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t T
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ated
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licts
r
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d
p
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less
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s
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g
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s
id
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to
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s
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g
ize.
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g
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tr
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n
is
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w
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al
m
o
s
t
in
ev
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y
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r
n
er
o
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I
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d
o
n
es
ia
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o
th
as
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ea
l
th
tr
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t
m
en
t
as
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ell
as
f
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r
cu
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g
.
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s
s
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g
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a
w
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k
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ased
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t,
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h
ile
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t
i
s
b
ased
o
n
ta
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t,
willin
g
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o
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j
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tiv
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d
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ll
ec
tiv
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h
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ar
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2
2
w
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y
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o
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m
ass
a
g
i
n
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m
as
s
ag
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g
th
eo
r
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8
.
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B
A
s
p
r
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tice
th
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ad
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n
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ased
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n
a
k
n
o
w
led
g
e
p
ass
ed
f
r
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m
g
e
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er
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n
to
g
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n
.
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s
s
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g
e
ca
n
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tu
all
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e
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tag
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u
s
to
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r
n
th
e
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alan
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o
f
m
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r
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co
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d
m
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o
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n
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h
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ld
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e
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n
s
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c
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ain
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h
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m
eo
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tatic
lev
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9
.
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w
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v
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,
it
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m
p
o
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tan
t
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ac
tice
m
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s
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ap
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p
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m
a
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er
.
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s
s
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e
s
h
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u
ld
al
w
a
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s
f
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llo
w
p
ar
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p
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ce
d
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r
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in
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in
g
w
h
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h
p
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o
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h
u
m
a
n
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d
y
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e
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m
a
s
s
ag
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d
w
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ar
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r
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t
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m
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B
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s
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n
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ast
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u
s
a
T
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g
g
ar
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p
r
ac
tice
tr
ad
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l
m
ass
a
g
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f
o
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eg
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a
n
t
w
o
m
en
w
it
h
o
u
t
atte
n
d
in
g
to
m
as
s
ag
i
n
g
t
h
eo
r
y
.
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h
e
y
te
n
d
t
o
p
ay
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o
atte
n
tio
n
to
w
h
ic
h
b
o
d
y
p
ar
ts
t
h
at
s
h
o
u
ld
b
e
tr
ea
ted
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it
h
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r
e
in
m
ass
a
g
in
g
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h
u
s
,
m
ed
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ac
titi
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h
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ca
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w
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lli
n
g
10
.
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h
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u
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f
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co
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e
co
m
m
u
n
it
y
; h
e
n
ce
m
a
k
i
n
g
p
eo
p
le
p
er
ce
iv
e
th
e
m
as t
h
e
tr
u
t
h
.
I
n
m
ed
ical
s
t
u
d
y
,
in
cl
u
d
in
g
Me
d
ical
A
n
t
h
r
o
p
o
lo
g
y
,
a
tr
ad
itio
n
al
cu
r
in
g
m
et
h
o
d
ca
n
o
n
l
y
b
e
co
n
tin
u
ed
if
it
h
as
p
o
s
iti
v
e
i
m
p
ac
t
f
o
r
p
u
b
lic
h
ea
lth
.
On
th
e
o
th
er
h
an
d
,
if
s
u
ch
m
eth
o
d
b
r
in
g
s
o
n
l
y
h
ar
m
s
,
it
m
u
s
t
n
o
t
b
e
d
o
n
e
12
.
Ma
s
s
ag
e
p
r
ac
ticed
to
p
r
eg
n
an
t
w
o
m
en
o
n
th
eir
ea
r
l
y
m
o
n
th
s
is
d
an
g
er
o
u
s
b
ec
au
s
e
th
e
h
ig
h
I
UFD
ca
s
es
ar
e
in
f
ac
t
d
r
iv
en
b
y
s
u
ch
p
r
ac
tices.
No
n
e
t
h
eles
s
,
s
to
p
p
in
g
s
u
c
h
tr
ad
itio
n
al
p
r
ac
tice
is
n
o
t
an
ea
s
y
tas
k
.
T
h
er
e
n
ee
d
s
to
b
e
a
cu
lt
u
r
al
ap
p
r
o
ac
h
in
o
r
d
er
to
c
h
an
g
e
t
h
ese
lo
ca
l p
r
ac
tices.
T
r
a
d
itio
n
al
p
r
ac
tice
in
p
r
eg
n
an
t
w
o
m
e
n
‟
s
h
ea
lt
h
i
s
p
ar
t
o
f
lo
ca
l
w
is
d
o
m
.
L
o
ca
l
w
i
s
d
o
m
ca
n
b
e
u
n
d
er
s
to
o
d
as
tr
ad
itio
n
al
k
n
o
w
led
g
e
o
r
s
e
t
o
f
k
n
o
w
led
g
e
a
n
d
p
r
ac
tices
u
s
ed
to
s
o
l
v
e
p
r
o
b
le
m
s
o
r
d
i
f
f
icu
lties
in
an
ap
p
r
o
p
r
iate
m
a
n
n
er
13
.
P
eo
p
le
o
f
E
ast
Nu
s
a
T
en
g
g
a
r
a
b
ase
th
eir
liv
es
o
n
s
o
cial
c
o
llectiv
e
t
h
in
k
i
n
g
,
h
ar
m
o
n
io
u
s
,
an
d
m
y
s
t
ical,
m
ag
ical,
an
d
s
u
p
er
s
titi
o
u
s
wa
y
o
f
li
f
e.
T
h
e
y
also
e
m
p
h
a
s
ize
o
n
s
y
m
b
o
li
s
m
,
m
o
r
al
it
y
,
an
d
r
elig
io
s
it
y
14
.
L
o
ca
l
w
is
d
o
m
ca
n
b
e
tr
an
s
f
o
r
m
ed
in
to
p
o
s
itiv
e
cu
lt
u
r
a
l
s
tr
en
g
th
t
h
r
o
u
g
h
cu
lt
u
r
al
tr
an
s
f
o
r
m
a
tio
n
o
f
lo
ca
l c
u
lt
u
r
al
s
y
m
b
o
ls
.
I
n
d
ev
elo
p
in
g
co
u
n
tr
ie
s
,
t
h
e
s
o
cio
cu
ltu
r
al
a
s
p
ec
t
o
f
p
r
eg
n
a
n
c
y
an
d
d
eli
v
er
y
p
r
ac
tices
is
s
till
e
x
i
s
t,
s
u
c
h
as I
n
d
ia
esp
ec
iall
y
in
An
d
h
r
a
P
r
ad
esh
r
ev
ea
led
th
at
n
o
t
less
t
h
an
8
0
% o
f
to
tal
ch
ild
b
ir
th
s
ar
e
h
a
n
d
led
b
y
T
B
A
s
i
n
th
ese
tr
ib
al
co
m
m
u
n
i
ties
.
T
h
e
T
B
A
‟
s
r
en
d
er
d
if
f
er
e
n
t
s
er
v
ice
s
f
o
r
f
u
l
f
illed
o
f
th
e
i
r
s
o
cial
o
b
lig
atio
n
r
ath
er
th
a
n
f
o
r
ec
o
n
o
m
ic
g
ai
n
.
T
h
eir
s
er
v
ices
ar
e
n
o
t
s
tr
ic
tl
y
l
i
m
ite
d
to
t
h
e
co
n
d
u
ct
o
f
d
eliv
er
y
.
T
h
e
y
also
ad
v
ice
o
n
d
if
f
er
en
t
s
ex
r
elate
d
p
r
o
b
lem
s
an
d
i
n
f
er
tili
t
y
.
So
ci
al
s
tatu
s
o
f
t
h
e
T
B
A
s
ar
e
s
till
h
ig
h
15
,
16
.
I
n
o
th
er
co
u
n
tr
y
s
u
c
h
as
So
u
th
Af
r
ica,
th
e
r
o
le
o
f
t
h
e
T
B
A
s
is
i
m
p
o
r
tan
t.
T
h
e
X
h
o
s
a
s
p
ea
k
i
n
g
w
o
m
en
f
o
llo
w
i
n
d
i
g
en
o
u
s
h
e
alin
g
p
r
ac
tice
f
o
r
b
o
th
th
e
m
s
elv
e
s
an
d
th
eir
b
ab
ies
b
ec
au
s
e
o
f
t
h
e
n
ee
d
to
s
tr
en
g
th
e
n
th
e
w
o
m
b
a
g
ai
n
s
t
s
o
r
ce
r
y
,
to
p
r
ev
en
t
ch
i
ld
h
o
o
d
illn
e
s
s
,
a
n
d
to
tr
ea
t
s
y
m
p
to
m
s
th
e
y
p
er
ce
iv
e
th
a
t
b
io
m
ed
ical
s
er
v
ice
s
w
o
u
ld
n
o
t
b
e
ab
le
to
tr
ea
t.
Ma
n
y
o
f
wo
m
e
n
a
g
r
ee
d
,
th
at
t
h
e
p
er
io
d
o
f
p
r
eg
n
a
n
c
y
i
s
a
d
elica
te
ti
m
e
w
h
e
n
w
o
m
en
h
av
e
lo
t
s
o
f
p
r
o
b
le
m
s
,
s
o
m
e
o
f
w
h
ic
h
ar
e
p
ar
ticu
lar
l
y
u
n
p
r
ed
ictab
le
an
d
co
u
ld
lead
to
th
e
d
ea
th
o
f
th
e
m
o
t
h
er
o
r
ch
ild
17
.
Si
m
ilar
to
I
n
d
ia
an
d
Af
r
ica,
in
D
h
a
k
a,
B
an
g
lad
e
s
h
,
7
0
%
o
f
w
o
m
e
n
in
u
r
b
an
ar
ea
s
g
i
v
e
b
ir
th
at
h
o
m
e
w
it
h
n
o
n
-
m
ed
ica
ll
y
tr
ai
n
ed
p
r
o
v
id
er
s
.
W
o
m
en
w
i
th
d
eli
v
er
ies
at
h
o
m
e
w
er
e
s
ig
n
i
f
ica
n
tl
y
m
o
r
e
lik
el
y
to
r
ep
o
r
t
tr
a
d
itio
n
al
p
r
a
ctice
s
to
r
em
o
v
e
p
lace
n
ta
th
a
n
w
o
m
e
n
w
h
o
g
a
v
e
b
ir
th
at
h
ea
lt
h
f
ac
ilit
ie
s
18
.
T
h
e
r
esear
ch
q
u
es
tio
n
o
f
th
e
s
tu
d
y
is
w
h
y
i
n
t
h
e
ar
ea
s
t
u
d
y
t
h
e
m
ater
n
al
a
n
d
i
n
f
a
n
t
m
o
r
talit
y
h
i
g
h
an
d
h
o
w
to
u
n
d
er
s
ta
n
d
an
d
p
r
o
m
o
te
lo
ca
l
c
u
lt
u
r
e/k
n
o
w
led
g
e
as
a
n
e
f
f
o
r
t
to
d
ec
r
ea
s
e
m
ater
n
a
l
an
d
i
n
f
an
t
m
o
r
ta
lit
y
r
ate?
2.
RE
S
E
ARCH
M
E
T
H
O
D
T
h
is
eth
n
o
g
r
ap
h
ic
r
esear
ch
i
s
co
n
d
u
ct
ed
in
Det
u
s
o
k
o
Vill
ag
e,
Detu
s
o
k
o
Dis
tr
ict,
E
n
d
e
R
eg
e
n
c
y
,
E
ast
N
u
s
a
T
en
g
g
ar
a.
T
h
i
s
lo
ca
tio
n
i
s
c
h
o
s
en
b
ec
au
s
e
lo
c
al
p
eo
p
le
s
till
s
tr
o
n
g
l
y
b
elie
v
e
in
lo
ca
l
c
u
s
to
m
s
,
p
ar
ticu
lar
l
y
w
it
h
r
eg
ar
d
s
to
co
m
m
o
n
p
r
ac
tices
d
u
r
in
g
p
r
eg
n
a
n
c
y
.
T
h
is
v
illa
g
e
is
also
s
elec
ted
d
u
e
to
its
r
elativ
el
y
h
i
g
h
in
cid
e
n
t
o
f
m
at
er
n
al
an
d
in
f
a
n
t
m
o
r
tali
t
y
as
a
r
esu
lt
o
f
ce
r
tai
n
p
r
ac
tices
d
u
r
in
g
p
r
eg
n
a
n
c
y
a
n
d
lab
o
r
.
