{
  "slug": "oregon-county-primary-care-access-2026",
  "title": "Oregon County Primary-Care Access & Health-Burden Scorecard",
  "summary": "A county-level targeting index for Oregon, fusing adult chronic-disease and social-risk prevalence (CDC PLACES) with federally designated primary-care provider shortages (HRSA). Ranks all 36 counties by combined need so a health department or rural-health office can see where high burden and thin provider supply overlap.",
  "state": "Oregon",
  "category": "Public Health & Risk",
  "tags": [
    "public-health",
    "health-access",
    "geospatial-risk",
    "government-data",
    "oregon"
  ],
  "publishedDate": "2026-08-01",
  "accessAxisLabel": "Access & SDOH barriers",
  "generatedAt": "2026-08-01T06:59:07+00:00",
  "dataVintage": {
    "places": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)",
    "hpsa": "HRSA Primary Care HPSA detail extract, accessed 2026-08-01",
    "acs": "ACS 2019-2023 5-year estimates"
  },
  "methodology": "A Health-Burden axis is built from CDC PLACES crude adult prevalence (diagnosed diabetes, obesity, high blood pressure, coronary heart disease, fair or poor self-rated health, frequent physical distress). An Access & SDOH barriers axis combines uninsured (adults 18-64), below poverty (acs), households without a vehicle (acs) (Census ACS measures join CDC PLACES here). Each measure is min-max normalized across the state's counties to 0-100, then averaged within its axis. A Provider-Shortage axis scales each county's worst designated primary-care HPSA score against the HRSA 0-26 severity scale. The combined Targeting-Priority Index is the equal-weighted mean of the three axes. PLACES values are model-based estimates with confidence intervals (carried per county), not direct counts. Scores are relative WITHIN Oregon: a 100 marks the worst county in the state on that axis, not a national benchmark.",
  "limitations": [
    "Scores are intra-state relative, not absolute or cross-state comparable.",
    "These candidate measures were unavailable for Oregon in this release (BRFSS SDOH-module participation varies by state), so they are excluded from the index: Lack of reliable transportation, Food insecurity, Housing insecurity.",
    "PLACES values are small-area model-based estimates with confidence intervals, not direct counts.",
    "HPSA aggregation takes the worst designated primary-care score per county; geographic, population-group, and facility designations are pooled.",
    "Equal axis weighting is a transparent default, not a calibrated policy model.",
    "Socioeconomic measures are ACS 2019-2023 5-year estimates; ACS estimates carry margins of error not reflected in the composite.",
    "This is informational analysis of public data, not clinical, individual, or actuarial advice."
  ],
  "sources": [
    {
      "name": "CDC PLACES — Local Data for Better Health (County Data)",
      "dataset": "PLACES: Local Data for Better Health, County Data, 2025 release (measure year 2023)",
      "url": "https://www.cdc.gov/places/",
      "apiUrl": "https://data.cdc.gov/resource/swc5-untb.json",
      "accessedDate": "2026-08-01"
    },
    {
      "name": "HRSA — Primary Care Health Professional Shortage Areas",
      "dataset": "Shortage Area HPSA detail (Primary Care discipline, designated)",
      "url": "https://data.hrsa.gov/data/download",
      "accessedDate": "2026-08-01"
    },
    {
      "name": "U.S. Census Bureau — American Community Survey (5-year)",
      "dataset": "ACS 2019-2023 5-year estimates",
      "url": "https://www.census.gov/programs-surveys/acs/",
      "apiUrl": "https://api.census.gov/data/2023/acs/acs5",
