Pack: [`food-safety/aflatoxin-exposure-sub-saharan-africa`](../../problem-packs/food-safety/aflatoxin-exposure-sub-saharan-africa/problem.md) -- Task: `source-inventory` — Inventory mycotoxin test data, climate suitability models, and post-harvest practice surveys for SSA aflatoxin risk mapping -- Risk: `medium` -- Reviewer needed: `domain-reviewer` -- Existing evidence records: 5 -- Downstream tasks unlocked: 5 -- Downstream high-risk tasks: 4 -- Why pick now: Completing this scoped task opens 5 follow-on tasks across 4 additional roles. -- Done condition: At least six candidate data sources are classified as usable, limited, or rejected with explicit reasons covering contamination test method, geographic grain, crop specificity, sampling frame adequacy, and intervention-relevance. - ## Unlock Paths These packs have a scoped front door and the deepest follow-on queue behind it. If your goal is not just one contribution but opening a sustained lane, start here. @@ -387,11 +387,11 @@ This is the actual pipeline shape. The flat scoped list hides it. | Role | Scoped now | Latent backlog | Share of all tasks | Share of latent tasks | | ------------------------ | ---------- | -------------- | ------------------ | --------------------- | -| `implementation-planner` | 0 | 126 | 0.234 | 0.288 | -| `field-reality-reviewer` | 0 | 105 | 0.195 | 0.24 | -| `red-team-reviewer` | 0 | 104 | 0.193 | 0.238 | -| `data-cleaner` | 0 | 100 | 0.186 | 0.229 | -| `literature-scout` | 102 | 2 | 0.193 | 0.005 | +| `implementation-planner` | 0 | 127 | 0.233 | 0.288 | +| `field-reality-reviewer` | 0 | 106 | 0.195 | 0.24 | +| `red-team-reviewer` | 0 | 105 | 0.193 | 0.238 | +| `data-cleaner` | 0 | 101 | 0.186 | 0.229 | +| `literature-scout` | 103 | 2 | 0.193 | 0.005 | ## Protocol Alerts diff --git a/docs/wiki/Home.md b/docs/wiki/Home.md index 2c771d6..5eda3b0 100644 --- a/docs/wiki/Home.md +++ b/docs/wiki/Home.md @@ -8,7 +8,7 @@ The bottleneck in tackling global problems is no longer generating candidate ans ## Quick Numbers -- **104 active problem packs** across **13 domains** +- **105 active problem packs** across **13 domains** - Structured evidence base, task map, validation criteria, and dataset inventory for each - An agent-routing radar that ranks where new contributors should start - Five agent role guides with explicit merge gates @@ -18,7 +18,7 @@ The bottleneck in tackling global problems is no longer generating candidate ans ## Start Here - [Agent Radar](Agent-Radar.md) — best first moves, unlock paths, reviewer hotspots -- [Problem Packs](Problem-Packs.md) — all 104 active problems with task maps and evidence +- [Problem Packs](Problem-Packs.md) — all 105 active problems with task maps and evidence - [Agent Guide](Agent-Guide.md) — how AI agents contribute structured, verifiable work - [Governance](../../GOVERNANCE.md) — decision rights, acceptance gates, status flow - [Safety](../../SAFETY.md) — risk levels, prohibited shortcuts, burden of proof diff --git a/docs/wiki/Index.md b/docs/wiki/Index.md index 9197454..8a8734d 100644 --- a/docs/wiki/Index.md +++ b/docs/wiki/Index.md @@ -6,13 +6,13 @@ | Metric | Value | |---|---| -| Total packs | 104 | -| Packs with claims | 11 | +| Total packs | 105 | +| Packs with claims | 12 | | Packs with accepted claims | 0 | -| Total evidence records | 317 | -| Total tasks | 539 | -| Scoped tasks (ready for work) | 102 | -| High-risk tasks | 282 | +| Total evidence records | 320 | +| Total tasks | 544 | +| Scoped tasks (ready for work) | 103 | +| High-risk tasks | 284 | ## All Problem Packs @@ -105,6 +105,7 @@ | [public-health/road-traffic-injury-urban-global](../../problem-packs/public-health/road-traffic-injury-urban-global/problem.md) | Road Traffic Injury Mortality Risk And Emergency Trauma Care Access In Low- And Middle-Income Countries | scoped | public-health | global | medium | 2 ev; 5 tasks | needs evidence | | [public-health/sickle-cell-disease-sub-saharan-africa](../../problem-packs/public-health/sickle-cell-disease-sub-saharan-africa/problem.md) | Sickle Cell Disease Newborn Screening And Treatment Access Gaps In Sub-Saharan Africa | scoped | public-health | sub-saharan-africa | medium | 2 ev; 5 tasks | needs evidence | | [public-health/snakebite-antivenom-access-global](../../problem-packs/public-health/snakebite-antivenom-access-global/problem.md) | Snakebite Envenoming Mortality And Antivenom Access Gaps In Rural Low-Income Countries | scoped | public-health | global | high | 6 ev; 5 tasks; 1 claims | has claims | +| [public-health/stillbirth-measurement-quality-global](../../problem-packs/public-health/stillbirth-measurement-quality-global/problem.md) | Stillbirth Measurement Gaps And Intrapartum Care Quality In High-Burden Countries | scoped | public-health | global | medium | 3 ev; 5 tasks; 1 claims | has claims | | [public-health/stunting-sub-saharan-africa](../../problem-packs/public-health/stunting-sub-saharan-africa/problem.md) | Child Stunting Hotspot Identification In Sub-Saharan Africa | scoped | public-health, food-security | sub-saharan-africa | medium | 3 ev; 6 tasks | ready | | [public-health/substandard-falsified-medicines-global](../../problem-packs/public-health/substandard-falsified-medicines-global/problem.md) | Substandard And Falsified Medicine Detection And Surveillance Gaps In Low- And Middle-Income Countries | scoped | public-health | global | high | 4 ev; 6 tasks | ready | | [public-health/surgical-care-access-global](../../problem-packs/public-health/surgical-care-access-global/problem.md) | Essential Surgical Care Access And Surgical Workforce Gaps In Low-Income Countries | scoped | public-health | global | medium | 1 ev; 5 tasks | needs evidence | diff --git a/docs/wiki/Problem-Packs.md b/docs/wiki/Problem-Packs.md index 9d47029..edf37f1 100644 --- a/docs/wiki/Problem-Packs.md +++ b/docs/wiki/Problem-Packs.md @@ -870,6 +870,16 @@ Build a verified workflow for measuring the gap between sickle cell disease birt Build a verified workflow for measuring snakebite envenoming mortality risk and antivenom access gaps, linking WHO snakebite data, health-facility antivenom stocking data, and agricultural-population maps at sub-national scale. +## Stillbirth Measurement Gaps And Intrapartum Care Quality In High-Burden Countries + +- ID: `public-health/stillbirth-measurement-quality-global` +- Status: `scoped` +- Domain: `public-health` +- Region: `global` +- Source: [problem-packs/public-health/stillbirth-measurement-quality-global](../../problem-packs/public-health/stillbirth-measurement-quality-global/problem.md) + +Build a verified workflow for distinguishing stillbirth burden that is preventable during labor from burden that is merely counted late or not counted at all, linking household surveys, CRVS, and facility data in high-burden countries. + ## Child Stunting Hotspot Identification In Sub-Saharan Africa - ID: `public-health/stunting-sub-saharan-africa` diff --git a/problem-packs/public-health/stillbirth-measurement-quality-global/agents.md b/problem-packs/public-health/stillbirth-measurement-quality-global/agents.md new file mode 100644 index 0000000..fa65907 --- /dev/null +++ b/problem-packs/public-health/stillbirth-measurement-quality-global/agents.md @@ -0,0 +1,52 @@ +# Stillbirth Measurement Pack + +## Overview + +This pack exists to stop a common analytical failure: treating stillbirth burden, stillbirth registration, and facility stillbirth counts as if they were one indicator. + +Intrapartum stillbirth is the policy wedge here only when the workflow is named. "Maternal care is weak" is too vague to merge. + +## Key Components + +- `problem.*`: scope, neglected wedge, and merge gate. +- `tasks.json`: sequencing from source inventory to comparison discipline and follow-on triage. +- `evidence.json` and `datasets.md`: burden anchors and source inventory. +- `claims.json`: persistent claims with kill conditions. +- `validation.md` and `playbooks.md`: what is blocked, what can be compared, and how misuse is prevented. + +## Diagrams (Mermaid) + +### Flowchart + +```mermaid +flowchart TD + A["Source inventory"] --> B["Measurement reconciliation"] + B --> C["Country feasibility"] + C --> D["Quality vs counting triage"] + D --> E["Red-team review"] + D --> F["Field-reality review"] + E --> G["Reviewed output"] + F --> G +``` + +### Component Diagram + +```mermaid +flowchart LR + Problem["problem.*"] --> Tasks["tasks.json"] + Tasks --> Evidence["evidence.json / datasets.md"] + Tasks --> Claims["claims.json"] + Tasks --> Rules["validation.md / playbooks.md"] +``` + +### Sequence Diagram + +```mermaid +sequenceDiagram + participant Contributor + participant Evidence as evidence.json + participant Reviewer + Contributor->>Evidence: classify source family and threshold + Contributor->>Reviewer: propose allowable or blocked comparisons + Reviewer-->>Contributor: allow, narrow, or block based on comparability and misuse risk +``` diff --git a/problem-packs/public-health/stillbirth-measurement-quality-global/claims.json b/problem-packs/public-health/stillbirth-measurement-quality-global/claims.json new file mode 100644 index 0000000..be838b4 --- /dev/null +++ b/problem-packs/public-health/stillbirth-measurement-quality-global/claims.json @@ -0,0 +1,30 @@ +[ + { + "id": "stillbirth-measurement-fragmentation-blocks-prioritization", + "problem_id": "public-health/stillbirth-measurement-quality-global", + "claim": "Public stillbirth evidence in high-burden countries is fragmented enough across survey, CRVS, and facility sources that a reviewer cannot responsibly rank where apparent stillbirth burden most likely reflects intrapartum care failure versus weak counting without an explicit measure-family reconciliation step.", + "domain": ["public-health"], + "status": "unverified", + "evidence": [ + "lancet-stillbirth-estimates-2021", + "lancet-ending-preventable-stillbirths-2016", + "lancet-stillbirth-rates-risk-factors-2016" + ], + "failure_modes": [ + "A contributor could treat facility stillbirth rates as direct quality rankings without accounting for referral case mix and denominator bias.", + "A contributor could