Data
co
llectio
n
w
a
s
ca
r
r
ied
o
u
t f
r
o
m
J
u
n
e
-
Sep
te
m
b
er
2
0
1
3
.
T
h
e
s
tu
d
y
tea
m
li
v
ed
in
th
e
v
illa
g
e
in
o
r
d
er
to
b
etter
o
b
s
er
v
e
an
d
i
n
ter
ac
t
w
ith
th
e
i
n
f
o
r
m
an
t
s
.
Ob
s
er
v
atio
n
w
as
co
n
d
u
c
ted
to
w
ar
d
s
p
r
eg
n
a
n
t
w
o
m
en
,
m
o
th
er
s
w
it
h
to
d
d
ler
s
,
f
a
m
i
l
y
w
h
o
h
ad
e
x
p
er
ien
ce
s
o
f
m
ater
n
a
l
an
d
i
n
f
a
n
t
m
o
r
ta
lit
y
,
T
B
A
s
,
a
n
d
h
ea
lt
h
w
o
r
k
er
s
in
p
r
i
m
ar
y
h
ea
lt
h
ce
n
ter
s
.
I
n
-
d
ep
t
h
in
ter
v
ie
w
s
w
er
e
d
o
n
e
w
i
th
ap
p
r
o
x
i
m
atel
y
7
5
p
eo
p
le
f
r
o
m
v
ar
io
u
s
b
ac
k
g
r
o
u
n
d
s
lik
e
t
h
o
s
e
b
ein
g
o
b
s
er
v
ed
.
Sev
er
al
k
e
y
i
n
f
o
r
m
an
ts
w
er
e
s
elec
ted
f
o
r
th
eir
ab
u
n
d
an
t
k
n
o
w
led
g
e
in
th
o
s
e
f
o
u
r
r
esear
ch
to
p
ics.
T
h
e
d
ata
f
r
o
m
th
e
f
ie
ld
w
as
i
n
ter
p
r
et
u
s
in
g
p
h
en
o
m
en
o
lo
g
y
ap
p
r
o
ac
h
w
h
ich
i
s
s
i
m
i
lar
th
e
e
m
ic
p
o
in
t
o
f
v
ie
w
to
t
h
e
co
m
m
u
n
it
y
19
.
Data
r
esu
lt
o
f
th
e
o
b
s
er
v
atio
n
a
n
d
in
-
d
ep
th
in
ter
v
ie
w
w
a
s
clea
n
ed
,
ca
teg
o
r
ized
an
d
an
al
y
ze
d
in
to
s
ev
er
al
s
u
b
to
p
ics
w
h
ic
h
is
als
o
in
d
icate
o
f
s
ev
er
al
b
ar
r
ier
f
a
cto
r
s
in
f
l
u
e
n
ce
d
in
th
e
m
ater
n
al
a
n
d
i
n
f
a
n
t
m
o
r
ta
lit
y
s
u
ch
as:
tr
ad
itio
n
o
f
m
as
s
ag
e
d
u
r
i
n
g
p
r
eg
n
an
c
y
;
b
elief
an
d
m
y
t
h
s
r
elate
d
p
r
eg
n
an
c
y
;
t
h
e
r
o
le
o
f
th
e
T
B
A‟
s
;
d
ec
is
io
n
m
a
k
i
n
g
p
r
o
ce
s
s
;
f
o
o
d
tab
o
o
am
o
n
g
p
r
eg
n
a
n
t
w
o
m
en
;
t
h
e
m
ea
n
i
n
g
o
f
m
ater
n
al
an
d
i
n
f
a
n
t
m
o
r
t
alit
y
;
e
f
f
o
r
t
to
d
ec
r
ea
s
e
m
at
er
n
al
an
d
in
f
a
n
t
m
o
r
t
al
it
y
u
s
in
g
s
o
cio
-
c
u
lt
u
r
al
tr
an
s
f
o
r
m
atio
n
.
3.
RE
SU
L
T
S
A
ND
AN
AL
Y
SI
S
T
h
e
Detu
s
o
k
o
is
t
h
e
o
n
l
y
s
p
ec
ial
v
i
llag
e
i
n
Det
u
s
o
k
o
Di
s
tr
ic
t
w
h
ich
co
n
s
i
s
ts
o
f
1
s
p
ec
ial
v
illag
e
a
n
d
2
0
v
illag
e
s
.
T
h
er
e
ar
e
ap
p
r
o
x
im
atel
y
1
,
1
6
8
p
eo
p
le
in
th
i
s
v
i
llag
e
–
m
o
s
t
o
f
w
h
o
m
ar
e
f
r
o
m
L
io
et
h
n
ic
g
r
o
u
p
.
T
h
er
e
is
a
s
tr
o
n
g
s
e
n
s
e
o
f
lo
ca
l
b
elief
an
d
c
u
s
to
m
a
m
o
n
g
th
e
p
eo
p
le.
P
e
o
p
le
s
till
m
ai
n
tai
n
th
e
b
elie
f
o
f
p
r
in
s
ip
tig
a
tu
n
g
ku
(
3
f
ir
ep
lace
p
r
in
cip
les)
w
h
er
e
g
o
v
er
n
m
e
n
t,
r
elig
io
u
s
lead
er
s
an
d
tr
ad
it
io
n
a
l
/
lead
er
s
ar
e
o
f
eq
u
al
p
o
s
itio
n
.
T
h
i
s
b
elie
f
h
as
b
ee
n
tr
an
s
lated
i
n
to
m
o
s
t
asp
ec
ts
o
f
lo
ca
l
l
iv
e
s
,
in
c
lu
d
in
g
h
ea
lt
h
-
r
elate
d
Evaluation Warning : The document was created with Spire.PDF for Python.
I
J
P
HS
I
SS
N:
2252
-
8806
Th
e
E
ffo
r
t to
Dec
r
ea
s
in
g
Ma
tern
a
l a
n
d
C
h
ild
Mo
r
ta
lity R
a
te
s
th
r
o
u
g
h
C
u
ltu
r
a
l
.
.
.
.
(
A
tik
Tr
ir
a
tn
a
w
a
ti)
87
p
r
ac
tices.
E
co
n
o
m
icall
y
,
p
eo
p
le
o
f
Detu
s
o
k
o
lar
g
el
y
w
o
r
k
i
n
ag
r
ic
u
lt
u
r
al
s
ec
to
r
as
f
ar
m
er
s
(
9
5
%
o
f
to
ta
l
p
o
p
u
latio
n
)
.
W
o
m
e
n
ar
e,
th
u
s
,
ex
p
ec
ted
to
w
o
r
k
i
n
t
h
e
f
ar
m
s
i
n
o
r
d
er
to
p
r
o
v
id
e
f
o
r
th
e
f
a
m
il
y
.
Alt
h
o
u
g
h
Detu
s
o
k
o
ac
ts
as
E
n
d
e
‟
s
g
r
an
ar
y
,
r
ice
i
n
ten
d
ed
f
o
r
t
h
e
p
o
o
r
p
r
o
g
r
a
m
(
r
a
s
kin
)
r
ec
ip
ie
n
ts
a
r
e
s
till
co
n
s
id
er
ab
l
y
h
ig
h
.
T
h
er
e
ar
e
8
7
h
o
u
s
eh
o
ld
s
as
r
a
s
kin
r
ec
ip
ien
ts
f
r
o
m
a
t
o
tal
o
f
3
8
3
h
o
u
s
eh
o
ld
s
in
Det
u
s
o
k
o
.
B
ec
au
s
e
o
f
h
ig
h
co
n
s
u
m
p
tio
n
o
f
r
ice,
th
e
y
m
a
k
e
u
s
e
o
f
r
a
s
kin
i
n
ad
d
itio
n
to
th
e
r
ice
th
e
y
h
ar
v
e
s
t
f
r
o
m
t
h
eir
lan
d
s
.
As
a
n
ex
a
m
p
le,
a
f
a
m
il
y
w
it
h
th
r
ee
c
h
ild
r
en
u
s
u
a
ll
y
n
ee
d
s
ar
o
u
n
d
2
k
ilo
g
r
a
m
s
o
f
r
ice
ev
er
y
d
a
y
.
T
h
e
h
ar
v
ested
r
ice
f
r
o
m
o
n
e
‟
s
f
ar
m
s
is
n
o
t
o
n
l
y
u
s
ed
f
o
r
d
aily
co
n
s
u
m
p
tio
n
,
b
u
t
also
to
p
ay
b
ac
k
t
h
eir
r
ice
d
eb
ts
to
th
eir
n
eig
h
b
o
r
s
.
T
h
is
u
s
u
all
y
o
cc
u
r
s
if
th
er
e
i
s
d
ea
th
ce
r
e
m
o
n
y
o
r
o
th
er
tr
ad
itio
n
a
l
ce
r
e
m
o
n
y
.
3
.
1
.
M
a
s
s
a
g
e
During
P
re
g
na
ncy
:
A
T
ra
ditio
n
T
h
er
e
ar
e
tw
o
d
if
f
er
e
n
t
k
in
d
s
o
f
m
a
s
s
a
g
in
g
:
p
ija
t
a
n
d
u
r
u
t.
P
ija
t
m
ea
n
s
g
e
tti
n
g
m
as
s
a
g
e
d
all
o
v
er
th
e
b
o
d
y
,
w
h
ile
u
r
u
t
m
ea
n
s
o
n
l
y
g
etti
n
g
m
ass
a
g
ed
o
n
ce
r
ta
in
p
ar
ts
o
f
th
e
b
o
d
y
.
T
h
e
b
en
e
f
it
o
f
g
etti
n
g
u
r
u
t
is
n
o
t
o
n
l
y
f
ee
li
n
g
r
elax
ed
,
b
u
t
a
ls
o
g
etti
n
g
f
i
x
ed
w
it
h
w
h
ic
h
e
v
er
p
ar
ts
o
f
th
e
b
o
d
y
th
at
p
r
ev
io
u
s
l
y
f
el
t
s
t
i
f
f
an
d
u
n
co
m
f
o
r
tab
le.
I
n
ad
d
itio
n
,
wo
m
e
n
also
t
h
in
k
t
h
at
g
ett
in
g
u
r
u
t
b
y
T
B
A
s
ca
n
h
elp
r
ep
o
s
itio
n
in
g
in
f
a
n
t
in
s
id
e
th
e
w
o
m
b
.
A
4
7
-
y
ea
r
o
ld
u
n
i
v
er
s
it
y
g
r
ad
u
ate
f
e
m
ale
w
h
o
w
o
r
k
s
as
a
p
r
im
ar
y
s
c
h
o
o
l
teac
h
er
test
i
f
ied
to
th
is
s
u
c
h
as t
h
e
f
o
llo
w
i
n
g
:
“
T
h
o
u
g
h
n
o
w
I
liv
e
i
n
E
n
d
e,
an
d
o
n
l
y
o
cc
asio
n
all
y
r
et
u
r
n
t
o
Detu
s
o
k
o
,
I
‟
v
e
al
w
a
y
s
g
o
to
Detu
s
o
k
o
to
g
et
u
r
u
t
d
u
r
in
g
m
y
f
i
v
e
p
r
eg
n
a
n
cies.
I
d
r
iv
e
a
m
o
to
r
c
y
cle
d
ail
y
,
s
o
I
f
ee
l
th
e
b
ab
y
w
e
n
t
i
n
to
a
w
r
o
n
g
p
o
s
iti
o
n
.
W
h
en
e
v
er
I
g
o
to
Gr
an
d
m
a
N,
a
n
ei
g
h
b
o
r
in
Det
u
s
o
k
o
,
I
f
ee
l
m
y
b
o
d
y
g
ets
n
o
r
m
al
a
g
ai
n
.
I
d
o
n
‟
t
f
ee
l
p
ai
n
an
y
lo
n
g
er
.
M
y
m
o
m
al
w
a
y
s
s
a
y
s
to
m
e
th
at
p
r
eg
n
an
t
w
o
m
e
n
s
h
o
u
ld
g
et
u
r
u
t r
o
u
ti
n
el
y
.
An
d
I
d
o
f
ee
l th
e
b
en
ef
it
s
o
f
it”.
I
n
ter
v
ie
w
s
w
it
h
h
ea
d
o
f
Det
u
s
o
k
o
p
r
i
m
ar
y
h
ea
lt
h
ce
n
ter
an
d
m
id
w
iv
e
s
‟
c
lin
ics
r
e
v
e
ale
d
w
h
ic
h
w
o
m
en
v
is
it
T
B
A
s
f
o
r
m
a
s
s
a
g
e.
