[
 {
  "id": "opioid_us_2019",
  "label": "Opioid analgesic consumption",
  "value": 737.51,
  "unit": "MME per 1,000 people per day",
  "geography": "United States",
  "refYear": "2019",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": "sales-proxy",
  "evidenceLabel": "SOURCE-CHECKED · 2019 DATA",
  "lastChecked": "2026-09-25",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-24",
  "method": "IQVIA MIDAS pharmaceutical sales data for opioid analgesics, in morphine milligram equivalents per 1,000 inhabitants per day (Ju et al. 2022; abstract read September 2026). A sales-based proxy for availability, not a measure of palliative access.",
  "limitations": "Per the audit, Pakistan data cover the retail sector only (appendix S1); the appendix and the country table values have not yet been read.",
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "3"
  ],
  "reviewReason": null
 },
 {
  "id": "opioid_uk_2019",
  "label": "Opioid analgesic consumption",
  "value": 638.72,
  "unit": "MME per 1,000 people per day",
  "geography": "United Kingdom",
  "refYear": "2019",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": "sales-proxy",
  "evidenceLabel": "SOURCE-CHECKED · 2019 DATA",
  "lastChecked": "2026-09-25",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-24",
  "method": "IQVIA MIDAS pharmaceutical sales data for opioid analgesics, in morphine milligram equivalents per 1,000 inhabitants per day (Ju et al. 2022; abstract read September 2026). A sales-based proxy for availability, not a measure of palliative access.",
  "limitations": "Per the audit, Pakistan data cover the retail sector only (appendix S1); the appendix and the country table values have not yet been read.",
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "3"
  ],
  "reviewReason": null
 },
 {
  "id": "opioid_turkiye_2019",
  "label": "Opioid analgesic consumption",
  "value": 24.19,
  "unit": "MME per 1,000 people per day",
  "geography": "Turkiye",
  "refYear": "2019",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": "sales-proxy",
  "evidenceLabel": "SOURCE-CHECKED · 2019 DATA",
  "lastChecked": "2026-09-25",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-24",
  "method": "IQVIA MIDAS pharmaceutical sales data for opioid analgesics, in morphine milligram equivalents per 1,000 inhabitants per day (Ju et al. 2022; abstract read September 2026). A sales-based proxy for availability, not a measure of palliative access.",
  "limitations": "Per the audit, Pakistan data cover the retail sector only (appendix S1); the appendix and the country table values have not yet been read.",
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "3"
  ],
  "reviewReason": null
 },
 {
  "id": "opioid_pk_2019",
  "label": "Opioid analgesic consumption",
  "value": 3.71,
  "unit": "MME per 1,000 people per day",
  "geography": "Pakistan",
  "refYear": "2019",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": "sales-proxy",
  "evidenceLabel": "SOURCE-CHECKED · 2019 DATA",
  "lastChecked": "2026-09-25",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-24",
  "method": "IQVIA MIDAS pharmaceutical sales data for opioid analgesics, in morphine milligram equivalents per 1,000 inhabitants per day (Ju et al. 2022; abstract read September 2026). A sales-based proxy for availability, not a measure of palliative access.",
  "limitations": "Per the audit, Pakistan data cover the retail sector only (appendix S1); the appendix and the country table values have not yet been read.",
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "3"
  ],
  "reviewReason": null
 },
 {
  "id": "opioid_pk_2015",
  "label": "Opioid analgesic consumption",
  "value": 4.88,
  "unit": "MME per 1,000 people per day",
  "geography": "Pakistan",
  "refYear": "2015",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": "sales-proxy",
  "evidenceLabel": "SOURCE-CHECKED · 2015 DATA",
  "lastChecked": "2026-09-25",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-24",
  "method": "IQVIA MIDAS pharmaceutical sales data for opioid analgesics, in morphine milligram equivalents per 1,000 inhabitants per day (Ju et al. 2022; abstract read September 2026). A sales-based proxy for availability, not a measure of palliative access.",
  "limitations": "Per the audit, Pakistan data cover the retail sector only (appendix S1); the appendix and the country table values have not yet been read.",
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "3"
  ],
  "reviewReason": null
 },
 {
  "id": "opioid_india_2019",
  "label": "Opioid analgesic consumption",
  "value": 3.45,
  "unit": "MME per 1,000 people per day",
  "geography": "India",
  "refYear": "2019",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": "sales-proxy",
  "evidenceLabel": "SOURCE-CHECKED · 2019 DATA",
  "lastChecked": "2026-09-25",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-24",
  "method": "IQVIA MIDAS pharmaceutical sales data for opioid analgesics, in morphine milligram equivalents per 1,000 inhabitants per day (Ju et al. 2022; abstract read September 2026). A sales-based proxy for availability, not a measure of palliative access.",
  "limitations": "Per the audit, Pakistan data cover the retail sector only (appendix S1); the appendix and the country table values have not yet been read.",
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "3"
  ],
  "reviewReason": null
 },
 {
  "id": "opioid_india_2015",
  "label": "Opioid analgesic consumption",
  "value": 1.39,
  "unit": "MME per 1,000 people per day",
  "geography": "India",
  "refYear": "2015",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": "sales-proxy",
  "evidenceLabel": "SOURCE-CHECKED · 2015 DATA",
  "lastChecked": "2026-09-25",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-24",
  "method": "IQVIA MIDAS pharmaceutical sales data for opioid analgesics, in morphine milligram equivalents per 1,000 inhabitants per day (Ju et al. 2022; abstract read September 2026). A sales-based proxy for availability, not a measure of palliative access.",
  "limitations": "Per the audit, Pakistan data cover the retail sector only (appendix S1); the appendix and the country table values have not yet been read.",
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "3"
  ],
  "reviewReason": null
 },
 {
  "id": "opioid_saudi_2019",
  "label": "Opioid analgesic consumption",
  "value": 1.24,
  "unit": "MME per 1,000 people per day",
  "geography": "Saudi Arabia",
  "refYear": "2019",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": "sales-proxy",
  "evidenceLabel": "SOURCE-CHECKED · 2019 DATA",
  "lastChecked": "2026-09-25",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-24",
  "method": "IQVIA MIDAS pharmaceutical sales data for opioid analgesics, in morphine milligram equivalents per 1,000 inhabitants per day (Ju et al. 2022; abstract read September 2026). A sales-based proxy for availability, not a measure of palliative access.",
  "limitations": "Per the audit, Pakistan data cover the retail sector only (appendix S1); the appendix and the country table values have not yet been read.",
  "note": null,
  "conflicts": [
   {
    "sourceId": "49",
    "value": "5.81 to 7.20",
    "note": "Milligrams of oral morphine equivalent per capita per year, 2017, reported jointly for Saudi Arabia, Bahrain and Kuwait from country responses (Sanchez-Cardenas et al. 2022, full text read). A different metric and data basis from the sales series; the same study reports a regional average of 2.40 mg per capita."
   }
  ],
  "sourceIds": [
   "3"
  ],
  "reviewReason": null
 },
 {
  "id": "opioid_egypt_2019",
  "label": "Opioid analgesic consumption",
  "value": 0.61,
  "unit": "MME per 1,000 people per day",
  "geography": "Egypt",
  "refYear": "2019",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": "sales-proxy",
  "evidenceLabel": "SOURCE-CHECKED · 2019 DATA",
  "lastChecked": "2026-09-25",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-24",
  "method": "IQVIA MIDAS pharmaceutical sales data for opioid analgesics, in morphine milligram equivalents per 1,000 inhabitants per day (Ju et al. 2022; abstract read September 2026). A sales-based proxy for availability, not a measure of palliative access.",
  "limitations": "Per the audit, Pakistan data cover the retail sector only (appendix S1); the appendix and the country table values have not yet been read.",
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "3"
  ],
  "reviewReason": null
 },
 {
  "id": "opioid_turkiye_2015",
  "label": "Opioid analgesic consumption",
  "value": 25.37,
  "unit": "MME per 1,000 people per day",
  "geography": "Turkiye",
  "refYear": "2015",
  "claimType": "observed",
  "confidence": "moderate",
  "status": "conflicting-sources",
  "currency": "dated-usable",
  "series": "sales-proxy",
  "evidenceLabel": "CONFLICTING SOURCES",
  "lastChecked": "2026-09-25",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-24",
  "method": "IQVIA MIDAS pharmaceutical sales data for opioid analgesics, in morphine milligram equivalents per 1,000 inhabitants per day (Ju et al. 2022; abstract read September 2026). A sales-based proxy for availability, not a measure of palliative access.",
  "limitations": "Per the audit, Pakistan data cover the retail sector only (appendix S1); the appendix and the country table values have not yet been read.",
  "note": "A second table in the same supplementary appendix gives 25.16 for 2015 and 24.27 for 2019. Both readings show a modest decline across the period.",
  "conflicts": [
   {
    "sourceId": "3",
    "value": 25.16,
    "note": "A second table in the same supplementary appendix of Ju et al. gives 25.16 for 2015 (and 24.27 for 2019)."
