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(
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p
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Sl
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s
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ch
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v
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in
Slem
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.
2.
RE
S
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ARCH
M
E
T
H
O
D
T
h
is
r
esear
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w
as
a
in
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f
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t
of
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m
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h
o
d
d
esig
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.
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h
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s
tu
d
y
w
a
s
a
co
m
b
i
n
atio
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o
f
q
u
an
titati
v
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an
d
q
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ali
tati
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m
et
h
o
d
s
.
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a
n
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n
clu
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p
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p
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ase
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n
tita
tiv
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d
ata
w
i
th
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n
-
d
ep
th
an
al
y
s
is
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s
a
m
p
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co
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is
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f
2
5
ca
r
d
iac
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v
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lar
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p
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ta
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ta
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m
p
le
m
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n
tat
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Dep
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Hea
lth
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C
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tr
u
m
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titati
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c
h
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k
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w
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ile
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ata
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t
h
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f
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o
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ter
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3.
RE
SU
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D
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1
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223
3
.
1
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1
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H
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th
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er
s
h
a
v
e
d
u
al
p
o
s
itio
n
s
s
u
ch
as
n
u
r
s
es,
d
o
cto
r
s
,
th
o
s
e
in
ch
ar
g
e
o
f
o
t
h
er
p
r
o
g
r
a
m
s
,
a
n
d
s
o
o
n
.
T
h
is
is
also
s
u
p
p
o
r
ted
b
y
th
e
r
esu
lt
s
o
f
q
u
al
itati
v
e
r
esear
ch
.
T
h
e
f
o
llo
w
i
n
g
i
s
an
e
x
ce
r
p
t f
r
o
m
t
h
e
i
n
ter
v
ie
w
:
“
Th
e
r
ea
s
o
n
p
eo
p
le
h
o
ld
co
n
cu
r
r
en
t
p
o
s
itio
n
s
a
t
th
e
p
r
i
m
ar
y
h
ea
lt
h
ca
r
e
i
s
p
r
o
b
a
b
ly
b
ec
a
u
s
e
o
f
limited
h
u
ma
n
r
eso
u
r
ce
s
a
n
d
th
eir
o
p
tima
lity
is
d
is
tu
r
b
ed
b
ec
a
u
s
e
s
o
metime
s
th
ey
h
a
ve
to
r
ep
o
r
t.
Th
e
n
o
n
-
c
o
mmu
n
ica
b
le
d
is
ea
s
e
p
r
o
g
r
a
mme
r
r
ep
o
r
ted
to
u
s
b
ec
a
u
s
e
h
e
w
a
s
b
u
s
y
w
ith
o
th
er
p
r
o
g
r
a
ms.
B
u
s
y
in
th
e
S
c
h
o
o
l
Hea
lth
Un
it,
h
e
is
b
u
s
y
ta
kin
g
p
a
r
t
in
s
creen
in
g
a
n
d
th
en
h
e
h
a
s
th
e
p
o
s
itio
n
o
f trea
s
u
r
er to
s
en
d
th
e
r
e
p
o
r
t,
s
o
metime
s
it ta
ke
s
q
u
ite
a
lo
n
g
time
like
th
a
t,
b
ec
a
u
s
e
h
e
h
a
s
mu
ltip
le
p
o
s
itio
n
s
like
th
a
t.”
(
I
n
fo
r
ma
n
t A
)
“
B
u
t
th
e
n
e
g
a
tive
imp
a
ct
(
d
u
a
l
p
o
s
itio
n
)
is
to
b
ec
o
me
u
n
fo
cu
s
ed
.
Th
a
t
is
b
ec
a
u
s
e
it
is
n
o
t
th
e
ma
i
n
d
u
ty
a
n
d
fu
n
ctio
n
,
o
n
ly
w
h
ile
th
e
o
u
tp
u
t
ca
n
n
o
t
a
ls
o
b
e
fu
ll,
w
e
o
n
ly
lea
ve
th
e
r
ema
in
in
g
ma
in
ta
s
ks.
F
ir
s
t
b
a
s
ic
ta
s
ks a
n
d
o
n
ly
p
a
r
t
time.
”
(
I
n
fo
r
ma
n
t B
)
“
W
ell,
I
mu
s
t
b
e
ti
r
ed
b
ec
a
u
s
e
I
a
ls
o
h
a
ve
w
o
r
k
h
ere
a
n
d
mo
s
t
o
f
th
e
P
o
s
b
in
d
u
a
r
e
o
u
ts
id
e
w
h
en
I
w
o
r
k
h
ere.
”
(
I
n
fo
r
ma
n
t C
)
“
Th
a
t is cle
a
r
ly
q
u
ite
tir
i
n
g
,
co
n
fu
s
in
g
.
”
(
I
n
fo
r
ma
n
t D
)
B
ased
o
n
th
e
r
es
u
lts
o
f
th
e
q
u
an
t
itati
v
e
a
n
d
q
u
ali
tativ
e
r
es
ea
r
ch
,
it
ca
n
b
e
s
ee
n
th
a
t
t
h
e
co
n
cu
r
r
en
t
p
o
s
itio
n
s
o
f
all
h
o
ld
er
s
o
f
n
o
n
-
co
m
m
u
n
icab
le
d
is
ea
s
e
p
r
o
g
r
a
m
s
(
h
y
p
er
ten
s
io
n
)
in
t
h
e
Sle
m
an
Di
s
tr
ict
Hea
lt
h
C
en
ter
ar
e
co
n
s
id
er
ed
tirin
g
an
d
r
ed
u
ce
th
e
ef
f
ec
t
iv
e
n
e
s
s
o
f
w
o
r
k
as
th
e
p
er
s
o
n
i
n
c
h
ar
g
e
o
f
n
o
n
-
co
m
m
u
n
icab
le
d
is
ea
s
e
s
p
r
o
g
r
a
m
s
e
s
p
ec
iall
y
h
y
p
er
ten
s
io
n
.
B
ased
o
n
T
ab
le
1
,
it
ca
n
b
e
s
ee
n
t
h
at
t
h
e
m
aj
o
r
it
y
(
9
2
%)
o
f
p
r
i
m
ar
y
h
ea
l
th
ca
r
e
in
Sle
m
a
n
Di
s
tr
ict
h
a
v
e
co
n
d
u
cted
tr
ai
n
i
n
g
f
o
r
h
ea
lt
h
c
ad
r
es.
T
h
is
is
also
s
u
p
p
o
r
ted
b
y
t
h
e
r
esu
lt
s
o
f
q
u
alitativ
e
r
esear
c
h
.
T
h
e
f
o
llo
w
i
n
g
i
s
an
e
x
ce
r
p
t f
r
o
m
t
h
e
in
ter
v
ie
w
:
“
Tr
a
in
in
g
,
w
e
a
lw
a
ys
u
p
d
a
te
kn
o
w
led
g
e.
W
e
a
r
e
u
p
d
a
tin
g
th
e
kn
o
w
led
g
e
fo
r
h
y
p
erten
s
io
n
a
s
w
ell
a
s
w
e
h
a
ve
P
o
s
b
in
d
u
tech
n
ica
l
g
u
id
a
n
ce
fo
r
n
o
n
-
c
o
mmu
n
ica
b
l
e
d
is
ea
s
es
,
P
o
s
b
in
d
u
w
o
r
ksh
o
p
,
w
h
ere
la
ter
th
e
b
ig
g
est
n
o
n
co
mu
n
ica
b
le
d
is
ea
s
e
fr
o
m
in
tern
a
l
med
icin
e
d
o
cto
r
s
w
ill
co
n
ve
y
to
th
eir
h
ea
lth
w
o
r
ke
r
s
a
n
d
to
ca
d
r
e
s
,
P
o
s
b
in
d
u
n
o
n
co
mu
n
ica
b
l
e
d
is
ea
s
e
ca
d
r
es.
We
t
r
a
in
l
ike
th
a
t.
"
(
I
n
fo
r
ma
n
t A
)
“
Th
e
n
ew ca
d
r
e
(
w
h
o
to
o
k
p
a
r
t in
th
e
tr
a
in
in
g
)
if n
o
t o
n
e,
tw
o.
”
(
I
n
fo
r
ma
n
t C
)
“
F
o
r
u
s
,
it
is
mo
r
e
n
o
t
ju
s
t
tr
a
in
in
g
fo
r
s
creen
in
g
,
mis
s
,
b
u
t
tr
a
in
in
g
fo
r
o
fficers
is
mo
r
e
to
w
a
r
d
s
th
e
P
o
s
b
in
d
u
.
”
(
I
n
fo
r
ma
n
t D
)
“
Yes
(
th
ere
is
t
r
a
in
in
g
)
,
la
ter
b
efo
r
e
w
e
ca
r
r
y
o
u
t
th
e
ta
s
k
w
e
w
i
ll
b
e
t
r
a
in
ed
fir
s
t
a
t
th
e
p
r
ima
r
y
h
ea
lth
ca
r
e
.”
(
I
n
fo
r
ma
n
t E
)
Hea
lth
h
u
m
an
r
eso
u
r
ce
s
ar
e
v
i
tal
as
s
ets
in
an
o
r
g
a
n
izatio
n
a
n
d
ca
n
n
o
t b
e
r
ep
lace
d
b
y
o
th
e
r
r
eso
u
r
ce
s
[
6
]
.
A
ll
p
r
i
m
ar
y
h
ea
lt
h
ca
r
e
i
n
Sle
m
a
n
R
e
g
en
c
y
c
u
r
r
en
tl
y
h
av
e
p
r
o
g
r
a
m
m
a
n
a
g
er
s
i
n
th
eir
ef
f
o
r
ts
to
p
r
ev
e
n
t
an
d
co
n
tr
o
l
h
y
p
er
te
n
s
io
n
,
b
u
t
in
t
h
e
i
m
p
le
m
e
n
tatio
n
o
f
t
h
e
av
ailab
ilit
y
o
f
r
eso
u
r
ce
s
h
u
m
an
s
i
n
t
h
e
f
ield
ar
e
s
till
co
n
s
id
er
ed
in
ad
eq
u
ate.
S
u
f
f
icie
n
t
q
u
an
t
it
y
o
f
h
u
m
a
n
r
eso
u
r
ce
s
i
s
n
ee
d
ed
to
m
a
x
i
m
ize
ex
is
tin
g
h
ea
lt
h
s
er
v
ices,
i
n
ad
d
itio
n
,
th
e
lar
g
e
n
u
m
b
er
o
f
p
o
p
u
latio
n
n
o
w
al
s
o
d
em
a
n
d
s
an
i
n
cr
ea
s
e
i
n
th
e
q
u
an
tit
y
o
f
h
u
m
a
n
Evaluation Warning : The document was created with Spire.PDF for Python.
I
SS
N:
2
2
5
2
-
8
8
0
6
I
n
t.
J
.
P
u
b
lic
Hea
lth
Sci.,
Vo
l.
1
0
,
No
.
2
,
J
u
n
e
20
21
:
221
–
230
224
r
eso
u
r
ce
s
[
7
]
.
A
ll
h
o
ld
er
s
o
f
h
y
p
er
te
n
s
io
n
p
r
ev
e
n
tio
n
a
n
d
co
n
tr
o
l p
r
o
g
r
a
m
s
i
n
Sle
m
an
R
eg
en
c
y
s
ta
te
t
h
at
th
e
y
ass
u
m
e
d
o
u
b
le
p
o
s
itio
n
s
b
o
th
as
n
u
r
s
e
s
,
d
o
cto
r
s
,
an
d
o
th
er
p
r
o
g
r
am
h
o
ld
er
s
.