Dif
f
ic
u
lt
ch
i
ld
b
ir
th
ca
s
es
in
th
e
p
r
i
m
ar
y
h
ea
lt
h
ce
n
ter
ar
e
also
g
en
er
all
y
r
elate
d
to
h
o
w
t
h
ese
m
o
t
h
er
s
h
av
e
o
f
te
n
co
m
e
to
T
B
A
s
to
g
et
m
as
s
a
g
e
d
u
r
in
g
t
h
eir
p
r
eg
n
an
cies.
Do
cto
r
s
a
n
d
h
ea
lt
h
w
o
r
k
er
s
i
n
p
r
i
m
ar
y
h
e
alth
ce
n
t
er
u
s
u
all
y
co
m
e
to
t
h
is
co
n
cl
u
s
io
n
b
ec
au
s
e,
d
esp
ite
n
o
t
h
a
v
i
n
g
t
h
e
m
o
th
er
s
co
n
f
es
s
in
g
to
g
ett
in
g
m
as
s
a
g
ed
in
T
B
A
s
,
t
h
e
co
n
d
itio
n
o
f
t
h
e
n
e
w
l
y
b
o
r
n
b
ab
ies
co
n
f
ir
m
s
t
h
at
th
e
m
o
th
er
s
v
i
s
it
T
B
A
s
.
T
h
e
P
H
C
h
as
p
u
t
a
b
an
o
n
g
o
i
n
g
t
o
T
B
A
s
f
o
r
p
r
eg
n
a
n
t
w
o
m
e
n
to
g
et
m
ass
a
g
ed
.
Ho
w
e
v
er
,
ca
s
es
o
f
b
ab
ies
b
o
r
n
w
it
h
b
r
u
i
s
ed
b
o
d
ies
s
h
o
w
t
h
at
th
e
b
a
n
is
o
v
er
lo
o
k
ed
.
On
c
e,
th
er
e
w
as
e
v
e
n
a
ca
s
e
o
f
an
in
f
a
n
t
w
it
h
a
m
ar
k
o
f
T
B
A
‟
s
h
a
n
d
.
T
h
is
o
n
l
y
co
n
f
ir
m
s
th
at
T
B
A
s
p
r
ess
ed
th
e
m
o
t
h
er
‟
s
s
to
m
ac
h
to
o
h
ar
d
.
T
h
e
h
ea
d
o
f
Detu
s
o
k
o
p
r
i
m
a
r
y
h
ea
lt
h
ce
n
ter
s
aid
t
h
at
m
a
s
s
a
g
in
g
p
atter
n
o
f
T
B
A
s
i
s
n
o
t
m
er
el
y
r
u
b
b
in
g
t
h
e
s
to
m
ac
h
,
b
u
t
also
d
o
in
g
m
o
t
io
n
as
i
f
m
ak
i
n
g
a
b
r
ea
d
.
A
lth
o
u
g
h
t
h
e
cu
s
to
m
o
f
p
r
eg
n
an
t
w
o
m
a
n
i
n
Detu
s
o
k
o
is
n
o
t
g
etti
n
g
m
ass
a
g
ed
as
i
n
w
h
at
p
ija
t
h
as
b
ee
n
ex
p
lain
ed
p
r
ev
io
u
s
l
y
,
b
u
t
o
n
l
y
g
etti
n
g
u
r
u
t.
T
h
u
s
,
th
e
y
d
o
n
o
t
g
et
m
ass
a
g
ed
all
o
v
er
th
eir
b
o
d
y
as
in
p
ija
t,
b
u
t
o
n
l
y
o
n
ce
r
tai
n
p
ar
ts
o
f
th
eir
b
o
d
y
s
u
ch
as
s
to
m
ac
h
.
Ho
w
e
v
er
,
t
h
is
p
r
ac
tice
h
a
s
b
ee
n
p
r
o
v
en
h
ar
m
f
u
l
m
ed
icall
y
s
in
ce
m
o
s
t
t
w
is
ted
co
r
d
am
o
n
g
i
n
f
a
n
t
s
ar
e
f
o
u
n
d
a
m
o
n
g
s
t
t
h
o
s
e
w
o
m
en
w
h
o
o
f
te
n
v
is
it T
B
A
s
to
g
e
t
u
r
u
t.
On
t
h
e
o
th
er
h
a
n
d
,
th
i
s
s
t
u
d
y
r
ev
ea
ls
t
h
r
o
u
g
h
in
ter
v
ie
w
s
w
it
h
p
r
eg
n
a
n
t
w
o
m
en
o
r
t
h
o
s
e
w
h
o
h
ad
ev
er
b
ee
n
p
r
eg
n
an
t
b
ef
o
r
e
th
at
th
ese
w
o
m
e
n
ten
d
to
f
ee
l
w
o
r
r
ied
w
h
e
n
ask
ed
to
leav
e
th
is
p
r
ac
tice.
I
n
g
en
er
al,
t
h
e
y
ar
e
w
o
r
r
ied
to
d
is
o
b
ey
p
r
eg
n
a
n
c
y
-
r
elate
d
tr
a
d
itio
n
.
P
r
eg
n
a
n
t
w
o
m
e
n
a
n
d
u
r
u
t
ar
e
ass
o
ciate
d
to
g
eth
er
.
L
ik
e
a
co
i
n
w
it
h
t
wo
f
ac
es,
th
e
y
ca
n
n
o
t
b
e
s
ep
ar
ated
.
B
y
n
o
t
d
o
in
g
s
u
ch
lo
ca
l
p
r
ac
tices,
p
r
eg
n
an
t
w
o
m
en
f
ee
l
w
o
r
r
ied
an
d
f
ea
r
o
f
n
o
t g
i
v
i
n
g
b
ir
th
s
m
o
o
th
l
y
.
3
.
2
.
G
et
t
ing
hex
e
d (
r
u’u
)
T
h
e
r
o
le
o
f
tr
a
d
itio
n
i
n
p
r
eg
n
an
c
y
-
r
elate
d
p
r
ac
tices
is
r
elati
v
el
y
s
tr
o
n
g
.
I
t
is
alr
ea
d
y
in
ter
n
alize
d
i
n
th
e
m
e
n
tal
m
ap
o
f
p
r
eg
n
an
t
wo
m
e
n
an
d
lo
ca
l
p
eo
p
le
in
g
e
n
er
al
in
Detu
s
o
k
o
;
h
e
n
ce
m
a
k
i
n
g
t
h
e
m
f
ee
l
g
u
i
lt
y
o
r
s
in
n
ed
i
f
n
o
t
d
o
in
g
it.
A
d
v
i
ce
s
f
r
o
m
p
ar
en
ts
,
p
ar
tic
u
lar
l
y
m
o
th
er
s
a
n
d
m
o
t
h
er
-
in
-
la
w
s
a
r
e
r
eg
ar
d
ed
al
m
o
s
t
lik
e
la
w
s
in
ce
th
e
y
o
n
l
y
w
a
n
t
th
e
b
est
t
h
in
g
f
o
r
t
h
eir
c
h
ild
r
en
a
n
d
f
u
t
u
r
e
g
r
an
d
ch
ild
r
en
.
P
eo
p
le
b
eliev
e
t
h
at
i
t
h
as
b
ee
n
p
as
s
ed
f
r
o
m
o
n
e
g
e
n
er
atio
n
to
an
o
t
h
er
t
h
at
p
r
e
g
n
an
t
w
o
m
e
n
w
h
o
g
et
u
r
u
t
d
o
n
o
t
g
et
a
n
y
tr
o
u
b
le
s
.
T
r
o
u
b
le
d
u
r
in
g
lab
o
r
is
n
ev
er
ass
o
ciate
d
w
it
h
s
u
c
h
p
r
ac
tice.
Uru
t
is
tak
e
n
as
a
g
o
o
d
p
r
a
ctice
;
h
en
ce
it
w
i
ll
n
ev
er
b
r
in
g
a
n
y
h
ar
m
f
o
r
p
r
eg
n
an
t
w
o
m
en
.
I
n
s
tead
,
p
eo
p
le
co
n
s
id
er
tr
o
u
b
les
d
u
r
i
n
g
ch
ild
b
ir
th
ar
e
ca
u
s
ed
b
y
h
ex
o
r
in
lo
ca
l te
r
m
,
r
u
’
u
.
R
u
’
u
is
w
h
at
Det
u
s
o
k
o
p
eo
p
le
b
eliev
e
to
b
e
a
k
in
d
o
f
b
lack
m
ag
ic
u
s
ed
as
a
r
ev
en
g
e
f
o
r
s
u
s
p
icio
n
o
r
co
n
f
lic
ts
(
s
u
a
n
g
g
i)
b
et
w
ee
n
t
w
o
p
eo
p
les
o
r
m
o
r
e.
As
p
eo
p
le
o
f
Detu
s
o
k
o
h
a
v
e
a
s
tr
o
n
g
b
elie
f
in
th
eir
tr
ad
itio
n
,
th
e
y
al
s
o
b
eliev
e
t
h
a
t
r
u
’
u
ca
n
h
ap
p
en
,
a
n
d
it c
a
n
a
ls
o
b
e
p
r
ev
en
ted
.
Si
n
ce
t
h
e
y
h
av
e
s
tr
o
n
g
b
elie
f
i
n
s
u
c
h
b
lack
m
a
g
ic,
w
h
e
n
e
v
er
s
o
m
e
th
i
n
g
b
ad
h
ap
p
en
s
p
eo
p
le
w
il
l
al
m
o
s
t
au
to
m
atica
l
l
y
t
u
r
n
to
r
u
’
u
.
So
,
w
h
e
n
a
p
r
eg
n
an
t
w
o
m
an
f
ac
es
tr
o
u
b
les
d
u
r
in
g
lab
o
r
,
p
e
o
p
le
ten
d
to
th
in
k
th
at
t
h
e
ca
u
s
e
is
r
u
’
u
.
P
e
o
p
le
th
in
k
t
h
e
y
m
u
s
t
h
a
v
e
g
o
o
d
m
a
n
n
er
,
n
o
t
o
n
l
y
to
th
eir
f
a
m
i
l
y
m
e
m
b
er
s
,
b
u
t
a
ls
o
to
th
eir
s
o
cial
en
v
ir
o
n
m
e
n
t.
I
t
i
s
Evaluation Warning : The document was created with Spire.PDF for Python.
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5
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1
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20
1
6
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4
–
9
3
88
co
m
m
o
n
l
y
p
er
ce
iv
ed
i
f
s
o
m
et
h
in
g
b
ad
h
ap
p
en
s
to
s
o
m
eb
o
d
y
w
h
o
h
a
s
a
co
n
f
lic
t
w
it
h
o
t
h
er
p
eo
p
le,
th
e
c
au
s
e
is
al
w
a
y
s
r
u
’
u
.
P
r
eg
n
an
t
w
o
m
an
is
a
n
ea
s
y
tar
g
et
s
i
n
ce
p
eo
p
le
b
eliev
e
th
at
r
u
’
u
ca
n
ea
s
il
y
ai
m
at
p
eo
p
le
w
h
o
is
w
ea
k
m
e
n
tall
y
a
n
d
p
h
y
s
ical
l
y
.
A
lt
h
o
u
g
h
it
is
h
ar
d
to
f
i
n
d
o
u
t
w
h
o
s
e
n
d
th
is
b
lack
m
a
g
i
c,
p
eo
p
le
g
en
er
all
y
th
i
n
k
t
h
at
r
u
’
u
w
ill
ca
u
s
e
h
ar
m
s
to
p
r
eg
n
a
n
t
w
o
m
e
n
.
P
r
eg
n
an
t
w
o
m
e
n
ca
n
h
a
v
e
d
if
f
ic
u
lti
es
d
u
r
in
g
lab
o
r
n
o
t
b
ec
au
s
e
o
f
g
et
tin
g
u
r
u
t,
b
u
t
b
ec
au
s
e
o
f
r
u
’
u
.
Of
te
n
ti
m
e
s
,
p
eo
p
le
also
b
eliev
e
t
h
at
r
u
’
u
ca
n
ca
u
s
e
d
ea
t
h
to
p
r
eg
n
an
t
w
o
m
e
n
.