   }
  ],
  "sourceIds": [
   "3"
  ],
  "reviewReason": null
 },
 {
  "id": "uganda_services_2020",
  "label": "Accredited palliative care facilities",
  "value": 226,
  "unit": "facilities",
  "geography": "Uganda",
  "refYear": "2020",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2020 DATA",
  "lastChecked": "2026-09-07",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-07",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "35"
  ],
  "reviewReason": null
 },
 {
  "id": "uganda_districts_without_service",
  "label": "Districts with no accredited facility",
  "value": 30,
  "unit": "districts of 135",
  "geography": "Uganda",
  "refYear": "2020",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2020 DATA",
  "lastChecked": "2026-09-07",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-07",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "35"
  ],
  "reviewReason": null
 },
 {
  "id": "uganda_population_coverage",
  "label": "Population living in a district with a service",
  "value": 88.5,
  "unit": "percent",
  "geography": "Uganda",
  "refYear": "2020",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2020 DATA",
  "lastChecked": "2026-09-07",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-07",
  "method": null,
  "limitations": null,
  "note": "Estimated against the 2014 census.",
  "conflicts": [],
  "sourceIds": [
   "35"
  ],
  "reviewReason": null
 },
 {
  "id": "uganda_facilities_public_share",
  "label": "Accredited facilities in the public sector",
  "value": 68.1,
  "unit": "percent",
  "geography": "Uganda",
  "refYear": "2020",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2020 DATA",
  "lastChecked": "2026-09-07",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-07",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "35"
  ],
  "reviewReason": null
 },
 {
  "id": "uganda_donor_share",
  "label": "Stand-alone service donations from external sources",
  "value": 94,
  "unit": "percent",
  "geography": "Uganda",
  "refYear": "2019",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2019 DATA",
  "lastChecked": "2026-09-07",
  "sourceCheckedOn": null,
  "reviewBy": "2026-12-06",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "36"
  ],
  "reviewReason": null
 },
 {
  "id": "uganda_diploma_months",
  "label": "Diploma in Clinical Palliative Care, course length",
  "value": 12,
  "unit": "months",
  "geography": "Uganda",
  "refYear": "2022",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2022 DATA",
  "lastChecked": "2026-09-07",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-07",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "37"
  ],
  "reviewReason": null
 },
 {
  "id": "turkiye_pc_centres_2020",
  "label": "Palliative care centres",
  "value": 415,
  "unit": "centres",
  "geography": "Turkiye",
  "refYear": "2020",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2020 DATA",
  "lastChecked": "2026-09-07",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-07",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "39"
  ],
  "reviewReason": null
 },
 {
  "id": "turkiye_pc_beds_2020",
  "label": "Palliative care bed capacity",
  "value": 5577,
  "unit": "beds",
  "geography": "Turkiye",
  "refYear": "2020",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2020 DATA",
  "lastChecked": "2026-09-07",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-07",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "39"
  ],
  "reviewReason": null
 },
 {
  "id": "turkiye_pc_service_rate",
  "label": "Specialised palliative care services per 100,000 people",
  "value": 0.48,
  "unit": "services per 100,000",
  "geography": "Turkiye",
  "refYear": "2025",
  "claimType": "observed",
  "confidence": "moderate",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SECONDARY SOURCE",
  "lastChecked": "2026-09-07",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-07",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "40"
  ],
  "reviewReason": null
 },
 {
  "id": "bangladesh_narayanganj_trainees",
  "label": "Community members completing the volunteer training course",
  "value": 18,
  "unit": "people",
  "geography": "Bangladesh",
  "refYear": "2018",
  "claimType": "observed",
  "confidence": "low",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SECONDARY SOURCE",
  "lastChecked": "2026-09-07",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-07",
  "method": null,
  "limitations": null,
  "note": "A three day course at the Narayanganj community palliative care hub, completed 30 June 2018.",
  "conflicts": [],
  "sourceIds": [
   "43"
  ],
  "reviewReason": null
 },
 {
  "id": "vietnam_prescription_days",
  "label": "Maximum opioid supply on one outpatient prescription",
  "value": 10,
  "unit": "days",
  "geography": "Vietnam",
  "refYear": "2008",
  "claimType": "observed",
  "confidence": "moderate",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SECONDARY SOURCE",
  "lastChecked": "2026-09-22",
  "sourceCheckedOn": null,
  "reviewBy": null,
  "method": null,
  "limitations": null,
  "note": "Set by Decision 04/2008/QD-BYT. Three such prescriptions may be written for one indication, to a maximum of one month.",
  "conflicts": [],
  "sourceIds": [
   "44"
  ],
  "reviewReason": null
 },
 {
  "id": "vietnam_home_prescription_days",
  "label": "Maximum supply on a prescription written at a home visit",
  "value": 7,
  "unit": "days",
  "geography": "Vietnam",
  "refYear": "2008",
  "claimType": "observed",
  "confidence": "moderate",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SECONDARY SOURCE",
  "lastChecked": "2026-09-22",
  "sourceCheckedOn": null,
  "reviewBy": null,
  "method": null,
  "limitations": null,
  "note": "Applies to end-of-life cancer and AIDS patients staying at home.",
  "conflicts": [],
  "sourceIds": [
   "44"
  ],
  "reviewReason": null
 },
 {
  "id": "malaysia_moh_hospitals_specialists",
  "label": "Ministry of Health hospitals with a resident palliative medicine specialist",
  "value": 7,
  "unit": "hospitals",
  "geography": "Malaysia",
  "refYear": "2019",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2019 DATA",
  "lastChecked": "2026-09-22",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-22",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "46"
  ],
  "reviewReason": null
 },
 {
  "id": "malaysia_moh_inpatient_units",
  "label": "Ministry of Health hospitals with an inpatient palliative care unit",
  "value": 4,
  "unit": "hospitals",
  "geography": "Malaysia",
  "refYear": "2019",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2019 DATA",
  "lastChecked": "2026-09-22",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-22",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "46"
  ],
  "reviewReason": null
 },
 {
  "id": "malaysia_community_teams",
  "label": "Registered community-based palliative care teams",
  "value": 29,
  "unit": "teams",
  "geography": "Malaysia",
  "refYear": "2024",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-22",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-22",
  "method": null,
  "limitations": null,
  "note": "Twenty-five registered under the Malaysian Hospice Council, four under other organisations.",
  "conflicts": [],
  "sourceIds": [
   "47"
  ],
  "reviewReason": null
 },
 {
  "id": "malaysia_primary_clinics_share",
  "label": "Public primary care clinics offering domiciliary palliative care",
  "value": 31,
  "unit": "percent",
  "geography": "Malaysia",
  "refYear": "2024",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-22",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-22",
  "method": null,
  "limitations": null,
  "note": "Fifty of 160 public primary care clinics.",
  "conflicts": [],
  "sourceIds": [
   "47"
  ],
  "reviewReason": null
 },
 {
  "id": "malaysia_field_start",
  "label": "Year the field began in Malaysia",
  "value": 1991,
  "unit": "year",
  "geography": "Malaysia",
  "refYear": "2021",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-22",
  "sourceCheckedOn": null,
  "reviewBy": null,
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "46"
  ],
  "reviewReason": null
 },
 {
  "id": "jordan_opioid_consumption",
  "label": "Opioid consumption, morphine equivalent",
  "value": 3.8,
  "unit": "mg per person per year",
  "geography": "Jordan",
  "refYear": "2021",
  "claimType": "observed",
  "confidence": "unresolved",
  "status": "needs-review",
  "currency": "current",
  "series": "reported-consumption",
  "evidenceLabel": "UNDER REVIEW",
  "lastChecked": "2026-09-22",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-21",
  "method": null,
  "limitations": null,
  "note": "As reported in the 2021 regional atlas. The underlying consumption year is not labelled in the atlas.",
  "conflicts": [],
  "sourceIds": [
   "48"
  ],
  "reviewReason": "Audit reports the data year is 2017, not 2021; re-read the atlas table before changing it."
 },
 {
  "id": "india_prescriber_training_days",
  "label": "Hands-on training required before a physician may prescribe oral morphine, Kerala",
  "value": 10,
  "unit": "days",
  "geography": "Kerala, India",
  "refYear": "2015",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2015 DATA",
  "lastChecked": "2026-09-22",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-21",
  "method": null,
  "limitations": null,
  "note": "Describes practice in Kerala. National rules require training in pain relief and palliative care but do not set a length.",
  "conflicts": [],
  "sourceIds": [
   "51"
  ],
  "reviewReason": null
 },
 {
  "id": "population_pk",
  "label": "Population",
  "value": 241.5,
  "unit": "million",
  "geography": "Pakistan",
  "refYear": "2023",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-03",
  "method": "Enumerated count from the Seventh Population and Housing Census, 2023 (Pakistan Bureau of Statistics).",
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "13"
  ],
  "reviewReason": null
 },
 {
  "id": "population_pk_exact",
  "label": "Population, exact count",
  "value": 241499431,
  "unit": "people",
  "geography": "Pakistan",
  "refYear": "2023",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-03",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "13"
  ],
  "reviewReason": null
 },
 {
  "id": "cancer_new_cases",
  "label": "New cancer cases per year",
  "value": 190308,
  "unit": "cases per year",
  "geography": "Pakistan",
  "refYear": "2024",
  "claimType": "modeled-estimate",
  "confidence": "moderate",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "MODELED ESTIMATE · 2024",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-03",
  "method": "IARC GLOBOCAN 2024 national estimate for Pakistan (modeled), from the Global Cancer Observatory country fact sheet.",
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "14"
  ],
  "reviewReason": null
 },
 {
  "id": "cancer_deaths",
  "label": "Cancer deaths per year",
  "value": 119742,
  "unit": "deaths per year",
  "geography": "Pakistan",
  "refYear": "2024",
  "claimType": "modeled-estimate",
  "confidence": "moderate",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "MODELED ESTIMATE · 2024",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-03",
  "method": "IARC GLOBOCAN 2024 national estimate for Pakistan (modeled), from the Global Cancer Observatory country fact sheet.",
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "14"
  ],
  "reviewReason": null
 },
 {
  "id": "cancer_new_cases_male",
  "label": "New cancer cases per year, male",
  "value": 90912,
  "unit": "cases per year",
  "geography": "Pakistan",
  "refYear": "2024",
  "claimType": "modeled-estimate",
  "confidence": "moderate",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "MODELED ESTIMATE · 2024",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-03",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "14"
  ],
  "reviewReason": null
 },
 {
  "id": "cancer_new_cases_female",
  "label": "New cancer cases per year, female",
  "value": 99396,
  "unit": "cases per year",
  "geography": "Pakistan",
  "refYear": "2024",
  "claimType": "modeled-estimate",
  "confidence": "moderate",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "MODELED ESTIMATE · 2024",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-03",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "14"
  ],
  "reviewReason": null
 },
 {
  "id": "cancer_deaths_male",
  "label": "Cancer deaths per year, male",
  "value": 63693,
  "unit": "deaths per year",
  "geography": "Pakistan",
  "refYear": "2024",
  "claimType": "modeled-estimate",
  "confidence": "moderate",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "MODELED ESTIMATE · 2024",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-03",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "14"
  ],
  "reviewReason": null
 },
 {
  "id": "cancer_deaths_female",
  "label": "Cancer deaths per year, female",
  "value": 56049,
  "unit": "deaths per year",
  "geography": "Pakistan",
  "refYear": "2024",
  "claimType": "modeled-estimate",
  "confidence": "moderate",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "MODELED ESTIMATE · 2024",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-03",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "14"
  ],
  "reviewReason": null
 },
 {
  "id": "cancer_5yr_prevalence",
  "label": "Five-year cancer prevalence",
  "value": 354134,
  "unit": "people",
  "geography": "Pakistan",
  "refYear": "2024",
  "claimType": "modeled-estimate",
  "confidence": "moderate",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "MODELED ESTIMATE · 2024",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-03",
  "method": "IARC GLOBOCAN 2024 national estimate for Pakistan (modeled), from the Global Cancer Observatory country fact sheet.",
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "14"
  ],
  "reviewReason": null
 },
 {
  "id": "mortality_incidence_ratio",
  "label": "Cancer mortality to incidence ratio",
  "value": 0.63,
  "unit": "ratio",
  "geography": "Pakistan",
  "refYear": "2024",
  "claimType": "modeled-estimate",
  "confidence": "moderate",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "MODELED ESTIMATE · 2024",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-03",
  "method": "Estimated deaths divided by estimated new cases, both GLOBOCAN 2024 (119,742 / 190,308).",
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "14"
  ],
  "reviewReason": null
 },
 {
  "id": "mortality_incidence_ratio_male",
  "label": "Cancer mortality to incidence ratio, male",
  "value": 0.7,
  "unit": "ratio",
  "geography": "Pakistan",
  "refYear": "2024",
  "claimType": "modeled-estimate",
  "confidence": "moderate",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "MODELED ESTIMATE · 2024",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-03",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "14"
  ],
  "reviewReason": null
 },
 {
  "id": "mortality_incidence_ratio_female",
  "label": "Cancer mortality to incidence ratio, female",
  "value": 0.56,
  "unit": "ratio",
  "geography": "Pakistan",
  "refYear": "2024",
  "claimType": "modeled-estimate",
  "confidence": "moderate",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "MODELED ESTIMATE · 2024",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-03",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "14"
  ],
  "reviewReason": null
 },
 {
  "id": "breast_share_female_malignancies",
  "label": "Breast cancer, share of female malignancies",
  "value": 44,
  "unit": "percent",
  "geography": "Pakistan",
  "refYear": "2024",
  "claimType": "modeled-estimate",
  "confidence": "moderate",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "MODELED ESTIMATE · 2024",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-03",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "14"
  ],
  "reviewReason": null
 },
 {
  "id": "cancer_5yr_prevalence_male",
  "label": "Five-year cancer prevalence, male",
  "value": 159492,
  "unit": "people",
  "geography": "Pakistan",
  "refYear": "2024",
  "claimType": "modeled-estimate",
  "confidence": "moderate",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "MODELED ESTIMATE · 2024",
  "lastChecked": "2026-08-05",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-05",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "14"
  ],
  "reviewReason": null
 },
 {
  "id": "cancer_5yr_prevalence_female",
  "label": "Five-year cancer prevalence, female",
  "value": 194642,
  "unit": "people",
  "geography": "Pakistan",
  "refYear": "2024",
  "claimType": "modeled-estimate",
  "confidence": "moderate",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "MODELED ESTIMATE · 2024",
  "lastChecked": "2026-08-05",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-05",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "14"
  ],
  "reviewReason": null
 },
 {
  "id": "site_prostate_male",
  "label": "Prostate, share of male cases",
  "value": 10.9,
  "unit": "percent",
  "geography": "Pakistan",
  "refYear": "2024",
  "claimType": "modeled-estimate",
  "confidence": "moderate",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "MODELED ESTIMATE · 2024",
  "lastChecked": "2026-08-05",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-05",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "14"
  ],
  "reviewReason": null
 },
 {
  "id": "site_bladder_male",
  "label": "Bladder, share of male cases",
  "value": 7.8,
  "unit": "percent",
  "geography": "Pakistan",
  "refYear": "2024",
  "claimType": "modeled-estimate",
  "confidence": "moderate",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "MODELED ESTIMATE · 2024",
  "lastChecked": "2026-08-05",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-05",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "14"
  ],
  "reviewReason": null
 },
 {
  "id": "site_colorectum_male",
  "label": "Colorectum, share of male cases",
  "value": 7.3,
  "unit": "percent",
  "geography": "Pakistan",
  "refYear": "2024",
  "claimType": "modeled-estimate",
  "confidence": "moderate",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "MODELED ESTIMATE · 2024",
  "lastChecked": "2026-08-05",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-05",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "14"
  ],
  "reviewReason": null
 },
 {
  "id": "site_lung_male",
  "label": "Lung, share of male cases",
  "value": 7.3,
  "unit": "percent",
  "geography": "Pakistan",
  "refYear": "2024",
  "claimType": "modeled-estimate",
  "confidence": "moderate",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "MODELED ESTIMATE · 2024",
  "lastChecked": "2026-08-05",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-05",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "14"
  ],
  "reviewReason": null
 },
 {
  "id": "site_nhl_male",
  "label": "Non-Hodgkin lymphoma, share of male cases",
  "value": 7.3,
  "unit": "percent",
  "geography": "Pakistan",
  "refYear": "2024",
  "claimType": "modeled-estimate",
  "confidence": "moderate",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "MODELED ESTIMATE · 2024",
  "lastChecked": "2026-08-05",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-05",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "14"
  ],
  "reviewReason": null
 },
 {
  "id": "rural_share",
  "label": "Rural population share",
  "value": 61,
  "unit": "percent",
  "geography": "Pakistan",
  "refYear": "2023",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-03",
  "method": "Enumerated count from the Seventh Population and Housing Census, 2023 (Pakistan Bureau of Statistics).",
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "13"
  ],
  "reviewReason": null
 },
 {
  "id": "muslim_share",
  "label": "Muslim share of population",
  "value": 96.35,
  "unit": "percent",
  "geography": "Pakistan",
  "refYear": "2023",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-03",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "13"
  ],
  "reviewReason": null
 },
 {
  "id": "oop_share",
  "label": "Out-of-pocket share of health spending",
  "value": 54,
  "unit": "percent",
  "geography": "Pakistan",
  "refYear": "2020",
  "claimType": "observed",
  "confidence": "unresolved",
  "status": "needs-review",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "UNDER REVIEW",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-03",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "19"
  ],
  "reviewReason": "Rounded form of oop_share_exact; same audit conflict."
