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id
int64
facility_level
string
facility_id
string
region_type
string
bed_count
int64
has_icu
int64
has_nicu
int64
has_piped_oxygen
int64
has_biomedical_technician
int64
primary_oxygen_source
string
concentrator_count
int64
concentrator_functional
int64
concentrator_mean_age_years
float64
concentrator_maintenance_available
int64
cylinder_count_full
int64
cylinder_count_empty
int64
days_since_cylinder_refill
int64
PSA_plant_functional
int64
pulse_oximeter_available
int64
pulse_oximeter_functional
int64
SpO2_screening_routine
int64
oxygen_available_today
int64
oxygen_sufficient_for_demand
int64
oxygen_stockout_days_last_month
int64
shortage_cause
string
year
int64
month
int64
patients_needing_oxygen
int64
primary_condition
string
patients_received_oxygen
int64
patients_untreated_hypoxemia
int64
flow_rate_adequate
int64
deaths_hypoxemia_related
int64
referred_for_oxygen
int64
monthly_oxygen_cost_usd
float64
distance_to_refill_km
float64
transport_available_for_cylinders
int64
power_source
string
power_outage_hours_last_week
int64
1
district_hospital
O2_0018
peri_urban
90
0
0
0
0
cylinder_portable
3
2
6.2
0
1
8
1
0
1
0
0
0
0
15
concentrator_malfunction
2,022
10
12
pneumonia_child
0
12
0
5
2
252
67
0
solar
1
2
district_hospital
O2_0153
rural
64
0
0
0
0
PSA_plant_onsite
0
0
6.6
0
3
4
44
0
0
0
0
1
1
0
not_applicable
2,022
10
11
pneumonia_adult
3
8
1
3
0
255
107
0
solar
4
3
district_hospital
O2_0084
urban
45
0
0
0
0
cylinder_piped
2
0
2.7
0
1
8
4
0
0
0
0
1
1
0
not_applicable
2,023
10
11
severe_malaria
4
7
1
3
0
218
46
1
grid_unreliable
0
4
district_hospital
O2_0035
urban
22
0
0
0
1
none
0
0
7
1
1
5
9
0
0
0
0
1
0
0
not_applicable
2,021
8
12
heart_failure
5
7
0
4
0
279
67
1
grid_reliable
6
5
district_hospital
O2_0109
rural
93
0
0
0
0
oxygen_concentrator
2
0
7.1
0
5
3
21
0
1
0
0
1
1
0
not_applicable
2,024
5
8
surgical_anaesthesia
3
5
0
1
0
227
22
1
solar
1
6
district_hospital
O2_0060
rural
11
0
0
0
0
oxygen_concentrator
0
0
1.3
0
4
2
27
0
1
1
0
0
0
3
supplier_stockout
2,024
7
12
pneumonia_child
0
12
0
3
2
148
30
0
solar
12
7
district_hospital
O2_0150
peri_urban
24
0
0
0
0
oxygen_concentrator
2
0
1.8
0
2
3
10
0
1
1
1
1
1
0
not_applicable
2,022
8
10
asthma_severe
3
7
1
2
0
425
6
0
grid_unreliable
0
8
district_hospital
O2_0002
peri_urban
15
0
0
0
0
cylinder_portable
0
0
11.3
0
4
5
4
0
0
0
0
1
1
0
not_applicable
2,022
5
10
heart_failure
3
7
0
5
0
339
32
0
none
32
9
district_hospital
O2_0041
peri_urban
62
0
0
0
0
cylinder_portable
1
0
0.4
0
4
4
112
0
1
0
0
0
0
14
power_outage
2,024
10
15
severe_malaria
0
15
0
10
5
73
15
0
grid_unreliable
19
10
district_hospital
O2_0042
peri_urban
69
0
0
0
0
oxygen_concentrator
2
0
1.6
0
7
5
11
0
0
0
0
1
1
0
not_applicable
2,022
9
17
trauma
9
8
0
4
0
211
1
0
grid_reliable
4
11
district_hospital
O2_0091
rural
92
0
0
1
1
LOX_bulk_tank
0
0
30.8
1
2
5
17
0
1
0
0
0
0
25
demand_surge
2,022
2
15
neonatal_respiratory
0
15
0
8
8
89
5
0
grid_reliable
64
12
district_hospital
O2_0092
urban
35
0
0
0
0
cylinder_portable
0
0
0.9
0
5
3
0
0
1
1
0
0
0
27
concentrator_malfunction
2,023
9
9
neonatal_respiratory
0
9
0
1
2
355
4
0
generator_only
22
13
district_hospital
O2_0109
rural
84
0
0
0
0
oxygen_concentrator
5
1
2.7
0
2
2
19
0
1
1
0
1
0
0
not_applicable
2,022
8
8
pneumonia_child
0
8
0
6
0
394
133
1
solar
17
14
district_hospital
O2_0150
rural
56
0
0
0
0
cylinder_portable
0
0
7.1
0
3
3
4
0
1
0
0
1
1
0
not_applicable
2,023
5
13
pneumonia_child
2
11
0
6
0
186
124
0
grid_reliable
3
15
district_hospital
O2_0148
peri_urban
75
0
0
0
0
none
0
0
9.7
0
2
4
12
0
1
0
0
1
1
0
not_applicable
2,021
7
9
severe_malaria
2
7
0
3
0
180
51
0
none
8
16
district_hospital
O2_0092
urban
139
0
0
0
0
none
0
0
7.3
0