Old
er
w
o
m
e
n
al
w
a
y
s
s
u
g
g
e
s
t
th
eir
ch
ild
r
en
o
r
d
au
g
h
ter
-
in
-
la
w
s
to
g
o
to
T
B
As
to
g
et
m
as
s
ag
ed
w
h
e
n
ev
er
th
e
y
f
ee
l
u
n
co
m
f
o
r
t
ab
le
w
ith
t
h
eir
p
r
eg
n
a
n
c
y
.
I
t
i
s
n
o
t
u
n
co
m
m
o
n
f
o
r
o
ld
er
w
o
m
en
to
i
n
v
ite
T
B
As
to
th
eir
h
o
u
s
e
s
o
r
to
tak
e
t
h
eir
p
r
eg
n
an
t
d
au
g
h
ter
s
to
T
B
As
p
lace
.
P
eo
p
le
o
f
Detu
s
o
k
o
is
g
o
v
er
n
ed
b
y
a
p
atr
ilin
ea
l a
n
d
p
atr
ilo
ca
l k
in
s
h
ip
-
r
elate
d
tr
ad
itio
n
w
h
ich
d
ict
ates
y
o
u
n
g
co
u
p
le
to
li
v
e
to
g
et
h
er
w
it
h
o
n
e
o
f
th
e
p
ar
en
ts
(
u
s
u
all
y
t
h
e
h
u
s
b
a
n
d
‟
s
p
ar
en
ts
)
.
T
h
is
is
m
o
s
tl
y
t
h
e
r
ea
s
o
n
w
h
y
in
-
la
w
s
in
ter
v
en
e
in
al
m
o
s
t
ev
er
y
asp
ec
t
o
f
a
n
e
w
m
ar
r
ied
co
u
p
le‟
s
li
f
e.
T
h
u
s
,
it
is
d
i
f
f
icu
l
t
f
o
r
y
o
u
n
g
er
w
o
m
e
n
to
r
ef
u
s
e
th
eir
m
o
t
h
er
-
in
-
la
w
s
‟
s
u
g
g
e
s
tio
n
w
it
h
r
eg
ar
d
s
to
p
r
eg
n
a
n
c
y
-
r
elate
d
p
r
ac
tices,
i
n
clu
d
in
g
g
etti
n
g
m
a
s
s
a
g
ed
.
3
.
3
.
T
he
Ro
le
o
f
T
ra
ditio
na
l B
irt
h At
t
enda
nts
Data
f
r
o
m
Det
u
s
o
k
o
P
HC
s
h
o
w
s
th
er
e
i
s
o
n
l
y
o
n
e
tr
ain
ed
T
B
A
in
Detu
s
o
k
o
Villa
g
e.
Ne
v
er
th
eles
s
,
au
th
o
r
s
f
o
u
n
d
s
e
v
er
al
o
th
er
T
B
A
s
w
h
o
s
til
l
h
elp
p
r
eg
n
a
n
t
w
o
m
en
b
y
m
a
s
s
a
g
i
n
g
th
e
m
.
T
h
ese
T
B
A
s
ar
e
n
o
t
in
v
o
l
v
ed
i
n
h
e
lp
in
g
lab
o
r
as
t
h
e
y
ar
e
to
o
o
ld
an
d
s
o
m
e
h
a
v
e
d
if
f
icu
l
ties
w
i
th
th
e
ir
e
y
e
s
ig
h
t.
O
n
e
T
B
A
(
S,
5
2
y
ea
r
s
o
ld
)
w
as
f
o
u
n
d
to
b
e
s
till
h
e
lp
in
g
lab
o
r
u
n
til
3
0
th
J
u
n
e
2
0
1
3
s
in
ce
t
h
e
p
atien
t‟
s
f
a
m
il
y
h
ad
alr
ea
d
y
p
ick
ed
h
er
u
p
at
h
o
m
e.
S
p
r
o
v
id
ed
m
an
y
i
n
f
o
r
m
atio
n
ab
o
u
t
m
as
s
ag
i
n
g
tr
ad
itio
n
a
m
o
n
g
s
t
p
r
eg
n
an
t
w
o
m
e
n
.
Fo
r
h
er
,
an
d
m
a
n
y
o
t
h
er
T
B
As,
it
is
i
m
p
o
r
tan
t
to
h
elp
s
a
f
el
y
.
Af
ter
w
ar
d
s
,
s
h
e
u
s
u
all
y
r
ep
o
r
ts
to
p
r
im
ar
y
h
ea
lt
h
ce
n
ter
s
o
t
h
at
m
id
w
iv
e
s
ca
n
co
m
e
to
g
i
v
e
th
e
p
atie
n
t a
n
in
j
ec
tio
n
a
n
d
to
w
ei
g
h
t
h
e
n
e
w
l
y
-
b
o
r
n
b
ab
y
.
T
h
er
e
h
as
b
ee
n
a
p
ar
tn
er
s
h
ip
b
et
w
ee
n
m
id
w
i
v
es
an
d
T
B
A
s
.
I
n
th
is
p
ar
tn
er
s
h
ip
,
T
B
A
s
‟
r
o
l
e
is
to
tak
e
an
d
ac
co
m
p
an
y
p
r
eg
n
an
t
w
o
m
en
to
p
r
i
m
ar
y
h
ea
lt
h
ce
n
ter
f
o
r
lab
o
r
.
Nev
er
th
eles
s
,
T
B
A
s
ten
d
to
s
t
ill
as
s
is
t
p
r
eg
n
an
t
w
o
m
e
n
in
lab
o
r
esp
ec
iall
y
i
f
p
atien
t
‟
s
f
a
m
il
y
p
ick
s
T
B
A
s
u
p
f
r
o
m
th
e
ir
h
o
m
e.
T
h
er
e
ar
e
m
a
n
y
f
ac
to
r
s
to
ex
p
lai
n
th
e
r
ea
s
o
n
s
p
eo
p
le
s
till
ch
o
o
s
e
T
B
A
s
,
in
s
t
ea
d
o
f
m
id
w
iv
e
s
.
T
h
e
f
ac
to
r
s
ar
e
as f
o
llo
w
ed
:
T
h
er
e
is
r
elativ
el
y
h
ig
h
er
tr
u
s
t
to
w
ar
d
s
T
B
A
s
t
h
an
to
w
ar
d
s
m
id
w
iv
e
s
.
I
n
g
e
n
er
al,
m
i
d
w
i
v
es
ar
e
y
o
u
n
g
er
;
h
e
n
ce
lack
t
h
e
e
x
p
er
ien
ce
s
t
h
at
p
eo
p
le
b
eliev
e
T
B
As
h
a
v
e.
I
n
ad
d
itio
n
,
s
i
n
ce
m
o
s
t
T
B
A
s
ar
e
o
ld
er
,
p
eo
p
le
h
av
e
k
n
o
w
n
t
h
e
m
f
o
r
y
ea
r
s
.
T
h
is
r
ela
tio
n
s
h
ip
h
elp
s
p
eo
p
le
to
p
u
t
m
o
r
e
tr
u
s
t
in
T
B
A
s
as
t
h
e
y
w
i
tn
e
s
s
o
r
ex
p
er
ien
ce
d
ir
ec
tly
t
h
e
h
e
lp
o
f
T
B
A
s
.
Gen
er
all
y
,
m
id
w
i
v
es
d
o
n
o
t
h
a
v
e
t
h
e
s
a
m
e
ab
ilit
y
to
m
as
s
ag
e
p
r
eg
n
an
t
w
o
m
en
.
Getti
n
g
u
r
u
t
in
Det
u
s
o
k
o
is
al
m
o
s
t
i
n
s
ep
ar
ab
l
e
f
r
o
m
p
r
eg
n
a
n
t
w
o
m
en
w
h
e
n
ev
er
t
h
e
y
f
ee
l
tire
d
o
r
u
n
co
m
f
o
r
tab
le
w
ith
t
h
eir
p
r
eg
n
a
n
c
y
.
I
t
is
v
er
y
d
i
f
f
icu
lt
to
c
h
an
g
e
t
h
i
s
tr
ad
itio
n
.
I
t
is
also
r
elate
d
to
p
r
eg
n
an
t
w
o
m
en
‟
s
w
o
r
k
i
n
g
p
atter
n
i
n
t
h
e
f
ar
m
d
esp
ite
th
e
ir
co
n
d
itio
n
.
Fu
r
t
h
er
m
o
r
e,
s
u
ch
w
o
r
k
i
n
g
p
atte
r
n
ca
u
s
e
s
i
n
f
a
n
t
‟
s
p
o
s
itio
n
to
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th
e
m
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s
w
o
m
b
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e
ar
e
m
an
y
ca
s
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s
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th
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l
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h
e
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ec
r
ea
s
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g
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u
s
t
o
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le
to
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ar
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s
th
e
T
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s
.
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ter
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ie
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h
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h
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ee
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o
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T
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d
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e
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T
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h
o
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at
th
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y
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ad
n
e
v
er
h
ad
an
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x
p
er
ien
ce
s
o
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d
ea
th
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atie
n
ts
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f
t
en
ti
m
e
s
,
T
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A
s
ar
e
p
r
o
u
d
f
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elp
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g
t
h
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t
w
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n
b
ab
ies
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b
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th
b
ab
ies
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d
m
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o
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l
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tr
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s
t
T
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to
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le
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y
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n
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f
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itio
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d
u
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r
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h
e
y
also
lik
e
t
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e
f
ac
ts
t
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at
T
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p
r
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t
d
o
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th
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ir
j
o
b
.
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h
is
p
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ay
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s
u
s
u
all
y
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ea
d
b
ef
o
r
e
s
tar
tin
g
la
b
o
r
.
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B
A
s
ar
e
ab
le
to
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elp
d
if
f
ic
u
lt
lab
o
r
ca
u
s
ed
b
y
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e
x
(
r
u
’
u
)
.
A
s
a
f
o
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e
m
e
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tio
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,
p
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p
le
in
Detu
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k
o
b
eliev
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th
a
t
d
if
f
ic
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lt
lab
o
r
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c
au
s
ed
b
y
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ex
s
en
t
b
y
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th
er
p
e
o
p
le.
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A
s
r
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o
g
n
ize
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h
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s
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t
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n
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t
o
tell
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h
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s
e
n
d
t
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e
h
ex
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t
h
eles
s
,
T
B
A
s
ar
e
ab
le
to
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eliev
e
t
h
e
i
n
f
l
u
en
ce
s
o
f
b
lack
m
ag
ic
t
h
r
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g
h
th
eir
p
r
a
y
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s
.
T
B
A
s
h
a
s
s
h
o
w
n
o
n
n
u
m
er
o
u
s
ca
s
e
s
t
h
at
t
h
e
y
ar
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ab
le
to
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o
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r
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tly
g
u
es
s
t
h
e
s
ex
o
f
n
e
w
l
y
-
b
o
r
n
b
ab
ies.
T
h
ey
ar
e
ab
le
to
d
o
th
is
s
in
c
e
th
e
b
e
g
in
n
i
n
g
o
f
p
r
eg
n
a
n
c
y
.
T
h
er
e
ar
e
v
ar
io
u
s
w
a
y
s
to
d
o
th
is
ac
co
r
d
in
g
to
T
B
A
s
.
So
m
e
lo
o
k
at
t
h
e
m
o
th
er
s
‟
f
ac
e.
I
f
th
e
f
ac
e
lo
o
k
s
clea
n
,
b
r
ig
h
t
an
d
p
r
esen
tab
l
e,
th
e
m
o
t
h
er
s
w
il
l
u
s
u
all
y
h
a
v
e
d
au
g
h
ter
s
.
On
th
e
o
th
er
h
an
d
,
if
t
h
e
f
ac
e
lo
o
k
s
o
ld
er
,
th
ey
w
ill
u
s
u
al
l
y
h
a
v
e
s
o
n
s
.
An
o
th
er
w
a
y
to
d
o
it
is
b
y
lo
o
k
i
n
g
at
t
h
e
s
h
ap
e
o
f
m
o
t
h
er
s
‟
s
to
m
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h
.
I
f
it
s
tan
d
s
to
t
h
e
r
ig
h
t,
i
t
w
ill
u
s
u
a
ll
y
b
e
m
ale
b
ab
ies
,
an
d
v
ice
v
er
s
a.
T
B
A
s
u
s
u
al
l
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d
o
n
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t
s
et
a
s
ta
n
d
ar
d
ized
co
s
t
f
o
r
th
eir
s
er
v
ic
es.
I
f
t
h
e
p
atie
n
ts
ar
e
s
t
ill
co
n
s
id
er
ed
a
r
elativ
e,
th
e
y
u
s
u
al
l
y
d
o
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o
t
n
ee
d
to
p
ay
.