 },
 {
  "id": "oop_share_exact",
  "label": "Out-of-pocket share of health spending, exact",
  "value": 54.3,
  "unit": "percent",
  "geography": "Pakistan",
  "refYear": "2020",
  "claimType": "observed",
  "confidence": "unresolved",
  "status": "needs-review",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "UNDER REVIEW",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-03",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "19"
  ],
  "reviewReason": "Audit reports GHED 2020 = 55.24 and 2023 = 52.93, and NHA 2021-22 = 46.71; the register holds 54.3. Re-read GHED and NHA."
 },
 {
  "id": "ncd_share_of_deaths",
  "label": "Noncommunicable disease share of all deaths",
  "value": 58,
  "unit": "percent",
  "geography": "Pakistan",
  "refYear": "2016",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2016 DATA",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-03",
  "method": null,
  "limitations": null,
  "note": "WHO attaches an explicit uncertainty caveat: Pakistan has no national mortality registration system.",
  "conflicts": [],
  "sourceIds": [
   "16"
  ],
  "reviewReason": null
 },
 {
  "id": "under5_mortality",
  "label": "Under-five mortality",
  "value": 58.5,
  "unit": "per 1,000 live births",
  "geography": "Pakistan",
  "refYear": "2023",
  "claimType": "modeled-estimate",
  "confidence": "unresolved",
  "status": "needs-review",
  "currency": "current",
  "series": null,
  "evidenceLabel": "UNDER REVIEW",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-03",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "17"
  ],
  "reviewReason": "Audit reports UN IGME 2023 = 57.8 and 2024 = 56.0; the register holds 58.5 for 2023. Re-read the IGME series."
 },
 {
  "id": "health_spend_gdp_share",
  "label": "Health spending, share of GDP",
  "value": 2.91,
  "unit": "percent",
  "geography": "Pakistan",
  "refYear": "2021-22",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-03",
  "method": "Pakistan National Health Accounts 2021-22, total health expenditure as a share of GDP.",
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "18"
  ],
  "reviewReason": null
 },
 {
  "id": "palliative_need",
  "label": "People needing palliative care each year",
  "value": 870000,
  "unit": "people per year",
  "geography": "Pakistan",
  "refYear": "2015",
  "claimType": "modeled-estimate",
  "confidence": "moderate",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "MODELED ESTIMATE · 2015",
  "lastChecked": "2026-09-25",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-25",
  "method": "Lancet Commission serious health-related suffering method applied to 2015 mortality data (Krakauer et al. 2023).",
  "limitations": null,
  "note": "Krakauer et al. report about 869,000 for 2015; rounded here. The 2021 EMRO atlas gives a consistent figure.",
  "conflicts": [],
  "sourceIds": [
   "1"
  ],
  "reviewReason": null
 },
 {
  "id": "palliative_coverage",
  "label": "Share of people in need receiving palliative care, WHO Eastern Mediterranean Region",
  "value": "<1",
  "unit": "percent",
  "geography": "Eastern Mediterranean Region",
  "refYear": "current",
  "claimType": "modeled-estimate",
  "confidence": "unresolved",
  "status": "needs-review",
  "currency": "unknown",
  "series": null,
  "evidenceLabel": "UNDER REVIEW",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-03",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "2"
  ],
  "reviewReason": "Regional statement from WHO EMRO 2025; confirm its data year and method in the source before it leaves review."
 },
 {
  "id": "emr_regional_need",
  "label": "Eastern Mediterranean Region total palliative need",
  "value": 3200000,
  "unit": "people per year",
  "geography": "Eastern Mediterranean Region",
  "refYear": "2015",
  "claimType": "modeled-estimate",
  "confidence": "moderate",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "MODELED ESTIMATE · 2015",
  "lastChecked": "2026-09-25",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-25",
  "method": "Lancet Commission serious health-related suffering method applied to 2015 mortality data (Krakauer et al. 2023).",
  "limitations": null,
  "note": "Regional total for 2015, not Pakistan's own figure. WHO EMRO (2025) uses a different total of about 2.4 million.",
  "conflicts": [],
  "sourceIds": [
   "1"
  ],
  "reviewReason": null
 },
 {
  "id": "emr_regional_need_who2025",
  "label": "Eastern Mediterranean Region palliative need, WHO EMRO estimate",
  "value": 2400000,
  "unit": "people",
  "geography": "Eastern Mediterranean Region",
  "refYear": "2025",
  "claimType": "modeled-estimate",
  "confidence": "unresolved",
  "status": "needs-review",
  "currency": "unknown",
  "series": null,
  "evidenceLabel": "UNDER REVIEW",
  "lastChecked": "2026-09-25",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-25",
  "method": null,
  "limitations": null,
  "note": "The figure WHO EMRO uses in 2025 regional materials. Its reference year and method are not stated in the register.",
  "conflicts": [],
  "sourceIds": [
   "2"
  ],
  "reviewReason": "Moved from source 1 to source 2 per the audit. Confirm the value, data year and method in the WHO EMRO 2025 document."
 },
 {
  "id": "india_morphine_1985",
  "label": "Medical morphine consumption",
  "value": 716,
  "unit": "kg per year",
  "geography": "India",
  "refYear": "1985",
  "claimType": "observed",
  "confidence": "moderate",
  "status": "active",
  "currency": "current",
  "series": "reported-consumption",
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-25",
  "sourceCheckedOn": null,
  "reviewBy": null,
  "method": "Annual morphine consumption reported by India to the INCB, as compiled by the Pain and Policy Studies Group and quoted by Jacob and Mathew (2017).",
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "158"
  ],
  "reviewReason": null
 },
 {
  "id": "india_morphine_1997",
  "label": "Medical morphine consumption",
  "value": 18,
  "unit": "kg per year",
  "geography": "India",
  "refYear": "1997",
  "claimType": "observed",
  "confidence": "moderate",
  "status": "active",
  "currency": "current",
  "series": "reported-consumption",
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-25",
  "sourceCheckedOn": null,
  "reviewBy": null,
  "method": "Annual morphine consumption reported by India to the INCB, as compiled by the Pain and Policy Studies Group and quoted by Jacob and Mathew (2017).",
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "158"
  ],
  "reviewReason": null
 },
 {
  "id": "india_morphine_2014",
  "label": "Medical morphine consumption",
  "value": 278,
  "unit": "kg per year",
  "geography": "India",
  "refYear": "2014",
  "claimType": "observed",
  "confidence": "moderate",
  "status": "active",
  "currency": "dated-usable",
  "series": "reported-consumption",
  "evidenceLabel": "SOURCE-CHECKED · 2014 DATA",
  "lastChecked": "2026-09-25",
  "sourceCheckedOn": null,
  "reviewBy": "2027-01-30",
  "method": "Annual morphine consumption reported by India to the INCB, as compiled by the Pain and Policy Studies Group and quoted by Jacob and Mathew (2017).",
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "158"
  ],
  "reviewReason": null
 },
 {
  "id": "cpsp_specialties",
  "label": "CPSP fellowship specialties",
  "value": 75,
  "unit": "specialties",
  "geography": "Pakistan",
  "refYear": "current",
  "claimType": "observed",
  "confidence": "unresolved",
  "status": "needs-review",
  "currency": "unknown",
  "series": null,
  "evidenceLabel": "UNDER REVIEW",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-03",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "32"
  ],
  "reviewReason": "No data year parses; record the year the value refers to."
 },
 {
  "id": "cpsp_membership_specialties",
  "label": "CPSP membership specialties",
  "value": 22,
  "unit": "specialties",
  "geography": "Pakistan",
  "refYear": "current",
  "claimType": "observed",
  "confidence": "unresolved",
  "status": "needs-review",
  "currency": "unknown",
  "series": null,
  "evidenceLabel": "UNDER REVIEW",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-03",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "32"
  ],
  "reviewReason": "No data year parses; record the year the value refers to."
 },
 {
  "id": "cpsp_accredited_institutions",
  "label": "CPSP accredited institutions",
  "value": 263,
  "unit": "institutions",
  "geography": "Pakistan",
  "refYear": "current",
  "claimType": "observed",
  "confidence": "unresolved",
  "status": "needs-review",
  "currency": "unknown",
  "series": null,
  "evidenceLabel": "UNDER REVIEW",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-03",
  "method": null,
  "limitations": null,
  "note": "Approximate.",
  "conflicts": [],
  "sourceIds": [
   "32"
  ],
  "reviewReason": "No data year parses; record the year the value refers to."