      "accessedDate": "2026-08-01"
    }
  ],
  "measures": {
    "burden": [
      {
        "id": "DIABETES",
        "label": "Diagnosed diabetes"
      },
      {
        "id": "OBESITY",
        "label": "Obesity"
      },
      {
        "id": "BPHIGH",
        "label": "High blood pressure"
      },
      {
        "id": "CHD",
        "label": "Coronary heart disease"
      },
      {
        "id": "GHLTH",
        "label": "Fair or poor self-rated health"
      },
      {
        "id": "PHLTH",
        "label": "Frequent physical distress"
      }
    ],
    "access": [
      {
        "id": "ACCESS2",
        "label": "Uninsured (adults 18-64)"
      },
      {
        "id": "ACS_POVERTY",
        "label": "Below poverty (ACS)"
      },
      {
        "id": "ACS_NOVEHICLE",
        "label": "Households without a vehicle (ACS)"
      }
    ]
  },
  "stats": {
    "counties": 36,
    "countiesWithHpsa": 36,
    "countiesWithHpsaPct": 100,
    "medianDiabetes": 13.0,
    "diabetesMin": {
      "county": "Benton",
      "value": 9.3
    },
    "diabetesMax": {
      "county": "Wheeler",
      "value": 16.5
    },
    "medianUninsured": 8.6
  },
  "keyFindings": [
    "36 of Oregon's 36 counties (100%) fall within a federally designated primary-care Health Professional Shortage Area.",
    "Adult diagnosed-diabetes prevalence ranges from 9.3% in Benton County to 16.5% in Wheeler County, a 7.2-point spread within a single state.",
    "Lake County carries the highest combined targeting-priority index (67.8/100), led by its provider shortage score.",
    "The median county uninsured rate (adults 18-64) is 8.6%, and the median adult diabetes prevalence is 13.0%."
  ],
  "counties": [
    {
      "fips": "41037",
      "name": "Lake",
      "population": 8293,
      "priorityIndex": 67.8,
      "burdenScore": 73.1,
      "accessScore": 53.4,
      "shortageScore": 76.9,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 20,
      "hpsaDesignations": 2,
      "raw": {
        "DIABETES": 14.7,
        "OBESITY": 37.7,
        "BPHIGH": 40.6,
        "CHD": 9.4,
        "GHLTH": 24.0,
        "PHLTH": 16.8,
        "ACCESS2": 10.0,
        "LACKTRPT": null,
        "FOODINSECU": null,
        "HOUSINSECU": null,
        "ACS_POVERTY": 17.8,
        "ACS_NOVEHICLE": 6.4
      },
      "ci": {
        "DIABETES": {
          "lo": 12.6,
          "hi": 16.9
        },
        "OBESITY": {
          "lo": 29.5,
          "hi": 46.2
        },
        "BPHIGH": {
          "lo": 36.0,
          "hi": 45.1
        },
        "CHD": {
          "lo": 8.2,
          "hi": 10.7
        },
        "GHLTH": {
          "lo": 20.4,
          "hi": 28.1
        },
        "PHLTH": {
          "lo": 14.6,
          "hi": 19.3
        },
        "ACCESS2": {
          "lo": 7.9,
          "hi": 12.4
        },
        "LACKTRPT": {
          "lo": null,
          "hi": null
        },
        "FOODINSECU": {
          "lo": null,
          "hi": null
        },
        "HOUSINSECU": {
          "lo": null,
          "hi": null
        }
      },
      "rank": 1
    },
    {
      "fips": "41045",
      "name": "Malheur",
      "population": 32044,
      "priorityIndex": 67.4,
      "burdenScore": 68.5,
      "accessScore": 68.4,
      "shortageScore": 65.4,
      "topDriver": "Health burden",
      "hpsaMaxScore": 17,
      "hpsaDesignations": 3,
      "raw": {
        "DIABETES": 13.9,
        "OBESITY": 41.2,
        "BPHIGH": 36.3,
        "CHD": 7.8,
        "GHLTH": 25.7,
        "PHLTH": 16.7,
        "ACCESS2": 15.7,
        "LACKTRPT": null,
        "FOODINSECU": null,
        "HOUSINSECU": null,
        "ACS_POVERTY": 17.8,