1
2
57
0
0
0
0
0
0
5
no_oxygen_source
2,021
11
13
sepsis
0
13
0
8
4
65
7
1
solar
9
17
district_hospital
O2_0131
rural
8
0
1
0
0
cylinder_portable
2
0
7.3
0
4
4
0
0
1
0
0
0
0
11
cylinder_delivery_delay
2,023
10
13
sepsis
0
13
0
6
3
333
18
1
grid_reliable
5
18
district_hospital
O2_0192
peri_urban
47
0
0
0
0
none
0
0
4.3
0
4
2
22
0
1
0
0
0
0
5
concentrator_malfunction
2,023
8
15
COVID19_severe
0
15
0
4
3
166
33
0
grid_reliable
110
19
district_hospital
O2_0059
peri_urban
21
0
0
0
0
oxygen_concentrator
1
0
2.4
0
2
2
10
0
0
0
0
1
1
0
not_applicable
2,024
1
9
pneumonia_adult
2
7
0
2
0
223
20
1
generator_only
10
20
district_hospital
O2_0039
urban
52
0
1
0
1
oxygen_concentrator
2
0
25
1
0
5
41
0
0
0
0
0
0
5
no_oxygen_source
2,022
2
15
pneumonia_adult
0
15
0
6
6
251
1
1
grid_reliable
3
21
district_hospital
O2_0132
rural
129
0
0
0
0
oxygen_concentrator
1
0
7.2
1
0
7
1
0
0
0
0
1
1
0
not_applicable
2,021
9
13
asthma_severe
5
8
0
4
0
228
59
0
generator_only
17
22
district_hospital
O2_0143
peri_urban
68
1
0
0
0
oxygen_concentrator
3
0
3.5
0
6
5
45
0
0
0
0
0
0
4
cylinder_delivery_delay
2,024
12
11
asthma_severe
0
11
0
4
3
454
9
0
solar
52
23
district_hospital
O2_0101
urban
61
0
0
0
0
oxygen_concentrator
2
0
8.5
0
1
3
7
0
0
0
0
0
0
5
cylinder_delivery_delay
2,022
6
10
asthma_severe
0
10
0
7
4
111
40
1
grid_unreliable
9
24
district_hospital
O2_0045
urban
5
0
0
0
0
oxygen_concentrator
3
0
3.8
0
3
4
15
0
0
0
0
1
0
0
not_applicable
2,024
7
10
pneumonia_adult
1
9
1
6
0
210
102
0
generator_only
4
25
district_hospital
O2_0079
peri_urban
63
0
0
0
0
oxygen_concentrator
1
0
0.4
0
4
6
20
0
1
1
0
0
0
15
funding_for_refill
2,024
7
11
pneumonia_child
0
11
0
9
2
141
25
1
grid_unreliable
7
26
district_hospital
O2_0099
rural
20
0
0
0
0
cylinder_piped
0
0
4.3
0
2
8
28
0
0
0
0
0
0
1
power_outage
2,024
5
11
neonatal_respiratory
0
11
0
5
4
200
40
0
solar
34
27
district_hospital
O2_0061
peri_urban
117
0
0
0
0
oxygen_concentrator
1
0
3.3
0
4
5
1
0
0
0
0
0
0
21
concentrator_malfunction
2,024
1
16
COVID19_severe
0
16
0
7
5
139
17
0
none
17
28
district_hospital
O2_0187
rural
51
0
0
0
0
cylinder_portable
0
0
4.2
0
4
0
10
0
0
0
0
0
0
6
funding_for_refill
2,021
12
8
COPD_exacerbation
0
8
0
4
1
315
6
1
none
10
29
district_hospital
O2_0095
rural
5
0
0
0
0
cylinder_piped
0
0
3.2
0
2
5
4
0
0
0
0
0
0
15
no_oxygen_source
2,023
11
10
trauma
0
10
0
4
2
208
152
1
grid_unreliable
8
30
district_hospital
O2_0056
urban
60
0
0
1
0
cylinder_portable
1
0
3.6
0
1
6
4
0
1
0
0
1
1
1
no_oxygen_source
2,022
1
14
COPD_exacerbation
6
8
0
5
0
87
9
0
grid_unreliable
26
31
district_hospital
O2_0002
rural
158
0
1
1
0
cylinder_piped
0
0
5.5
0
3
4
0
0
1
0
0
0
0
6
demand_surge
2,023
7
5
severe_malaria
0
5
0
1
0
319
11
1
grid_unreliable
2
32
district_hospital
O2_0016
rural
33
0
0
0
0
cylinder_portable
0
0
21
0
1
2
33
0
0
0
0
0
0
20
regulator_valve_failure
2,021
2
11
sepsis
0
11
0
5
4
156
70
0
generator_only
24
33
district_hospital
O2_0191
peri_urban
28
0
0
0
0
cylinder_portable
0
0
3.5
0
5
5
20
0
0
0
0
1
1
0
not_applicable
2,022
5
9
surgical_anaesthesia
3
6
0
4
0
252
64
1
none
9
34
district_hospital
O2_0021
rural
60
0
0
0
1
cylinder_portable
0
0
2.1
1
1
5
15
0
0
0
0
1
1
0
not_applicable
2,024
12
16
severe_malaria
7
9
1
2
0
249
67
0
none
6
35
district_hospital
O2_0182
peri_urban
46
0
0
0
0
oxygen_concentrator
1
0
5.9
0
2
2
4
0
1
1
1
1
1
0
not_applicable
2,023
6
6
asthma_severe
2
4
0
2
0
235
135
0
none
1
36
district_hospital
O2_0041
peri_urban
55
0
0
0
0
LOX_bulk_tank
0
0
1.5
0
4
3
15
0
1
0
0
0
0
25
regulator_valve_failure
2,024
9
19
trauma
0
19
0
9
6
223
58
0
generator_only
14
37
district_hospital
O2_0172
peri_urban
63
0
0
0
0
none
0
0
0.1
0
2
4
2
0
1
1
0
0
0
3
power_outage
2,022
5
15
asthma_severe
0
15
0
10
7
132