 },
 {
  "id": "aga_khan_patients",
  "label": "Palliative patients documented, 2017 to 2019",
  "value": 3747,
  "unit": "patients",
  "geography": "Aga Khan University Hospital, Karachi",
  "refYear": "2017-2019",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2017-2019 DATA",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-03",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "6"
  ],
  "reviewReason": null
 },
 {
  "id": "medical_schools_total",
  "label": "Medical schools, total institutions",
  "value": 114,
  "unit": "institutions",
  "geography": "Pakistan",
  "refYear": "current",
  "claimType": "observed",
  "confidence": "unresolved",
  "status": "needs-review",
  "currency": "unknown",
  "series": null,
  "evidenceLabel": "UNDER REVIEW",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-03",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "48"
  ],
  "reviewReason": "Re-cited to the 2021 regional atlas per the audit; confirm the value and data year in the atlas table."
 },
 {
  "id": "medical_schools_mandatory_palliative",
  "label": "Medical schools with mandatory palliative care teaching",
  "value": 10,
  "unit": "institutions",
  "geography": "Pakistan",
  "refYear": "current",
  "claimType": "modeled-estimate",
  "confidence": "unresolved",
  "status": "needs-review",
  "currency": "unknown",
  "series": null,
  "evidenceLabel": "UNDER REVIEW",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-03",
  "method": null,
  "limitations": null,
  "note": "Nursing schools: 5 of 125. Both counts require re-dating with partners.",
  "conflicts": [],
  "sourceIds": [
   "48"
  ],
  "reviewReason": "Re-cited to the 2021 regional atlas per the audit, with the nursing count (5 of 125); confirm both in the atlas table."
 },
 {
  "id": "nums_cohort",
  "label": "NUMS Postgraduate Certificate cohort",
  "value": "4th cohort",
  "unit": "cohort",
  "geography": "NUMS, Pakistan",
  "refYear": "2025",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-03",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "7"
  ],
  "reviewReason": null
 },
 {
  "id": "cpsp_accredited_sites",
  "label": "CPSP palliative and pain fellowship programmes",
  "value": 9,
  "unit": "fellowship programmes",
  "geography": "Pakistan",
  "refYear": "2022",
  "claimType": "observed",
  "confidence": "moderate",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2022 DATA",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-03",
  "method": null,
  "limitations": null,
  "note": "As cited in a 2022 letter from CPSP listings.",
  "conflicts": [],
  "sourceIds": [
   "25"
  ],
  "reviewReason": null
 },
 {
  "id": "practicing_specialists",
  "label": "Practicing palliative specialists nationally",
  "value": "Unknown",
  "unit": "people",
  "geography": "Pakistan",
  "refYear": "current",
  "claimType": "illustrative",
  "confidence": "low",
  "status": "active",
  "currency": "unknown",
  "series": null,
  "evidenceLabel": "ILLUSTRATIVE ONLY",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-03",
  "method": null,
  "limitations": null,
  "note": "No published count located.",
  "conflicts": [],
  "sourceIds": [
   "25"
  ],
  "reviewReason": null
 },
 {
  "id": "sehat_sahulat_households",
  "label": "Sehat Sahulat households reached",
  "value": 44.6,
  "unit": "million households",
  "geography": "Pakistan",
  "refYear": "2022",
  "claimType": "observed",
  "confidence": "moderate",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SECONDARY SOURCE",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-03",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "29"
  ],
  "reviewReason": null
 },
 {
  "id": "sehat_sahulat_coverage",
  "label": "Sehat Sahulat coverage per family per year",
  "value": 460000,
  "unit": "PKR per family per year",
  "geography": "Pakistan",
  "refYear": "2022",
  "claimType": "observed",
  "confidence": "moderate",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SECONDARY SOURCE",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-03",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "29"
  ],
  "reviewReason": null
 },
 {
  "id": "usaid_awards_terminated_share",
  "label": "Global health awards terminated",
  "value": 80,
  "unit": "percent",
  "geography": "USAID, United States",
  "refYear": "2025",
  "claimType": "observed",
  "confidence": "moderate",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SECONDARY SOURCE",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2026-11-01",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "8"
  ],
  "reviewReason": null
 },
 {
  "id": "usaid_awards_total",
  "label": "Global health awards, total",
  "value": 770,
  "unit": "awards",
  "geography": "USAID, United States",
  "refYear": "2025",
  "claimType": "observed",
  "confidence": "moderate",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SECONDARY SOURCE",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2026-11-01",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "8"
  ],
  "reviewReason": null
 },
 {
  "id": "usaid_unobligated",
  "label": "Unobligated global health funding",
  "value": 12.7,
  "unit": "billion USD",
  "geography": "USAID, United States",
  "refYear": "2025",
  "claimType": "observed",
  "confidence": "moderate",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SECONDARY SOURCE",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2026-11-01",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "8"
  ],
  "reviewReason": null
 },
 {
  "id": "firewall_slowdown",
  "label": "Connectivity slowdown from national firewall",
  "value": 40,
  "unit": "percent, up to",
  "geography": "Pakistan",
  "refYear": "2024",
  "claimType": "observed",
  "confidence": "unresolved",
  "status": "needs-review",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "UNDER REVIEW",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2026-11-01",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "10"
  ],
  "reviewReason": "Audit reports conflicting 2026 accounts of the firewall (a shutdown report and an official denial). Re-check the current status before use."
 },
 {
  "id": "firewall_industry_losses",
  "label": "Projected industry losses from connectivity slowdown (industry association projection)",
  "value": 300,
  "unit": "million USD, up to",
  "geography": "Pakistan",
  "refYear": "2024",
  "claimType": "modeled-estimate",
  "confidence": "low",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "MODELED ESTIMATE · 2024",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2026-11-01",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "10"
  ],
  "reviewReason": null
 },
 {
  "id": "patient_composite_lump",
  "label": "Composite patient trajectory",
  "value": "Illustrative",
  "unit": "narrative",
  "geography": "Composite, not a real patient",
  "refYear": "n/a",
  "claimType": "illustrative",
  "confidence": "low",
  "status": "active",
  "currency": "unknown",
  "series": null,
  "evidenceLabel": "ILLUSTRATIVE ONLY",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2027-08-03",
  "method": null,
  "limitations": null,
  "note": "Composite, illustrative. Constructed only from figures cited elsewhere in this document. Not a case report and not evidence.",
  "conflicts": [],
  "sourceIds": [
   "1",
   "13",
   "14",
   "15",
   "19",
   "29",
   "3",
   "21",
   "2",
   "16"
  ],
  "reviewReason": null
 },
 {
  "id": "cost_model",
  "label": "Cost skeleton model output",
  "value": "Illustrative",
  "unit": "USD",
  "geography": "Illustrative program budget",
  "refYear": "n/a",
  "claimType": "illustrative",
  "confidence": "low",
  "status": "active",
  "currency": "unknown",
  "series": null,
  "evidenceLabel": "ILLUSTRATIVE ONLY",
  "lastChecked": "2026-08-03",
  "sourceCheckedOn": null,
  "reviewBy": "2027-01-30",
  "method": null,
  "limitations": null,
  "note": "Contains no external cost data. Every input is a user input. Not a budget.",
  "conflicts": [],
  "sourceIds": [
   "1"
  ],
  "reviewReason": null
 },
 {
  "id": "nepal_morphine_2020",
  "label": "Morphine consumption",
  "value": 0.88,
  "unit": "mg per person",
  "geography": "Nepal",
  "refYear": "2020",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": "reported-consumption",
  "evidenceLabel": "SOURCE-CHECKED · 2020 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "As reported in a 2025 review, which gives Pakistan below 0.1 mg on the same basis.",
  "conflicts": [],
  "sourceIds": [
   "52"
  ],
  "reviewReason": null
 },
 {
  "id": "nepal_morphine_equivalent_2015",
  "label": "Opioid consumption, morphine equivalent",
  "value": 0.27,
  "unit": "mg per person",
  "geography": "Nepal",
  "refYear": "2015",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": "reported-consumption",
  "evidenceLabel": "SOURCE-CHECKED · 2015 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "A different basis from the 2020 morphine figure; the two are not a trend line.",
  "conflicts": [],
  "sourceIds": [
   "53"
  ],
  "reviewReason": null
 },
 {
  "id": "nepal_morphine_manufacturers",
  "label": "Licensed domestic manufacturers of oral morphine",
  "value": 1,
  "unit": "manufacturer",
  "geography": "Nepal",
  "refYear": "2025",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "Imports all raw material from Europe.",
  "conflicts": [],
  "sourceIds": [
   "52"
  ],
  "reviewReason": null
 },
 {
  "id": "nepal_fentanyl_patch_cost",
  "label": "One month of fentanyl patch, cost",
  "value": 2582.2,
  "unit": "times the minimum daily wage",
  "geography": "Nepal",
  "refYear": "2025",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "Fentanyl 25 mcg/h transdermal; not on the government health insurance list.",
  "conflicts": [],
  "sourceIds": [
   "52"
  ],
  "reviewReason": null
 },
 {
  "id": "nepal_hospices",
  "label": "Dedicated hospices for cancer patients",
  "value": 5,
  "unit": "hospices",
  "geography": "Nepal",
  "refYear": "2021",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "53"
  ],
  "reviewReason": null
 },
 {
  "id": "nepal_hospital_pc_units",
  "label": "Palliative care units in major cancer hospitals",
  "value": 4,
  "unit": "units",
  "geography": "Nepal",
  "refYear": "2021",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "53"
  ],
  "reviewReason": null
 },
 {
  "id": "nepal_mid_level_workers",
  "label": "Mid-level health workers delivering most rural services",
  "value": 8000,
  "unit": "workers, lower bound",
  "geography": "Nepal",
  "refYear": "2018",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2018 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "Reported as more than 8,000.",
  "conflicts": [],
  "sourceIds": [
   "54"
  ],
  "reviewReason": null
 },
 {
  "id": "nepal_students_sensitized",
  "label": "Students given a one-day palliative care sensitization course",
  "value": 2214,
  "unit": "students, cumulative",
  "geography": "Nepal",
  "refYear": "2021",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2021 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "53"
  ],
  "reviewReason": null
 },
 {
  "id": "nepal_cancer_support",
  "label": "Government one-time treatment support for a cancer patient",
  "value": 855,
  "unit": "US dollars, approximate",
  "geography": "Nepal",
  "refYear": "2021",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "53"
  ],
  "reviewReason": null
 },
 {
  "id": "nepal_pc_daily_allowance",
  "label": "Health Insurance Board allowance for a patient receiving palliative care",
  "value": 500,
  "unit": "Nepalese rupees per day",
  "geography": "Nepal",
  "refYear": "2021",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2021 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "About US$4.28 at the source's conversion.",
  "conflicts": [],
  "sourceIds": [
   "53"
  ],
  "reviewReason": null
 },
 {
  "id": "nepal_epcm_available",
  "label": "Essential palliative care medicines available in the country",
  "value": 82,
  "unit": "percent",
  "geography": "Nepal",
  "refYear": "2024",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "Twenty-seven of 33 medicines on the IAHPC list. From the abstract.",
  "conflicts": [],
  "sourceIds": [
   "55"
  ],
  "reviewReason": null
 },
 {
  "id": "nepal_epcm_insurance_list",
  "label": "Essential palliative care medicines on the government insurance medicines list",
  "value": 73,
  "unit": "percent",
  "geography": "Nepal",
  "refYear": "2024",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "Twenty-four of 33. From the abstract.",
  "conflicts": [],
  "sourceIds": [
   "55"
  ],
  "reviewReason": null
 },
 {
  "id": "nepal_epcm_affordable",
  "label": "Available essential palliative care medicines judged affordable",
  "value": 46,