M
u
ltip
le
p
o
s
itio
n
s
ar
e
t
h
e
m
o
s
t
w
id
el
y
u
s
ed
to
o
v
er
co
m
e
t
h
e
li
m
i
tatio
n
s
o
f
h
u
m
a
n
r
es
o
u
r
ce
s
,
b
u
t
t
h
is
h
a
s
b
ec
o
m
e
a
p
r
o
b
le
m
i
n
it
s
i
m
p
le
m
en
ta
tio
n
.
T
h
e
n
eg
at
iv
e
i
m
p
ac
t
o
f
h
av
i
n
g
a
d
o
u
b
le
p
o
s
itio
n
i
s
t
h
e
co
s
t
o
f
lab
o
r
s
al
ar
ies
to
b
e
s
m
aller
b
ec
au
s
e
th
e
e
m
p
lo
y
ee
s
e
m
p
lo
y
ed
ar
e
n
o
t to
o
m
a
n
y
[
8
]
.
T
h
e
h
o
ld
er
s
o
f
h
y
p
er
ten
s
io
n
p
r
ev
en
tio
n
a
n
d
co
n
tr
o
l
p
r
o
g
r
a
m
s
at
th
e
p
r
i
m
ar
y
h
ea
lt
h
ca
r
e
an
d
th
e
Sle
m
a
n
Dis
tr
ic
t
Hea
lth
O
f
f
ic
e
al
s
o
s
aid
th
at
d
o
u
b
le
o
cc
u
p
atio
n
an
d
h
i
g
h
w
o
r
k
i
n
ten
s
it
y
h
ad
an
i
m
p
ac
t
o
n
f
ati
g
u
e
a
n
d
r
ed
u
ce
d
w
o
r
k
e
f
f
ec
tiv
e
n
ess
,
s
o
th
a
t
it
co
u
ld
af
f
ec
t
t
h
e
s
u
cc
es
s
o
f
a
p
r
o
g
r
a
m
.
T
h
e
ex
is
te
n
ce
o
f
m
u
ltip
le
p
o
s
itio
n
s
allo
w
s
h
ea
l
th
w
o
r
k
er
s
to
o
f
te
n
e
x
p
er
ien
c
e
ten
s
io
n
i
n
w
o
r
k
s
i
tu
atio
n
s
s
u
ch
as
ti
m
e
p
r
es
s
u
r
e
w
h
e
n
p
er
f
o
r
m
in
g
ta
s
k
s
in
s
ta
n
d
ar
d
w
o
r
k
p
r
o
ce
s
s
es.
Mu
l
tip
le
j
o
b
p
r
ess
u
r
es
allo
w
a
s
e
n
s
e
o
f
t
h
e
b
u
r
d
en
o
f
r
esp
o
n
s
ib
ilit
y
to
s
tr
u
ct
u
r
e
th
e
i
r
o
w
n
w
o
r
k
a
m
o
n
g
alr
ea
d
y
b
u
s
y
m
ai
n
j
o
b
s
[
9
]
.
T
h
is
s
lig
h
tl
y
co
n
tr
ad
ict
s
th
e
r
esu
lt
s
o
f
p
r
ev
io
u
s
s
t
u
d
ies
wh
ich
s
tate
t
h
at
p
er
f
o
r
m
a
n
ce
w
il
l
r
e
m
ai
n
ef
f
ec
tiv
e
d
e
s
p
ite
m
u
ltip
le
p
o
s
itio
n
s
i
f
t
h
e
lead
er
s
h
ip
an
d
a
g
o
o
d
in
ter
n
al
co
n
tr
o
l
s
y
s
te
m
h
a
v
e
b
ee
n
i
m
p
le
m
en
ted
b
y
th
e
co
m
p
a
n
y
,
in
ad
d
itio
n
to
t
h
e
f
ac
to
r
o
f
n
o
t
to
o
m
u
c
h
w
o
r
k
i
n
te
n
s
it
y
t
h
at
m
u
s
t b
e
co
m
p
leted
also
b
ec
o
m
es
t
h
e
r
ea
s
o
n
f
o
r
h
ig
h
w
o
r
k
e
f
f
ec
ti
v
en
e
s
s
d
esp
i
te
d
u
al
p
o
s
itio
n
.
T
h
i
s
s
h
o
w
s
th
at
th
e
co
n
c
u
r
r
en
t
p
o
s
itio
n
is
n
o
t
a
m
aj
o
r
o
b
s
ta
cle
in
t
h
e
i
m
p
le
m
e
n
tatio
n
o
f
a
p
r
o
g
r
a
m
i
f
t
h
e
lead
er
s
h
ip
a
n
d
in
ter
n
al
co
n
tr
o
l
s
y
s
te
m
s
ar
e
d
eter
m
i
n
ed
to
b
e
g
o
o
d
,
b
u
t v
ice
v
er
s
a
[
8
]
.
C
ad
r
e
f
o
r
m
atio
n
i
s
also
o
f
ten
u
s
ed
to
o
v
er
co
m
e
t
h
e
s
h
o
r
tag
e
o
f
h
u
m
a
n
r
eso
u
r
ce
s
w
h
e
n
i
m
p
le
m
en
t
in
g
p
r
o
g
r
a
m
s
i
n
th
e
f
ield
.
Mo
s
t
p
r
i
m
ar
y
h
ea
lt
h
ca
r
e
in
Sle
m
a
n
Dis
tr
ict
h
a
v
e
co
n
d
u
cted
tr
ain
i
n
g
f
o
r
h
ea
lt
h
ca
d
r
es
in
t
h
eir
w
o
r
k
i
n
g
ar
ea
s
.
I
n
g
e
n
er
al,
eld
er
l
y
ca
d
r
es
h
av
e
a
r
o
le,
n
a
m
el
y
as
i
m
p
le
m
e
n
ter
s
,
m
an
a
g
er
s
,
a
n
d
u
s
er
s
.
B
ef
o
r
e
t
h
e
ac
ti
v
it
y
is
ca
r
r
ied
o
u
t,
h
ea
lt
h
ca
d
r
es a
r
e
f
ir
s
t g
i
v
e
n
tr
ain
in
g
o
n
p
r
o
g
r
a
m
s
to
b
e
ca
r
r
ied
o
u
t
s
o
t
h
at
t
h
e
y
ar
e
m
o
r
e
s
k
illed
i
n
ca
r
r
y
in
g
o
u
t
th
eir
d
u
ties
[
1
0
]
.
Stre
n
g
t
h
en
i
n
g
h
u
m
an
r
eso
u
r
ce
s
th
r
o
u
g
h
p
u
b
lic
h
ea
l
th
tr
ai
n
i
n
g
is
also
s
u
p
p
o
r
ted
b
y
t
h
e
ce
n
ter
s
o
f
d
is
ea
s
e
co
n
tr
o
l
(
C
D
C
)
th
r
o
u
g
h
t
h
e
ep
id
e
m
ic
in
telli
g
e
n
ce
s
er
v
ice
p
r
o
g
r
a
m
,
a
p
r
o
g
r
a
m
w
it
h
a
g
o
o
d
m
o
d
el
f
o
r
tr
ain
in
g
as
p
u
b
lic
h
e
alth
p
r
ac
titi
o
n
er
s
i
n
ap
p
lied
ep
id
em
io
lo
g
y
.
T
h
is
m
o
d
el
ac
ts
as
a
tr
ain
in
g
f
o
r
i
n
f
e
ctio
u
s
d
i
s
ea
s
es,
an
d
e
v
e
n
s
u
c
h
a
tr
ain
in
g
p
r
o
g
r
a
m
ca
n
i
m
p
r
o
v
e
t
h
e
q
u
ali
t
y
o
f
h
ea
lt
h
r
eso
u
r
ce
s
t
h
r
o
u
g
h
t
h
e
id
en
tific
atio
n
o
f
b
es
t
p
r
ac
tices
to
p
r
o
m
o
te
th
e
in
te
g
r
atio
n
o
f
p
u
b
lic
h
ea
l
th
m
o
d
eli
n
g
[
1
1
]
.
E
ar
ly
a
w
ar
en
ess
an
d
d
is
ea
s
e
s
u
r
v
ei
llan
ce
o
f
f
icer
s
a
ls
o
n
ee
d
t
o
atten
d
tr
ai
n
in
g
a
n
d
o
n
a
v
er
ag
e
d
is
ea
s
e
s
u
r
v
eilla
n
ce
o
f
f
icer
s
h
a
v
e
m
a
n
y
r
o
les
to
p
la
y
,
s
o
th
at
tr
ai
n
i
n
g
ca
n
s
u
p
p
o
r
t th
e
q
u
alit
y
o
f
h
ea
lt
h
wo
r
k
er
s
[
1
2
]
.
T
h
is
is
in
lin
e
w
it
h
t
h
e
r
esu
lt
s
o
f
p
r
ev
io
u
s
r
esear
ch
w
h
ic
h
s
tates
t
h
at
th
er
e
ar
e
d
if
f
er
e
n
c
es
in
c
ad
r
e
s
k
il
ls
i
n
t
h
e
h
ea
lt
h
f
ield
b
et
wee
n
b
ef
o
r
e
a
n
d
af
ter
tr
ain
i
n
g
[
1
3
]
.
Hea
lth
w
o
r
k
er
s
n
ee
d
to
b
e
tr
ain
ed
ac
co
r
d
in
g
to
s
tan
d
ar
d
ca
r
e
g
u
id
eli
n
es
an
d
p
r
o
to
c
o
ls
to
s
tr
en
g
th
e
n
th
e
i
m
p
r
o
v
e
m
e
n
t
i
n
s
cr
ee
n
in
g
,
d
iag
n
o
s
i
s
an
d
m
an
a
g
e
m
e
n
t
o
f
r
is
k
f
ac
to
r
s
f
o
r
ca
r
d
io
v
ascu
lar
d
is
ea
s
e
co
n
tr
o
l.
I
n
ad
d
itio
n
h
ea
lt
h
w
o
r
k
e
r
s
also
n
ee
d
to
b
e
tr
ain
ed
in
h
ea
lt
h
co
u
n
s
eli
n
g
i
n
s
u
p
p
o
r
tin
g
s
cr
ee
n
i
n
g
an
d
f
o
ll
o
w
-
u
p
ac
ti
v
itie
s
f
o
r
p
atien
t
s
[
1
4
]
.
3
.
1
.
2
.
F
a
cilit
ies a
nd
i
nfr
a
s
t
ruct
ure
B
ased
o
n
th
e
r
esu
lts
o
f
r
esear
ch
co
n
d
u
cted
at
2
5
p
r
im
ar
y
h
ea
lth
ca
r
e
in
Sle
m
an
R
eg
e
n
c
y
,
it
ca
n
b
e
s
ee
n
t
h
at
th
e
m
aj
o
r
it
y
(
9
2
%)
h
ea
lth
ce
n
ter
s
i
n
Sle
m
an
r
e
g
en
c
y
h
a
v
e
h
y
p
er
ten
s
io
n
m
a
n
u
al
s
o
r
tech
n
ica
l
g
u
id
eli
n
e
s
.