14
0
none
5
38
district_hospital
O2_0065
peri_urban
75
0
0
0
0
oxygen_concentrator
1
0
0.8
0
5
2
61
0
1
0
0
1
0
0
not_applicable
2,024
10
12
trauma
5
7
0
3
0
191
89
0
grid_unreliable
28
39
district_hospital
O2_0155
rural
25
0
0
0
0
cylinder_piped
0
0
9.2
0
4
2
5
0
1
0
0
0
0
24
empty_cylinders_not_collected
2,022
9
10
pneumonia_child
0
10
0
4
2
198
65
0
grid_reliable
29
40
district_hospital
O2_0048
rural
88
0
0
0
0
oxygen_concentrator
2
0
4.2
0
2
6
46
0
0
0
0
0
0
6
cylinder_delivery_delay
2,021
10
12
COPD_exacerbation
0
12
0
6
5
107
11
1
none
69
41
district_hospital
O2_0154
rural
49
0
0
0
0
none
0
0
13.5
0
1
4
2
0
1
0
0
1
0
8
no_oxygen_source
2,022
12
9
COPD_exacerbation
4
5
0
3
0
199
66
1
grid_reliable
16
42
district_hospital
O2_0073
urban
107
0
0
0
0
cylinder_portable
0
0
1.8
0
6
5
30
0
1
1
0
1
0
0
not_applicable
2,024
12
9
pneumonia_adult
4
5
0
2
0
433
249
1
grid_reliable
1
43
district_hospital
O2_0157
rural
107
0
0
0
0
LOX_bulk_tank
0
0
10.6
0
5
6
7
0
0
0
0
0
0
13
concentrator_malfunction
2,024
8
18
surgical_anaesthesia
0
18
0
9
4
75
41
0
solar
22
44
district_hospital
O2_0032
peri_urban
55
0
0
0
0
none
0
0
23.2
0
5
2
23
0
0
0
0
0
0
6
cylinder_delivery_delay
2,022
12
16
COPD_exacerbation
0
16
0
10
3
74
33
0
none
7
45
district_hospital
O2_0109
rural
154
0
1
0
0
cylinder_portable
0
0
2.7
0
4
6
6
0
1
1
1
1
0
1
no_oxygen_source
2,023
7
15
asthma_severe
6
9
0
5
0
159
18
0
grid_unreliable
19
46
district_hospital
O2_0156
urban
119
0
0
0
0
oxygen_concentrator
2
0
7.3
0
4
5
23
0
0
0
0
1
1
0
not_applicable
2,024
4
9
COVID19_severe
4
5
0
2
0
290
45
0
generator_only
13
47
district_hospital
O2_0199
urban
63
0
0
0
0
none
0
0
0.9
0
1
3
7
0
1
0
0
1
1
0
not_applicable
2,023
9
11
pneumonia_adult
5
6
0
4
0
277
40
1
grid_unreliable
32
48
district_hospital
O2_0150
rural
79
0
0
0
0
cylinder_piped
0
0
2.8
0
6
6
7
0
1
0
0
1
1
0
not_applicable
2,023
12
8
neonatal_respiratory
4
4
1
2
0
187
77
1
solar
19
49
district_hospital
O2_0135
urban
100
0
1
0
0
cylinder_piped
1
0
2.3
0
3
1
3
0
0
0
0
1
1
0
not_applicable
2,023
6
14
COVID19_severe
3
11
1
2
0
153
37
0
grid_unreliable
18
50
district_hospital
O2_0113
peri_urban
84
1
0
0
1
cylinder_portable
0
0
14.5
1
2
5
70
0
1
0
0
0
0
6
power_outage
2,022
12
11
pneumonia_adult
0
11
0
5
1
303
17
0
grid_unreliable
29
51
district_hospital
O2_0157
rural
9
0
0
0
0
oxygen_concentrator
2
1
7.3
0
6
3
2
0
0
0
0
1
1
2
concentrator_malfunction
2,023
3
10
severe_malaria
2
8
0
2
0
217
39
0
grid_unreliable
16
52
district_hospital
O2_0002
peri_urban
28
0
0
0
0
oxygen_concentrator
2
1
6.5
0
4
3
37
0
1
0
0
0
0
3
concentrator_malfunction
2,024
5
12
pneumonia_child
0
12
0
8
3
198
17
0
none
12
53
district_hospital
O2_0197
peri_urban
57
0
0
0
0
oxygen_concentrator
2
1
0.7
0
2
4
21
0
0
0
0
0
0
19
cylinder_delivery_delay
2,024
12
10
COVID19_severe
0
10
0
3
7
229
43
0
solar
6
54
district_hospital
O2_0083
rural
128
0
0
0
0
cylinder_portable
2
0
1.9
0
0
3
18
0
1
1
1
1
0
0
not_applicable
2,024
9
12
neonatal_respiratory
6
6
0
4
0
211
69
0
none
14
55
district_hospital
O2_0014
urban
121
0
0
0
1
cylinder_portable
0
0
9.5
1
2
1
3
0
1
1
0
0
0
1
demand_surge
2,023
12
10
COPD_exacerbation
0
10
0
3
2
215
62
0
grid_unreliable
5
56
district_hospital
O2_0193
rural
44
0
0
0
0
oxygen_concentrator
2
0
2
0
1
3
11
0
0
0
0
1
0
0
not_applicable
2,022
4
10
surgical_anaesthesia
3
7
1
2
0
304
3
0
grid_reliable
3
57
district_hospital
O2_0117
rural
35
0
0
0
0
none
0
0
6
1
0
3
48
0
0
0
0
0
0
1
concentrator_malfunction
2,022
12
12
pneumonia_child
0
12
0
5
3
214
9
1
solar
30
58
district_hospital
O2_0049
peri_urban
52
0
0
0
0
none
0
0
0.5
0
3
5
27
0
0
0
0
0
0
22
demand_surge
2,021
5
13
asthma_severe
0
13
0
7
4
114
14
0
grid_unreliable
1
59
district_hospital
O2_0099
rural
23
0
0
0
0