  "unit": "percent",
  "geography": "Nepal",
  "refYear": "2024",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "Nineteen of 41 available formulations, against the minimum daily wage. From the abstract.",
  "conflicts": [],
  "sourceIds": [
   "55"
  ],
  "reviewReason": null
 },
 {
  "id": "rwanda_hospital_morphine_2014",
  "label": "Oral morphine consumed at three study hospitals",
  "value": 149410,
  "unit": "mg",
  "geography": "Rwanda",
  "refYear": "2014",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2014 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "Facility total across three hospitals, from a reported zero in 2012. Not a national figure.",
  "conflicts": [],
  "sourceIds": [
   "57"
  ],
  "reviewReason": null
 },
 {
  "id": "rwanda_patients_identified_2014",
  "label": "Patients identified for palliative care at three study hospitals",
  "value": 252,
  "unit": "patients",
  "geography": "Rwanda",
  "refYear": "2014",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2014 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "Up from 169 in 2012.",
  "conflicts": [],
  "sourceIds": [
   "57"
  ],
  "reviewReason": null
 },
 {
  "id": "rwanda_prescribing_trainees",
  "label": "Staff trained in morphine procurement and prescribing, national initiative",
  "value": 60,
  "unit": "staff",
  "geography": "Rwanda",
  "refYear": "2014",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2014 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "57"
  ],
  "reviewReason": null
 },
 {
  "id": "rwanda_mutuelle_enrolment",
  "label": "Population with community-based health insurance",
  "value": 97,
  "unit": "percent",
  "geography": "Rwanda",
  "refYear": "2020",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2020 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "Stated in a three-district study, which reports that the scheme typically covers ninety percent of drug cost.",
  "conflicts": [],
  "sourceIds": [
   "59"
  ],
  "reviewReason": null
 },
 {
  "id": "kenya_pc_services",
  "label": "Palliative care services identified",
  "value": 78,
  "unit": "services",
  "geography": "Kenya",
  "refYear": "2023",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "Services documented in the literature to early 2023, not a census.",
  "conflicts": [],
  "sourceIds": [
   "63"
  ],
  "reviewReason": null
 },
 {
  "id": "kenya_pc_service_rate",
  "label": "Palliative care services per 100,000 population",
  "value": 0.15,
  "unit": "per 100,000",
  "geography": "Kenya",
  "refYear": "2023",
  "claimType": "modeled-estimate",
  "confidence": "moderate",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "MODELED ESTIMATE · 2023",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "63"
  ],
  "reviewReason": null
 },
 {
  "id": "kenya_facilities_offering_pc",
  "label": "Health facilities offering palliative care",
  "value": 3,
  "unit": "percent",
  "geography": "Kenya",
  "refYear": "2018",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2018 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "Of which five percent had morphine available, per a 2018 study cited by the source.",
  "conflicts": [],
  "sourceIds": [
   "60"
  ],
  "reviewReason": null
 },
 {
  "id": "kenya_integrated_hospitals",
  "label": "Provincial hospitals with integrated palliative care units",
  "value": 11,
  "unit": "hospitals",
  "geography": "Kenya",
  "refYear": "2016",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2016 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "61"
  ],
  "reviewReason": null
 },
 {
  "id": "kenya_hospital_staff_trained",
  "label": "Hospital staff trained under the integration programme",
  "value": 220,
  "unit": "staff",
  "geography": "Kenya",
  "refYear": "2016",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2016 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "61"
  ],
  "reviewReason": null
 },
 {
  "id": "kenya_patients_served",
  "label": "Patients served by the integrated hospital units",
  "value": 30000,
  "unit": "patients, cumulative lower bound",
  "geography": "Kenya",
  "refYear": "2016",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2016 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "Reported as over 30,000.",
  "conflicts": [],
  "sourceIds": [
   "61"
  ],
  "reviewReason": null
 },
 {
  "id": "kenya_co_diploma_first_cohort",
  "label": "Clinical officer higher diploma in palliative medicine, first cohort",
  "value": 7,
  "unit": "students",
  "geography": "Kenya",
  "refYear": "2022",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2022 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "60"
  ],
  "reviewReason": null
 },
 {
  "id": "kenya_siaya_ever_prescribed_opioids",
  "label": "Frontline key informants who had ever prescribed an opioid, Siaya County",
  "value": 36,
  "unit": "percent",
  "geography": "Kenya",
  "refYear": "2016",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2016 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "Eight of 22 facilities surveyed. From the abstract.",
  "conflicts": [],
  "sourceIds": [
   "64"
  ],
  "reviewReason": null
 },
 {
  "id": "nigeria_aoc_index_2015",
  "label": "Adequacy of Opioid Consumption index",
  "value": 0.0069,
  "unit": "index, reference average of 100",
  "geography": "Nigeria",
  "refYear": "2015",
  "claimType": "modeled-estimate",
  "confidence": "moderate",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "MODELED ESTIMATE · 2015",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "The lowest value found globally in 2015. A composite index, not consumption per person.",
  "conflicts": [],
  "sourceIds": [
   "67"
  ],
  "reviewReason": null
 },
 {
  "id": "nigeria_tertiary_pc_centres",
  "label": "Palliative care centres at tertiary institutions facilitated by the national association",
  "value": 8,
  "unit": "centres",
  "geography": "Nigeria",
  "refYear": "2016",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2016 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "With over twenty further emerging sites.",
  "conflicts": [],
  "sourceIds": [
   "66"
  ],
  "reviewReason": null
 },
 {
  "id": "nigeria_unit_median_staff",
  "label": "Palliative care staff per unit, median across five tertiary sites",
  "value": 13,
  "unit": "staff",
  "geography": "Nigeria",
  "refYear": "2023",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "Range nine to 25.",
  "conflicts": [],
  "sourceIds": [
   "66"
  ],
  "reviewReason": null
 },
 {
  "id": "indonesia_strong_opioids_2005",
  "label": "Strong opioid consumption, including methadone",
  "value": 0.005,
  "unit": "DDD per 1,000 inhabitants per day",
  "geography": "Indonesia",
  "refYear": "2005",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": "reported-consumption",
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": null,
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "70"
  ],
  "reviewReason": null
 },
 {
  "id": "indonesia_strong_opioids_2014",
  "label": "Strong opioid consumption, including methadone",
  "value": 0.03,
  "unit": "DDD per 1,000 inhabitants per day",
  "geography": "Indonesia",
  "refYear": "2014",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": "reported-consumption",
  "evidenceLabel": "SOURCE-CHECKED · 2014 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "The largest percentage rise in the five-country comparison, from the lowest base.",
  "conflicts": [],
  "sourceIds": [
   "70"
  ],
  "reviewReason": null
 },
 {
  "id": "indonesia_icf_branches",
  "label": "Indonesian Cancer Foundation branches",
  "value": 114,
  "unit": "branches",
  "geography": "Indonesia",
  "refYear": "2023",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "71"
  ],
  "reviewReason": null
 },
 {
  "id": "indonesia_icf_trainees",
  "label": "People trained by the Indonesian Cancer Foundation in palliative care",
  "value": 2353,
  "unit": "participants",
  "geography": "Indonesia",
  "refYear": "2022",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "Caregivers, volunteers and professionals across ten provinces, 2015 to 2022.",
  "conflicts": [],
  "sourceIds": [
   "71"
  ],
  "reviewReason": null
 },
 {
  "id": "indonesia_jakarta_phc_trained",
  "label": "Jakarta primary health centres trained in palliative care",
  "value": 333,
  "unit": "centres",
  "geography": "Indonesia",
  "refYear": "2020",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2020 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "Described as covering the whole capital.",
  "conflicts": [],
  "sourceIds": [
   "71"
  ],
  "reviewReason": null
 },
 {
  "id": "indonesia_jakarta_patients_2020",
  "label": "Cancer patients given palliative care in the Jakarta programme",
  "value": 713,
  "unit": "patients",
  "geography": "Indonesia",
  "refYear": "2020",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2020 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "A further 583 patients without cancer were served.",
  "conflicts": [],
  "sourceIds": [
   "71"
  ],
  "reviewReason": null
 },
 {
  "id": "indonesia_spict_need",
  "label": "Hospital patients with a chronic disease meeting palliative criteria on screening",
  "value": 61.3,
  "unit": "percent",
  "geography": "Indonesia",
  "refYear": "2019",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2019 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "Clinicians identified 17.7 percent (nurses) and 9.7 percent (physicians) of the same patients. One hospital.",
  "conflicts": [],
  "sourceIds": [
   "72"
  ],
  "reviewReason": null
 },
 {
  "id": "srilanka_morphine_2020",
  "label": "Morphine consumption",
  "value": 0.9,
  "unit": "mg per person",
  "geography": "Sri Lanka",
  "refYear": "2020",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": "reported-consumption",
  "evidenceLabel": "SOURCE-CHECKED · 2020 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "As reported in a 2025 review of Nepal, on the same basis as its Nepal figure.",
  "conflicts": [],
  "sourceIds": [
   "52"
  ],
  "reviewReason": null
 },
 {
  "id": "srilanka_physicians_prescribed_morphine",
  "label": "Surveyed physicians who had prescribed morphine for palliative care",
  "value": 23.8,
  "unit": "percent",
  "geography": "Sri Lanka",
  "refYear": "2024",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "One teaching hospital in the Northern Province.",
  "conflicts": [],
  "sourceIds": [
   "74"
  ],
  "reviewReason": null
 },
 {
  "id": "srilanka_physicians_cite_shortage",
  "label": "Surveyed physicians citing drug shortage as a reason not to prescribe",
  "value": 58.8,
  "unit": "percent",
  "geography": "Sri Lanka",
  "refYear": "2024",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "Lack of confidence was cited by 60.7 percent. Multiple answers allowed.",
  "conflicts": [],
  "sourceIds": [
   "74"
  ],
  "reviewReason": null
 },
 {
  "id": "srilanka_physicians_want_change",
  "label": "Surveyed physicians who want the morphine prescribing regulations changed",
  "value": 62.5,
  "unit": "percent",
  "geography": "Sri Lanka",
  "refYear": "2024",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "74"
  ],
  "reviewReason": null
 },
 {
  "id": "srilanka_public_health_nurses",
  "label": "Public health nursing officers nationally",
  "value": 217,
  "unit": "nurses",
  "geography": "Sri Lanka",
  "refYear": "2025",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "Against 8,612 public health midwives.",
  "conflicts": [],
  "sourceIds": [
   "75"
  ],
  "reviewReason": null
 },
 {
  "id": "srilanka_phn_morphine_administration",
  "label": "Public health nurses reporting morphine administration",
  "value": 10.2,
  "unit": "percent",
  "geography": "Sri Lanka",
  "refYear": "2025",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "Administration of a physician's prescription. Palliative home visits were reported by 94 percent.",
  "conflicts": [],
  "sourceIds": [
   "75"
  ],
  "reviewReason": null
 },
 {
  "id": "philippines_hpm_specialists_2022",
  "label": "Hospice and palliative medicine specialists",
  "value": 35,
  "unit": "specialists",
  "geography": "Philippines",
  "refYear": "2022",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2022 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "80"
  ],
  "reviewReason": null
 },
 {
  "id": "philippines_hpm_specialists_2025",
  "label": "Active hospice and palliative medicine specialists",
  "value": 54,
  "unit": "specialists",
  "geography": "Philippines",
  "refYear": "2025",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "From a separate survey of society fellows; not strictly comparable with the 2022 roster count.",
  "conflicts": [],
  "sourceIds": [
   "81"
  ],