T
h
is
is
also
s
u
p
p
o
r
ted
b
y
t
h
e
r
esu
l
ts
o
f
q
u
a
l
itati
v
e
r
esear
ch
.
T
h
e
f
o
llo
w
i
n
g
in
te
r
v
ie
w
ex
ce
r
p
ts
:
“
Th
ere
a
r
e
S
OP
s
,
th
ere
ce
r
ta
i
n
ly
a
r
e,
th
ere
a
r
e
a
ls
o
th
o
s
e
in
th
e
b
a
g
.
”
(
I
n
fo
r
ma
n
t A
)
“
F
o
r
th
e
ma
n
u
a
l th
ere
.”
(
I
n
fo
r
ma
n
t C)
“
Th
ere
a
r
e
(
h
a
n
d
b
o
o
ks)
.
”
(
I
n
f
o
r
ma
n
t D
)
B
ased
o
n
th
e
r
es
u
lt
s
o
f
r
e
s
ea
r
ch
co
n
d
u
c
ted
in
2
5
p
r
i
m
ar
y
h
ea
lth
ca
r
e
i
n
Sle
m
a
n
R
e
g
e
n
c
y
,
th
e
r
es
u
lt
s
o
b
tain
ed
ar
e
th
at
all
h
ea
lt
h
c
en
ter
s
i
n
Sle
m
an
R
e
g
en
c
y
h
a
v
e
h
y
p
er
ten
s
io
n
co
u
n
s
el
in
g
m
ed
ia.
T
h
is
is
also
s
u
p
p
o
r
ted
b
y
t
h
e
r
esu
lt
s
o
f
q
u
alitativ
e
r
esear
c
h
.
T
h
e
f
o
llo
w
i
n
g
i
s
an
e
x
ce
r
p
t f
r
o
m
t
h
e
in
ter
v
ie
w
:
“
Th
ere
(
I
E
C
med
ia
)
,
w
e
a
lw
a
ys
ma
ke
,
th
ere
is
h
yp
erten
s
io
n
,
d
ia
b
etes.
Yes
,
it
h
a
s
b
ee
n
(
u
s
ed
b
y
th
e
co
mmu
n
ity)
b
u
t
s
o
metime
s
p
e
o
p
le
d
o
n
o
t
ca
r
e,
w
ith
th
emsel
ve
s
s
o
metime
s
d
o
n
o
t
ca
r
e.
On
a
ve
r
a
g
e,
if
p
eo
p
le
s
u
ff
er
fr
o
m
h
yp
erten
s
io
n
,
th
ere
a
r
e
n
o
co
mp
la
in
ts
ye
t,
th
ey
d
o
n
't
w
a
n
t
to
b
e
co
n
t
r
o
lled
,
b
u
t
my
fr
ien
d
s
a
n
d
I
h
a
ve
to
ld
th
em
th
a
t
th
eir
ma
in
fr
ien
d
s
s
h
o
u
ld
o
ften
s
o
cia
liz
e
to
th
e
co
mmu
n
ity
.
”
(
I
n
fo
r
ma
n
t A
)
“
S
till
limited
(
in
fo
r
ma
tio
n
a
n
d
ed
u
c
a
tio
n
co
mmu
n
ica
tio
n
m
ed
ia
)
.
C
o
mmu
n
ica
tio
n
h
a
s
b
e
en
u
s
ed
b
u
t
b
ec
a
u
s
e
it is
limited
s
o
n
o
t a
ll.
”
(
I
n
fo
r
ma
n
t B
)
“
Yes
th
ere
i
s
,
like
a
lea
flet
.
”
(
I
n
fo
r
ma
n
t C)
“
Th
ere
a
r
e,
s
o
me
a
r
e
u
tili
z
ed
a
n
d
s
o
me
a
r
e
s
till
la
ck
in
g
,”
(
I
n
fo
r
ma
n
t D
)
Evaluation Warning : The document was created with Spire.PDF for Python.
I
n
t.
J
.
P
u
b
lic
Hea
lth
Sci.
I
SS
N:
2
2
5
2
-
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E
va
lu
a
tio
n
o
f c
a
r
d
io
v
a
s
cu
la
r
d
is
ea
s
e
p
r
o
g
r
a
ms in
S
lema
n
D
is
tr
ict,
I
n
d
o
n
esia
(
Lien
a
S
o
fia
n
a
)
225
B
ased
o
n
q
u
a
n
tita
tiv
e
an
d
q
u
alitativ
e
f
in
d
i
n
g
s
,
i
t
ca
n
b
e
s
ee
n
t
h
at
all
p
r
i
m
ar
y
h
ea
lt
h
ca
r
e
alr
ea
d
y
h
av
e
co
m
m
u
n
icat
io
n
,
in
f
o
r
m
a
tio
n
,
an
d
ed
u
ca
tio
n
(
I
E
C
)
m
e
d
ia
,
b
u
t
in
p
r
ac
tice
t
h
e
y
ar
e
s
t
ill
u
n
d
er
u
til
ized
b
y
th
e
co
m
m
u
n
i
t
y
d
u
e
to
lack
o
f
a
w
ar
e
n
ess
f
r
o
m
t
h
e
co
m
m
u
n
it
y
it
s
el
f
.
B
ased
o
n
T
ab
le
1
,
it
c
an
b
e
s
ee
n
t
h
at
all
p
r
im
ar
y
h
ea
lt
h
ca
r
e
i
n
Sle
m
an
R
eg
e
n
c
y
h
av
e
h
y
p
er
te
n
s
i
o
n
ex
a
m
i
n
atio
n
eq
u
ip
m
e
n
t
s
u
ch
as
ten
s
i
m
eter
,
s
teth
o
s
co
p
e,
as
w
ell
as
w
ei
g
h
t
an
d
h
eig
h
t
m
ea
s
u
r
e
m
e
n
ts
.
T
h
is
is
al
s
o
s
u
p
p
o
r
ted
b
y
th
e
r
esu
lt
s
o
f
q
u
alitat
iv
e
r
esear
ch
.
T
h
e
f
o
l
lo
w
i
n
g
in
ter
v
ie
w
e
x
ce
r
p
ts
:
“
F
o
r
h
yp
erten
s
io
n
,
ma
yb
e
o
n
ly
th
e
b
lo
o
d
p
r
ess
u
r
e,
ten
s
io
n
,
s
teth
o
s
co
p
e,
P
o
s
b
in
d
u
kit,
b
ec
a
u
s
e
th
e
P
o
s
b
in
d
u
kit
is
a
lr
ea
d
y
i
n
.
”
(
I
n
fo
r
ma
n
t A
)
“
P
o
s
b
in
d
u
kit
a
lr
ea
d
y
ex
is
ts
.
”
(
I
n
fo
r
ma
n
t C)
“
I
t's
co
mp
lete.
A
ten
s
imeter
is
th
ere,
a
s
ca
le
is
th
ere,
th
en
a
l
a
b
o
r
a
to
r
y
c
h
ec
k
to
o
l
is
th
ere.
”
(
I
n
fo
r
ma
n
t D
)
T
h
e
av
ailab
ilit
y
o
f
t
h
e
eq
u
ip
m
en
t
h
as
b
ee
n
ass
e
s
s
ed
as
co
m
p
lete,
b
u
t
b
ased
o
n
i
n
ter
v
ie
w
s
c
o
n
d
u
cted
it h
as b
ee
n
f
o
u
n
d
th
at
t
h
e
a
m
o
u
n
t i
s
s
ti
ll c
o
n
s
id
er
ed
in
s
u
f
f
ici
en
t.
T
h
e
f
o
llo
w
in
g
i
n
ter
v
ie
w
e
x
ce
r
p
ts
:
“
W
e
h
a
ve
limited
eq
u
ip
men
t,
n
o
t
ye
t
fo
r
th
e
s
creen
in
g
,
p
r
ev
en
tio
n
a
n
d
co
n
tr
o
l
o
f
h
yp
erten
s
io
n
a
ctivities
s
u
ch
a
s
b
lo
o
d
p
r
ess
u
r
e,
b
u
t
d
u
e
to
limita
tio
n
s
,
th
e
co
mmu
n
ity
its
elf
h
a
s
a
n
a
w
a
r
e
n
ess
to
b
e
in
d
ep
en
d
en
t,
Ms
.
”
(
I
n
fo
r
ma
n
t A
)
“
S
till
n
o
t
en
o
u
g
h
,
fo
r
th
e
p
eo
p
le
.
”
(
I
n
fo
r
ma
n
t B
)
“
A
s
fo
r
th
e
a
mo
u
n
t,
it's la
ck
in
g
,
I
'm
cu
r
r
en
tly
s
u
b
mittin
g
.
”
(
I
n
fo
r
ma
n
t D
)
Facilitie
s
an
d
in
f
r
astr
u
ct
u
r
e
is
o
n
e
asp
ec
t
o
f
i
n
p
u
t
t
h
at
ca
n
s
u
p
p
o
r
t
th
e
s
u
cc
ess
o
f
t
h
e
p
r
o
g
r
a
m
.
T
h
e
co
m
p
lete
n
e
s
s
o
f
g
o
o
d
f
ac
ilit
i
es
an
d
in
f
r
as
tr
u
ct
u
r
e
is
v
er
y
i
m
p
o
r
tan
t
i
n
cr
ea
tin
g
c
u
s
to
m
er
s
atis
f
ac
tio
n
[
1
5
]
.
B
ased
o
n
t
h
e
r
es
u
lt
s
o
f
t
h
e
r
esear
ch
t
h
at
h
a
s
b
ee
n
d
o
n
e,
i
t
is
k
n
o
w
n
t
h
at
t
h
e
f
ac
ili
ties
an
d
i
n
f
r
astru
c
tu
r
e
s
u
p
p
o
r
tin
g
th
e
p
r
ev
e
n
tio
n
an
d
co
n
tr
o
l o
f
h
y
p
er
ten
s
io
n
p
r
o
g
r
a
m
s
i
n
all
p
r
i
m
ar
y
h
ea
lt
h
ca
r
e
i
n
Sle
m
a
n
R
e
g
e
n
c
y
h
av
e
b
ee
n
co
n
s
id
er
ed
co
m
p
le
te,
b
u
t
ac
co
r
d
in
g
to
th
e
r
esu
lt
s
in
ter
v
ie
w
s
w
it
h
s
e
v
er
al
in
f
o
r
m
an
t
s
s
tated
th
at
alth
o
u
g
h
co
m
p
lete,
th
e
n
u
m
b
e
r
s
w
er
e
s
t
ill
co
n
s
id
er
ed
to
b
e
l
ac
k
in
g
.
T
h
e
a
v
ailab
ili
t
y
o
f
P
T
M
co
m
m
u
n
icat
io
n
,
in
f
o
r
m
atio
n
a
n
d
ed
u
ca
tio
n
(
I
E
C
)
m
ed
ia
h
as
also
b
ee
n
av
a
ila
b
le
in
all
p
r
im
ar
y
h
ea
l
t
h
ca
r
e
in
Sle
m
an
R
e
g
e
n
c
y
,
b
u
t
b
ased
o
n
i
n
ter
v
ie
w
s
o
b
tai
n
ed
f
r
o
m
in
f
o
r
m
a
n
ts
s
tated
t
h
at
I
E
C
m
ed
ia
s
u
c
h
as
leaf
le
ts
,
p
o
s
ter
s
,
v
id
eo
s
,
an
d
o
th
er
s
ar
e
s
till
n
o
t
f
u
ll
y
u
ti
liz
ed
b
y
t
h
e
co
m
m
u
n
it
y
a
n
d
o
f
f
icer
s
.