        "ACS_NOVEHICLE": 5.8
      },
      "ci": {
        "DIABETES": {
          "lo": 11.9,
          "hi": 16.0
        },
        "OBESITY": {
          "lo": 32.7,
          "hi": 50.0
        },
        "BPHIGH": {
          "lo": 31.8,
          "hi": 40.7
        },
        "CHD": {
          "lo": 6.8,
          "hi": 8.8
        },
        "GHLTH": {
          "lo": 22.0,
          "hi": 29.7
        },
        "PHLTH": {
          "lo": 14.4,
          "hi": 19.0
        },
        "ACCESS2": {
          "lo": 12.7,
          "hi": 18.9
        },
        "LACKTRPT": {
          "lo": null,
          "hi": null
        },
        "FOODINSECU": {
          "lo": null,
          "hi": null
        },
        "HOUSINSECU": {
          "lo": null,
          "hi": null
        }
      },
      "rank": 2
    },
    {
      "fips": "41049",
      "name": "Morrow",
      "population": 12302,
      "priorityIndex": 65.4,
      "burdenScore": 72.4,
      "accessScore": 54.5,
      "shortageScore": 69.2,
      "topDriver": "Health burden",
      "hpsaMaxScore": 18,
      "hpsaDesignations": 4,
      "raw": {
        "DIABETES": 14.5,
        "OBESITY": 39.2,
        "BPHIGH": 35.5,
        "CHD": 7.9,
        "GHLTH": 27.5,
        "PHLTH": 17.5,
        "ACCESS2": 17.8,
        "LACKTRPT": null,
        "FOODINSECU": null,
        "HOUSINSECU": null,
        "ACS_POVERTY": 14.2,
        "ACS_NOVEHICLE": 2.2
      },
      "ci": {
        "DIABETES": {
          "lo": 12.4,
          "hi": 16.8
        },
        "OBESITY": {
          "lo": 30.0,
          "hi": 48.9
        },
        "BPHIGH": {
          "lo": 30.8,
          "hi": 40.3
        },
        "CHD": {
          "lo": 7.0,
          "hi": 9.1
        },
        "GHLTH": {
          "lo": 23.5,
          "hi": 31.9
        },
        "PHLTH": {
          "lo": 15.1,
          "hi": 20.2
        },
        "ACCESS2": {
          "lo": 14.4,
          "hi": 21.3
        },
        "LACKTRPT": {
          "lo": null,
          "hi": null
        },
        "FOODINSECU": {
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          "hi": null
        },
        "HOUSINSECU": {
          "lo": null,
          "hi": null
        }
      },
      "rank": 3
    },
    {
      "fips": "41035",
      "name": "Klamath",
      "population": 70003,
      "priorityIndex": 65.4,
      "burdenScore": 67.9,
      "accessScore": 55.1,
      "shortageScore": 73.1,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 19,
      "hpsaDesignations": 3,
      "raw": {
        "DIABETES": 14.1,
        "OBESITY": 37.9,
        "BPHIGH": 40.0,
        "CHD": 8.6,
        "GHLTH": 23.5,
        "PHLTH": 16.6,
        "ACCESS2": 10.3,
        "LACKTRPT": null,
        "FOODINSECU": null,
        "HOUSINSECU": null,
        "ACS_POVERTY": 18.3,
        "ACS_NOVEHICLE": 6.3
      },
      "ci": {
        "DIABETES": {
          "lo": 12.1,
          "hi": 16.2
        },
        "OBESITY": {
          "lo": 31.0,
          "hi": 44.9
        },
        "BPHIGH": {
          "lo": 35.8,
          "hi": 44.1
        },
        "CHD": {
          "lo": 7.5,
          "hi": 9.8
        },
        "GHLTH": {
          "lo": 20.1,
          "hi": 27.2
        },
        "PHLTH": {
          "lo": 14.4,
          "hi": 19.0
        },
        "ACCESS2": {
          "lo": 8.2,
          "hi": 12.7
        },
        "LACKTRPT": {
          "lo": null,
          "hi": null
        },
        "FOODINSECU": {
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          "hi": null
        },
        "HOUSINSECU": {
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          "hi": null