  "reviewReason": null
 },
 {
  "id": "philippines_hpm_density_2025",
  "label": "Hospice and palliative medicine specialists per 100,000 population",
  "value": 0.05,
  "unit": "per 100,000",
  "geography": "Philippines",
  "refYear": "2025",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "0.03 in the 2022 study.",
  "conflicts": [],
  "sourceIds": [
   "81"
  ],
  "reviewReason": null
 },
 {
  "id": "philippines_regions_without_hpm_2022",
  "label": "Regions with no hospice and palliative medicine specialist",
  "value": 8,
  "unit": "regions of 17",
  "geography": "Philippines",
  "refYear": "2022",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2022 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "80"
  ],
  "reviewReason": null
 },
 {
  "id": "philippines_hpm_programmes",
  "label": "Hospice and palliative medicine training programmes",
  "value": 2,
  "unit": "programmes",
  "geography": "Philippines",
  "refYear": "2022",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2022 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "80"
  ],
  "reviewReason": null
 },
 {
  "id": "philippines_schools_pc_core",
  "label": "Medical schools requiring palliative care as a core subject",
  "value": 3,
  "unit": "schools of 70",
  "geography": "Philippines",
  "refYear": "2025",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "79"
  ],
  "reviewReason": null
 },
 {
  "id": "colombia_opioid_mme_2010",
  "label": "Opioid consumption, morphine equivalent",
  "value": 8,
  "unit": "mg per person",
  "geography": "Colombia",
  "refYear": "2010",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": "reported-consumption",
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": null,
  "method": null,
  "limitations": null,
  "note": "The source table labels this total opioids consumed in morphine equivalents; a per person basis is implied, not stated.",
  "conflicts": [],
  "sourceIds": [
   "84"
  ],
  "reviewReason": null
 },
 {
  "id": "colombia_opioid_mme_2014",
  "label": "Opioid consumption, morphine equivalent",
  "value": 14,
  "unit": "mg per person",
  "geography": "Colombia",
  "refYear": "2014",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": "reported-consumption",
  "evidenceLabel": "SOURCE-CHECKED · 2014 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "The year the palliative care law was enacted.",
  "conflicts": [],
  "sourceIds": [
   "84"
  ],
  "reviewReason": null
 },
 {
  "id": "colombia_opioid_mme_2019",
  "label": "Opioid consumption, morphine equivalent",
  "value": 17,
  "unit": "mg per person",
  "geography": "Colombia",
  "refYear": "2019",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": "reported-consumption",
  "evidenceLabel": "SOURCE-CHECKED · 2019 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "84"
  ],
  "reviewReason": null
 },
 {
  "id": "colombia_pc_services_2010",
  "label": "Registered palliative and pain services",
  "value": 63,
  "unit": "services",
  "geography": "Colombia",
  "refYear": "2010",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": null,
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "84"
  ],
  "reviewReason": null
 },
 {
  "id": "colombia_pc_services_2014",
  "label": "Registered palliative and pain services",
  "value": 102,
  "unit": "services",
  "geography": "Colombia",
  "refYear": "2014",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2014 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "84"
  ],
  "reviewReason": null
 },
 {
  "id": "colombia_pc_services_2019",
  "label": "Registered palliative and pain services",
  "value": 454,
  "unit": "services",
  "geography": "Colombia",
  "refYear": "2019",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2019 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "84"
  ],
  "reviewReason": null
 },
 {
  "id": "colombia_departments_without_service",
  "label": "Departments with no registered palliative service",
  "value": 6,
  "unit": "departments",
  "geography": "Colombia",
  "refYear": "2019",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2019 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "Mostly Amazonian, plus the San Andres archipelago.",
  "conflicts": [],
  "sourceIds": [
   "84"
  ],
  "reviewReason": null
 },
 {
  "id": "colombia_capital_opioid_odds",
  "label": "Odds of an analgesic patient receiving an opioid in a capital city rather than a municipality",
  "value": 2.25,
  "unit": "odds ratio",
  "geography": "Colombia",
  "refYear": "2020",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2020 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "95 percent confidence interval 2.20 to 2.30.",
  "conflicts": [],
  "sourceIds": [
   "86"
  ],
  "reviewReason": null
 },
 {
  "id": "colombia_nursing_schools_pc",
  "label": "Nursing schools with palliative care in undergraduate training",
  "value": 6,
  "unit": "schools",
  "geography": "Colombia",
  "refYear": "2019",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2019 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "Up from one in 2010. Medical schools rose from one to four.",
  "conflicts": [],
  "sourceIds": [
   "84"
  ],
  "reviewReason": null
 },
 {
  "id": "saudi_pc_service_rate",
  "label": "Specialised palliative care services per 100,000 population",
  "value": 0.09,
  "unit": "per 100,000",
  "geography": "Saudi Arabia",
  "refYear": "2020",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2020 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "Tied for the highest ratio in the regional survey, against a European standard of two.",
  "conflicts": [],
  "sourceIds": [
   "49"
  ],
  "reviewReason": null
 },
 {
  "id": "saudi_pm_specialists",
  "label": "Palliative medicine specialists, expert estimate",
  "value": 50,
  "unit": "specialists, approximate",
  "geography": "Saudi Arabia",
  "refYear": "2020",
  "claimType": "modeled-estimate",
  "confidence": "moderate",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "MODELED ESTIMATE · 2020",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "The same survey estimates four in Pakistan.",
  "conflicts": [],
  "sourceIds": [
   "49"
  ],
  "reviewReason": null
 },
 {
  "id": "saudi_raqeeb_access",
  "label": "Surveyed physicians with access to the national narcotics prescribing platform",
  "value": 62.9,
  "unit": "percent",
  "geography": "Saudi Arabia",
  "refYear": "2025",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "One tertiary hospital in the Eastern Province.",
  "conflicts": [],
  "sourceIds": [
   "88"
  ],
  "reviewReason": null
 },
 {
  "id": "saudi_excessive_regulation",
  "label": "Surveyed physicians citing excessive regulation of opioids as a barrier",
  "value": 39.4,
  "unit": "percent",
  "geography": "Saudi Arabia",
  "refYear": "2025",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "Lack of training on opioid dosing was cited by 40.9 percent.",
  "conflicts": [],
  "sourceIds": [
   "88"
  ],
  "reviewReason": null
 },
 {
  "id": "saudi_income_access_odds",
  "label": "Odds of palliative care access, high-income against low-income cancer patients",
  "value": 3.32,
  "unit": "adjusted odds ratio",
  "geography": "Saudi Arabia",
  "refYear": "2026",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "95 percent confidence interval 1.83 to 6.02. Riyadh sample.",
  "conflicts": [],
  "sourceIds": [
   "89"
  ],
  "reviewReason": null
 },
 {
  "id": "egypt_morphine_tablet_cap",
  "label": "Maximum oral morphine in a single prescription",
  "value": 420,
  "unit": "mg",
  "geography": "Egypt",
  "refYear": "2011",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": null,
  "method": null,
  "limitations": null,
  "note": "Sixty mg for ampoules. The law as described in the 2011 study.",
  "conflicts": [],
  "sourceIds": [
   "90"
  ],
  "reviewReason": null
 },
 {
  "id": "egypt_weekly_supply_adequate",
  "label": "Patients needing strong opioids adequately supplied by one weekly prescription",
  "value": 26,
  "unit": "percent",
  "geography": "Egypt",
  "refYear": "2011",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": null,
  "method": null,
  "limitations": null,
  "note": "None would be adequately supplied with parenteral morphine. One unit, record review.",
  "conflicts": [],
  "sourceIds": [
   "90"
  ],
  "reviewReason": null
 },
 {
  "id": "egypt_pc_centres",
  "label": "Recognised palliative care centres",
  "value": 4,
  "unit": "centres",
  "geography": "Egypt",
  "refYear": "2024",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "One paediatric. The source places them in Cairo.",
  "conflicts": [],
  "sourceIds": [
   "91"
  ],
  "reviewReason": null
 },
 {
  "id": "egypt_qena_untrained",
  "label": "Nurses and physicians at a regional cancer centre with no palliative care training",
  "value": 77,
  "unit": "percent",
  "geography": "Egypt",
  "refYear": "2024",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "Reported as more than 77 percent. Qena Governorate.",
  "conflicts": [],
  "sourceIds": [
   "91"
  ],
  "reviewReason": null
 },
 {
  "id": "egypt_public_university_oncology",
  "label": "Public universities with an oncology department",
  "value": 26,
  "unit": "universities",
  "geography": "Egypt",
  "refYear": "2021",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2021 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "92"
  ],
  "reviewReason": null
 },
 {
  "id": "bangladesh_morphine_2020",
  "label": "Morphine consumption",
  "value": 0.11,
  "unit": "mg per person",
  "geography": "Bangladesh",
  "refYear": "2020",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": "reported-consumption",
  "evidenceLabel": "SOURCE-CHECKED · 2020 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "As reported in a 2025 review of Nepal, on the same basis as its Nepal figure.",
  "conflicts": [],
  "sourceIds": [
   "52"
  ],
  "reviewReason": null
 },
 {
  "id": "mongolia_pc_units",
  "label": "Palliative care units nationally",
  "value": 36,
  "unit": "units",
  "geography": "Mongolia",
  "refYear": "2017",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2017 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "190 beds in total, stated against a population of three million.",
  "conflicts": [],
  "sourceIds": [
   "94"
  ],
  "reviewReason": null
 },
 {
  "id": "mongolia_pc_beds",
  "label": "Palliative care beds nationally",
  "value": 190,
  "unit": "beds",
  "geography": "Mongolia",
  "refYear": "2017",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2017 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "94"
  ],
  "reviewReason": null
 },
 {
  "id": "mongolia_provinces_with_beds",
  "label": "Provinces with palliative beds",
  "value": 21,
  "unit": "provinces of 21",
  "geography": "Mongolia",
  "refYear": "2017",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2017 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "Four to five beds in each province and in each of the nine capital districts.",
  "conflicts": [],
  "sourceIds": [
   "94"
  ],
  "reviewReason": null
 },
 {
  "id": "mongolia_capital_hospice_beds",
  "label": "Hospice beds in six Ulaanbaatar hospice units",
  "value": 50,
  "unit": "beds",
  "geography": "Mongolia",
  "refYear": "2017",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2017 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "94"
  ],
  "reviewReason": null
 },
 {
  "id": "mexico_prescriptions_per_provider_limit",
  "label": "Prescription limit per provider after the 2015 reform",
  "value": 200,
  "unit": "prescriptions",
  "geography": "Mexico",
  "refYear": "2015",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2015 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "Raised from 50.",
  "conflicts": [],
  "sourceIds": [
   "95"
  ],
  "reviewReason": null
 },
 {
  "id": "mexico_dispensing_rate",
  "label": "National opioid dispensing rate",
  "value": 26.3,
  "unit": "prescriptions per 10,000 people",
  "geography": "Mexico",
  "refYear": "2019",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2019 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "Over the whole period from mid-2015 to late 2019.",
  "conflicts": [],
  "sourceIds": [
   "95"
  ],
  "reviewReason": null
 },
 {
  "id": "mexico_dispensing_quarterly_change",
  "label": "Average quarterly change in opioid dispensing after the reform",
  "value": 13,
  "unit": "percent",
  "geography": "Mexico",
  "refYear": "2019",
  "claimType": "modeled-estimate",
  "confidence": "moderate",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "MODELED ESTIMATE · 2019",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "95 percent confidence interval 6.8 to 19.6. Joinpoint regression.",
  "conflicts": [],
  "sourceIds": [
   "95"