T
h
is
i
s
i
n
lin
e
w
it
h
t
h
e
r
esu
lt
s
o
f
p
r
ev
io
u
s
s
tu
d
ie
s
w
h
ic
h
s
ta
ted
th
at
h
ea
l
th
s
er
v
ice
in
f
r
astr
u
ct
u
r
e
h
as
a
m
o
d
er
ate
ef
f
ec
t
o
n
p
atien
t
s
atis
f
ac
tio
n
b
ec
au
s
e
ev
en
t
h
o
u
g
h
a
h
ea
l
th
ca
r
e
in
s
t
itu
tio
n
h
as
b
ee
n
eq
u
ip
p
ed
w
it
h
ad
eq
u
ate
f
ac
ilit
ies
an
d
in
f
r
a
s
tr
u
ct
u
r
e,
if
it
is
n
o
t
f
u
n
ctio
n
ed
as f
u
ll
y
as p
o
s
s
ib
le
to
s
er
v
e
p
atien
ts
i
t
w
ill b
e
les
s
ca
n
p
r
o
v
id
e
s
atis
f
ac
tio
n
to
p
atien
t
s
[
1
5
]
.
Hea
lth
ca
r
e
s
er
v
ices
d
ep
en
d
o
n
th
e
q
u
alit
y
o
f
i
n
f
r
astru
c
tu
r
e
to
i
m
p
r
o
v
e
s
er
v
ice
s
to
p
atien
ts
.
T
h
e
av
ailab
ilit
y
o
f
ad
eq
u
a
te
in
f
r
a
s
tr
u
ct
u
r
e
ca
n
p
r
o
v
id
e
a
p
o
s
iti
v
e
v
ie
w
o
f
t
h
e
q
u
a
lit
y
o
f
h
e
alth
s
er
v
ices
in
t
h
e
co
m
m
u
n
it
y
,
s
o
th
at
t
h
er
e
is
a
p
o
s
itiv
e
r
elatio
n
s
h
ip
b
et
w
ee
n
th
e
q
u
alit
y
o
f
i
n
f
r
a
s
tr
u
ct
u
r
e
a
n
d
th
e
q
u
alit
y
o
f
h
ea
lt
h
s
er
v
ices
[
1
6
]
.
T
h
e
av
a
ilab
ilit
y
o
f
f
ac
ili
ties
a
n
d
g
ap
s
i
n
t
h
e
m
an
a
g
e
m
e
n
t
o
f
ca
r
d
io
v
asc
u
lar
d
is
ea
s
e
g
r
ea
tl
y
a
f
f
ec
ts
th
e
m
an
a
g
e
m
en
t
o
f
ca
r
e
a
t
t
h
e
p
r
i
m
ar
y
l
ev
el,
i
f
th
is
g
ap
e
x
i
s
ts
th
e
n
a
s
tr
o
n
g
s
y
s
te
m
o
f
ca
r
d
io
v
ascu
lar
h
ea
lth
ca
r
e
is
n
ee
d
ed
at
th
e
p
r
i
m
ar
y
le
v
el
to
in
cr
ea
s
e
in
ter
v
en
tio
n
s
in
th
e
p
r
ev
en
tio
n
a
n
d
m
an
a
g
e
m
e
n
t
o
f
c
h
r
o
n
ic
d
is
e
ases
to
r
ed
u
ce
th
e
b
u
r
d
en
o
f
u
n
i
v
er
s
al
[
1
7
]
.
A
n
in
e
f
f
i
cien
t
p
er
f
o
r
m
a
n
ce
m
an
a
g
e
m
e
n
t
s
y
s
te
m
a
n
d
a
p
o
o
r
w
o
r
k
cu
l
tu
r
e
ca
n
s
i
g
n
if
ica
n
tl
y
co
n
tr
ib
u
te
to
h
ig
h
er
r
o
r
s
in
h
ea
lth
s
er
v
ices.
C
li
n
ics
o
r
h
o
s
p
itals
ar
e
co
n
s
i
d
er
ed
n
o
t
to
b
e
b
etter
at
p
r
o
v
id
in
g
s
er
v
ices
w
it
h
o
u
t
ad
eq
u
ate
m
an
a
g
e
m
en
t
o
f
f
ac
ilit
ies
an
d
i
n
f
r
as
tr
u
ct
u
r
e
[
1
8
]
.
T
h
er
ef
o
r
e,
all
h
ea
lth
s
er
v
ices
r
elate
d
to
h
ea
lth
s
er
v
ice
m
a
n
a
g
e
m
e
n
t
in
cl
u
d
in
g
ca
r
e
m
u
s
t p
a
y
at
t
en
t
io
n
to
th
e
p
er
f
o
r
m
a
n
ce
o
f
t
h
e
i
n
f
r
a
s
tr
u
ct
u
r
e
[
1
9
]
.
3
.
1
.
3
.
F
un
din
g
B
ased
o
n
T
ab
le
1
,
it
is
k
n
o
wn
t
h
at
a
s
m
an
y
a
s
2
3
(
9
2
%)
p
r
o
g
r
am
m
a
n
a
g
er
s
at
th
e
p
r
im
ar
y
h
ea
lt
h
ca
r
e
s
tated
th
a
t
t
h
e
a
v
ailab
le
f
u
n
d
s
w
er
e
s
u
f
f
icien
t.
T
h
is
is
al
s
o
s
u
p
p
o
r
ted
b
y
t
h
e
r
e
s
u
lt
s
o
f
q
u
ali
tati
v
e
r
esear
ch
.
T
h
e
f
o
llo
w
i
n
g
i
s
a
n
ex
ce
r
p
t f
r
o
m
t
h
e
in
ter
v
ie
w
:
“
Yes
,
w
e
a
r
e
fo
r
ce
d
to
b
e
en
o
u
g
h
b
ec
a
u
s
e
it
h
a
s
b
ee
n
p
lo
tted
.
N
o
n
co
mmu
n
ica
b
le
d
i
s
ea
s
e
fr
o
m
he
a
lth
o
p
era
tio
n
a
l
a
s
s
is
ta
n
ce
h
a
s
a
lr
ea
d
y
a
llo
c
a
ted
2
0
0
m
illi
o
n
less
,
b
u
t
ev
en
th
en
w
e
h
a
ve
to
b
e
s
ma
r
t
in
th
in
kin
g
a
b
o
u
t
ma
n
a
g
in
g
th
e
b
u
d
g
et
fo
r
a
ctiviti
es
f
r
o
m
h
ere,
fr
o
m
th
e
d
is
tr
ict.
”
(
I
n
fo
r
ma
n
t
A
)
.
“
I
n
my
o
p
in
io
n
,
th
e
fu
n
d
s
a
r
e
s
u
fficien
t.
I
t's
ju
s
t
th
a
t
th
e
fu
n
d
s
w
ere
n
o
t
g
iven
d
ir
ec
tly
a
s
P
TM
mo
n
ey
.
”
(
I
n
fo
r
ma
n
t C)
“
W
e
ca
r
r
y
o
u
t
a
ctivities
in
a
cc
o
r
d
a
n
ce
w
ith
th
e
fu
n
d
s
p
r
o
vid
ed
,
fo
r
ex
a
mp
le
w
e
p
r
o
p
o
s
e
fo
r
6
0
p
eo
p
le
to
e
a
t a
n
d
d
r
in
k,
w
e
a
r
e
in
vited
to
6
0
ye
s
.
S
o
t
h
a
t c
a
n
b
e
s
a
id
to
b
e
en
o
u
g
h
.
”
(
I
n
fo
r
ma
n
t
D)
Evaluation Warning : The document was created with Spire.PDF for Python.
I
SS
N:
2
2
5
2
-
8
8
0
6
I
n
t.
J
.
P
u
b
lic
Hea
lth
Sci.,
Vo
l.
1
0
,
No
.
2
,
J
u
n
e
20
21
:
221
–
230
226
B
ased
o
n
th
e
q
u
an
titati
v
e
an
d
q
u
alitati
v
e
r
esu
lt
s
,
it
ca
n
b
e
s
ee
n
th
at
t
h
e
f
u
n
d
s
p
r
o
v
id
ed
ar
e
s
u
f
f
icie
n
t
b
ec
au
s
e
t
h
e
p
er
s
o
n
i
n
a
c
h
ar
g
e
o
f
th
e
p
r
o
g
r
a
m
ca
r
r
ies
o
u
t
a
ctiv
itie
s
i
n
ac
co
r
d
an
ce
w
it
h
t
h
e
f
u
n
d
s
s
e
t
b
y
t
h
e
g
o
v
er
n
m
e
n
t.
B
ased
o
n
Ta
b
le
1
,
it
is
k
n
o
w
n
t
h
at
2
4
(
9
6
%)
p
r
o
g
r
a
m
m
a
n
a
g
er
s
at
t
h
e
p
r
i
m
a
r
y
h
ea
lt
h
ca
r
e
s
tated
th
at
t
h
e
f
u
n
d
s
p
r
o
v
id
ed
w
er
e
ti
m
el
y
.
T
h
is
is
a
ls
o
s
u
p
p
o
r
ted
b
y
t
h
e
r
esu
lts
o
f
q
u
alit
ativ
e
r
esear
ch
.
T
h
e
f
o
llo
w
in
g
i
n
ter
v
ie
w
e
x
ce
r
p
ts
:
“
Yes
,
r
ig
h
t,
b
ec
a
u
s
e
th
ere
is
a
d
ea
d
lin
e
f
o
r
u
s
.
”
(I
n
fo
r
ma
n
t A
)
“
R
ig
h
t o
n
time.
Th
e
r
e
is
,
a
cc
o
r
d
in
g
ly.
On
time.
”
(
I
n
fo
r
ma
n
t B
)
“
Yes
,
it's q
u
ite
r
ig
h
t.
”
(
I
n
fo
r
ma
n
t C)
“
E
xa
ctly,
it d
ep
en
d
s
o
n
u
s
.
”
(
I
n
fo
r
ma
n
t D
)
T
h
e
av
ailab
ilit
y
o
f
f
u
n
d
s
u
s
ed
f
o
r
th
e
p
r
ev
en
tio
n
an
d
co
n
tr
o
l
o
f
h
y
p
er
te
n
s
io
n
in
Sle
m
a
n
R
e
g
en
c
y
h
a
s
b
ee
n
co
n
s
id
er
ed
s
u
f
f
icie
n
t;
t
h
is
is
b
ec
au
s
e
th
e
f
u
n
d
s
p
r
o
v
i
d
ed
h
av
e
b
ee
n
r
atio
n
ed
,
s
o
th
at
p
r
o
g
r
am
h
o
ld
er
s
o
n
l
y
ca
r
r
y
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u
t
ac
ti
v
itie
s
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n
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co
r
d
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ce
w
it
h
t
h
e
b
u
d
g
et
f
u
n
d
s
p
r
o
v
id
ed
b
y
t
h
e
g
o
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er
n
m
e
n
t.