oxygen_concentrator
1
0
0.5
1
6
5
25
0
1
1
1
1
0
0
not_applicable
2,024
11
11
pneumonia_adult
0
11
0
4
0
351
19
0
generator_only
5
60
district_hospital
O2_0063
urban
78
0
0
0
0
LOX_bulk_tank
0
0
6.7
0
1
3
4
0
0
0
0
1
1
0
not_applicable
2,024
10
12
other_hypoxemia
5
7
0
1
0
310
120
0
solar
10
61
district_hospital
O2_0165
peri_urban
49
0
0
0
0
oxygen_concentrator
1
0
0.4
0
2
0
2
0
0
0
0
0
0
1
funding_for_refill
2,021
6
13
neonatal_respiratory
0
13
0
2
5
122
21
1
grid_unreliable
15
62
district_hospital
O2_0122
rural
58
0
0
0
0
oxygen_concentrator
4
2
3.1
0
2
3
4
0
0
0
0
0
0
1
empty_cylinders_not_collected
2,023
8
14
neonatal_respiratory
0
14
0
7
2
71
17
0
none
19
63
district_hospital
O2_0138
peri_urban
13
0
0
0
0
cylinder_portable
0
0
1.6
0
3
4
24
0
1
0
0
0
0
13
power_outage
2,022
7
11
surgical_anaesthesia
0
11
0
5
5
165
12
1
grid_unreliable
31
64
district_hospital
O2_0076
peri_urban
5
0
0
0
0
cylinder_portable
3
1
12.5
0
3
3
9
0
1
0
0
0
0
15
empty_cylinders_not_collected
2,023
7
11
pneumonia_child
0
11
0
4
1
188
16
0
grid_unreliable
10
65
district_hospital
O2_0080
peri_urban
60
0
0
0
0
cylinder_portable
0
0
17
0
1
4
8
0
0
0
0
1
1
0
not_applicable
2,023
7
8
neonatal_respiratory
4
4
0
2
0
25
12
0
grid_reliable
8
66
district_hospital
O2_0051
urban
108
0
0
0
0
oxygen_concentrator
0
0
0.3
0
1
7
6
0
1
0
0
1
1
4
concentrator_malfunction
2,022
6
11
surgical_anaesthesia
5
6
0
1
0
130
317
1
grid_unreliable
25
67
district_hospital
O2_0114
peri_urban
47
0
0
1
0
cylinder_portable
0
0
6.2
0
5
8
0
0
1
1
1
1
1
0
not_applicable
2,023
12
12
COPD_exacerbation
7
5
0
1
0
277
52
0
none
5
68
district_hospital
O2_0165
rural
72
0
0
0
0
cylinder_portable
0
0
5.2
0
2
4
22
0
0
0
0
0
0
1
power_outage
2,023
11
13
COPD_exacerbation
0
13
0
6
2
199
68
0
solar
19
69
district_hospital
O2_0131
rural
68
0
0
0
0
cylinder_portable
0
0
0.5
0
4
2
49
0
0
0
0
0
0
2
no_oxygen_source
2,024
10
12
pneumonia_adult
0
12
0
4
4
391
27
1
grid_unreliable
4
70
district_hospital
O2_0192
peri_urban
36
1
0
0
0
oxygen_concentrator
1
0
9.3
0
2
3
26
0
1
0
0
0
0
1
cylinder_delivery_delay
2,024
3
8
neonatal_respiratory
0
8
0
5
0
211
20
1
grid_unreliable
17
71
district_hospital
O2_0106
urban
57
0
0
0
0
cylinder_piped
0
0
4.2
0
1
8
14
0
0
0
0
0
0
5
PSA_plant_breakdown
2,021
11
7
severe_malaria
0
7
0
3
0
214
138
0
none
4
72
district_hospital
O2_0108
urban
13
0
0
0
0
oxygen_concentrator
4
2
0.8
0
2
1
0
0
1
0
0
1
1
0
not_applicable
2,024
11
10
pneumonia_child
3
7
0
4
0
271
41
0
solar
1
73
district_hospital
O2_0172
peri_urban
98
0
0
0
0
oxygen_concentrator
0
0
17.6
0
2
2
44
0
0
0
0
1
1
0
not_applicable
2,022
6
14
surgical_anaesthesia
5
9
0
4
0
246
11
0
grid_unreliable
21
74
district_hospital
O2_0130
rural
64
0
0
1
0
oxygen_concentrator
1
0
4.3
1
1
4
35
0
1
1
1
0
0
8
power_outage
2,024
7
9
COPD_exacerbation
0
9
0
4
3
218
21
0
grid_reliable
45
75
district_hospital
O2_0079
rural
37
0
0
0
0
oxygen_concentrator
1
0
9.4
0
1
6
42
0
0
0
0
0
0
5
concentrator_malfunction
2,021
7
9
other_hypoxemia
0
9
0
3
1
133
43
0
grid_unreliable
14
76
district_hospital
O2_0005
rural
72
0
0
0
0
oxygen_concentrator
1
0
6.5
0
3
3
21
0
1
0
0
0
0
15
empty_cylinders_not_collected
2,024
12
13
pneumonia_child
0
13
0
6
7
118
6
0
grid_unreliable
13
77
district_hospital
O2_0121
rural
95
0
0
0
0
oxygen_concentrator
1
0
6.6
0
2
2
9
0
1
0
0
0
0
4
PSA_plant_breakdown
2,024
10
19
neonatal_respiratory
0
19
0
7
4
0
22
0
grid_unreliable
3
78
district_hospital
O2_0078
rural
9
0
0
0
0
oxygen_concentrator
3
1
11.7
0
8
5
14
0
1
1
1
0
0
9
cylinder_delivery_delay
2,024
4
11
COPD_exacerbation
0
11
0
3
7
266
2
0
none
5
79
district_hospital
O2_0020
rural
41
0
0
0
0
oxygen_concentrator
3
1
1.5
0
6
2
5
0
0
0
0
1
0
0
not_applicable
2,023
11
14
severe_malaria
8