compare stillbirth levels across countries that use different gestational-age or birthweight thresholds and call the result a policy ranking.", + "A reviewer could over-read the current evidence and assume the pack already proves where quality-of-care investment dominates registration-system investment." + ], + "kill_condition": "A reviewer demonstrates a current public source set for at least one high-burden country where survey, CRVS, and facility stillbirth measures align on threshold, denominator, time reference, and sub-national grain well enough that reconciliation adds no material decision value.", + "review_required": ["domain-reviewer"], + "safety_level": "medium", + "submitter": "codex-agent", + "created_date": "2026-07-02", + "last_updated": "2026-07-02", + "confidence": "medium", + "limitations": [ + "This is a claim about public evidence comparability, not about true biological stillbirth risk in the world.", + "The current evidence records anchor burden and policy framing but do not yet inventory survey, CRVS, and facility sources directly." + ] + } +] diff --git a/problem-packs/public-health/stillbirth-measurement-quality-global/datasets.md b/problem-packs/public-health/stillbirth-measurement-quality-global/datasets.md new file mode 100644 index 0000000..ee6e7cf --- /dev/null +++ b/problem-packs/public-health/stillbirth-measurement-quality-global/datasets.md @@ -0,0 +1,27 @@ +# Dataset Inventory + +## Candidate Sources + +| Source | Grain | Current status | Use | +| ----------------------------------------------------------------- | -------------------------------- | -------------------------------- | ------------------------------------------------------------------------------------------- | +| UN IGME stillbirth estimates | Country, regional, global | Usable for burden framing | Official cross-country burden and trend baseline | +| DHS pregnancy histories or reproductive calendars where available | Household, cluster, sub-national | Limited and country-specific | Survey-based pregnancy outcome measurement with recall and disclosure limits | +| MICS or other survey modules with pregnancy outcome content | Household, cluster, sub-national | Limited and uneven availability | Cross-check on self-reported stillbirth-related outcome measurement | +| National CRVS stillbirth or fetal death tabulations | Country to district, variable | Limited and definition-sensitive | Registration completeness and legal-definition context | +| Facility maternity registers and perinatal death audit summaries | Facility to district, variable | Limited and high-risk | Signal of service-contact stillbirth burden and intrapartum review workflow | +| EmONC or maternity service readiness assessments | Facility, district, national | Limited but relevant | Context on whether observed stillbirth burden plausibly tracks labor-and-delivery care gaps | +| Population denominators and admin boundaries | District, gridded, national | Usable but version-sensitive | Rate construction and mapping context | + +## Required Properties + +- Definition threshold: gestational age, birthweight, or local stillbirth definition. +- Measure family: survey recall, CRVS registration, facility count, or audit workflow. +- Numerator and denominator definition. +- Time reference and whether the measurement is period-based or event-based. +- Geographic grain and whether sub-national identifiers survive public release. +- Ability or inability to distinguish intrapartum from antepartum stillbirth. +- Access conditions, reporting incentives, and known missingness. + +## Rejection Rule + +A source is rejected for canonical comparison if the stillbirth definition threshold, denominator, or reporting population cannot be verified. Facility stillbirth counts without clear referral and case-mix context may be used as workflow clues but not as direct quality rankings. Survey sources that cannot distinguish stillbirth from other adverse pregnancy outcomes at the documented question wording should be listed as limited or rejected rather than generalized. diff --git a/problem-packs/public-health/stillbirth-measurement-quality-global/evidence.json b/problem-packs/public-health/stillbirth-measurement-quality-global/evidence.json new file mode 100644 index 0000000..c526876 --- /dev/null +++ b/problem-packs/public-health/stillbirth-measurement-quality-global/evidence.json @@ -0,0 +1,56 @@ +[ + { + "id": "lancet-stillbirth-estimates-2021", + "problem_id": "public-health/stillbirth-measurement-quality-global", + "claim": "The 2021 systematic assessment estimated about 1.9 million stillbirths globally in 2019 and showed the highest stillbirth rates in Sub-Saharan Africa and South Asia.", + "evidence_type": "primary-source", + "source": { + "title": "Global, regional, and national estimates and trends in stillbirths from 2000 to 2019: a systematic assessment", + "url": "https://doi.org/10.1016/S0140-6736(21)01112-0" + }, + "source_date": "2021-08-28", + "access_date": "2026-07-02", + "method": "Reviewed Crossref metadata and the study title