T
h
e
ti
m
e
lin
e
s
s
in
p
r
o
v
id
in
g
f
u
n
d
in
g
f
o
r
th
e
h
y
p
er
ten
s
io
n
p
r
ev
e
n
tio
n
a
n
d
co
n
tr
o
l
p
r
o
g
r
a
m
in
Sle
m
a
n
R
e
g
en
c
y
h
as
al
s
o
b
ee
n
ass
es
s
ed
o
n
t
i
m
e,
b
ec
a
u
s
e
th
e
f
u
n
d
s
s
p
en
t
h
av
e
b
ee
n
d
ev
is
ed
b
y
th
e
g
o
v
er
n
m
e
n
t.
T
h
e
a
v
ailab
ilit
y
o
f
f
u
n
d
s
af
f
ec
ts
t
h
e
q
u
alit
y
o
f
h
ea
lt
h
s
er
v
ices
p
r
o
v
id
ed
b
y
a
h
ea
lt
h
s
er
v
ice
ag
e
n
c
y
[
2
0
]
.
On
e
f
ac
to
r
th
at
is
th
o
u
g
h
t
to
af
f
ec
t t
h
e
w
o
r
k
m
o
tiv
a
tio
n
o
f
o
f
f
icer
s
is
t
h
e
s
p
ee
d
o
f
f
u
n
d
s
d
is
b
u
r
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e
m
en
t.
I
f
f
u
n
d
s
ar
e
d
i
s
b
u
r
s
ed
m
o
r
e
q
u
ick
l
y
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th
e
b
eg
i
n
n
in
g
o
f
t
h
e
y
ea
r
,
h
ea
lt
h
w
o
r
k
er
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ar
e
m
o
r
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co
m
f
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r
tab
le
w
o
r
k
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g
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n
d
d
o
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t
h
av
e
to
b
e
in
d
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t
o
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s
e
p
er
s
o
n
al
m
o
n
e
y
to
ca
r
r
y
o
u
t
ac
tiv
ities
[
2
1
]
.
A
f
in
a
n
c
in
g
m
ec
h
a
n
i
s
m
m
u
s
t
b
e
d
ev
elo
p
ed
in
I
n
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ia
to
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u
p
p
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t h
ea
lt
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in
f
r
astr
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ct
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p
r
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m
ar
y
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n
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o
n
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ar
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le
v
els a
n
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th
e
e
x
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te
n
ce
o
f
a
p
u
b
licl
y
f
u
n
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ed
h
ea
lt
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in
s
u
r
an
ce
p
o
lic
y
in
th
e
p
r
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en
t
io
n
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n
d
co
n
tr
o
l
o
f
ca
r
d
io
v
ascu
lar
d
is
ea
s
e,
th
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s
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o
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le
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en
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n
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ed
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ce
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h
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r
d
en
o
f
ca
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v
asc
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lar
d
is
ea
s
e
d
ea
th
s
b
y
2
5
-
3
0
%
[
2
2
]
.
Mu
ltip
le
f
u
n
d
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ea
lt
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v
ice
s
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s
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en
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icia
l
f
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cr
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g
f
lex
ib
ilit
y
a
n
d
o
v
er
all
ad
eq
u
ac
y
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f
f
u
n
d
s
.
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f
th
er
e
ar
e
s
u
f
f
ic
ien
t
f
u
n
d
s
,
it
ca
n
h
a
v
e
an
i
m
p
ac
t
o
n
th
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p
r
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v
is
io
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o
f
a
w
id
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g
e
o
f
h
ea
lt
h
s
er
v
ices.
T
h
e
n
u
m
b
er
o
f
s
er
v
ices
av
ailab
le
w
ill i
m
p
r
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v
e
th
e
q
u
a
lit
y
a
n
d
p
r
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tectio
n
o
f
p
u
b
lic
h
ea
lth
[
2
3
]
.
3
.
2
.
P
ro
ce
s
s
a
s
pect
P
r
o
ce
s
s
asp
ec
ts
i
n
th
i
s
r
ese
ar
ch
i
n
clu
d
e
th
e
p
lan
n
i
n
g
,
i
m
p
le
m
e
n
tat
io
n
a
n
d
s
u
p
er
v
i
s
i
o
n
o
f
th
e
P
o
s
b
in
d
u
,
P
o
s
ya
n
d
u
E
ld
er
ly
an
d
P
r
o
la
n
is
p
r
o
g
r
am
s
.
T
h
e
r
esu
lts
f
r
o
m
t
h
e
p
r
o
ce
s
s
asp
ec
ts
a
r
e
as f
o
llo
w
s
:
3
.
2
.
1
.
P
o
s
bin
du
B
ased
o
n
q
u
an
titativ
e
r
es
u
lt
s
,
it
is
s
tated
th
at
th
e
m
aj
o
r
it
y
o
f
p
r
im
ar
y
h
ea
lth
ca
r
e
in
Sle
m
a
n
R
eg
e
n
c
y
h
av
e
ca
r
r
ied
o
u
t
th
e
P
o
s
b
in
d
u
p
r
o
g
r
am
p
r
o
ce
s
s
w
ell.
T
h
is
i
s
in
d
icate
d
b
y
t
h
e
f
ac
t
t
h
at
t
h
e
y
h
a
v
e
ca
r
r
ied
o
u
t
P
o
s
b
in
d
u
ac
tiv
ities
at
lea
s
t o
n
ce
a
m
o
n
t
h
i
n
ac
co
r
d
an
ce
w
it
h
th
e
s
ta
n
d
ar
d
s
.
T
h
is
i
s
s
u
p
p
o
r
ted
b
y
t
h
e
s
tate
m
en
t
o
f
th
e
i
n
f
o
r
m
an
t.
T
h
e
f
o
llo
w
i
n
g
is
a
n
ex
ce
r
p
t f
r
o
m
t
h
e
i
n
ter
v
ie
w
:
“
P
o
s
b
in
d
u
ev
ery
mo
n
th
,
ev
ery
2
3
r
d
b
u
t so
m
etimes a
d
ju
s
t
.
”
(
I
n
fo
r
ma
n
t E
)
I
n
ad
d
itio
n
to
th
e
i
m
p
le
m
e
n
ta
tio
n
th
e
y
h
a
v
e
also
ca
r
r
ied
o
u
t
p
lan
n
i
n
g
.
T
h
is
h
a
s
also
b
ee
n
s
u
p
p
o
r
ted
b
y
t
h
e
s
ta
te
m
e
n
t o
f
t
h
e
i
n
f
o
r
m
an
t.
T
h
e
f
o
llo
w
in
g
i
s
a
n
ex
ce
r
p
t f
r
o
m
th
e
i
n
ter
v
ie
w
:
“
I
n
th
e
b
eg
in
n
i
n
g
to
s
ta
n
d
u
p
,
th
ere
w
ere
o
n
ly
a
few
.
Th
en
w
e
w
e
r
e
o
ffer
ed
P
o
s
b
in
d
u
,
th
en
I
h
a
d
t
o
co
o
r
d
in
a
te
fir
s
t
w
ith
r
eg
io
n
a
l
s
ta
ke
h
o
ld
ers
,
th
en
la
ter
I
w
o
u
l
d
s
o
cia
liz
e
th
e
ca
d
r
es
fir
s
t,
la
t
er
if
I
d
id
n
o
t
s
o
cia
liz
e,
th
e
ca
d
r
es
w
o
u
ld
n
o
t
w
a
n
t
to
,
I
w
o
u
l
d
la
ter
b
e
b
o
th
ered
,
th
en
a
ll
a
t
w
ill,
fin
a
lly
I
w
o
u
ld
a
cc
ep
t a
n
d
ev
e
n
tu
a
lly
j
o
in
th
e
tech
n
ica
l g
u
i
d
a
n
ce
f
o
r
5
d
a
ys
.
"
(
I
n
fo
r
ma
n
t E
)
I
n
ad
d
itio
n
to
i
m
p
le
m
e
n
tati
o
n
an
d
p
lan
n
i
n
g
,
m
o
s
t
p
r
im
ar
y
h
ea
lt
h
ca
r
e
h
a
v
e
al
s
o
co
n
d
u
cte
d
m
o
n
ito
r
i
n
g
.
T
h
i
s
is
also
s
u
p
p
o
r
ted
b
y
s
tate
m
e
n
ts
f
r
o
m
i
n
f
o
r
m
a
n
ts
.
T
h
e
f
o
llo
w
in
g
i
s
a
n
e
x
ce
r
p
t
f
r
o
m
th
e
in
ter
v
ie
w
:
“
F
o
r
ex
a
mp
le,
in
th
is
villa
g
e
th
ere
is
P
o
s
b
in
d
u
,
th
e
b
ig
g
e
s
t
p
r
o
b
lem
is
w
h
ere
w
e
e
va
lu
a
te
it
w
ith
p
a
r
ticip
a
n
ts
.
”
(
I
n
fo
r
ma
n
t C)
B
ased
o
n
th
e
r
e
s
u
l
ts
o
b
tain
e
d
,
it
ca
n
b
e
s
ee
n
t
h
at
t
h
e
m
a
j
o
r
ity
o
f
p
r
i
m
ar
y
h
ea
lt
h
ca
r
e
in
S
le
m
a
n
R
eg
e
n
c
y
h
a
v
e
r
u
n
th
e
P
o
s
b
in
d
u
p
r
o
ce
s
s
w
ell,
b
u
t
e
v
en
s
o
th
er
e
is
s
til
l
th
e
p
r
o
ce
s
s
o
f
i
m
p
le
m
e
n
ti
n
g
P
o
s
b
in
d
u
th
at
h
as
n
o
t
b
ee
n
ca
r
r
ied
o
u
t
i
n
ac
co
r
d
an
ce
w
i
th
t
h
e
s
p
ec
i
f
ie
d
s
tan
d
ar
d
s
.
P
o
s
b
in
d
u
PT
M
r
u
n
s
r
o
u
ti
n
el
y
b
u
t
is
n
o
t
i
n
ac
co
r
d
an
ce
w
i
th
th
e
tec
h
n
ica
l
g
u
id
eli
n
e
s
P
o
s
b
in
d
u
PT
M,
w
h
er
e
t
h
e
u
n
d
er
s
tan
d
i
n
g
o
f
t
h
e
i
m
p
le
m
en
ter
s
o
f
th
e
ac
tiv
ities
is
n
o
t
in
ac
co
r
d
an
ce
w
it
h
th
e
co
n
ce
p
t
s
co
n
ta
in
ed
in
th
e
tec
h
n
ical
g
u
id
elin
es
[
2
4
]
.
T
h
e
r
o
le
o
f
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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t.
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.
P
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b
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Hea
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N:
2
2
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2
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E
va
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tio
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ict,
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n
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(
Lien
a
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fia
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)
227
ca
d
r
es
is
n
o
t
o
p
ti
m
al,
t
h
e
lac
k
o
f
ca
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r
es,
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lack
o
f
f
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in
g
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ce
s
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h
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lack
o
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d
in
ati
o
n
o
f
th
e
r
es
u
lt
s
o
f
ac
tiv
itie
s
w
it
h
s
ta
k
eh
o
ld
er
s
an
d
ca
d
r
es
b
ec
o
m
e
in
f
l
u
e
n
ti
al
f
ac
to
r
s
in
t
h
e
i
m
p
le
m
e
n
t
atio
n
o
f
P
o
s
b
in
d
u
ac
tiv
itie
s
[
2
5
]
.
3
.
2
.
2
.