6
0
2
0
192
50
0
generator_only
8
80
district_hospital
O2_0031
rural
68
0
0
0
0
cylinder_piped
1
0
7.5
0
2
4
23
0
0
0
0
1
1
0
not_applicable
2,021
2
16
surgical_anaesthesia
9
7
0
2
0
199
170
1
grid_unreliable
3
81
district_hospital
O2_0097
urban
39
0
0
0
0
oxygen_concentrator
3
0
0.8
0
5
2
10
0
0
0
0
1
1
1
funding_for_refill
2,024
4
8
pneumonia_adult
3
5
0
3
0
227
62
0
grid_reliable
2
82
district_hospital
O2_0114
rural
76
0
0
0
0
PSA_plant_onsite
0
0
0.4
0
3
2
10
1
1
0
0
0
0
29
cylinder_delivery_delay
2,024
12
14
severe_malaria
0
14
0
6
2
414
40
1
grid_unreliable
7
83
district_hospital
O2_0090
peri_urban
87
0
0
0
0
oxygen_concentrator
0
0
3.4
0
5
1
43
0
1
1
0
1
1
0
not_applicable
2,021
12
12
pneumonia_adult
3
9
0
7
0
191
148
0
solar
19
84
district_hospital
O2_0114
rural
106
0
0
0
0
LOX_bulk_tank
0
0
0.9
0
3
5
9
0
0
0
0
1
1
15
concentrator_malfunction
2,022
9
4
pneumonia_child
2
2
1
2
0
161
30
0
grid_unreliable
3
85
district_hospital
O2_0039
urban
25
0
1
0
0
cylinder_portable
0
0
1.1
0
4
1
14
0
0
0
0
0
0
20
PSA_plant_breakdown
2,023
9
10
pneumonia_adult
0
10
0
3
2
175
225
0
none
8
86
district_hospital
O2_0178
urban
14
0
0
0
0
cylinder_piped
0
0
2.7
0
3
4
162
0
0
0
0
1
1
0
not_applicable
2,021
1
18
other_hypoxemia
10
8
0
6
0
239
18
0
generator_only
54
87
district_hospital
O2_0104
peri_urban
65
0
0
1
0
none
0
0
2.1
0
2
6
59
0
1
0
0
1
1
0
not_applicable
2,023
6
15
asthma_severe
8
7
1
4
0
221
1
0
grid_reliable
16
88
district_hospital
O2_0138
rural
27
0
0
0
0
cylinder_piped
0
0
14
1
2
1
51
0
1
0
0
0
0
8
no_oxygen_source
2,023
12
13
pneumonia_child
0
13
0
10
3
123
64
1
none
24
89
district_hospital
O2_0094
urban
77
0
0
0
0
oxygen_concentrator
3
1
4.4
0
8
6
47
0
0
0
0
1
0
0
not_applicable
2,024
10
11
COPD_exacerbation
6
5
1
3
0
285
44
0
none
17
90
district_hospital
O2_0093
rural
91
0
0
0
0
cylinder_portable
4
1
0.8
0
1
3
15
0
1
0
0
0
0
5
power_outage
2,022
4
10
COVID19_severe
0
10
0
6
0
95
36
0
none
5
91
district_hospital
O2_0049
rural
97
0
0
0
0
cylinder_piped
0
0
17.1
0
5
5
10
0
0
0
0
1
1
0
not_applicable
2,022
11
15
surgical_anaesthesia
8
7
0
4
0
251
278
1
generator_only
7
92
district_hospital
O2_0078
rural
18
0
0
1
0
cylinder_portable
0
0
4.6
0
1
3
2
0
1
1
1
0
0
3
power_outage
2,024
4
13
neonatal_respiratory
0
13
0
4
4
93
6
1
generator_only
8
93
district_hospital
O2_0081
rural
53
0
0
0
0
none
0
0
0.9
0
2
3
30
0
1
1
0
1
1
0
not_applicable
2,024
9
10
neonatal_respiratory
5
5
1
1
0
229
44
0
grid_reliable
2
94
district_hospital
O2_0182
rural
82
0
0
0
0
oxygen_concentrator
2
0
3.8
0
3
2
20
0
0
0
0
1
1
0
not_applicable
2,024
11
13
pneumonia_child
2
11
1
5
0
197
66
1
grid_reliable
0
95
district_hospital
O2_0008
rural
5
0
0
0
0
oxygen_concentrator
6
1
4.9
0
6
10
64
0
1
0
0
0
0
2
cylinder_delivery_delay
2,022
6
16
pneumonia_child
0
16
0
8
4
201
3
1
grid_reliable
11
96
district_hospital
O2_0151
rural
15
0
0
0
0
oxygen_concentrator
2
0
0.1
0
6
4
36
0
0
0
0
1
0
0
not_applicable
2,022
6
21
neonatal_respiratory
7
14
1
5
0
181
17
0
solar
22
97
district_hospital
O2_0098
peri_urban
54
1
0
0
0
LOX_bulk_tank
5
3
2.7
0
2
5
18
0
0
0
0
1
1
0
not_applicable
2,023
10
12
COPD_exacerbation
2
10
1
4
0
304
1
0
grid_unreliable
11
98
district_hospital
O2_0172
rural
52
0
0
0
0
cylinder_piped
0
0
3.1
0
3
3
42
0
1
0
0
1
1
0
not_applicable
2,023
8
12
pneumonia_adult
7
5
1
5
0
174
0
0
grid_reliable
8
99
district_hospital
O2_0072
rural
88
0
0
1
0
cylinder_portable
0
0
5.3
0
5
2
3
0
0
0
0
0
0
8
concentrator_malfunction
2,023
9
12
COVID19_severe
0
12
0
5
5
195
81
1
generator_only
4
100
district_hospital
O2_0078
peri_urban
14
0
0
0
0
cylinder_piped
0
0
4.2
0
4
4
3
0
1
1
1
0
0
4
demand_surge
2,022
8
10
other_hypoxemia
0
10
0
7
1
331
77
0
none
5
End of preview. Expand in Data Studio