So
m
e
ti
m
es,
p
atien
ts
d
o
n
o
t
g
iv
e
an
y
t
h
i
n
g
m
u
c
h
ex
ce
p
t
th
i
n
g
s
s
u
ch
as
p
o
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ltr
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,
r
ice,
an
d
clo
th
as
a
w
a
y
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x
p
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g
g
r
atit
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d
e
in
tr
ad
itio
n
w
a
y
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T
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A
s
ar
e
o
f
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n
a
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h
b
o
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o
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d
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m
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a
tes
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e
r
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ctan
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o
f
g
etti
n
g
th
ei
r
h
elp
s
in
lab
o
r
.
E
v
en
f
o
r
th
o
s
e
w
o
m
e
n
w
h
o
g
e
ts
ass
is
ted
b
y
a
m
ale
T
B
A
,
th
e
y
d
o
n
o
t
f
ee
l
s
h
y
d
esp
ite
th
e
g
e
n
d
er
d
if
f
er
en
ce
.
I
t
is
m
o
r
e
i
m
p
o
r
tan
t
to
g
et
h
elp
s
f
r
o
m
T
B
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s
d
u
r
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lab
o
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d
esp
ite
w
h
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er
s
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x
t
h
e
T
B
A
s
h
av
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b
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s
i
n
s
u
c
h
ca
s
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u
lt
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d
ea
th
.
R
elati
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e
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an
d
n
eig
h
b
o
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s
w
h
o
s
u
cc
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d
i
n
h
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lp
in
g
lab
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r
ar
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co
n
s
id
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lik
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li
f
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-
s
a
v
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r
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P
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o
p
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ten
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tab
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alth
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k
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p
r
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ar
y
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ea
lt
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ce
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ter
;
h
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th
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y
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f
r
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On
th
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it
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ail
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atter
s
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p
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p
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ar
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Det
u
s
o
k
o
.
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h
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w
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d
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ar
e
tak
en
as
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f
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y
ar
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la
w
s
.
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p
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m
u
s
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o
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y
th
e
m
.
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h
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in
f
lu
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ce
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ca
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n
o
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b
e
r
ep
lace
d
b
y
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th
er
p
eo
p
le
in
clu
d
in
g
in
ter
v
en
t
io
n
s
f
r
o
m
h
ea
lth
w
o
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k
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e
m
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lo
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b
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e
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o
v
er
n
m
e
n
t.
Mo
d
er
n
m
ed
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p
r
ac
tices
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p
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b
y
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o
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u
r
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a
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d
m
id
w
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v
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ar
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t
o
f
co
n
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id
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atio
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o
r
a
lo
t
o
f
p
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p
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Detu
s
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k
o
.
Su
ch
p
o
w
er
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h
as
i
m
p
licated
in
th
e
ce
n
tr
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r
o
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f
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in
p
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l
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s
.
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p
le
p
r
ef
er
s
g
o
in
g
to
T
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to
g
et
ex
a
m
i
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o
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e
m
w
it
h
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ab
o
r
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an
f
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t
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er
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m
e
n
t
v
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th
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r
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m
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ter
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ter
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lth
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m
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as
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cc
e
s
s
f
u
l.
T
h
e
g
o
v
e
r
n
m
e
n
t e
x
p
ec
ts
all
w
o
m
e
n
to
g
et
t
h
eir
m
ed
ical
c
h
ec
k
a
n
d
to
g
et
ass
is
ted
i
n
th
eir
lab
o
r
o
n
ly
in
m
ed
ical
f
ac
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y
s
u
ch
a
s
p
r
i
m
ar
y
h
ea
l
th
ce
n
ter
.
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w
e
v
er
,
m
a
n
y
p
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p
le
s
ti
ll p
r
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f
o
r
t
h
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ch
ea
p
an
d
u
n
co
m
p
licated
s
er
v
ices.
3
.
4
.
H
ea
lt
h
-
Rela
t
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Dec
is
io
n M
a
kin
g
P
a
t
t
er
n o
n F
a
m
ily
L
ev
e
l
On
e
o
f
th
e
ca
u
s
es
o
f
2
0
1
3
ca
s
es
o
f
m
ater
n
al
m
o
r
tal
it
y
in
De
tu
s
o
k
o
Dis
tr
ict
is
d
ela
y
ed
r
ef
e
r
r
al
d
u
e
to
g
eo
g
r
ap
h
ic
an
d
n
at
u
r
al
co
n
d
it
io
n
.
I
n
o
n
e
ca
s
e,
a
w
o
m
a
n
was
alr
ea
d
y
in
b
ad
co
n
d
itio
n
w
h
e
n
tr
a
n
s
f
er
r
ed
to
r
eg
io
n
al
h
o
s
p
ital
i
n
E
n
d
e.
Ho
w
e
v
er
,
th
e
ca
r
tr
a
v
elled
t
h
r
o
u
g
h
f
o
u
r
lan
d
s
l
id
es
.
I
t
w
as
p
r
a
ctica
ll
y
v
er
y
h
ar
d
to
g
o
t
h
r
o
u
g
h
.
Ma
i
n
te
n
a
n
ce
n
ee
d
s
m
o
r
e
ti
m
e.
W
h
at
m
ad
e
it
w
o
r
s
e
w
as
it
w
a
s
t
h
e
o
n
l
y
w
a
y
to
E
n
d
e;
h
en
ce
t
h
e
ca
r
h
ad
to
s
tay
i
n
q
u
eu
e
w
it
h
m
an
y
o
th
er
v
e
h
icle
s
.
E
v
e
n
tu
a
l
l
y
,
th
e
p
atien
t
d
ied
d
u
r
in
g
t
h
e
tr
ip
to
th
e
r
eg
io
n
al
h
o
s
p
ital.
T
h
e
lack
o
f
ed
u
ca
tio
n
a
m
o
n
g
s
t
p
eo
p
le
o
f
Detu
s
o
k
o
w
h
o
a
r
e
m
o
s
tl
y
e
le
m
e
n
tar
y
s
c
h
o
o
l
g
r
ad
u
ates
r
esu
lt
s
in
th
eir
lo
w
i
n
co
m
e.
T
h
e
y
d
ep
en
d
lar
g
el
y
o
n
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P
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As
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f
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o
t
h
er
t
h
in
g
s
t
h
at
n
ee
d
to
b
e
w
r
a
p
ar
o
u
n
d
t
h
eir
b
o
d
ies
s
u
ch
as:
n
ec
k
lace
,
r
in
g
s
,
b
r
ac
elets
as
w
ell
as
s
ca
r
v
es.
A
n
e
x
ce
p
tio
n
t
o
th
is
i
s
R
o
s
ar
io
.
I
f
th
is
r
u
le
is
b
r
o
k
en
,
b
ab
ies
w
ill s
u
f
f
er
f
r
o
m
t
w
is
ted
co
r
d
.
b.
B
o
th
p
r
eg
n
an
t
w
o
m
e
n
an
d
t
h
e
ir
h
u
s
b
an
d
ar
e
n
o
t
p
er
m
itted
t
o
w
r
ap
to
w
el
s
ar
o
u
n
d
t
h
eir
n
e
ck
w
h
e
n
ab
o
u
t
to
b
ath
b
ec
au
s
e
if
t
h
e
y
d
o
,
it
w
ill
af
f
ec
t b
ad
l
y
o
n
t
h
e
p
lace
n
ta
.
c.
P
r
eg
n
an
t
w
o
m
en
m
u
s
t
n
o
t h
a
v
e
th
eir
h
air
b
r
aid
ed
as it
w
il
l
af
f
ec
t b
ad
l
y
o
n
th
e
p
lace
n
ta.
d.
P
r
eg
n
an
t
w
o
m
e
n
ar
e
p
r
o
h
ib
ited
f
r
o
m
ea
tin
g
p
i
n
ea
p
p
les
,
d
u
r
ian
,
an
d
g
in
g
er
as
it
w
i
ll
r
es
u
lt
in
h
ea
t
w
h
ic
h
ca
n
ca
u
s
e
m
i
s
ca
r
r
iag
e.
e.
P
eo
p
le
b
eliev
e
th
at
b
leed
in
g
i
s
u
s
u
all
y
ca
u
s
ed
g
en
et
icall
y
.
A
p
ar
ticu
lar
s
h
a
m
an
i
s
th
e
o
n
l
y
o
n
e
t
h
at
ca
n
cu
r
e
th
i
s
co
n
d
itio
n
f.
P
r
eg
n
an
t
w
o
m
e
n
ar
e
n
o
t
allo
w
ed
to
u
s
e
b
r
o
k
en
ea
ter
ies
s
i
n
ce
th
e
b
o
r
n
b
ab
ies
w
ill
b
e
b
o
r
n
w
it
h
ch
ip
p
y
lip
s
.
g.
P
r
eg
n
an
t
w
o
m
en
a
n
d
th
eir
h
u
s
b
an
d
s
ar
e
n
o
t
s
u
p
p
o
s
ed
to
k
ill
an
y
a
n
i
m
als
a
s
t
h
e
y
b
elie
v
e
t
h
e
b
ab
ies
w
ill
b
e
b
o
r
n
cr
ip
p
led
.
M
y
t
h
s
ar
o
u
n
d
p
r
eg
n
a
n
c
y
ar
e
t
r
u
s
ted
m
o
r
e
t
h
a
n
h
ea
lth
ad
v
is
e
s
f
r
o
m
th
e
p
r
i
m
ar
y
h
ea
l
th
ce
n
t
er
.
P
eo
p
le
ten
d
to
d
is
o
b
e
y
a
n
y
h
ea
lt
h
ad
v
ice
f
r
o
m
a
n
y
h
ea
lt
h
w
o
r
k
er
s
s
u
c
h
a
s
:
d
o
cto
r
s
,
m
id
w
i
v
e
s
,
an
d
n
u
r
s
e
s
,
d
esp
ite
th
e
g
o
o
d
in
te
n
tio
n
a
n
d
lo
g
ics
b
eh
in
d
.
On
t
h
e
o
th
er
h
a
n
d
,
p
eo
p
le
s
tr
o
n
g
l
y
b
elie
v
e
i
n
m
y
t
h
s
.
A
s
a
co
n
s
eq
u
e
n
ce
,
p
eo
p
le
co
n
s
id
er
an
y
b
ad
i
n
cid
en
ce
s
r
elate
d
to
p
r
eg
n
a
n
c
y
as
a
r
esu
lt
o
f
b
ad
b
eh
a
v
io
r
o
r
w
a
y
w
ar
d
n
es
s
to
w
ar
d
s
cu
s
to
m
r
u
le
s
.
3
.
6
.
F
o
o
d T
a
bo
o
a
nd
Diet
P
a
t
t
er
n A
m
o
ng
P
re
g
na
nt
Wo
m
e
n
I
n
s
p
ite
o
f
li
v
i
n
g
i
n
f
er
ti
le
lan
d
s
th
at
u
s
u
a
ll
y
h
ar
v
e
s
t
a
v
ar
iet
y
o
f
v
e
g
etab
les
a
n
d
f
r
u
its
,
d
iet
p
atter
n
o
f
lo
ca
l
p
eo
p
le
d
o
n
o
t
r
ep
r
esen
t
th
is
.
T
h
er
e
is
a
g
en
er
al
d
is
li
k
e
o
f
g
r
ee
n
v
eg
etab
le
s
.
P
eo
p
le
w
o
u
ld
r
ath
er
ea
t
r
ice
s
lig
h
tl
y
s
a
l
ted
w
ith
li
g
h
t
ac
co
m
p
a
n
i
m
en
ts
s
u
c
h
as:
c
h
ill
y
an
d
/o
r
s
alted
f
i
s
h
.
P
r
eg
n
a
n
t
w
o
m
e
n
h
av
e
n
o
d
if
f
er
e
n
t
d
iet
p
atter
n
w
it
h
o
t
h
er
f
a
m
il
y
m
e
m
b
er
s
w
h
o
l
ik
e
ea
tin
g
r
ice
w
it
h
s
alt
a
n
d
c
h
ill
y
.
T
h
e
y
d
o
n
o
t
ea
t
v
eg
etab
le
s
as
th
e
y
ar
e
s
u
p
p
o
s
ed
to
.