        }
      },
      "rank": 4
    },
    {
      "fips": "41011",
      "name": "Coos",
      "population": 64212,
      "priorityIndex": 64.9,
      "burdenScore": 69.2,
      "accessScore": 44.8,
      "shortageScore": 80.8,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 21,
      "hpsaDesignations": 4,
      "raw": {
        "DIABETES": 14.2,
        "OBESITY": 34.1,
        "BPHIGH": 40.7,
        "CHD": 9.4,
        "GHLTH": 23.6,
        "PHLTH": 17.2,
        "ACCESS2": 8.6,
        "LACKTRPT": null,
        "FOODINSECU": null,
        "HOUSINSECU": null,
        "ACS_POVERTY": 15.6,
        "ACS_NOVEHICLE": 6.7
      },
      "ci": {
        "DIABETES": {
          "lo": 12.1,
          "hi": 16.4
        },
        "OBESITY": {
          "lo": 27.7,
          "hi": 41.0
        },
        "BPHIGH": {
          "lo": 36.5,
          "hi": 44.9
        },
        "CHD": {
          "lo": 8.2,
          "hi": 10.7
        },
        "GHLTH": {
          "lo": 20.0,
          "hi": 27.6
        },
        "PHLTH": {
          "lo": 14.9,
          "hi": 19.8
        },
        "ACCESS2": {
          "lo": 6.7,
          "hi": 10.9
        },
        "LACKTRPT": {
          "lo": null,
          "hi": null
        },
        "FOODINSECU": {
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          "hi": null
        },
        "HOUSINSECU": {
          "lo": null,
          "hi": null
        }
      },
      "rank": 5
    },
    {
      "fips": "41019",
      "name": "Douglas",
      "population": 112435,
      "priorityIndex": 62.9,
      "burdenScore": 69.0,
      "accessScore": 38.8,
      "shortageScore": 80.8,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 21,
      "hpsaDesignations": 10,
      "raw": {
        "DIABETES": 14.3,
        "OBESITY": 37.6,
        "BPHIGH": 39.4,
        "CHD": 9.1,
        "GHLTH": 23.4,
        "PHLTH": 16.7,
        "ACCESS2": 8.6,
        "LACKTRPT": null,
        "FOODINSECU": null,
        "HOUSINSECU": null,
        "ACS_POVERTY": 15.6,
        "ACS_NOVEHICLE": 4.8
      },
      "ci": {
        "DIABETES": {
          "lo": 12.2,
          "hi": 16.3
        },
        "OBESITY": {
          "lo": 31.5,
          "hi": 43.5
        },
        "BPHIGH": {
          "lo": 35.4,
          "hi": 43.2
        },
        "CHD": {
          "lo": 8.0,
          "hi": 10.3
        },
        "GHLTH": {
          "lo": 20.1,
          "hi": 26.9
        },
        "PHLTH": {
          "lo": 14.5,
          "hi": 19.0
        },
        "ACCESS2": {
          "lo": 6.8,
          "hi": 10.9
        },
        "LACKTRPT": {
          "lo": null,
          "hi": null
        },
        "FOODINSECU": {
          "lo": null,
          "hi": null
        },
        "HOUSINSECU": {
          "lo": null,
          "hi": null
        }
      },
      "rank": 6
    },
    {
      "fips": "41033",
      "name": "Josephine",
      "population": 87821,
      "priorityIndex": 62.1,
      "burdenScore": 70.7,
      "accessScore": 42.6,
      "shortageScore": 73.1,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 19,
      "hpsaDesignations": 2,
      "raw": {
        "DIABETES": 14.8,
        "OBESITY": 33.8,
        "BPHIGH": 39.0,
        "CHD": 9.5,
        "GHLTH": 24.2,
        "PHLTH": 17.5,
        "ACCESS2": 9.6,
        "LACKTRPT": null,
        "FOODINSECU": null,
        "HOUSINSECU": null,
        "ACS_POVERTY": 15.8,
        "ACS_NOVEHICLE": 4.9
      },
      "ci": {
        "DIABETES": {
          "lo": 12.7,
          "hi": 17.0
        },
        "OBESITY": {
          "lo": 27.5,
          "hi": 40.4
        },
        "BPHIGH": {