  ],
  "reviewReason": null
 },
 {
  "id": "mexico_ses_dispensing_ratio",
  "label": "Dispensing rate, higher against lower socioeconomic status states",
  "value": 1.88,
  "unit": "rate ratio",
  "geography": "Mexico",
  "refYear": "2019",
  "claimType": "modeled-estimate",
  "confidence": "moderate",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "MODELED ESTIMATE · 2019",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "95 percent confidence interval 1.33 to 2.58, after controlling for estimated need.",
  "conflicts": [],
  "sourceIds": [
   "95"
  ],
  "reviewReason": null
 },
 {
  "id": "mexico_pc_need_met_2010_2013",
  "label": "Opioid need for palliative care met",
  "value": 36,
  "unit": "percent",
  "geography": "Mexico",
  "refYear": "2013",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2013 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "For 2010 to 2013, as cited from the Lancet Commission on Palliative Care and Pain Relief.",
  "conflicts": [],
  "sourceIds": [
   "95"
  ],
  "reviewReason": null
 },
 {
  "id": "iran_pm_specialists",
  "label": "Palliative medicine specialists, expert estimate",
  "value": 15,
  "unit": "specialists",
  "geography": "Iran",
  "refYear": "2020",
  "claimType": "modeled-estimate",
  "confidence": "moderate",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "MODELED ESTIMATE · 2020",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "The same survey estimates four in Pakistan and about fifty in Saudi Arabia.",
  "conflicts": [],
  "sourceIds": [
   "49"
  ],
  "reviewReason": null
 },
 {
  "id": "tanzania_hospitals_licensed_2010",
  "label": "Hospitals licensed to dispense morphine",
  "value": 4,
  "unit": "hospitals",
  "geography": "Tanzania",
  "refYear": "2010",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": null,
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "100"
  ],
  "reviewReason": null
 },
 {
  "id": "tanzania_facilities_approved_2012",
  "label": "Facilities approved for oral morphine",
  "value": 50,
  "unit": "facilities",
  "geography": "Tanzania",
  "refYear": "2012",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2012 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "Public and private, by the end of 2012, as reported by a programme official in personal communication to the authors.",
  "conflicts": [],
  "sourceIds": [
   "100"
  ],
  "reviewReason": null
 },
 {
  "id": "malawi_morphine_2009",
  "label": "Morphine consumption",
  "value": 0.41,
  "unit": "mg per person",
  "geography": "Malawi",
  "refYear": "2009",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": "reported-consumption",
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": null,
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "103"
  ],
  "reviewReason": null
 },
 {
  "id": "malawi_morphine_2013",
  "label": "Morphine consumption",
  "value": 0.82,
  "unit": "mg per person",
  "geography": "Malawi",
  "refYear": "2013",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": "reported-consumption",
  "evidenceLabel": "SOURCE-CHECKED · 2013 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "The latest figure found.",
  "conflicts": [],
  "sourceIds": [
   "103"
  ],
  "reviewReason": null
 },
 {
  "id": "malawi_wci_hospitals_with_service",
  "label": "Southern region facilities with an established palliative service after the programme",
  "value": 12,
  "unit": "facilities of 13",
  "geography": "Malawi",
  "refYear": "2012",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2012 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "104"
  ],
  "reviewReason": null
 },
 {
  "id": "malawi_wci_patients_on_morphine",
  "label": "Palliative patients receiving morphine at programme facilities",
  "value": 463,
  "unit": "patients",
  "geography": "Malawi",
  "refYear": "2012",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2012 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "From 77 patients at two hospitals at baseline.",
  "conflicts": [],
  "sourceIds": [
   "104"
  ],
  "reviewReason": null
 },
 {
  "id": "malawi_wci_staff_trained",
  "label": "Staff trained across programme facilities",
  "value": 253,
  "unit": "staff",
  "geography": "Malawi",
  "refYear": "2012",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2012 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "From 79 at baseline.",
  "conflicts": [],
  "sourceIds": [
   "104"
  ],
  "reviewReason": null
 },
 {
  "id": "chile_opioid_sddd",
  "label": "Opioid consumption",
  "value": 1692,
  "unit": "S-DDD per million inhabitants per day",
  "geography": "Chile",
  "refYear": "2024",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": "reported-consumption",
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "The highest in Latin America. The source does not state the reporting year; 2024 is the publication year.",
  "conflicts": [],
  "sourceIds": [
   "108"
  ],
  "reviewReason": null
 },
 {
  "id": "chile_dome_need_covered",
  "label": "Distributed opioid morphine equivalent against modelled palliative need",
  "value": 114,
  "unit": "percent of need",
  "geography": "Chile",
  "refYear": "2025",
  "claimType": "modeled-estimate",
  "confidence": "moderate",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "MODELED ESTIMATE · 2025",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "The source does not state the reporting year; 2025 is the publication year.",
  "conflicts": [],
  "sourceIds": [
   "107"
  ],
  "reviewReason": null
 },
 {
  "id": "chile_nonmedical_opioid_use_2018",
  "label": "Non-medical opioid use, national drug survey prevalence",
  "value": 2.5,
  "unit": "percent",
  "geography": "Chile",
  "refYear": "2018",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2018 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "One percent in 2002 and 1.2 to 1.5 percent in 2022 to 2023.",
  "conflicts": [],
  "sourceIds": [
   "107"
  ],
  "reviewReason": null
 },
 {
  "id": "chile_cancer_pc_coverage",
  "label": "Cancer patients in need who had access to palliative care",
  "value": 93,
  "unit": "percent",
  "geography": "Chile",
  "refYear": "2019",
  "claimType": "modeled-estimate",
  "confidence": "moderate",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "MODELED ESTIMATE · 2019",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "106"
  ],
  "reviewReason": null
 },
 {
  "id": "chile_pc_gap",
  "label": "People in need of palliative care without access",
  "value": 58,
  "unit": "percent",
  "geography": "Chile",
  "refYear": "2019",
  "claimType": "modeled-estimate",
  "confidence": "moderate",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "MODELED ESTIMATE · 2019",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "About 61,000 people, almost all with non-cancer conditions.",
  "conflicts": [],
  "sourceIds": [
   "106"
  ],
  "reviewReason": null
 },
 {
  "id": "chile_pc_public_patients",
  "label": "Publicly insured patients with palliative care access",
  "value": 42214,
  "unit": "patients",
  "geography": "Chile",
  "refYear": "2019",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2019 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "Against 1,756 newly enrolled privately insured patients.",
  "conflicts": [],
  "sourceIds": [
   "106"
  ],
  "reviewReason": null
 },
 {
  "id": "chile_pc_expansion_cost_share",
  "label": "Cost of extending the essential palliative package to all in need",
  "value": 0.473,
  "unit": "percent of national health expenditure",
  "geography": "Chile",
  "refYear": "2019",
  "claimType": "modeled-estimate",
  "confidence": "moderate",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "MODELED ESTIMATE · 2019",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "About 123 million US dollars.",
  "conflicts": [],
  "sourceIds": [
   "106"
  ],
  "reviewReason": null
 },
 {
  "id": "thailand_morphine_1999",
  "label": "Morphine consumption",
  "value": 0.29,
  "unit": "mg per person",
  "geography": "Thailand",
  "refYear": "1999",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": "reported-consumption",
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": null,
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "113"
  ],
  "reviewReason": null
 },
 {
  "id": "thailand_morphine_2010",
  "label": "Morphine consumption",
  "value": 1.16,
  "unit": "mg per person",
  "geography": "Thailand",
  "refYear": "2010",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": "reported-consumption",
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": null,
  "method": null,
  "limitations": null,
  "note": "A second source cites a Pain and Policy Studies Group figure of 0.77 mg on an unstated year.",
  "conflicts": [],
  "sourceIds": [
   "113"
  ],
  "reviewReason": null
 },
 {
  "id": "thailand_special_form",
  "label": "Government hospitals requiring a special signed opioid form at every visit",
  "value": 96.4,
  "unit": "percent",
  "geography": "Thailand",
  "refYear": "2012",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2012 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "111"
  ],
  "reviewReason": null
 },
 {
  "id": "thailand_apn_prescribing_prohibited",
  "label": "Government hospitals prohibiting advanced practice nurses from prescribing oral opioids",
  "value": 75.6,
  "unit": "percent",
  "geography": "Thailand",
  "refYear": "2012",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2012 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "Seven community hospitals permitted nurses to prescribe oral morphine.",
  "conflicts": [],
  "sourceIds": [
   "111"
  ],
  "reviewReason": null
 },
 {
  "id": "thailand_dhs_pc_networks",
  "label": "District health system palliative networks funded by the National Health Security Office",
  "value": 61,
  "unit": "networks",
  "geography": "Thailand",
  "refYear": "2015",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2015 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2026-12-23",
  "method": null,
  "limitations": null,
  "note": "At 135,000 baht per network per year.",
  "conflicts": [],
  "sourceIds": [
   "115"
  ],
  "reviewReason": null
 },
 {
  "id": "thailand_ucs_population",
  "label": "Population covered by the Universal Coverage Scheme",
  "value": 72,
  "unit": "percent",
  "geography": "Thailand",
  "refYear": "2002",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": null,
  "method": null,
  "limitations": null,
  "note": "47.8 million people.",
  "conflicts": [],
  "sourceIds": [
   "114"
  ],
  "reviewReason": null
 },
 {
  "id": "india_kerala_delivery_points_2008",
  "label": "Palliative care delivery points located in Kerala",
  "value": 83,
  "unit": "of 139 nationally",
  "geography": "India",
  "refYear": "2008",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": null,
  "method": null,
  "limitations": null,
  "note": "Kerala held about three percent of India's population.",
  "conflicts": [],
  "sourceIds": [
   "124"
  ],
  "reviewReason": null
 },
 {
  "id": "india_kerala_gov_providers_morphine",
  "label": "Kerala government palliative care providers able to prescribe oral morphine",
  "value": 0,
  "unit": "percent",
  "geography": "India",
  "refYear": "2020",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2020 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "Against 36 percent of non-government providers. Five years after the 2015 rules.",
  "conflicts": [],
  "sourceIds": [
   "121"
  ],
  "reviewReason": null
 },
 {
  "id": "india_kerala_trained_physician",
  "label": "Kerala palliative care providers with a full-time trained physician",
  "value": 24,
  "unit": "percent",
  "geography": "India",
  "refYear": "2020",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2020 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "121"
  ],
  "reviewReason": null
 },
 {
  "id": "india_wb_nppc_centres",
  "label": "Palliative care centres in West Bengal's first phase of the national programme",
  "value": 19,
  "unit": "centres",
  "geography": "India",
  "refYear": "2018",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2018 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "Phased rollout from 2017 to 2018, years after the 2012 national launch.",
  "conflicts": [],
  "sourceIds": [
   "117"
  ],
  "reviewReason": null
 },
 {
  "id": "iraq_pm_specialists",
  "label": "Palliative medicine specialists recognised, all trained abroad",
  "value": 3,
  "unit": "specialists",
  "geography": "Iraq",
  "refYear": "2020",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2020 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "49"
  ],
  "reviewReason": null
 },
 {
  "id": "iraq_zcc_palliative_wait",
  "label": "Mean wait from referral to palliative radiotherapy, Sulaimani",