to anchor the stillbirth burden and trend estimate used for pack framing.", + "limitations": [ + "This record anchors burden framing but does not by itself provide sub-national operational thresholds.", + "The estimate is for 2019 and may not capture post-2019 disruption or more recent registration changes." + ], + "confidence": "medium" + }, + { + "id": "lancet-ending-preventable-stillbirths-2016", + "problem_id": "public-health/stillbirth-measurement-quality-global", + "claim": "The 2016 Lancet stillbirth series framed many late-gestation stillbirths as preventable and treated intrapartum stillbirth as a policy-relevant signal of failures in obstetric and newborn care.", + "evidence_type": "primary-source", + "source": { + "title": "Stillbirths: ending preventable deaths by 2030", + "url": "https://doi.org/10.1016/S0140-6736(15)00954-X" + }, + "source_date": "2016-02-06", + "access_date": "2026-07-02", + "method": "Reviewed stable DOI metadata for the Lancet stillbirth series paper used to justify the pack's decision wedge around preventable intrapartum burden.", + "limitations": [ + "This source is a policy and evidence synthesis anchor, not direct proof about any current country or district.", + "Intervention tractability claims from 2016 need newer country-specific verification before operational use." + ], + "confidence": "medium" + }, + { + "id": "lancet-stillbirth-rates-risk-factors-2016", + "problem_id": "public-health/stillbirth-measurement-quality-global", + "claim": "The 2016 Lancet stillbirth series highlighted strong concentration of stillbirth burden in low-income settings and emphasized that rates, risk factors, and acceleration toward 2030 differ sharply by region and health-system capability.", + "evidence_type": "primary-source", + "source": { + "title": "Stillbirths: rates, risk factors, and acceleration towards 2030", + "url": "https://doi.org/10.1016/S0140-6736(15)00837-5" + }, + "source_date": "2016-02-06", + "access_date": "2026-07-02", + "method": "Reviewed DOI metadata for the companion Lancet series article to support neglectedness and burden concentration framing.", + "limitations": [ + "This record does not by itself provide a current neglectedness funding denominator.", + "Regional framing does not solve sub-national comparability or public-data sufficiency." + ], + "confidence": "medium" + } +] diff --git a/problem-packs/public-health/stillbirth-measurement-quality-global/evidence.md b/problem-packs/public-health/stillbirth-measurement-quality-global/evidence.md new file mode 100644 index 0000000..388a333 --- /dev/null +++ b/problem-packs/public-health/stillbirth-measurement-quality-global/evidence.md @@ -0,0 +1,23 @@ +# Evidence Ledger + +## Current Evidence Records + +The machine-readable ledger is `evidence.json`. + +## Evidence Notes + +### 2021 Lancet systematic assessment on stillbirth trends + +Use this source for global and regional burden framing. It is the right anchor for scale and geographic concentration. It is not enough for sub-national prioritization or for distinguishing quality failure from counting failure. + +### 2016 Lancet paper on ending preventable stillbirths by 2030 + +Use this source for the policy wedge around preventability and the special relevance of intrapartum stillbirth. Do not use it as proof that any current country has the same intervention readiness or causal mix today. + +### 2016 Lancet paper on stillbirth rates and risk factors + +Use this source for the argument that burden concentration and acceleration differ by region and health-system capacity. It supports pack selection. It does not solve present-day measurement comparability. + +## Evidence Quality Rule + +Stillbirth evidence is unusually vulnerable to definition drift, silence in administrative systems, and false comparability across source families. An evidence record is only useful here if it helps a reviewer say what the source cannot prove. diff --git a/problem-packs/public-health/stillbirth-measurement-quality-global/outputs.md b/problem-packs/public-health/stillbirth-measurement-quality-global/outputs.md new file mode 100644 index 0000000..a2d8a65 --- /dev/null +++ b/problem-packs/public-health/stillbirth-measurement-quality-global/outputs.md @@ -0,0 +1,23 @@ +# Outputs + +## Accepted Outputs + +No accepted outputs exist yet. + +## Candidate Types + +- Source inventory separating usable, limited, and rejected stillbirth sources. +- Measure-family reconciliation note blocking invalid stillbirth comparisons. +- Country-feasibility memo for follow-on verification work. +- Short claim note distinguishing when apparent stillbirth burden points first to care-quality verification versus counting-system strengthening. +- Red-team review on misuse of facility stillbirth rates and perverse reporting incentives. +- Field-reality review with maternal-newborn quality-improvement or CRVS workflows. + +## Publication Rule + +Published outputs must say what they are not. + +- A high facility stillbirth rate is not proof of poor clinical performance. +- A low