          "lo": 34.9,
          "hi": 43.0
        },
        "CHD": {
          "lo": 8.2,
          "hi": 10.8
        },
        "GHLTH": {
          "lo": 20.3,
          "hi": 28.4
        },
        "PHLTH": {
          "lo": 15.0,
          "hi": 20.2
        },
        "ACCESS2": {
          "lo": 7.5,
          "hi": 12.0
        },
        "LACKTRPT": {
          "lo": null,
          "hi": null
        },
        "FOODINSECU": {
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        },
        "HOUSINSECU": {
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          "hi": null
        }
      },
      "rank": 7
    },
    {
      "fips": "41055",
      "name": "Sherman",
      "population": 1951,
      "priorityIndex": 60.4,
      "burdenScore": 69.9,
      "accessScore": 49.7,
      "shortageScore": 61.5,
      "topDriver": "Health burden",
      "hpsaMaxScore": 16,
      "hpsaDesignations": 2,
      "raw": {
        "DIABETES": 14.2,
        "OBESITY": 36.6,
        "BPHIGH": 40.2,
        "CHD": 9.4,
        "GHLTH": 23.4,
        "PHLTH": 16.9,
        "ACCESS2": 9.0,
        "LACKTRPT": null,
        "FOODINSECU": null,
        "HOUSINSECU": null,
        "ACS_POVERTY": 17.9,
        "ACS_NOVEHICLE": 6.1
      },
      "ci": {
        "DIABETES": {
          "lo": 12.0,
          "hi": 16.5
        },
        "OBESITY": {
          "lo": 28.1,
          "hi": 45.7
        },
        "BPHIGH": {
          "lo": 35.4,
          "hi": 44.9
        },
        "CHD": {
          "lo": 8.1,
          "hi": 10.7
        },
        "GHLTH": {
          "lo": 19.7,
          "hi": 27.4
        },
        "PHLTH": {
          "lo": 14.6,
          "hi": 19.4
        },
        "ACCESS2": {
          "lo": 7.0,
          "hi": 11.3
        },
        "LACKTRPT": {
          "lo": null,
          "hi": null
        },
        "FOODINSECU": {
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        },
        "HOUSINSECU": {
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          "hi": null
        }
      },
      "rank": 8
    },
    {
      "fips": "41041",
      "name": "Lincoln",
      "population": 50821,
      "priorityIndex": 59.5,
      "burdenScore": 71.5,
      "accessScore": 37.8,
      "shortageScore": 69.2,
      "topDriver": "Health burden",
      "hpsaMaxScore": 18,
      "hpsaDesignations": 3,
      "raw": {
        "DIABETES": 14.9,
        "OBESITY": 35.7,
        "BPHIGH": 41.6,
        "CHD": 9.5,
        "GHLTH": 22.7,
        "PHLTH": 17.0,
        "ACCESS2": 8.3,
        "LACKTRPT": null,
        "FOODINSECU": null,
        "HOUSINSECU": null,
        "ACS_POVERTY": 15.7,
        "ACS_NOVEHICLE": 4.7
      },
      "ci": {
        "DIABETES": {
          "lo": 12.7,
          "hi": 17.4
        },
        "OBESITY": {
          "lo": 29.3,
          "hi": 43.2
        },
        "BPHIGH": {
          "lo": 37.3,
          "hi": 46.3
        },
        "CHD": {
          "lo": 8.2,
          "hi": 10.9
        },
        "GHLTH": {
          "lo": 18.9,
          "hi": 26.8
        },
        "PHLTH": {
          "lo": 14.5,
          "hi": 19.8
        },
        "ACCESS2": {
          "lo": 6.4,
          "hi": 10.2
        },
        "LACKTRPT": {
          "lo": null,
          "hi": null
        },
        "FOODINSECU": {
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        },
        "HOUSINSECU": {
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          "hi": null
        }
      },
      "rank": 9
    },
    {
      "fips": "41047",
      "name": "Marion",
      "population": 346741,
      "priorityIndex": 58.3,
      "burdenScore": 49.6,