On
th
e
o
t
h
er
h
a
n
d
,
i
n
s
ta
n
t n
o
o
d
le
is
a
p
o
p
u
lar
m
ea
l
f
o
r
liter
all
y
al
l p
eo
p
le,
an
d
p
r
eg
n
a
n
t
w
o
m
e
n
ar
e
n
o
t
a
n
ex
ce
p
tio
n
.
I
f
p
r
eg
n
a
n
t
w
o
m
en
h
a
v
e
n
o
ap
p
etite
i
n
ea
tin
g
r
ice
o
r
ca
s
s
av
a,
th
e
y
w
il
l
o
p
t
f
o
r
in
s
tan
t
n
o
o
d
le.
Fo
r
lo
ca
l
c
o
m
m
u
n
it
y
,
t
h
e
n
o
tio
n
o
f
h
av
i
n
g
a
m
ea
l
m
ea
n
s
ea
ti
n
g
r
ice.
A
n
y
k
i
n
d
o
f
s
id
e
d
is
h
is
n
o
t
a
m
u
s
t.
Of
ten
,
p
r
eg
n
a
n
t
w
o
m
en
f
o
llo
w
w
h
at
ev
er
th
e
y
th
i
n
k
t
h
e
b
ab
ies
w
a
n
t.
Fo
r
e
x
a
m
p
le,
i
f
th
e
y
f
ee
l
n
a
u
s
eo
u
s
,
t
h
e
y
w
ill
n
o
t
f
o
r
ce
t
h
e
m
s
el
v
es
in
to
ea
ti
n
g
.
W
h
en
th
e
y
h
av
e
n
o
ap
p
eti
te,
th
e
y
w
ill
u
s
u
al
l
y
o
n
l
y
ea
t
t
w
o
s
p
o
o
n
f
u
l
s
o
f
r
ice,
w
it
h
o
u
t
s
id
e
-
d
is
h
es
o
r
t
h
e
y
w
il
l
ea
t
o
n
l
y
b
o
iled
b
an
a
n
as,
b
o
iled
co
r
n
,
ca
s
s
av
a
o
r
in
s
ta
n
t
n
o
o
d
le.
A
lt
h
o
u
g
h
b
o
th
T
B
A
s
an
d
m
id
w
i
v
es
k
ee
p
r
e
m
in
d
i
n
g
p
r
eg
n
a
n
t
w
o
m
en
to
ea
t
n
u
tr
itio
u
s
f
o
o
d
r
o
u
tin
el
y
,
it
is
s
till
d
if
f
ic
u
lt
to
ch
an
g
e
th
e
h
ab
its
o
f
n
o
t
p
r
io
r
itizin
g
n
u
tr
itio
n
,
w
h
il
s
t
p
r
io
r
itizin
g
h
ar
d
w
o
r
k
in
th
e
f
ar
m
s
.
I
n
o
n
e
p
ar
t
o
f
t
h
e
v
illa
g
e,
an
u
n
tr
ain
ed
s
h
a
m
a
n
s
u
g
g
e
s
ted
a
w
o
m
a
n
n
o
t
to
ea
t
to
o
m
u
c
h
,
b
u
t
to
w
o
r
k
h
ar
d
s
i
n
ce
le
s
s
w
o
r
k
w
i
ll
m
a
k
e
lab
o
r
d
if
f
ic
u
lt.
Fo
o
d
tab
o
o
f
o
r
p
r
eg
n
an
t
w
o
m
e
n
i
n
clu
d
e
s
n
ac
k
s
,
co
ld
b
ev
er
ag
es,
an
d
ev
e
n
m
ed
ici
n
e
f
r
o
m
t
h
e
p
r
i
m
ar
y
h
ea
lt
h
ce
n
ter
.
A
l
th
o
u
g
h
it
s
h
o
u
ld
b
e
n
o
ted
th
at
th
e
s
e
m
ed
icin
e
s
ar
e
n
u
tr
itio
n
s
u
p
p
o
r
ter
s
o
th
at
w
o
m
e
n
w
ill
b
e
s
p
ar
ed
f
r
o
m
r
is
k
s
s
u
c
h
as
an
e
m
i
a.
W
o
m
e
n
ar
e
al
s
o
n
o
t a
llo
w
ed
to
co
n
s
u
m
e
s
u
g
ar
ca
n
e
s
i
n
ce
it
is
b
elie
v
ed
th
at
d
o
in
g
s
o
w
il
l r
esu
l
t in
w
ater
y
b
ab
ies‟
ea
r
.
Diet
p
atter
n
o
f
p
r
eg
n
a
n
t
w
o
m
en
i
s
n
o
d
i
f
f
er
en
t
f
r
o
m
t
h
e
g
e
n
er
al
p
o
p
u
latio
n
.
T
h
e
y
ea
t
wh
atev
er
is
av
ailab
le.
T
h
e
y
n
e
v
er
p
r
io
r
itiz
e
n
u
tr
itio
n
f
o
r
p
r
eg
n
a
n
t
w
o
m
e
n
.
Fu
r
t
h
er
m
o
r
e,
th
er
e
v
ar
io
u
s
o
th
er
p
r
ac
tices
th
at
a
p
r
eg
n
a
n
t
w
o
m
an
s
h
o
u
ld
d
o
s
u
c
h
as
g
et
tin
g
ANC,
g
i
v
i
n
g
b
ir
th
in
m
ed
ical
f
ac
ilit
ie
s
,
n
o
t
g
etti
n
g
m
as
s
ag
ed
-
w
h
ic
h
p
eo
p
le
o
f
Detu
s
o
k
o
p
ay
n
o
atte
n
tio
n
to
.
Do
cto
r
s
,
m
i
d
w
i
v
es,
a
n
d
h
ea
lt
h
ca
d
r
es
h
as
o
f
ten
s
o
cial
ized
th
e
i
m
p
o
r
tan
ce
o
f
m
ater
n
al
h
ea
lt
h
,
b
u
t
o
ld
cu
s
to
m
s
ar
e
n
o
t
th
at
ea
s
y
to
b
e
tr
an
s
f
o
r
m
ed
.
A
4
8
-
y
ea
r
o
ld
m
id
w
i
f
e
(
L
)
w
h
o
h
ad
b
ee
n
d
o
i
n
g
h
er
j
o
b
in
t
h
e
v
illa
g
e
f
o
r
o
v
er
2
3
y
ea
r
s
s
aid
t
h
at
s
h
e
f
elt
lik
e
a
f
ail
u
r
e
i
n
b
r
in
g
i
n
g
p
o
s
itiv
e
ch
a
n
g
e
i
n
Detu
s
o
k
o
.
T
h
e
lack
o
f
h
u
m
an
r
eso
u
r
ce
as
a
r
esu
lt
o
f
li
m
i
ted
ed
u
ca
tio
n
an
d
th
e
in
f
l
u
en
ce
o
f
ex
ten
d
ed
f
a
m
i
l
y
i
n
d
ec
is
io
n
-
m
ak
in
g
p
r
o
ce
s
s
h
a
v
e
all
b
ee
n
to
o
d
if
f
ic
u
lt to
ch
a
n
g
e.
As L
s
ai
d
:
Evaluation Warning : The document was created with Spire.PDF for Python.
I
J
P
HS
I
SS
N:
2252
-
8806
Th
e
E
ffo
r
t to
Dec
r
ea
s
in
g
Ma
tern
a
l a
n
d
C
h
ild
Mo
r
ta
lity R
a
te
s
th
r
o
u
g
h
C
u
ltu
r
a
l
.
.
.
.
(
A
tik
Tr
ir
a
tn
a
w
a
ti)
91
“
I
‟
v
e
b
ee
n
w
o
r
k
in
g
h
er
e
f
o
r
o
v
er
2
3
y
ea
r
s
a
s
a
m
id
w
i
f
e.
Ho
w
e
v
er
,
th
er
e
ar
e
s
til
l
to
o
m
an
y
p
r
ac
tices
p
r
eg
n
an
t
w
o
m
en
d
o
th
at
ar
e
d
if
f
ic
u
lt
to
g
et
r
id
o
f
.
I
f
elt
as
f
ail
u
r
e.
I
f
elt
I
h
av
e
f
ailed
h
e
lp
in
g
t
h
e
m
to
g
et
b
etter
.
P
o
v
er
ty
,
li
m
ited
h
u
m
a
n
r
eso
u
r
ce
s
,
a
n
d
tr
ad
itio
n
ar
e
to
o
p
o
w
er
f
u
l h
er
e.
”
A
lt
h
o
u
g
h
t
h
er
e
ar
e
o
n
l
y
f
e
w
n
u
m
b
er
s
o
f
f
o
o
d
tab
o
o
,
th
e
e
f
f
ec
t
is
s
i
g
n
if
ica
n
t
f
o
r
p
r
eg
n
a
n
t
w
o
m
e
n
‟
s
d
iet
p
atter
n
.
P
r
eg
n
an
t
w
o
m
e
n
an
d
De
tu
s
o
k
o
p
eo
p
le
p
r
ef
er
s
alted
f
is
h
to
v
e
g
etab
les.
T
h
er
ef
o
r
e,
f
o
o
d
tab
o
o
–
in
th
i
s
ca
s
e
v
e
g
etab
le
–
w
ill
o
n
l
y
d
ec
r
ea
s
e
p
eo
p
le‟
s
in
ter
e
s
t
in
v
e
g
etab
le
ev
e
n
lo
w
er
.
B
esid
es,
v
eg
e
tab
le
is
co
n
s
id
er
ed
as
n
o
t
tast
y
a
s
wh
at
th
e
y
co
n
s
id
er
d
elicio
u
s
c
o
n
s
is
ts
o
f
m
er
el
y
r
ice,
s
alt
a
n
d
ch
ili
.
Fo
r
th
e
m
,
h
av
i
n
g
a
m
ea
l
is
ea
ti
n
g
r
ice
o
n
l
y
.
T
h
is
k
in
d
o
f
p
atter
n
is
al
s
o
h
eld
b
y
p
r
eg
n
an
t
w
o
m
en
.
B
an
an
a
an
d
ca
s
s
a
v
a
ar
e
co
n
s
id
er
ed
as
alter
n
ativ
e
to
r
ice.
So
,
w
h
e
n
e
v
er
th
e
y
d
o
n
o
t
f
ee
l
lik
e
ea
ti
n
g
r
ice,
th
e
y
w
ill
o
n
l
y
h
a
v
e
b
an
an
a
an
d
ca
s
s
av
a
a
s
a
r
ep
lace
m
en
t.
3
.
7
.
T
he
M
ea
nin
g
o
f
M
a
t
er
na
l
a
nd
I
nfa
nt
M
o
rt
a
lity
in G
end
er
-
re
la
t
io
n
Dea
th
i
s
a
p
ar
t
o
f
li
f
e
c
y
cle
l
ik
e
b
ei
n
g
b
o
r
n
,
g
r
o
w
in
g
o
ld
e
r
,
an
d
g
etti
n
g
o
ld
.
I
n
r
elatio
n
to
d
ea
th
,
ev
er
y
i
n
d
i
v
id
u
al
w
ill
e
x
p
er
ien
ce
d
if
f
er
e
n
t
k
i
n
d
o
f
d
ea
t
h
.
Ma
ter
n
al
a
n
d
in
f
a
n
t
m
o
r
ta
lit
y
i
n
a
co
m
m
u
n
it
y
w
it
h
a
r
elativ
el
y
h
i
g
h
r
ate
o
f
m
ater
n
a
l
an
d
in
f
a
n
t
m
o
r
talit
y
lik
e
E
n
d
e
s
h
o
u
ld
m
ea
n
s
o
m
et
h
i
n
g
f
o
r
th
e
m
.
T
h
e
d
ea
th
o
f
p
r
eg
n
an
t
w
o
m
e
n
o
r
n
e
w
l
y
-
b
o
r
n
b
ab
ies
is
o
f
te
n
r
e
g
ar
d
ed
as
„
s
u
d
d
en
d
ea
th
‟
.
T
h
e
r
ea
s
o
n
is
th
e
y
n
e
v
er
ex
p
ec
t
th
at
d
ea
t
h
w
ill
co
m
e
t
h
at
s
o
o
n
s
in
ce
it
i
n
v
o
l
v
es
n
o
s
ic
k
n
ess
.
Dea
th
i
s
n
o
t
i
n
o
n
e‟
s
i
m
ag
in
at
io
n
w
it
h
r
eg
ar
d
s
t
o
p
r
eg
n
an
t
w
o
m
e
n
s
i
n
ce
t
h
e
y
o
n
l
y
h
o
p
e
f
o
r
a
h
ea
lt
h
y
m
o
th
er
a
n
d
ch
ild
.