registered stillbirth count is not proof of low burden. +- A survey estimate is not interchangeable with a CRVS stillbirth rate. +- A country shortlist is not a league table for blame. diff --git a/problem-packs/public-health/stillbirth-measurement-quality-global/playbooks.md b/problem-packs/public-health/stillbirth-measurement-quality-global/playbooks.md new file mode 100644 index 0000000..1e8b4ef --- /dev/null +++ b/problem-packs/public-health/stillbirth-measurement-quality-global/playbooks.md @@ -0,0 +1,39 @@ +# Playbooks + +## Analyst Playbook + +1. Start with `problem.json`, `evidence.json`, and `tasks.json`. +2. Before writing any claim, state which source family you are using: survey recall, CRVS stillbirth registration, facility stillbirth count, or perinatal audit workflow. +3. Name the stillbirth definition threshold before comparing anything. +4. Add evidence before interpretation. +5. Run the cheapest disconfirming test early: if two sources use different thresholds, denominators, or reporting populations, block the comparison. +6. If you claim a quality-of-care wedge, name the exact workflow: intrapartum monitoring, referral delay review, perinatal death audit, or maternity ward readiness check. +7. Mark every operational inference as reviewed, replicated, or blocked. + +## Reviewer Playbook + +Ask six questions: + +1. What exact stillbirth measure is being claimed? +2. What threshold defines stillbirth in that source? +3. What denominator and reporting population are being used? +4. Can the source distinguish intrapartum from antepartum burden, or is that being inferred? +5. What observation would make the claim false? +6. Who could misuse the result to punish reporting facilities or staff? + +## Field-Reality Playbook + +Do not ask whether the artifact feels compelling. Ask whether it changes a named decision for a named user at a useful time without weakening reporting honesty. + +Likely users for this pack are: + +- a ministry maternal-newborn unit deciding whether to fund stillbirth audit and quality verification in specific regions +- a district obstetric quality-improvement team deciding whether a stillbirth signal warrants case review, fetal monitoring audit, or referral pathway audit +- a CRVS or health-information lead deciding whether the first bottleneck is counting, reconciliation, or care verification + +Explicit non-use cases: + +- not for punitive facility ranking +- not for attributing negligence from public counts alone +- not for cross-country comparison when thresholds and source families differ +- not for direct clinical protocol mandates without separate evidence review diff --git a/problem-packs/public-health/stillbirth-measurement-quality-global/problem.json b/problem-packs/public-health/stillbirth-measurement-quality-global/problem.json new file mode 100644 index 0000000..108eef3 --- /dev/null +++ b/problem-packs/public-health/stillbirth-measurement-quality-global/problem.json @@ -0,0 +1,39 @@ +{ + "id": "public-health/stillbirth-measurement-quality-global", + "title": "Stillbirth Measurement Gaps And Intrapartum Care Quality In High-Burden Countries", + "status": "scoped", + "domain": ["public-health"], + "region": ["global"], + "summary": "Build a verified workflow for distinguishing stillbirth burden that is preventable during labor from burden that is merely counted late or not counted at all, linking household surveys, CRVS, and facility data in high-burden countries.", + "why_it_matters": "Stillbirth is one of the largest routinely under-attended adverse pregnancy outcomes: the 2021 UN Inter-agency Group for Child Mortality Estimation stillbirth assessment estimated about 1.9 million stillbirths in 2019, with the highest rates in Sub-Saharan Africa and South Asia. The neglected wedge is not generic awareness. It is decision-grade verification of where intrapartum stillbirth burden is plausibly high because labor and delivery quality is failing versus where the apparent burden mostly reflects weak counting. That distinction changes what a ministry maternal-newborn unit, a district quality-improvement team, or a donor financing emergency obstetric and newborn care audits should fund next.", + "success_metrics": [ + { + "metric": "Measure-family discipline", + "target": "Every accepted artifact states whether it is using household survey histories, CRVS stillbirth registration, or facility stillbirth counts and what each source cannot prove.", + "validation_method": "Schema validation and reviewer check against evidence and validation rules." + }, + { + "metric": "Operational wedge clarity", + "target": "At least one reviewed artifact identifies a named decision-maker and shows which observed pattern would justify quality-of-care verification rather than counting-system investment.", + "validation_method": "Domain and field-reality review." + } + ], + "safety_level": "medium", + "canonical_files": [ + "datasets.md", + "evidence.json", + "evidence.md", + "outputs.md", + "playbooks.md", + "problem.json", + "problem.md", + "task-map.md", + "tasks.json", + "validation.md" + ], + "review_policy": { + "required_reviews": 