      "accessScore": 48.5,
      "shortageScore": 76.9,
      "topDriver": "Provider shortage",
      "hpsaMaxScore": 20,
      "hpsaDesignations": 10,
      "raw": {
        "DIABETES": 12.5,
        "OBESITY": 43.4,
        "BPHIGH": 33.3,
        "CHD": 6.5,
        "GHLTH": 21.6,
        "PHLTH": 14.8,
        "ACCESS2": 12.3,
        "LACKTRPT": null,
        "FOODINSECU": null,
        "HOUSINSECU": null,
        "ACS_POVERTY": 13.1,
        "ACS_NOVEHICLE": 6.3
      },
      "ci": {
        "DIABETES": {
          "lo": 10.8,
          "hi": 14.3
        },
        "OBESITY": {
          "lo": 38.4,
          "hi": 48.9
        },
        "BPHIGH": {
          "lo": 30.1,
          "hi": 36.5
        },
        "CHD": {
          "lo": 5.7,
          "hi": 7.4
        },
        "GHLTH": {
          "lo": 18.6,
          "hi": 24.8
        },
        "PHLTH": {
          "lo": 12.9,
          "hi": 16.8
        },
        "ACCESS2": {
          "lo": 10.0,
          "hi": 14.9
        },
        "LACKTRPT": {
          "lo": null,
          "hi": null
        },
        "FOODINSECU": {
          "lo": null,
          "hi": null
        },
        "HOUSINSECU": {
          "lo": null,
          "hi": null
        }
      },
      "rank": 10
    },
    {
      "fips": "41015",
      "name": "Curry",
      "population": 23296,
      "priorityIndex": 56.8,
      "burdenScore": 80.8,
      "accessScore": 28.2,
      "shortageScore": 61.5,
      "topDriver": "Health burden",
      "hpsaMaxScore": 16,
      "hpsaDesignations": 1,
      "raw": {
        "DIABETES": 15.7,
        "OBESITY": 38.4,
        "BPHIGH": 43.6,
        "CHD": 10.5,
        "GHLTH": 23.1,
        "PHLTH": 16.9,
        "ACCESS2": 8.1,
        "LACKTRPT": null,
        "FOODINSECU": null,
        "HOUSINSECU": null,
        "ACS_POVERTY": 13.3,
        "ACS_NOVEHICLE": 3.7
      },
      "ci": {
        "DIABETES": {
          "lo": 13.3,
          "hi": 18.3
        },
        "OBESITY": {
          "lo": 30.6,
          "hi": 46.6
        },
        "BPHIGH": {
          "lo": 39.0,
          "hi": 48.5
        },
        "CHD": {
          "lo": 9.1,
          "hi": 12.1
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    },
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      "name": "Wallowa",
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      "topDriver": "Health burden",
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      "rank": 36
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  ],
  "faq": [
    {
      "question": "What does the Oregon county health-access scorecard measure?",
      "answer": "It ranks all 36 Oregon counties by a combined Targeting-Priority Index that fuses adult chronic-disease and social-risk prevalence from CDC PLACES with federally designated primary-care provider shortages from HRSA, highlighting where health need and thin provider supply overlap."
    },
    {
      "question": "Which public datasets is it built from?",
      "answer": "CDC PLACES county estimates (PLACES: Local Data for Better Health, County Data, 2025 release, measure year 2023) and the HRSA Primary Care Health Professional Shortage Area detail file, both fully open federal sources accessed 2026-08-01."
    },
    {
      "question": "How should the Targeting-Priority Index be used?",
      "answer": "As a transparent first-pass screen for where to focus outreach, workforce, or program resources. Scores are relative within the state and equal-weighted by default; a real engagement would calibrate weights to a program's goals and add socioeconomic and utilization layers."
    }
  ],
  "contentHash": "250f5c8ffbb3c2da"
}