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Conceptual model The authors developed a conceptual model of the underlying dimensions of the MII to map the model to the Delphi survey. The MII is conceptualized as a framework for analysis of sustainable health systems using a set of indicators. The conceptual model was developed according to the international concepts of health systems developed by the World Health Organization (WHO) and the World Bank ^[@ref-6]^, the United Nations Sustainable Development Goals (SDGs) and Universal Health Coverage (UHC) ^[@ref-11]^, and the framework of the MII as the conceptualized framework for the modeling ( [Figure 2](#f2){ref-type="fig"}). {#f2} The MII can be conceptualized as a four-level system model with four levels: the level of people, health system, community and environment, and policy ( [Figure 2](#f2){ref-type="fig"}). The level of people in the health system is the unit of interest, and the levels of health system, P

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