Medical Oxygen Supply Dataset

Abstract

This dataset provides 30,000 simulated facility-level observations (10,000 per scenario) of medical oxygen availability, delivery infrastructure, pulse oximetry access, and patient outcomes across three tiers of healthcare in sub-Saharan Africa. Each record represents one facility observation for one monthly period, capturing 40+ variables including oxygen source type, concentrator and cylinder status, pulse oximetry functionality, patient oxygen demand and coverage, hypoxemia-related mortality, shortage root causes, and logistics metrics. Three scenarios model the oxygen access gradient: referral hospital (82% availability), district hospital (50%), and rural health centre (12%).

This dataset is entirely simulated. It must not be used for clinical decision-making or procurement.

1. Introduction

1.1 The Medical Oxygen Crisis

Medical oxygen is classified as an essential medicine by the World Health Organization, yet sub-Saharan Africa faces a profound and chronic oxygen deficit. According to analysis by the Institute for Transformative Technologies and Oxygen Hub, most SSA countries have less than 10% of the oxygen volume needed to treat high-burden conditions including childhood pneumonia, COPD, neonatal respiratory distress syndrome, and severe malaria (Oxygen Hub/ITT, 2021). COVID-19 both exacerbated and exposed this gap, triggering emergency investments that remain insufficient for sustained coverage.