Ma
ter
n
a
l
an
d
i
n
f
a
n
t
m
o
r
ta
lit
y
is
tr
ea
ted
as
a
v
er
y
s
u
d
d
en
o
cc
u
r
r
en
ce
t
h
at
n
o
o
n
e
in
th
e
f
a
m
il
y
d
r
ea
m
o
f
.
I
t
o
f
ten
b
ec
o
m
es
a
b
itter
p
ill
th
at
p
eo
p
le
h
av
e
to
s
w
al
lo
w
.
Ne
v
er
t
h
eles
s
,
th
e
y
co
n
s
id
er
it a
s
p
ar
t o
f
Go
d
‟
s
p
lan
,
h
e
n
ce
,
m
o
v
in
g
o
n
i
s
o
n
l
y
r
atio
n
al.
Fro
m
m
a
n
y
ca
s
e
s
o
f
m
ater
n
al
an
d
in
f
a
n
t
m
o
r
tal
it
y
in
Detu
s
o
k
o
,
ev
er
y
f
a
m
il
y
m
e
m
b
er
ad
m
itted
t
h
e
lo
s
s
a
n
d
r
eg
r
et.
So
m
e
q
u
es
tio
n
ed
w
h
y
it
w
as
th
e
m
o
t
h
er
a
n
d
/o
r
th
e
b
ab
y
w
h
o
d
ied
,
a
n
d
w
h
y
n
o
t
o
th
er
f
a
m
il
y
m
e
m
b
er
s
u
c
h
as
t
h
e
h
ea
d
o
f
t
h
e
f
a
m
il
y
.
T
h
e
m
e
m
o
r
y
ab
o
u
t
th
e
m
o
t
h
er
an
d
t
h
e
b
ab
y
ca
n
n
o
t
b
e
er
ased
ea
s
ily
.
T
h
e
h
u
g
e
lo
s
s
is
f
elt
b
y
f
a
m
il
y
m
e
m
b
er
s
.
T
h
u
s
,
a
n
y
d
ea
th
o
f
a
m
o
t
h
er
an
d
/o
r
a
b
ab
y
w
ill
b
e
d
ea
lt
w
it
h
a
lo
t o
f
tear
s
an
d
s
ad
n
e
s
s
.
B
asicall
y
,
d
ea
th
h
as
a
n
al
m
o
s
t
s
i
m
ilar
m
ea
n
i
n
g
f
o
r
ev
er
y
r
elig
io
n
.
Mo
s
t
p
eo
p
le
o
f
Detu
s
o
k
o
ar
e
C
ath
o
lic
s
.
T
h
e
y
al
s
o
h
a
v
e
s
i
m
ilar
i
n
ter
p
r
etatio
n
o
f
d
ea
t
h
.
T
h
ey
w
ill
m
o
u
r
n
t
h
e
lo
s
s
o
f
an
y
m
e
m
b
er
o
f
t
h
e
f
a
m
il
y
,
in
cl
u
d
i
n
g
e
ld
er
l
y
a
n
d
p
r
eg
n
a
n
t
w
o
m
e
n
a
n
d
/o
r
b
ab
ies.
I
n
f
an
t
m
o
r
talit
y
,
i
n
p
ar
tic
u
lar
,
s
h
o
u
ld
n
o
t
b
e
tr
ea
ted
w
ith
g
r
ea
t
r
eg
r
et
s
in
ce
p
eo
p
le
b
eli
ev
e
th
at
th
o
s
e
b
ab
ies
w
ill
b
e
b
o
r
n
ag
ain
as
f
air
i
es
w
h
o
liv
e
in
t
h
e
h
ea
v
e
n
a
n
d
w
i
ll
m
a
k
e
b
o
th
p
ar
en
ts
h
ap
p
y
.
Ma
ter
n
al
a
n
d
in
f
a
n
t
m
o
r
talit
y
ar
e
tr
ea
ted
s
i
m
ilar
l
y
w
it
h
o
t
h
er
d
ea
th
s
s
i
n
ce
b
o
th
m
o
th
er
s
an
d
b
ab
ies
d
ie
as
in
tact
h
u
m
a
n
.
T
h
e
y
w
i
ll
b
e
tr
ea
ted
an
d
b
u
r
ied
in
t
h
e
s
a
m
e
w
a
y
a
s
o
th
er
p
eo
p
le.
I
t m
ea
n
s
th
e
ce
r
e
m
o
n
y
w
il
l b
e
h
eld
i
n
ac
co
r
d
an
ce
to
C
a
th
o
lic
r
eli
g
io
n
an
d
tr
ad
itio
n
.
I
n
C
ath
o
lic
,
esp
ec
iall
y
i
f
th
e
d
ea
d
is
alr
ea
d
y
b
ap
tized
,
th
e
ce
r
e
m
o
n
y
is
le
d
b
y
a
p
r
iest
.
T
h
is
in
cl
u
d
es
b
ab
ies
as
lo
n
g
as
th
e
y
ar
e
b
ap
tized
alr
ea
d
y
.
T
h
eir
ce
r
e
m
o
n
y
w
ill
b
e
h
eld
lik
e
a
n
ad
u
lt.
T
h
e
p
r
ay
er
s
a
n
d
ce
r
em
o
n
ial
r
i
tu
al
w
ill
b
e
co
n
d
u
cted
b
y
a
p
r
iest
an
d
h
i
s
p
eo
p
le.
A
cc
o
r
d
in
g
to
P
,
a
n
u
n
in
th
e
lo
ca
l
c
h
u
r
c
h
,
in
C
at
h
o
lic
teac
h
i
n
g
s
,
d
ea
d
in
f
an
t
s
w
ill
t
u
r
n
i
n
to
f
a
ir
ies o
r
an
g
el
s
.
T
h
e
y
w
ill
s
av
e
t
h
e
p
ar
en
ts
,
esp
ec
iall
y
t
h
e
m
o
t
h
er
s
.
3
.
8
.
Cultura
l Tra
ns
f
o
r
m
a
t
io
n a
s
a
n E
f
f
o
rt
t
o
Dec
re
a
s
e
M
a
t
er
na
l a
nd
I
nfa
nt
M
o
r
t
a
lity
Ra
t
e
B
ased
o
n
th
e
f
in
d
i
n
g
s
cla
s
s
i
f
i
ed
in
f
o
u
r
to
p
ics,
th
e
n
ex
t
s
ta
g
e
d
eter
m
i
n
es
t
h
e
f
o
r
m
u
latio
n
o
f
cu
lt
u
r
al
tr
an
s
f
o
r
m
atio
n
th
at
w
ill
b
e
u
s
ef
u
l
to
d
ec
r
ea
s
e
m
ater
n
al
a
n
d
in
f
an
t
m
o
r
talit
y
r
ate.
I
n
p
r
in
ci
p
le,
tr
an
s
f
o
r
m
atio
n
h
er
e
ai
m
s
at
m
ain
ta
in
i
n
g
h
ea
lt
h
-
r
elate
d
lo
ca
l
w
is
d
o
m
s
.
I
t
is
d
o
n
e
b
y
tr
an
s
f
o
r
m
in
g
lo
ca
l
b
eh
av
io
r
p
atter
n
in
to
b
eh
av
io
r
s
t
h
at
ar
e
b
en
e
f
icial
f
o
r
p
u
b
lic
h
ea
lth
i
n
g
en
er
al
a
n
d
m
ater
n
a
l
h
ea
lt
h
i
n
p
ar
ticu
lar
w
it
h
o
u
t
eli
m
i
n
ati
n
g
th
eir
lo
ca
l tr
ad
itio
n
.
I
n
o
th
er
wo
r
d
s
,
o
u
ter
ap
p
ea
r
an
ce
r
em
a
in
s
th
e
s
a
m
e,
o
n
l
y
t
h
e
co
n
te
n
t is
alter
ed
.
1.
Ma
s
s
ag
i
n
g
tr
ad
itio
n
a
m
o
n
g
s
t
p
r
eg
n
a
n
t
w
o
m
e
n
i
s
ch
a
n
g
e
d
in
to
u
r
u
t
o
n
th
e
u
p
p
er
p
ar
t
o
f
th
e
b
o
d
y
as
p
r
eg
n
a
n
t
w
o
m
e
n
u
s
u
al
l
y
s
u
f
f
er
f
r
o
m
b
ac
k
p
ain
.
T
h
is
m
ass
a
g
e
is
tar
g
eted
to
th
e
u
p
p
e
r
p
ar
t
o
f
th
e
b
o
d
y
;
h
en
ce
w
ill
n
o
t
b
r
in
g
h
ar
m
to
t
h
e
s
to
m
ac
h
ar
ea
.
T
h
is
ca
n
b
e
p
r
ac
ticed
f
r
o
m
t
h
e
f
ir
s
t
th
r
ee
m
o
n
t
h
s
u
n
til
lab
o
r
2
.
Sp
a
f
o
r
th
e
p
r
eg
n
a
n
t
w
o
m
e
n
.
T
B
A
s
w
ill
b
e
s
u
g
g
e
s
ted
to
ch
an
g
e
t
h
eir
m
a
s
s
a
g
i
n
g
p
r
ac
tic
e
w
h
ic
h
w
ill
f
o
cu
s
m
o
r
e
o
n
t
h
e
u
p
p
er
p
ar
t
o
f
th
e
b
o
d
y
.
T
h
er
ef
o
r
e,
it
is
ex
p
ec
ted
th
at
th
e
y
w
ill
n
o
t
d
o
an
y
u
r
u
t
to
p
r
eg
n
an
t
w
o
m
en
i
n
th
e
f
u
tu
r
e
3
.
L
o
o
k
i
n
g
at
th
e
ac
tu
a
l
in
v
o
lv
e
m
e
n
t
o
f
T
B
A
s
in
h
elp
in
g
lab
o
r
,
T
B
A
s
w
i
ll
b
e
ad
v
is
ed
to
s
to
p
th
eir
p
r
ac
tices
b
y
d
o
i
n
g
o
th
er
tas
k
s
r
elate
d
to
lab
o
r
.
Alt
h
o
u
g
h
m
a
n
y
o
f
t
h
e
m
ar
e
n
o
t
e
v
en
g
r
ad
u
ate
s
o
f
9
-
y
ea
r
p
r
im
ar
y
ed
u
ca
tio
n
,
t
h
e
y
w
il
l
b
e
tau
g
h
t
to
b
e
h
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lth
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I
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teg
r
ated
Hea
lth
Ser
v
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(
P
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s
ya
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)
.
T
h
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task
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in
cl
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m
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tiv
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ir
th
in
h
ea
lt
h
f
ac
ilit
ies.
B
y
d
o
in
g
th
i
s
,
T
B
A
s
w
i
ll
g
et
r
e
w
ar
d
s
.
T
h
e
y
w
il
l
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t
ill
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e
p
er
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itted
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t
h
e
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p
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er
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ar
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h
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ef
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r
e,
th
e
y
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ill
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o
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lo
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m
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r
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ec
r
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ed
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t
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eli
m
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ated
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d
m
er
it
ar
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ased
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b
u
t
o
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l
y
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ter
ed
4
.
T
B
As
w
il
l
b
e
en
co
u
r
ag
ed
to
b
e
m
o
tiv
a
to
r
f
o
r
p
r
eg
n
an
t
w
o
m
e
n
s
o
th
at
p
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eg
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a
n
t
w
o
m
en
g
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u
p
th
eir
f
o
o
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tab
o
o
an
d
s
tar
t
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tin
g
n
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tr
it
io
u
s
f
o
o
d
5
.
T
B
A
s
,
co
m
m
u
n
it
y
l
ea
d
er
s
,
g
o
v
er
n
m
en
t
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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2
2
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I
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Vo
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5
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No
.
1
, M
ar
ch
20
1
6
:
8
4
–
9
3
92
o
f
f
icia
ls
,
a
n
d
r
elig
io
u
s
lead
er
s
ar
e
in
v
o
lv
ed
i
n
t
h
e
ca
m
p
ai
g
n
o
f
h
ea
lth
lif
e
s
t
y
le
f
o
r
p
r
e
g
n
a
n
t
w
o
m
e
n
.
T
h
e
ca
m
p
aig
n
w
i
ll a
l
s
o
ai
m
at
r
en
o
u
n
ci
n
g
u
n
h
ea
lt
h
y
lo
ca
l p
r
ac
ti
ce
s
.