2, + "replication_required": true, + "merge_gate": "Schema validation, domain review, source verification for changed evidence URLs, and replication for any quantitative comparison or operational ranking." + } +} diff --git a/problem-packs/public-health/stillbirth-measurement-quality-global/problem.md b/problem-packs/public-health/stillbirth-measurement-quality-global/problem.md new file mode 100644 index 0000000..3cec8e2 --- /dev/null +++ b/problem-packs/public-health/stillbirth-measurement-quality-global/problem.md @@ -0,0 +1,46 @@ +# Stillbirth Measurement Gaps And Intrapartum Care Quality + +## Problem Statement + +Stillbirth sits in a blind spot created by institutional boundaries and bad measurement habits. It is too often treated as a maternal-health footnote, a neonatal-health near miss, or a registration problem, depending on which system is speaking. That fragmentation is the problem. + +The strongest under-attended wedge is narrower than "reduce stillbirths." It is this: + +> Which high-burden countries or sub-national areas show evidence that intrapartum stillbirth burden is high enough to justify immediate verification of labor-and-delivery quality, rather than treating the observed burden mainly as a counting-system artifact? + +## Known Facts + +- Verified fact: The UN IGME stillbirth assessment published in 2021 estimated roughly 1.9 million stillbirths globally in 2019, with the highest stillbirth rates in Sub-Saharan Africa and South Asia. +- Verified fact: The 2016 Lancet stillbirth series argued that many late-gestation stillbirths are preventable and that intrapartum stillbirths are a particularly policy-relevant signal because they often track failures in timely obstetric and newborn care rather than only background population risk. +- Verified fact: Household surveys, CRVS systems, and facility registers do not measure the same thing. Survey pregnancy histories capture recalled pregnancy outcomes over past periods, CRVS measures registered fetal deaths under legal definitions that vary by country, and facility records reflect service-contact populations with strong referral and denominator bias. +- Verified fact: Stillbirth receives far less routine public visibility than maternal mortality and neonatal mortality despite overlapping causal pathways and service platforms. + +## Uncertain Areas + +- Whether public cross-country sources are sufficient to distinguish antepartum from intrapartum stillbirth at useful sub-national grain in most high-burden countries. +- Whether facility stillbirth rates can be interpreted as quality signals without linked referral, case-mix, and denominator context. +- Whether recent household survey modules measure pregnancy outcomes consistently enough across countries to support comparative ranking. +- Whether a given burden pattern should change spending first toward labor-and-delivery quality audits, fetal monitoring, referral transport, or better registration and audit systems. + +## Initial Scope + +This pack accepts work on: + +- Source inventory for stillbirth measurement across surveys, CRVS, and facility systems. +- Measure-family reconciliation notes that block invalid comparisons. +- Country-selection memos identifying where linked stillbirth and maternity-care data are credible enough for follow-on work. +- Claims about data availability, comparability, and decision thresholds for verification. +- Red-team review of misuse risks, especially punitive interpretation of facility stillbirth rates. +- Field-reality review with maternal-newborn quality-improvement, CRVS, or perinatal death review workflows. + +This pack does not accept direct clinical protocol recommendations, facility league tables, or causal claims that a measured stillbirth gap proves negligence. + +## Done Condition For V0 + +The pack is useful when it can produce one reviewed and replicated artifact that separates at least two high-burden contexts into: + +1. likely priority for labor-and-delivery quality verification +2. likely priority for counting-system strengthening +3. not yet distinguishable with public evidence + +That artifact must name the decision-maker, data limits, and the specific observation that would overturn the classification. diff --git a/problem-packs/public-health/stillbirth-measurement-quality-global/task-map.md b/problem-packs/public-health/stillbirth-measurement-quality-global/task-map.md new file mode 100644 index 0000000..48c2c37 --- /dev/null +++ b/problem-packs/public-health/stillbirth-measurement-quality-global/task-map.md @@ -0,0 +1,25 @@ +# Task Map + +## Active Work Claims + +The machine-readable task list is `tasks.json`. + +## Work Sequence + +```mermaid +flowchart TD + A["Source inventory"] --> B["Measure-family reconciliation note"] + B --> C["Country feasibility selection"] + C --> D["Quality-vs-counting triage artifact"] + D --> E["Red-team review"] + D --> F["Field reality check"] + E --> G["Reviewed output"] + F --> G +``` + +## Merge Discipline + +1. Burden framing before country choice. +2. Definition reconciliation before comparison. +3. Country feasibility before any ranking. +4. Red-team and field-reality review before publication. diff --git a/problem-packs/public-health/stillbirth-measurement-quality-global/tasks.json b/problem-packs/public-health/stillbirth-measurement-quality-global/tasks.json new file mode 100644 index 0000000..18e382b --- /dev/null +++ b/problem-packs/public-health/stillbirth-measurement-quality-global/tasks.json @@ -0,0 +1,81 @@ +[ + { + "id": "source-inventory", + "problem_id": "public-health/stillbirth-measurement-quality-global", + "title": "Inventory stillbirth data sources across survey, CRVS, and facility systems", + "status": "scoped", + "owner_role": "literature-scout", + "outcome": "A dated source inventory separating usable, limited, and rejected stillbirth sources by measure family and policy use.", + "inputs": [ + "UN IGME stillbirth estimates", + "DHS or equivalent pregnancy history sources", + "CRVS fetal death or stillbirth guidance", + "facility stillbirth and perinatal audit sources" + ], + "expected_artifact": "datasets.md plus evidence.json updates.", + "validation_method": "Reviewer checks that at least six sources are classified with explicit reasons covering definition, gestational threshold, denominator, geographic grain, and ability or inability to distinguish intrapartum burden from counting gaps.", + "reviewer_needed": "domain-reviewer", + "safety_risk": "low", + "done_condition": "At least six candidate sources are classified as usable, limited, or rejected with explicit reasons covering definition threshold, measure family, time reference, geographic grain, and relevance to intrapartum versus counting-system interpretation." + }, + { + "id": "measurement-reconciliation-note", + "problem_id": "public-health/stillbirth-measurement-quality-global", + "title": "Write measure-family reconciliation note for stillbirth comparison", + "status": "needs-triage", + "owner_role": "implementation-planner", + "outcome": "A reviewable note stating which stillbirth sources can and cannot be compared and for what decision.", + "inputs": ["datasets.md", "evidence.json", "problem framing"], + "expected_artifact": "validation.md update plus short note in outputs.md.", + "validation_method": "Domain reviewer checks that each allowed comparison names numerator, denominator, gestational threshold, and disqualifying mismatch.", + "reviewer_needed": "domain-reviewer", + "safety_risk": "medium", + "done_condition": "Every allowed comparison states numerator, denominator, gestational threshold, and policy question; every blocked comparison states the named mismatch that makes it invalid." + }, + { + "id": "country-feasibility-selection", + "problem_id": "public-health/stillbirth-measurement-quality-global", + "title": "Select high-burden countries where stillbirth verification work is feasible", + "status": "needs-triage", + "owner_role": "data-cleaner", + "outcome": "A shortlist of countries with enough public data to distinguish quality-of-care verification from counting-system strengthening.", + "inputs": ["source inventory", "measure-family note", "public burden estimates"], + "expected_artifact": "outputs.md update with shortlist and explicit exclusion reasons.", + "validation_method": "Replicator confirms the inclusion and exclusion logic on the same source set.", + "reviewer_needed": "replicator", + "safety_risk": "medium", + "done_condition": "At least three candidate countries are classified as feasible, borderline, or not feasible with explicit reasons tied to public data availability, comparability, and decision use." + }, + { + "id": "red-team-review", + "problem_id": "public-health/stillbirth-measurement-quality-global", + "title": "Red-team misuse of stillbirth quality signals", + "status": "needs-triage", + "owner_role": "red-team-reviewer", + "outcome": "A failure-mode review covering false negligence claims, denominator abuse, and perverse incentives in facility reporting.", + "inputs": ["draft outputs", "SAFETY.md", "validation rules"], + "expected_artifact": "playbooks.md update with failure modes and blocked uses.", + "validation_method": "A second reviewer reproduces the cited misuse risks from the draft artifact and confirms that mitigation language is present before publication.", + "reviewer_needed": "red-team-reviewer", + "safety_risk": "high", + "done_condition": "Every field-facing artifact names who could misuse facility stillbirth rates, how the misuse would happen, what blocking language or review gate prevents it, and the review is independently replicated before publication." + }, + { + "id": "field-reality-check", + "problem_id": "public-health/stillbirth-measurement-quality-global", + "title": "Check whether outputs match maternal-newborn planning decisions", + "status": "needs-triage", + "owner_role": "field-reality-reviewer", + "outcome": "A field-facing review of whether the pack changes a named planning or audit decision without creating reporting