E
lderly
p
o
s
y
a
nd
u
B
ased
o
n
q
u
a
n
titati
v
e
r
es
u
lt
s
,
it
is
k
n
o
w
n
t
h
at
t
h
e
m
aj
o
r
it
y
o
f
p
r
i
m
ar
y
h
ea
lt
h
ca
r
e
i
n
Sle
m
a
n
R
eg
e
n
c
y
h
a
v
e
ca
r
r
ied
o
u
t
th
e
P
o
s
ya
n
d
u
p
r
o
g
r
a
m
f
o
r
th
e
eld
er
l
y
w
e
ll.
T
h
is
is
in
d
icate
d
b
y
th
e
f
ac
t
t
h
at
th
e
y
h
av
e
co
n
d
u
cted
P
o
s
b
in
d
u
ac
tiv
itie
s
at
leas
t
o
n
ce
a
m
o
n
t
h
in
ac
co
r
d
an
ce
w
i
th
t
h
e
s
t
an
d
ar
d
s
an
d
h
a
v
e
co
n
d
u
cted
5
tab
le
ac
tiv
ities
i
n
ac
co
r
d
an
ce
w
it
h
t
h
e
g
u
id
eli
n
es
o
f
t
h
e
i
m
p
le
m
en
ta
tio
n
o
f
t
h
e
eld
er
l
y
P
o
s
ya
n
d
u
,
b
u
t
ev
e
n
s
o
b
ased
o
n
th
e
r
esu
l
ts
o
f
in
ter
v
ie
w
s
th
at
h
av
e
b
ee
n
ca
r
r
ied
o
u
t
th
er
e
ar
e
o
b
s
tacle
s
f
elt
b
y
o
n
e
o
f
th
e
in
f
o
r
m
an
ts
.
T
h
e
f
o
llo
w
i
n
g
i
n
te
r
v
ie
w
ex
ce
r
p
ts
:
“
Th
e
o
b
s
ta
cle
is
if th
ere
a
r
e
p
a
r
en
ts
,
w
e
h
a
ve
to
p
ick
u
p
a
n
d
th
en
d
eliv
er
.
”
(
I
n
fo
r
ma
n
t F
)
T
h
e
r
esu
lts
o
f
t
h
e
i
n
ter
v
ie
w
s
h
o
w
t
h
at
t
h
e
p
er
ce
iv
ed
o
b
s
t
ac
le
is
t
h
e
lac
k
o
f
a
w
ar
e
n
es
s
f
r
o
m
t
h
e
co
m
m
u
n
it
y
to
i
n
d
ep
en
d
en
t
l
y
co
m
e
to
t
h
e
eld
er
l
y
P
o
s
ya
n
d
u
ac
tiv
itie
s
,
s
o
th
at
i
n
t
h
is
ca
s
e
t
h
e
r
o
le
o
f
ca
d
r
es
i
s
n
ee
d
ed
to
d
eliv
er
th
e
eld
er
ly
P
o
s
ya
n
d
u
p
a
r
ticip
an
ts
.
T
h
e
r
o
le
o
f
th
e
ca
d
r
e
in
th
e
i
m
p
l
e
m
en
tatio
n
o
f
t
h
e
P
o
s
ya
n
d
u
f
o
r
th
e
eld
er
ly
o
r
P
o
s
b
in
d
u
h
as
also
b
ee
n
ap
p
r
ec
i
ated
b
y
th
e
p
r
i
m
ar
y
h
ea
lt
h
ca
r
e
,
n
a
m
el
y
r
e
w
ar
d
s
in
th
e
f
o
r
m
o
f
r
ec
r
ea
tio
n
.
T
h
e
f
o
llo
w
in
g
i
s
an
ex
ce
r
p
t
f
r
o
m
t
h
e
in
ter
v
ie
w
:
“
Ou
tb
o
u
n
d
,
ja
mb
o
r
e
P
o
s
b
in
d
u
P
TM
.
Th
e
r
ewa
r
d
is
g
iven
to
th
em
b
ec
a
u
s
e
th
ey
h
a
ve
w
o
r
ke
d
h
a
r
d
fo
r
h
elp
in
g
u
s
,
th
e
r
ewa
r
d
i
s
o
u
tb
o
u
n
d
,
th
e
w
h
o
le
d
is
tr
ict.
On
e
p
r
i
m
ar
y
h
ea
lt
h
ca
r
e
i
s
4
th
o
u
s
a
n
d
p
eo
p
le,
ev
ery
ye
a
r
th
ere
is
,
th
i
s
w
ill a
ls
o
b
e
th
ere
la
ter.
”
(
I
n
fo
r
ma
n
t A
)
“
W
e
mig
h
t
g
ive
mo
r
e
ca
d
r
es
la
ter,
fo
r
ex
a
mp
le
s
tr
ip
s
o
f
s
u
g
a
r
,
if
la
ter
ma
yb
e
w
h
en
th
ere
is
a
mee
tin
g
w
e
w
il
l d
ir
ec
t it
mo
r
e
to
o
u
tb
o
u
n
d
.
”
(
I
n
fo
r
ma
n
t C)
“
Th
en
,
la
ter
a
s
th
ere
is
a
te
r
m
,
P
o
s
b
in
d
u
w
h
o
is
th
e
mo
s
t
d
ilig
en
t,
th
en
w
ill
co
n
tin
u
e
to
b
e
r
ewa
r
d
ed
d
u
r
in
g
mee
tin
g
s
.
”
(
I
n
fo
r
ma
n
t
E
)
B
ased
o
n
th
e
r
esear
ch
r
esu
lts
o
b
tain
ed
,
it
ca
n
b
e
s
ee
n
th
at
th
e
m
aj
o
r
ity
o
f
p
r
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m
ar
y
h
ea
l
th
ca
r
e
in
Sle
m
a
n
R
e
g
e
n
c
y
h
av
e
ca
r
r
ied
o
u
t
th
e
eld
er
l
y
P
o
s
ya
n
d
u
p
r
o
ce
s
s
w
ell.
T
h
e
o
b
s
tacle
ex
p
er
ien
ce
d
is
th
e
lack
o
f
a
w
ar
e
n
ess
o
f
t
h
e
co
m
m
u
n
it
y
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in
d
ep
en
d
en
tl
y
co
m
e
to
t
h
e
eld
er
l
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P
o
s
ya
n
d
u
ac
tiv
i
ties
,
s
o
th
a
t
t
h
e
r
o
le
o
f
ca
d
r
es
is
n
ee
d
ed
to
d
eliv
er
t
h
e
eld
er
l
y
P
o
s
ya
n
d
u
p
ar
ticip
an
ts
.
T
h
e
r
o
le
o
f
ca
d
r
es
h
a
s
also
b
ee
n
ap
p
r
ec
iated
b
y
th
e
p
r
i
m
ar
y
h
ea
lt
h
ca
r
e
,
n
a
m
el
y
b
y
g
i
v
i
n
g
r
e
w
ar
d
s
i
n
t
h
e
f
o
r
m
o
f
r
ec
r
ea
tio
n
.
T
h
is
is
i
n
l
in
e
w
ith
t
h
e
r
es
u
lts
o
f
p
r
ev
io
u
s
s
tu
d
ie
s
w
h
ich
s
tate
t
h
at
i
n
o
r
d
er
to
r
etain
ca
d
r
es,
th
e
p
r
im
ar
y
h
ea
lth
ca
r
e
p
r
o
v
id
e
r
e
w
ar
d
s
i
n
th
e
f
o
r
m
o
f
r
ec
r
ea
tio
n
o
r
p
ar
ticip
atio
n
i
n
s
o
cializa
t
io
n
o
r
g
a
n
ized
b
y
t
h
e
h
ea
lth
o
f
f
ice
[
2
6
]
.
P
r
o
g
r
a
m
s
ca
r
r
ied
o
u
t
b
y
t
h
e
co
m
m
u
n
it
y
r
esp
o
n
s
ib
le
f
o
r
r
e
d
u
cin
g
t
h
e
r
is
k
o
f
ca
r
d
io
v
asc
u
lar
d
is
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s
e
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n
d
co
m
m
u
n
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c
h
an
g
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ca
r
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ied
o
u
t
i
n
th
e
s
ta
te
o
f
Ma
i
n
e
ca
n
r
ed
u
ce
p
o
v
er
t
y
lev
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ls
f
o
r
m
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h
an
4
0
y
ea
r
s
w
h
e
n
co
m
p
ar
ed
to
o
th
er
s
tates
[
2
7
]
.
On
e
o
f
t
h
e
e
f
f
o
r
ts
to
i
n
cr
ea
s
e
t
h
e
co
v
er
ag
e
o
f
eld
er
l
y
v
i
s
its
(
eld
er
l
y
)
to
t
h
e
eld
er
l
y
P
o
s
ya
n
d
u
is
to
eq
u
ip
ca
d
r
es
'
s
k
il
ls
t
h
r
o
u
g
h
tr
ain
i
n
g
.
I
f
ca
d
r
es
h
a
v
e
s
u
f
f
icien
t
k
n
o
w
l
ed
g
e
an
d
s
k
ills
,
i
t
is
h
o
p
ed
th
at
ca
d
r
es
w
ill
h
av
e
g
o
o
d
ab
ilit
ies
in
co
n
d
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cti
n
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h
ea
lt
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co
u
n
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eli
n
g
f
o
r
th
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eld
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l
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a
n
d
ar
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k
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ec
is
io
n
s
.
Af
ter
th
e
tr
ain
i
n
g
f
o
r
eld
er
l
y
P
o
s
b
in
d
u
ca
d
r
es,
it
s
h
o
w
s
a
n
i
n
cr
ea
s
e
i
n
th
e
s
co
r
e
o
f
k
n
o
w
led
g
e
a
n
d
an
in
c
r
ea
s
e
in
t
h
e
s
k
il
ls
o
f
ca
d
r
es i
n
ca
r
r
y
in
g
o
u
t
p
h
y
s
ica
l e
x
a
m
i
n
atio
n
s
an
d
s
i
m
p
le
lab
o
r
ato
r
y
ex
a
m
i
n
atio
n
s
[
2
8
]
.
3
.
2
.
3
.
P
ro
la
nis
B
ased
o
n
q
u
a
n
titati
v
e
r
es
u
lt
s
it
ca
n
b
e
s
ee
n
t
h
at
t
h
e
m
aj
o
r
ity
o
f
p
r
i
m
ar
y
h
ea
lt
h
ca
r
e
in
S
le
m
a
n
R
eg
e
n
c
y
h
a
v
e
ca
r
r
ied
o
u
t
t
h
e
P
r
o
la
n
is
p
r
o
g
r
a
m
p
r
o
ce
s
s
well.
T
h
is
is
i
n
d
icate
d
b
y
t
h
e
f
ac
t
th
at
t
h
e
y
h
a
v
e
ca
r
r
ied
o
u
t
P
r
o
la
n
is
ac
ti
v
itie
s
in
ac
co
r
d
an
ce
w
it
h
t
h
e
p
r
o
v
is
io
n
s
o
f
t
h
e
P
r
o
la
n
is
m
a
n
u
al
.
T
h
e
f
o
llo
w
i
n
g
in
ter
v
ie
w
ex
ce
r
p
ts
:
“
P
r
o
la
n
is
ts
a
r
e
a
w
a
y,
a
ll
a
r
e
r
eq
u
ir
ed
to
d
o
P
r
o
la
n
is
.