  "value": 19,
  "unit": "days",
  "geography": "Iraq",
  "refYear": "2015",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2015 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "One centre in the Kurdistan Region.",
  "conflicts": [],
  "sourceIds": [
   "129"
  ],
  "reviewReason": null
 },
 {
  "id": "south_africa_morphine_2020",
  "label": "Morphine consumption",
  "value": 28,
  "unit": "mg per person",
  "geography": "South Africa",
  "refYear": "2020",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": "reported-consumption",
  "evidenceLabel": "SOURCE-CHECKED · 2020 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "As cited by the source from the Walther Center; the UK figure given is 55 mg. The source reports a fourfold rise from 2018, not checked against INCB data here.",
  "conflicts": [],
  "sourceIds": [
   "130"
  ],
  "reviewReason": null
 },
 {
  "id": "south_africa_district_staff_trained",
  "label": "District health professionals trained in palliative care, Cape Metro",
  "value": 2.9,
  "unit": "percent",
  "geography": "South Africa",
  "refYear": "2021",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2021 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "621 of 21,382, up from 1.5 percent in 2019.",
  "conflicts": [],
  "sourceIds": [
   "130"
  ],
  "reviewReason": null
 },
 {
  "id": "south_africa_icf_beds",
  "label": "NGO intermediate care beds funded by the provincial department, Cape Metro",
  "value": 594,
  "unit": "beds",
  "geography": "South Africa",
  "refYear": "2021",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2021 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2026-12-23",
  "method": null,
  "limitations": null,
  "note": "564 in 2019.",
  "conflicts": [],
  "sourceIds": [
   "130"
  ],
  "reviewReason": null
 },
 {
  "id": "ethiopia_pc_facility_target",
  "label": "National target for public health facilities offering palliative care by 2020",
  "value": 50,
  "unit": "percent",
  "geography": "Ethiopia",
  "refYear": "2020",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2020 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "136"
  ],
  "reviewReason": null
 },
 {
  "id": "ethiopia_fellowship_first_class",
  "label": "Pain medicine and palliative care fellowship, first class",
  "value": 7,
  "unit": "physicians",
  "geography": "Ethiopia",
  "refYear": "2020",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2020 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "137"
  ],
  "reviewReason": null
 },
 {
  "id": "ethiopia_oncology_centres",
  "label": "Oncology centres, expanded from one",
  "value": 24,
  "unit": "centres",
  "geography": "Ethiopia",
  "refYear": "2023",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "134"
  ],
  "reviewReason": null
 },
 {
  "id": "lebanon_pc_service_rate",
  "label": "Specialised palliative care services per 100,000 population",
  "value": 0.09,
  "unit": "per 100,000",
  "geography": "Lebanon",
  "refYear": "2020",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2020 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "Tied for the highest ratio in the regional survey.",
  "conflicts": [],
  "sourceIds": [
   "49"
  ],
  "reviewReason": null
 },
 {
  "id": "lebanon_tripoli_never_heard",
  "label": "Adults surveyed in Tripoli who had never heard of palliative care",
  "value": 95.8,
  "unit": "percent",
  "geography": "Lebanon",
  "refYear": "2023",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "383 of 400 adults at one NGO serving a disadvantaged population.",
  "conflicts": [],
  "sourceIds": [
   "141"
  ],
  "reviewReason": null
 },
 {
  "id": "costa_rica_pc_development_index",
  "label": "Latin American palliative care development index",
  "value": 8.1,
  "unit": "index score, highest in the region",
  "geography": "Costa Rica",
  "refYear": "2012",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2012 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "142"
  ],
  "reviewReason": null
 },
 {
  "id": "costa_rica_pc_services_per_million",
  "label": "Palliative care services per million inhabitants",
  "value": 14.645,
  "unit": "per million",
  "geography": "Costa Rica",
  "refYear": "2012",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2012 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "Second of nineteen countries, behind Chile.",
  "conflicts": [],
  "sourceIds": [
   "142"
  ],
  "reviewReason": null
 },
 {
  "id": "costa_rica_opioid_decline",
  "label": "Fall in national opioid consumption from the 2018 peak",
  "value": 70,
  "unit": "percent, approximate",
  "geography": "Costa Rica",
  "refYear": "2023",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "Morphine fell 72.2 percent over 2017 to 2024.",
  "conflicts": [],
  "sourceIds": [
   "143"
  ],
  "reviewReason": null
 },
 {
  "id": "vietnam_morphine_ddd_2005",
  "label": "Morphine consumption",
  "value": 0.004,
  "unit": "DDD per 1,000 inhabitants per day",
  "geography": "Vietnam",
  "refYear": "2005",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": "reported-consumption",
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": null,
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "70"
  ],
  "reviewReason": null
 },
 {
  "id": "vietnam_morphine_ddd_2014",
  "label": "Morphine consumption",
  "value": 0.011,
  "unit": "DDD per 1,000 inhabitants per day",
  "geography": "Vietnam",
  "refYear": "2014",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": "reported-consumption",
  "evidenceLabel": "SOURCE-CHECKED · 2014 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "Morphine was the predominant strong opioid, unlike fentanyl in Malaysia and Indonesia.",
  "conflicts": [],
  "sourceIds": [
   "70"
  ],
  "reviewReason": null
 },
 {
  "id": "vietnam_pc_hospitals_2010",
  "label": "Hospitals offering palliative care",
  "value": 15,
  "unit": "hospitals",
  "geography": "Vietnam",
  "refYear": "2010",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": null,
  "method": null,
  "limitations": null,
  "note": "Up from three at the start of the initiative.",
  "conflicts": [],
  "sourceIds": [
   "146"
  ],
  "reviewReason": null
 },
 {
  "id": "vietnam_physicians_trained_2010",
  "label": "Physicians trained in palliative care",
  "value": 400,
  "unit": "physicians, lower bound",
  "geography": "Vietnam",
  "refYear": "2010",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": null,
  "method": null,
  "limitations": null,
  "note": "Reported as more than 400 by early 2010.",
  "conflicts": [],
  "sourceIds": [
   "145"
  ],
  "reviewReason": null
 },
 {
  "id": "vietnam_physicians_adequately_trained",
  "label": "Physicians who felt adequately trained in palliative care before training",
  "value": 8,
  "unit": "percent",
  "geography": "Vietnam",
  "refYear": "2014",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2014 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "Survey of 2007 to 2014.",
  "conflicts": [],
  "sourceIds": [
   "148"
  ],
  "reviewReason": null
 },
 {
  "id": "vietnam_regulators_poor_knowledge",
  "label": "Policymakers and regulators with poor knowledge of opioids for cancer pain",
  "value": 80,
  "unit": "percent",
  "geography": "Vietnam",
  "refYear": "2022",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "63.3 percent of health professionals.",
  "conflicts": [],
  "sourceIds": [
   "149"
  ],
  "reviewReason": null
 },
 {
  "id": "malaysia_methadone_share",
  "label": "Share of strong opioid consumption that was methadone for opioid dependence",
  "value": 90,
  "unit": "percent",
  "geography": "Malaysia",
  "refYear": "2014",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2014 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "Over 2005 to 2014. Morphine consumption fell 19.91 percent over the same decade.",
  "conflicts": [],
  "sourceIds": [
   "70"
  ],
  "reviewReason": null
 },
 {
  "id": "malaysia_hospitals_oral_morphine",
  "label": "Ministry of Health hospitals with oral morphine available",
  "value": 96.4,
  "unit": "percent",
  "geography": "Malaysia",
  "refYear": "2023",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "135 of 140 hospitals.",
  "conflicts": [],
  "sourceIds": [
   "151"
  ],
  "reviewReason": null
 },
 {
  "id": "malaysia_hospitals_formal_pcs",
  "label": "Ministry of Health hospitals with a formal palliative care service",
  "value": 25.8,
  "unit": "percent",
  "geography": "Malaysia",
  "refYear": "2023",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "151"
  ],
  "reviewReason": null
 },
 {
  "id": "malaysia_regular_opioid_coverage",
  "label": "Cancer pain patients receiving regular opioid analgesia",
  "value": 24,
  "unit": "percent",
  "geography": "Malaysia",
  "refYear": "2008",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": null,
  "method": null,
  "limitations": null,
  "note": "From government survey data cited in 2008; the survey year is not stated.",
  "conflicts": [],
  "sourceIds": [
   "150"
  ],
  "reviewReason": null
 },
 {
  "id": "georgia_pc_need_met",
  "label": "Estimated palliative care need met through the formal health system",
  "value": 16.7,
  "unit": "percent",
  "geography": "Georgia",
  "refYear": "2024",
  "claimType": "modeled-estimate",
  "confidence": "moderate",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "MODELED ESTIMATE · 2024",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "154"
  ],
  "reviewReason": null
 },
 {
  "id": "georgia_opioid_sddd",
  "label": "Morphine consumption",
  "value": "60 to 66",
  "unit": "S-DDD per million inhabitants per day",
  "geography": "Georgia",
  "refYear": "2022",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": "reported-consumption",
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "Reported from INCB for 2020 to 2022, the very low band. An atlas total of 1,176 includes non-analgesic opioids.",
  "conflicts": [],
  "sourceIds": [
   "154"
  ],
  "reviewReason": null
 },
 {
  "id": "georgia_physicians_avoid_opioids",
  "label": "Surveyed primary care physicians who avoid prescribing opioids",
  "value": 38,
  "unit": "percent",
  "geography": "Georgia",
  "refYear": "2018",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2018 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "153"
  ],
  "reviewReason": null
 },
 {
  "id": "georgia_phc_authorised",
  "label": "Primary care doctors in palliative programmes authorised to prescribe morphine",
  "value": 50,
  "unit": "percent, approximate",
  "geography": "Georgia",
  "refYear": "2024",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": null,
  "conflicts": [],
  "sourceIds": [
   "154"
  ],
  "reviewReason": null
 },
 {
  "id": "georgia_capital_bed_share",
  "label": "Inpatient palliative beds located in Tbilisi",
  "value": 74.6,
  "unit": "percent",
  "geography": "Georgia",
  "refYear": "2024",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "current",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "Although most inpatient facilities are outside the capital.",
  "conflicts": [],
  "sourceIds": [
   "154"
  ],
  "reviewReason": null
 },
 {
  "id": "armenia_hospital_support_teams",
  "label": "Hospital palliative support teams",
  "value": 0,
  "unit": "teams",
  "geography": "Armenia",
  "refYear": "2019",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2019 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-09-24",
  "method": null,
  "limitations": null,
  "note": "Ten in 2005, none in 2012 or 2019.",
  "conflicts": [],
  "sourceIds": [
   "157"
  ],
  "reviewReason": null
 },
 {
  "id": "armenia_pilot_providers",
  "label": "Palliative service providers still operating after the Global Fund pilots",
  "value": 1,
  "unit": "provider",
  "geography": "Armenia",
  "refYear": "2017",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2017 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2026-12-23",
  "method": null,
  "limitations": null,
  "note": "Four pilot programmes ran for two years.",
  "conflicts": [],
  "sourceIds": [
   "155"
  ],
  "reviewReason": null
 },
 {
  "id": "armenia_training_centre_morphine",
  "label": "Morphine prescribed per clinic per day after oncologists were trained",
  "value": 250,
  "unit": "mg",
  "geography": "Armenia",
  "refYear": "2012",
  "claimType": "observed",
  "confidence": "high",
  "status": "active",
  "currency": "dated-usable",
  "series": null,
  "evidenceLabel": "SOURCE-CHECKED · 2012 DATA",
  "lastChecked": "2026-09-24",
  "sourceCheckedOn": null,
  "reviewBy": "2027-03-23",
  "method": null,
  "limitations": null,
  "note": "From 60 mg before training.",
  "conflicts": [],
  "sourceIds": [
   "156"
  ],
  "reviewReason": null
 }
]