Ma
ter
n
al
h
ea
lth
w
ill
b
e
p
r
io
r
itized
in
o
r
d
er
to
m
ak
e
th
e
p
r
ev
en
tio
n
o
f
m
at
er
n
a
l
an
d
i
n
f
an
t
m
o
r
tal
it
y
a
p
u
b
lic
m
a
tter
6
.
Sch
o
o
ls
a
n
d
ch
u
r
c
h
es
w
i
ll
b
e
ac
tiv
ated
as
t
h
e
f
o
r
e
f
r
o
n
t
o
f
r
ep
r
o
d
u
ctiv
e
h
ea
l
th
ca
m
p
ai
g
n
f
o
r
y
o
u
t
h
s
.
T
ee
n
a
g
er
s
w
i
ll
b
e
in
tr
o
d
u
ce
d
to
r
ep
r
o
d
u
ctiv
e
h
ea
lth
m
atter
s
s
i
n
ce
th
e
y
ar
e
y
o
u
n
g
.
T
h
er
ef
o
r
e,
th
e
y
w
ill
b
e
ab
le
to
p
r
ev
en
t
th
e
m
s
elv
e
s
f
r
o
m
s
u
f
f
er
in
g
h
ar
m
f
u
l
co
n
d
itio
n
s
s
u
c
h
as
a
n
e
m
ia,
m
al
n
u
tr
itio
n
,
an
d
f
o
o
d
tab
o
o
7
.
I
n
f
o
r
m
al
s
ch
o
o
lin
g
o
r
f
e
m
al
e
s
ch
o
o
ls
n
ee
d
to
b
e
in
tr
o
d
u
ce
d
s
o
th
at
w
o
m
e
n
w
i
ll
h
a
v
e
m
o
r
e
k
n
o
w
led
g
e
o
n
n
u
tr
itio
n
8
.
I
t
is
i
m
p
o
r
tan
t
to
in
cr
ea
s
e
f
a
m
il
y
a
w
ar
en
e
s
s
o
f
m
ater
n
a
l
an
d
in
f
an
t
h
ea
lt
h
b
y
i
m
p
r
o
v
i
n
g
m
en
‟
s
r
o
le
in
d
ec
is
io
n
-
m
a
k
i
n
g
p
r
o
ce
s
s
at
f
a
m
il
y
le
v
el.
T
h
e
r
o
le
o
f
e
x
ten
d
ed
f
a
m
il
y
is
tr
an
s
f
er
r
ed
in
to
ed
u
ca
tio
n
-
r
elate
d
d
ec
is
io
n
-
m
a
k
i
n
g
.
Ma
ter
n
a
l
an
d
in
f
a
n
t
h
ea
l
th
s
h
o
u
ld
b
e
m
ad
e
p
r
io
r
ity
in
t
h
e
f
a
m
il
y
.
Hu
m
an
r
e
s
o
u
r
ce
in
c
lu
d
i
n
g
f
a
m
il
y
‟
s
ec
o
n
o
m
y
s
h
o
u
ld
b
e
i
m
p
r
o
v
ed
.
T
h
u
s
,
th
e
n
e
x
t
g
en
er
atio
n
w
ill
n
o
lo
n
g
er
s
u
f
f
er
f
r
o
m
m
a
ln
u
tr
itio
n
a
m
o
n
g
c
h
ild
r
en
a
n
d
an
e
m
ia
a
m
o
n
g
p
r
eg
n
an
t
w
o
m
e
n
9
.
T
h
e
m
y
th
th
a
t
p
r
eg
n
an
t
w
o
m
e
n
s
h
o
u
ld
al
w
a
y
s
w
o
r
k
h
ar
d
to
g
et
s
m
o
o
th
lab
o
r
m
u
s
t
b
e
ab
an
d
o
n
ed
.
T
r
an
s
f
o
r
m
at
io
n
ca
n
b
e
d
o
n
e
b
y
p
r
o
h
ib
itin
g
p
r
eg
n
an
t
w
o
m
e
n
f
r
o
m
w
o
r
k
i
n
g
to
o
h
ar
d
s
o
th
at
th
e
y
w
ill n
o
t
f
ee
l e
x
h
a
u
s
ted
a
n
d
o
th
er
u
n
co
m
f
o
r
tab
le
f
ee
li
n
g
s
.
Fatalis
t
ic
w
a
y
o
f
th
in
k
i
n
g
h
as
b
ee
n
th
e
b
ase
o
f
Detu
s
o
k
o
li
f
e.
Ho
p
e
an
d
f
ate
ar
e
en
tr
u
s
te
d
to
Go
d
.
T
h
ey
b
eliev
e
th
a
t G
o
d
w
il
l
h
el
p
h
u
m
a
n
i
n
ev
er
y
li
f
e
d
i
f
f
ic
u
lt
ies.
C
o
n
s
eq
u
en
tl
y
,
h
u
m
an
d
o
l
ess
w
o
r
k
,
an
d
o
n
l
y
r
el
y
o
n
th
e
u
n
i
v
er
s
e.
E
f
f
o
r
ts
in
li
f
e
ad
v
an
ce
m
e
n
t
in
c
lu
d
i
n
g
atte
m
p
t
s
to
p
r
ev
en
t
ill
n
es
s
ar
e
n
o
t
co
m
m
o
n
i
n
Detu
s
o
k
o
p
u
b
lic
lif
e.
C
o
m
m
o
n
l
y
,
th
e
ca
u
s
e
o
f
ill
n
es
s
in
Detu
s
o
k
o
is
b
ased
o
n
m
a
g
ico
-
r
eli
g
io
u
s
m
o
d
el
an
d
h
o
lis
tic
m
o
d
el,
r
ath
er
th
a
n
b
io
m
ed
ical
m
o
d
el
11
.
A
s
a
r
esu
lt,
all
ill
n
ess
d
iag
n
o
s
ed
b
y
h
ea
lt
h
w
o
r
k
er
s
is
co
u
n
ter
ed
.
P
eo
p
le
b
eliev
e
all
i
lln
e
s
s
is
a
r
e
s
u
l
t
o
f
b
lack
m
ag
ic.
B
leed
in
g
,
t
w
is
te
d
c
o
r
d
an
d
ev
en
m
ater
n
al
a
n
d
in
f
an
t
m
o
r
talit
y
i
s
r
eg
ar
d
ed
as
n
o
t
r
elate
d
to
m
i
n
i
m
al
tr
ea
t
m
en
t
d
u
r
i
n
g
p
r
eg
n
an
c
y
s
u
ch
a
s
:
m
as
s
ag
in
g
h
ab
i
t,
m
al
n
u
tr
itio
n
,
a
n
d
lack
o
f
A
N
C
.
T
h
e
y
co
n
s
id
er
ev
er
y
t
h
i
n
g
a
s
a
r
esu
lt o
f
r
u
’
u
.
T
h
e
tr
ad
itio
n
o
f
u
r
u
t
is
d
if
f
ic
u
lt to
b
e
eli
m
i
n
ated
f
o
r
its
p
s
y
c
h
o
lo
g
ical
a
s
p
ec
ts
.
T
h
e
h
ea
v
y
w
o
r
k
lo
ad
a
p
r
eg
n
an
t
w
o
m
an
h
as
is
th
e
r
e
aso
n
s
h
e
o
f
te
n
f
ee
ls
tire
d
.
Ma
s
s
a
g
e
is
th
e
ea
s
y
s
o
lu
tio
n
to
s
u
ch
co
n
d
itio
n
.
T
h
e
co
n
f
lic
ts
ar
e
s
till
ap
p
ar
en
t
b
etw
ee
n
h
ea
lt
h
-
r
elate
d
tr
ad
itio
n
s
u
ch
as
f
o
o
d
tab
o
o
,
m
ass
a
g
i
n
g
,
g
ettin
g
ass
is
ted
b
y
T
B
A
s
d
u
r
in
g
lab
o
r
,
as
w
ell
a
s
t
h
e
b
elie
f
o
f
n
ijo
an
d
m
o
d
er
n
h
ea
lt
h
b
eh
a
v
io
r
s
u
c
h
as
ea
ti
n
g
n
u
tr
itio
u
s
f
o
o
d
,
leav
i
n
g
m
a
s
s
a
g
e,
lab
o
r
in
h
e
alth
f
ac
ilit
y
,
a
n
d
tr
u
s
t
in
m
o
d
er
n
m
ed
ical
c
u
r
e
an
d
tr
ea
t
m
en
t.
T
h
e
p
er
s
o
n
o
f
Detu
s
o
k
o
is
s
till
d
o
m
in
a
ted
b
y
m
etap
h
y
s
ics
w
a
y
o
f
t
h
in
k
i
n
g
.
T
h
e
ca
u
s
e
o
f
p
er
s
o
n
alis
t
ic
d
is
ea
s
e
s
u
ch
as
b
lack
m
ag
ic
is
s
till
s
tr
o
n
g
er
th
a
n
n
atu
r
al
is
tic
ca
u
s
e
o
f
ill
n
es
s
11
,
21
,
22
.
T
h
e
ch
ar
ac
ter
is
tic
o
f
tr
ad
itio
n
a
l
co
m
m
u
n
it
y
i
s
e
m
p
h
as
ized
f
o
r
co
m
m
u
n
a
lit
y
w
a
y
o
f
li
f
e
,
o
ld
w
a
y
o
f
t
h
i
n
k
i
n
g
,
li
m
it
ed
k
n
o
w
led
g
e
a
n
d
ed
u
ca
tio
n
.
Det
u
s
o
k
o
i
s
a
p
ar
t
o
f
So
u
th
ea
s
t
Asi
a
w
h
ic
h
d
i
v
e
r
s
it
y
o
f
g
eo
g
r
ap
h
y
a
n
d
h
is
to
r
y
,
i
n
clu
d
i
n
g
s
o
cial,
cu
lt
u
r
al
an
d
ec
o
n
o
m
ic
d
i
f
f
er
e
n
ce
s
,
h
a
s
co
n
tr
ib
u
ted
to
h
i
g
h
l
y
d
i
v
er
g
e
n
t
h
ea
lth
s
tat
u
s
an
d
h
ea
lt
h
s
y
s
te
m
ac
r
o
s
s
an
d
w
it
h
i
n
co
u
n
tr
ie
s
23
.
H
o
w
e
v
er
,
it
i
s
o
b
v
io
u
s
th
at
ch
an
g
i
n
g
lo
ca
l
cu
s
to
m
an
d
tr
ad
itio
n
w
i
ll
e
n
g
en
d
er
co
n
f
lic
ts
.
C
u
lt
u
r
al
tr
an
s
f
o
r
m
at
io
n
w
ill
b
e
th
e
b
est
c
h
o
ice
co
n
s
id
er
in
g
lo
ca
l
cu
ltu
r
e
i
s
n
o
t
e
li
m
i
n
ated
,
b
u
t
o
n
l
y
alter
ed
s
lig
h
tl
y
i
n
ter
m
s
o
f
its
u
s
e
,
ti
m
e,
a
n
d
m
et
h
o
d
s
.
B
y
d
o
in
g
s
o
,
it
is
h
o
p
ed
th
at
b
eh
a
v
io
r
ch
an
g
e
w
ill
b
e
m
o
r
e
s
u
cc
e
s
s
f
u
l
t
h
an
m
er
el
y
in
tr
o
d
u
ci
n
g
m
o
d
er
n
m
ed
ical
m
et
h
o
d
s
w
h
ic
h
o
n
l
y
r
es
u
lt
i
n
p
u
b
lic
a
n
tip
ath
y
to
w
ar
d
s
t
h
e
h
ea
lt
h
au
th
o
r
itie
s
.
4.
CO
NCLU
SI
O
N
T
h
e
ca
u
s
e
o
f
m
ater
n
al
m
o
r
tal
it
y
s
u
c
h
a
s
ex
te
n
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Biro
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[7
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4
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.
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5
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S
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M
a
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i,
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,
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An
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e
:
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(
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p
p
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,
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0
0
7
.
[1
6
]
Be
c
ro
f
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u
n
n
,
T
.
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1
9
8
9
.
[1
7
]
A
b
ra
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[1
8
]
F
ro
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[1
9
]
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[2
0
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J.,
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p
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1
]
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rd
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re
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p
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2
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F
o
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.,
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,
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.
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3
]
Ch
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lth
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o
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a
st A
sia
:
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r
sit
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T
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siti
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s
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,
T
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p
p
.
1
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0
1
1
.
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