E
v
ery
fa
mily
d
o
cto
r
,
p
r
im
ar
y
h
e
alth
ca
r
e
,
clin
ica
l,
P
r
o
la
n
is
fo
r
d
ia
b
etes
a
n
d
h
y
p
erten
s
io
n
.
”
(
I
n
fo
r
ma
n
t A
)
B
u
t
in
its
i
m
p
le
m
e
n
tat
io
n
,
th
er
e
is
o
n
e
h
ea
lt
h
ce
n
ter
in
Sle
m
a
n
R
eg
e
n
c
y
w
h
ic
h
o
n
l
y
co
n
d
u
ct
s
d
iab
etes
m
ellit
u
s
P
r
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la
n
is
p
r
o
g
r
a
m
a
n
d
d
o
es
n
o
t
ca
r
r
y
o
u
t
h
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p
er
te
n
s
io
n
P
r
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la
n
is
p
r
o
g
r
am
,
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co
r
d
in
g
to
t
h
e
h
ea
lt
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ce
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ter
p
r
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ld
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,
th
is
is
d
u
e
to
li
m
ited
h
u
m
a
n
r
e
s
o
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r
ce
s
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B
ased
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t
h
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lt
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o
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th
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ch
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n
s
io
n
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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2
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2
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8
8
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6
I
n
t.
J
.
P
u
b
lic
Hea
lth
Sci.,
Vo
l.
1
0
,
No
.
2
,
J
u
n
e
20
21
:
221
–
230
228
Pr
o
la
n
is
co
u
ld
n
o
t
b
e
i
m
p
le
m
en
ted
.
Su
f
f
icie
n
t
q
u
an
t
it
y
o
f
HR
w
as
n
ee
d
ed
to
m
ax
i
m
ize
e
x
is
tin
g
h
ea
lt
h
s
er
v
ices
[
7
]
.
Hu
m
an
r
e
s
o
u
r
ce
s
th
a
t
h
av
e
n
o
t
y
et
b
ee
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tr
ai
n
ed
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P
r
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la
n
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i
m
p
le
m
e
n
ter
s
ca
n
in
f
l
u
e
n
ce
t
h
e
i
m
p
le
m
en
ta
tio
n
o
f
P
r
o
la
n
is
ac
tiv
itie
s
th
at
ar
e
r
u
n
n
i
n
g
well
o
r
n
o
t
[
2
9
]
.
T
h
e
n
ee
d
to
p
r
o
v
id
e
tr
ain
in
g
to
i
m
p
r
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v
e
s
ta
f
f
s
k
ill
s
,
u
p
d
ate
k
n
o
w
led
g
e
a
n
d
co
o
p
er
atio
n
b
e
t
w
ee
n
p
r
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g
r
a
m
m
a
n
ag
er
s
at
t
h
e
p
r
i
m
ar
y
h
ea
lt
h
ca
r
e
[
3
0
]
.
3
.
3
.
O
utput
a
s
pect
T
h
e
f
o
llo
w
i
n
g
is
a
d
escr
ip
tio
n
o
f
th
e
ac
h
ie
v
e
m
e
n
t
o
f
co
v
er
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g
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f
h
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te
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io
n
s
er
v
ice
s
ac
co
r
d
in
g
to
2
0
1
8
s
tan
d
ar
d
s
p
r
im
ar
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ea
lth
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r
e
in
Sle
m
a
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R
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g
e
n
c
y
ca
n
b
e
d
escr
ib
ed
in
F
ig
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ased
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ased
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tu
d
y
.
RE
F
E
R
E
NC
E
S
[1
]
S
.
S
.
V
ira
n
i
e
t
a
l.
,
“
He
a
rt
d
ise
a
se
a
n
d
stro
k
e
sta
ti
stics
—
2
0
2
0
u
p
d
a
te:
A
r
e
p
o
rt
f
ro
m
th
e
Am
e
rica
n
He
a
rt
A
s
so
c
iatio
n
,
”
Circ
u
l
a
ti
o
n
,
v
o
l.
1
4
1
,
p
p
.
E1
3
9
–
E5
9
6
,
2
0
2
0
.
[2
]
R.
S
u
h
a
d
i
,
H.
P
h
e
b
e
,
W
.
Yo
se
f
,
e
t
a
l
.
,
“
T
h
e
I
n
s
a
n
d
Ou
ts
o
f
H
y
p
e
rten
sio
n
:
In
c
re
a
sin
g
Cli
n
ica
l
Co
m
p
e
ten
c
e
f
o
r
P
h
a
rm
a
c
e
u
ti
c
a
l
S
e
rv
ice
s,”
Ber
k
a
la
Ilmia
h
Ke
d
o
k
ter
a
n
Du
t
a
W
a
c
a
n
a
S
a
n
a
t
a
Dh
a
rm
a
Un
ive
rs
it
y
Pre
s
s
,
Yo
g
y
a
k
a
rta,
v
o
l.
2
,
n
o
.
3
,
2
0
1
6
.
[3
]
M
in
istry
o
f
H
e
a
lt
h
o
f
th
e
Re
p
u
b
li
c
o
f
In
d
o
n
e
sia
,
“
Ba
sic
He
a
l
th
Re
s
e
a
rc
h
2
0
1
8
,
”
M
in
istry
o
f
H
e
a
lt
h
o
f
th
e
Re
p
u
b
li
c
o
f
In
d
o
n
e
sia
,
Ja
k
a
rta,
2
0
1
7
.
[4
]
M
in
istry
o
f
H
e
a
lt
h
o
f
th
e
Re
p
u
b
li
c
o
f
In
d
o
n
e
sia
,
“
Ba
sic
He
a
lt
h
Re
se
a
rc
h
2
0
1
3
”
He
a
lt
h
Res
e
a
rc
h
a
n
d
De
v
e
lo
p
me
n
t
Ag
e
n
c
y
.
M
i
n
istry
o
f
He
a
lt
h
o
f
th
e
Re
p
u
b
li
c
o
f
In
d
o
n
e
sia
,
Ja
k
a
rta,
p
p
.
1
-
2
6
8
,
2
0
1
3
.
[5
]
P
u
b
l
ic
He
a
lt
h
Off
ice
o
f
DIY
,
“
P
r
o
f
il
e
o
f
Yo
g
y
a
k
a
rta
S
p
e
c
ial
R
e
g
io
n
He
a
lt
h
2
0
1
7
,”
Yo
g
y
a
k
a
rta
:
P
u
b
li
c
He
a
lt
h
Off
ic
e
o
f
DIY
,
2
0
1
7
.
[6
]
A
ri
f
u
d
in
,
S
u
d
irm
a
n
,
a
n
d
M
.
A
n
d
ri,
“
Ev
a
lu
a
ti
o
n
o
f
Hu
m
a
n
Re
so
u
rc
e
M
a
n
a
g
e
m
e
n
t
S
y
ste
m
o
n
W
o
r
k
P
lac
e
m
e
n
t
o
f
Off
ic
e
rs at UP
T
P
u
sk
e
s
m
a
s
L
e
m
b
a
sa
d
a
,
”
Pro
mo
t
io
n
J
o
u
rn
a
l
Ke
se
h
a
t
an
M
a
sy
a
ra
k
a
t,
v
o
l
.
7
,
n
o
.
1
,
p
p
.
1
-
1
4
,
2
0
1
7
.
[7
]
H.
A
.
Kh
a
riza
,
“
Na
ti
o
n
a
l
He
a
lt
h
In
su
ra
n
c
e
P
ro
g
ra
m
:
A
De
sc
rip
ti
v
e
S
tu
d
y
o
f
F
a
c
to
rs T
h
a
t
Ca
n
Aff
e
c
t
th
e
S
u
c
c
e
ss
o
f
Im
p
le
m
e
n
ti
n
g
th
e
Na
ti
o
n
a
l
He
a
lt
h
In
su
ra
n
c
e
P
ro
g
ra
m
a
t
M
e
n
u
r
M
e
n
tal
Ho
sp
it
a
l,
S
u
ra
b
a
y
a
,
”
Ke
b
ij
a
k
an
dan
M
a
n
a
j
e
me
n
P
u
b
li
k
,
v
o
l.
3
,
n
o
.
1
,
p
p
.
1
-
7,
2
0
1
5
.
[8
]
B.
A
.
P
ra
sista
,
G
.
A
.
Yu
n
iarta
,
a
n
d
M
.
A
.
W
a
h
y
u
n
i,
“
A
n
a
l
y
si
s
o
f
th
e
Eff
e
c
ti
v
e
n
e
ss
a
n
d
Im
p
a
c
t
o
f
M
u
lt
ip
le
P
o
siti
o
n
s
i
n
Im
p
ro
v
in
g
Org
a
n
iza
t
io
n
a
l
P
e
rf
o
rm
a
n
c
e
A
t
P
t.
T
re
a
su
r
e
A
j
e
g
L
e
st
a
ri,
In
Ba
n
y
u
n
in
g
V
il
lag
e
,
Bu
lele
n
g
District,
”
e
-
J
o
u
rn
a
l
S
1
Ak
Un
iv
ive
rs
it
a
s
Pen
d
i
d
ik
an
Ga
n
e
sh
a
J
u
r
u
sa
n
Aku
n
t
a
n
si
Pro
g
r
am
S1
,
v
o
l.
8
,
n
o
.
2
,
p
p
,
1
-
1
0
,
2
0
1
7
.
[9
]
G
.
Ju
ten
g
re
n
,
E.
Ja
ld
e
sta
d
,
L
.
De
ll
v
e
,
a
n
d
A
.
Eri
k
ss
o
n
,
“
T
h
e
P
o
ten
ti
a
l
Im
p
o
rtan
c
e
o
f
S
o
c
ial
Ca
p
it
a
l
a
n
d
Jo
b
Cra
f
ti
n
g
f
o
r
W
o
rk
En
g
a
g
e
m
e
n
t
a
n
d
Jo
b
S
a
ti
sf
a
c
ti
o
n
a
m
o
n
g
He
a
lt
h
-
Ca
re
E
m
p
lo
y
e
e
s,”
In
ter
n
a
ti
o
n
a
l
J
o
u
r
n
a
l
En
v
iro
n
me
n
ta
l
Res
e
a
rc
h
Pu
b
li
c
He
a
lt
h
,
v
o
l.
17
,
n
o
.
12
,
p
p
.
4
2
7
2
,
2
0
2
0
.
[1
0
]
R.
O.
Ha
n
d
a
y
a
n
i,
A
.
S
u
ry
o
p
u
tro
,
a
n
d
A
.
S
riatm
i,
“
F
a
c
to
rs
Re
late
d
to
Ca
d
re
P
ra
c
ti
c
e
s
in
Im
p
lem
e
n
ti
n
g
El
d
e
rly
P
o
sy
a
n
d
u
in
S
e
n
d
a
n
g
m
u
l
y
o
V
il
la
g
e
,
T
e
m
b
a
lan
g
District,
S
e
m
a
r
a
n
g
Cit
y
,
”
J
o
u
rn
a
l
Ke
se
h
a
t
an
M
a
s
y
a
ra
k
a
t
,
v
o
l.
6
,
n
o
.
1
,
p
p
.
81
-
9
3
,
2
0
1
8
.
[1
1
]
C.
Riv
e
rs
e
t
a
l.