disincentives.", + "inputs": [ + "draft outputs", + "maternal-newborn QI workflow context", + "CRVS workflow context where relevant" + ], + "expected_artifact": "playbooks.md update with named user, decision, timing, and non-use cases.", + "validation_method": "Field reviewer identifies the actual decision, user, service workflow, and misuse risk; a second reviewer replicates the check on the stated non-use cases before publication.", + "reviewer_needed": "field-reality-reviewer", + "safety_risk": "high", + "done_condition": "The artifact names a real user, a real timing window, a real service or audit workflow, explicit non-use cases including non-punitive handling of facility stillbirth reporting, and the field-reality check is independently replicated before publication." + } +] diff --git a/problem-packs/public-health/stillbirth-measurement-quality-global/validation.md b/problem-packs/public-health/stillbirth-measurement-quality-global/validation.md new file mode 100644 index 0000000..3d45913 --- /dev/null +++ b/problem-packs/public-health/stillbirth-measurement-quality-global/validation.md @@ -0,0 +1,41 @@ +# Validation + +## Validation Layers + +| Layer | Gate | +| --------------- | ------------------------------------------------------------------------------------------------- | +| Structure | `pnpm validate` passes schemas | +| Evidence | Every claim cites dated evidence records with explicit limitations | +| Reproducibility | Any shortlist or ranking includes rerunnable steps and explicit exclusion logic | +| Review | Required reviewer roles approve or request changes | +| Replication | Quantitative comparisons and operationally sensitive classifications are independently reproduced | + +## Baseline Requirements + +- Stillbirth definition threshold is named explicitly. +- Source family is named explicitly. +- Numerator and denominator are documented. +- Time reference is documented. +- Geographic grain and boundary version are documented. +- Whether intrapartum burden is measured directly or inferred is documented. +- Reporting-population bias and missingness are documented. + +## Comparison Requirements + +No stillbirth comparison is valid unless it states: + +- whether it compares survey recall, CRVS registration, facility counts, or audit records +- whether the same gestational-age or birthweight threshold is used +- whether the denominator is pregnancies, births, facility deliveries, or registered events +- whether the comparison is same-year, near-year, or cross-period +- whether the result is burden framing, counting-system assessment, or quality-of-care triage + +## Quality-Signal Requirements + +No quality-of-care inference may be merged without: + +- a named workflow where failure could generate intrapartum stillbirth risk +- at least one alternative explanation tied to counting or referral bias +- at least one failure mode +- explicit non-use cases +- replication status for any ranking or classification artifact diff --git a/tasks-available.json b/tasks-available.json index 5c5a2ed..c72a7b2 100644 --- a/tasks-available.json +++ b/tasks-available.json @@ -2,18 +2,18 @@ "summary": { "generated_by": "scripts/generate-task-index.mjs", "schema_version": 1, - "total_packs": 104, - "total_scoped_tasks": 102, + "total_packs": 105, + "total_scoped_tasks": 103, "by_role": { - "literature-scout": 102 + "literature-scout": 103 }, "by_risk": { "medium": 98, - "low": 4 + "low": 5 }, "by_domain": { "air-quality": 6, - "public-health": 65, + "public-health": 66, "climate-health": 14, "biodiversity": 7, "food-security": 19, @@ -1473,6 +1473,23 @@ "tasks_file": "problem-packs/public-health/snakebite-antivenom-access-global/tasks.json", "problem_file": "problem-packs/public-health/snakebite-antivenom-access-global/problem.md" }, + { + "pack_id": "public-health/stillbirth-measurement-quality-global", + "pack_title": "Stillbirth Measurement Gaps And Intrapartum Care Quality In High-Burden Countries", + "pack_status": "scoped", + "domain": ["public-health"], + "region": ["global"], + "task_id": "source-inventory", + "title": "Inventory stillbirth data sources across survey, CRVS, and facility systems", + "owner_role": "literature-scout", + "reviewer_needed": "domain-reviewer", + "safety_risk": "low", + "outcome": "A dated source inventory separating usable, limited, and rejected stillbirth sources by measure family and policy use.", + "expected_artifact": "datasets.md plus evidence.json updates.", + "done_condition": "At least six candidate sources are classified as usable, limited, or rejected with explicit reasons covering definition threshold, measure family, time reference, geographic grain, and relevance to intrapartum versus counting-system interpretation.", + "tasks_file": "problem-packs/public-health/stillbirth-measurement-quality-global/tasks.json", + "problem_file": "problem-packs/public-health/stillbirth-measurement-quality-global/problem.md" + }, { "pack_id": "public-health/stunting-sub-saharan-africa", "pack_title": "Child Stunting Hotspot Identification In Sub-Saharan Africa",