1.2 Supply Infrastructure

Historically, the dominant oxygen supply method in SSA has been compressed gas cylinders filled from cryogenic liquid oxygen (LOX) plants — facilities originally built for industrial applications and concentrated in capital cities. The medical oxygen market is dominated by a small number of LOX providers exhibiting monopolistic tendencies, with nearly 6 in 10 SSA countries dependent on a single supplier (PMC, 2022; PMC9771461).

Pressure swing adsorption (PSA) plants have emerged as a decentralised alternative, but maintenance failures are endemic. As of October 2022, at least 165 PSA plants globally needed repair, of which 151 (92%) were located in sub-Saharan Africa (PMC, 2022; PMC9771461). The WHO distributed over 30,000 oxygen concentrators worldwide, yet SSA faces significant challenges related to maintenance, spare parts, and reliable power supply (BMC Health Services Research, 2025; doi:10.1186/s12913-025-12315-6).

1.3 Availability at the Facility Level

A systematic assessment found that approximately half of health facilities in resource-limited settings had either no or inconsistent supply of medical oxygen and pulse oximeters, with the situation worst in the poorest countries of sub-Saharan Africa (PMC, 2024; PMC11082622). A scoping review of oxygen delivery systems for adults in SSA documented hypoxemia prevalence ranging from 11% to 89% across study populations, with high mortality among those with undetected or untreated hypoxemia (PMC, 2021; PMC8109278).

1.4 Pulse Oximetry: The Detection Gap

Oxygen therapy depends on the ability to detect hypoxemia. Pulse oximetry is the essential screening tool, yet availability is profoundly limited at lower facility levels. Without pulse oximetry, clinical recognition of hypoxemia relies on subjective signs (cyanosis, respiratory distress) that are unreliable, particularly in dark-skinned patients and neonates. The absence of pulse oximetry means that many hypoxemic patients are never identified and never receive oxygen.

1.5 Patient Impact and Mortality

Untreated hypoxemia carries high case fatality rates. Childhood pneumonia with hypoxemia has mortality rates of 35–55% without oxygen therapy in LMIC settings, compared with 5–15% when oxygen is provided. Neonatal respiratory distress syndrome, severe malaria, and sepsis all require oxygen as a life-saving intervention. The oxygen-attributable mortality burden in SSA is estimated in the hundreds of thousands annually.

1.6 Rationale for This Dataset

Despite growing investment post-COVID, no open, standardised dataset integrates oxygen source infrastructure, equipment functionality, pulse oximetry access, patient-level demand and coverage, and mortality outcomes into a single analytical resource. This dataset fills that gap for supply chain modelling, equipment investment prioritisation, and health systems research.

2. Methodology

2.1 Epidemiological Parameterization

Parameter Referral Hospital District Hospital Rural HC Source
Oxygen available 82% 50% 12% [6] ~50% facilities lack oxygen
Sufficient for demand 65% 35% 8% [1] <10% volume needed
Pulse oximeter functional 85% 14% 0.4% [4][6] Limited at lower levels
Concentrator functional rate 70% 45% 15% [5] Maintenance challenges
PSA plant functional 55% N/A N/A [3] 151/165 needing repair
Cylinder refill interval 5 days 21 days 45 days [1] Urban vs rural logistics
Mortality untreated hypoxemia 35% 45% 55% [4] Scoping review
Distance to refill 15 km 50 km 120 km Geographic analysis

2.2 Scenario Design

Scenario A — Referral/Teaching Hospital: PSA plant or LOX bulk tank, piped oxygen system, ICU/NICU, pulse oximetry, biomedical technician, reliable power with generator backup. Analogous to Muhimbili (Tanzania), Kenyatta (Kenya), Mulago (Uganda).

Scenario B — District Hospital: Oxygen concentrators and/or portable cylinders, limited pulse oximetry (35% have device, 40% functional), no ICU, clinical officer manages oxygen, unreliable power. Analogous to district hospitals in Malawi, Rwanda, Mozambique.

Scenario C — Rural Health Centre: No permanent oxygen source (70% have none), no pulse oximetry, nurse-managed, no power grid. Occasional cylinder if transport available. Analogous to health centres in Niger, DRC, South Sudan, rural Ethiopia.

3. Schema

3.1 Facility Infrastructure

Column Type Description
facility_level categorical referral_hospital / district_hospital / rural_health_centre
bed_count int Total bed capacity
has_icu binary Intensive care unit present
has_nicu binary Neonatal ICU present
has_piped_oxygen binary Piped oxygen distribution system
has_biomedical_technician binary Technician for equipment maintenance

3.2 Oxygen Source & Equipment

Column Type Description
primary_oxygen_source categorical PSA_plant_onsite / LOX_bulk_tank / oxygen_concentrator / cylinder_piped / cylinder_portable / none
concentrator_count int Number of oxygen concentrators
concentrator_functional int Number currently functional
concentrator_mean_age_years float Average equipment age
concentrator_maintenance_available binary Maintenance capacity exists
cylinder_count_full int Full cylinders on hand
cylinder_count_empty int Empty cylinders awaiting refill
days_since_cylinder_refill int Days since last cylinder delivery
PSA_plant_functional binary On-site PSA plant operational

3.3 Pulse Oximetry

Column Type Description
pulse_oximeter_available binary Device present at facility
pulse_oximeter_functional binary Device operational
SpO2_screening_routine binary Routine SpO2 screening practiced

3.4 Availability & Shortage

Column Type Description
oxygen_available_today binary Oxygen available on assessment day
oxygen_sufficient_for_demand binary Supply meets current patient demand
oxygen_stockout_days_last_month int Days without oxygen in past month
shortage_cause categorical 11 root cause categories

3.5 Patient Demand & Outcomes

Column Type Description
patients_needing_oxygen int Patients requiring supplemental oxygen
primary_condition categorical 12 clinical conditions requiring oxygen
patients_received_oxygen int Patients who actually received oxygen
patients_untreated_hypoxemia int Patients with unmet oxygen need
flow_rate_adequate binary Oxygen delivered at therapeutic flow rate
deaths_hypoxemia_related int Deaths attributable to untreated hypoxemia
referred_for_oxygen int Patients referred to higher facility for oxygen

3.6 Logistics & Cost

Column Type Description
monthly_oxygen_cost_usd float Monthly oxygen expenditure (USD)
distance_to_refill_km float Distance to nearest cylinder refill point
transport_available_for_cylinders binary Vehicle available for cylinder transport
power_source categorical grid_reliable / grid_unreliable / generator_only / solar / none
power_outage_hours_last_week int Hours without electricity

4. Validation

Validation Report

4.1 Key Validation Results

Metric Referral District Rural Literature
Oxygen available 82% 50% 12% ~50% lack oxygen [6]
Sufficient supply 65% 35% 8% <10% volume [1]
Pulse ox functional 85% 14% 0.4% Limited periphery [4]
Mean patients needing O2 40 12 3 Facility volume
Mean patients receiving O2 26 2.5 0 Coverage gap
Mean deaths/observation 5.0 4.3 1.7 High mortality [4]

5. Usage

from datasets import load_dataset

dataset = load_dataset(
    "electricsheepafrica/medical-oxygen-supply",
    "district_hospital"
)
df = dataset["train"].to_pandas()

# Oxygen coverage gap analysis
df['coverage_pct'] = df['patients_received_oxygen'] / df['patients_needing_oxygen'].clip(lower=1) * 100
print(df.groupby('primary_oxygen_source')['coverage_pct'].mean())

5.1 Suggested Analyses

  • Oxygen access prediction: Classify facilities at risk of stockout from infrastructure and logistics features.
  • Mortality modelling: Quantify the relationship between oxygen availability, pulse oximetry, and hypoxemia deaths.
  • Equipment investment: Compare cost-effectiveness of concentrators vs cylinders vs PSA plants by facility type.
  • Power dependency: Model the impact of electrification and solar deployment on oxygen availability.

6. Limitations

  • Simulated: Not from real oxygen surveys or health management information systems.
  • No temporal dynamics: Cross-sectional observations, not longitudinal supply chain tracking.
  • Simplified mortality: Deaths are modelled from a single probability rather than full clinical pathways.
  • No ambient conditions: Altitude, temperature, and humidity effects on concentrator performance not modelled.
  • No cost granularity: Unit costs for cylinders, concentrators, and PSA are approximated, not market-specific.

7. References

  1. Oxygen Hub / ITT (2021). Closing the medical oxygen gap in sub-Saharan Africa. oxygenhub.org/psaplants
  2. PMC (2022). Oxygen inequity in the COVID-19 pandemic and beyond. PMC9972372.
  3. PMC (2022). A comprehensive approach to medical oxygen ecosystem building. 151/165 broken PSA plants in SSA. PMC9771461.
  4. PMC (2021). Oxygen delivery systems for adults in sub-Saharan Africa: A scoping review. Hypoxemia prevalence 11–89%. PMC8109278.
  5. BMC Health Services Research (2025). Design and maintenance of medical oxygen concentrators in SSA. WHO distributed >30,000 OCs. doi:10.1186/s12913-025-12315-6
  6. PMC (2024). Functional availability of medical oxygen for management of pneumonia. ~50% facilities lack oxygen. PMC11082622.
  7. WHO (2023). Model List of Essential Medicines, 23rd list. Medical oxygen included.

Citation

@dataset{esa_medical_oxygen_supply_2025,
  title   = {Medical Oxygen Supply Dataset: Availability, Equipment,
             Hypoxemia Mortality, and Supply Chain Across Three Tiers
             of Healthcare in Sub-Saharan Africa},
  author  = {{Electric Sheep Africa}},
  year    = {2025},
  publisher = {Hugging Face},
  url     = {https://huggingface.co/datasets/electricsheepafrica/medical-oxygen-supply},
  note    = {Simulated dataset. Not for clinical or procurement use.}
}

License

CC-BY-4.0

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