,
“
Us
in
g
‘Ou
tb
re
a
k
S
c
ien
c
e
’
to
S
tren
g
th
e
n
th
e
Us
e
o
f
M
o
d
e
ls
Du
ri
n
g
Ep
i
d
e
m
ics
,
”
Na
tu
re
Co
mm
u
n
ica
ti
o
n
s
,
v
o
l
.
1
0
,
n
o
.
3
1
0
2
,
p
p
.
1
-
3,
2
0
1
9
.
[1
2
]
M
.
K.
M
a
n
u
r
u
n
g
,
S
.
E.
Re
o
,
J.
F
.
P
a
r
d
o
si,
a
n
d
D.
J.
M
u
sc
a
tello
,
“
E
v
a
lu
a
ti
o
n
o
f
th
e
In
d
o
n
e
sia
n
Early
W
a
rn
in
g
A
lert
a
n
d
Re
sp
o
n
se
S
y
ste
m
(EW
ARS)
in
W
e
st
P
a
p
u
a
,
I
n
d
o
n
e
sia
,
”
W
HO
S
o
u
th
-
Ea
st
Asia
J
o
u
rn
a
l
P
u
b
li
c
He
a
l
th
,
v
o
l.
9
,
n
o
.
2
,
p
p
.
1
1
1
-
1
1
7
,
2
0
2
0
.
[1
3
]
N.
Ul
f
a
h
,
B.
A
ji
,
a
n
d
S
.
Ha
rw
a
n
ti
,
“
Ev
a
lu
a
ti
o
n
o
f
t
h
e
A
b
il
it
y
o
f
He
a
lt
h
Ca
d
re
s
i
n
C
o
n
d
u
c
ti
n
g
Ou
trea
c
h
A
c
ti
v
it
ies
,
”
J
o
u
rn
a
l
Ke
sm
a
s In
d
o
n
e
s
ia
,
v
o
l.
9
,
n
o
.
1
,
p
p
.
34
-
4
5
,
2
0
1
7
.
[1
4
]
G
.
M
u
sin
g
u
z
i
e
t
a
l.
,
“
A
n
i
m
p
le
m
e
n
tatio
n
sc
ien
c
e
stu
d
y
to
e
n
h
a
n
c
e
c
a
rd
io
v
a
sc
u
lar
d
ise
a
se
p
re
v
e
n
ti
o
n
in
M
u
k
o
n
o
a
n
d
Bu
ik
w
e
d
istri
c
ts
in
Ug
a
n
d
a
:
A
st
e
p
p
e
d
-
w
e
d
g
e
d
e
sig
n
,
”
BM
C
He
a
lt
h
S
e
rv
ice
s
Res
e
a
rc
h
,
v
o
l.
19
,
n
o
.
2
5
3
,
p
p
.
1
-
1
0
,
2
0
1
9
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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t.
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lth
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l.
1
0
,
No
.
2
,
J
u
n
e
20
21
:
221
–
230
230
[1
5
]
I.
Y.
Risti
a
n
i,
“
T
h
e
In
f
lu
e
n
c
e
o
f
In
f
ra
s
tru
c
tu
re
a
n
d
S
e
rv
ice
Qu
a
li
ty
o
n
P
a
ti
e
n
t
S
a
ti
sf
a
c
ti
o
n
(S
tu
d
y
o
n
Ou
tp
a
ti
e
n
t
P
a
ti
e
n
ts
a
t
t
h
e
I
P
DN
Ja
ti
n
e
g
o
ro
P
o
ly
c
li
n
ic Un
it
),
”
Co
o
p
e
ti
ti
o
n
,
v
o
l.
7
,
n
o
.
2
,
p
p
.
1
5
5
-
1
6
6
,
2
0
1
7
.
[1
6
]
A
.
Ja
m
e
e
l
e
t
a
l.
,
“
Im
p
ro
v
in
g
P
a
ti
e
n
t
b
e
h
a
v
io
ra
l
C
o
n
se
n
t
th
ro
u
g
h
Diff
e
r
e
n
t
S
e
rv
i
c
e
Qu
a
li
ty
Di
m
e
n
sio
n
s:
A
ss
e
ss
in
g
th
e
M
e
d
iati
n
g
Ro
le
o
f
P
a
ti
e
n
t
S
a
t
isf
a
c
ti
o
n
,
”
In
t
e
rn
a
ti
o
n
a
l
J
o
u
rn
a
l
En
v
iro
n
me
n
ta
l
Res
e
a
rc
h
Pu
b
li
c
He
a
lt
h
,
v
o
l
.
16
,
n
o
.
23
,
p
.
4
7
3
6
,
2
0
1
9
.
[1
7
]
A
.
P
a
k
h
a
re
,
S
.
Ku
m
a
r,
S
.
G
o
y
a
l,
a
n
d
R.
Jo
sh
i,
“
As
se
ss
m
e
n
t
o
f
p
rim
a
r
y
c
a
re
f
a
c
il
it
ies
f
o
r
c
a
rd
io
v
a
sc
u
lar
d
ise
a
se
p
re
p
a
re
d
n
e
ss
in
M
a
d
h
y
a
P
ra
d
e
sh
,
In
d
ia,”
BM
C
He
a
lt
h
S
e
rv
ice
s R
e
s
e
a
rc
h
,
v
o
l.
15
,
n
o
.
4
0
8
,
p
p
.
1
-
8
,
2
0
1
5
.
[1
8
]
N.
S
.
Ha
m
d
a
n
e
t
a
l.
,
“
In
v
e
stig
a
t
in
g
F
a
c
to
rs
o
f
S
e
rv
ice
Qu
a
li
t
y
I
n
f
lu
e
n
c
in
g
P
a
ti
e
n
t
S
a
ti
sf
a
c
ti
o
n
t
o
w
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rd
s
P
a
ti
e
n
t
L
o
y
a
lt
y
,
”
In
ter
n
a
ti
o
n
a
l
J
o
u
rn
a
l
A
d
v
a
n
c
e
d
S
c
i
e
n
c
e
T
e
c
h
n
o
l
o
g
y
,
v
o
l
.
28
,
n
o
.
16
,
p
p
.
4
5
2
-
4
5
9
,
2
0
1
9
.
[1
9
]
S
.
S
w
a
in
a
n
d
N.
C.
Ka
r,
“
Ho
sp
it
a
l
se
rv
i
c
e
q
u
a
li
ty
a
s
a
n
tec
e
d
e
n
t
o
f
p
a
ti
e
n
t
sa
ti
s
f
a
c
ti
o
n
–
a
c
o
n
c
e
p
t
u
a
l
f
ra
m
e
w
o
rk
,
”
In
ter
n
a
t
io
n
a
l
J
o
u
rn
a
l
o
f
P
h
a
rm
a
c
e
u
ti
c
a
l
a
n
d
He
a
lt
h
c
a
re
M
a
rk
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ti
n
g
,
v
o
l.
12
,
n
o
.
2
,
p
p
.
2
5
1
-
2
6
9
,
2
0
1
8
.
[2
0
]
F
.
No
v
a
n
ty
a
n
d
D.
N.
A
.
Nin
g
ru
m
,
“
E
v
a
lu
a
ti
o
n
o
f
S
u
rv
e
il
lan
c
e
S
y
ste
m
In
p
u
ts
f
o
r
th
e
Disc
o
v
e
r
y
o
f
T
u
b
e
rc
u
lo
sis
(T
B)
S
u
sp
e
c
ts
in
th
e
P
u
b
l
ic
He
a
lt
h
Ce
n
ter
i
n
th
e
W
o
rk
in
g
A
re
a
o
f
th
e
M
a
g
e
lan
g
District
He
a
lt
h
Off
ic
e
,
”
Un
n
e
s
J
o
u
rn
a
l
P
u
b
li
c
He
a
l
th
,
v
o
l.
5
,
n
o
.
2
,
p
p
.
1
2
0
-
1
2
9
,
2
0
1
6
.
[2
1
]
H.
M
u
ly
a
wa
n
,
L
.
T
risn
a
n
to
ro
,
a
n
d
S
.
N.
Zae
n
a
b
,
“
Ev
a
lu
a
ti
o
n
o
f
th
e
Im
p
lem
e
n
tatio
n
o
f
He
a
lt
h
O
p
e
ra
ti
o
n
a
l
A
s
sista
n
c
e
P
o
li
c
ies
a
t
th
e
He
a
lt
h
Off
ic
e
(Ca
s
e
S
tu
d
y
a
t
th
e
Ba
n
tu
l
District
He
a
lt
h
Off
ic
e
a
n
d
th
e
L
e
b
o
n
g
District
He
a
lt
h
Off
ice
2
0
1
1
)
,
”
J
o
u
rn
a
l
Ke
b
ij
a
k
an
Ke
se
h
a
t
an
In
d
o
n
e
s
ia
,
v
o
l
.
1
,
n
o
.
3
,
p
p
.
1
4
4
-
1
5
3
,
2
0
1
2
.
[2
2
]
R.
G
u
p
ta,
S
.
G
u
p
th
a
,
R.
J
o
sh
i,
a
n
d
D.
X
a
v
ier,
“
T
ra
n
sla
ti
n
g
e
v
id
e
n
c
e
in
to
p
o
li
c
y
f
o
r
c
a
rd
io
v
a
sc
u
lar
d
ise
a
se
c
o
n
tro
l
in
In
d
ia,”
He
a
l
th
Res
e
a
rc
h
P
o
li
c
y
S
y
st
em
,
v
o
l.
9
,
n
o
.
8
,
p
p
.
1
–
1
2
,
2
0
1
1
.
[2
3
]
M
.
E.
Otim
e
t
a
l.
,
“
Ch
a
ra
c
teristics
a
n
d
Ef
f
e
c
ts
o
f
M
u
lt
ip
le an
d
M
ix
e
d
F
u
n
d
i
n
g
F
lo
w
s to
P
u
b
li
c
He
a
lt
h
c
a
re
F
a
c
il
it
ies
o
n
F
in
a
n
c
i
n
g
Ou
tco
m
e
s: A
Ca
se
S
tu
d
y
F
ro
m
Nig
e
ria,”
Fro
n
ti
e
rs
in
Pu
b
li
c
He
a
l
th
,
v
o
l.
1
,
p
.
4
0
3
,
2
0
2
0
.
[2
4
]
G
.
S
icili
a
,
F
.
S
.
T
.
De
w
i,
a
n
d
R.
S
.
P
a
d
m
a
w
a
ti
,
“
Qu
a
li
tativ
e
Ev
a
l
u
a
ti
o
n
o
f
No
n
-
C
o
m
m
u
n
ica
b
le
Dise
a
se
s
P
ro
g
ra
m
Ba
se
d
o
n
P
o
sb
i
n
d
u
in
th
e
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o
rk
A
re
a
o
f
M
u
a
ra
Bu
n
g
o
I
H
e
a
lt
h
Ce
n
ter,”
J
o
u
rn
a
l
Ke
b
ij
a
k
an
Ke
se
h
a
t
an
In
d
o
n
e
s
ia
J
KKI
,
v
o
l.
7
,
n
o
.
2
,
p
p
.
88
-
9
2
,
2
0
1
8
.
[2
5]
R.
Ek
a
P
u
tri
,
“
Ev
a
lu
a
ti
o
n
Of
P
tm
P
o
sb
i
n
d
u
Im
p
lem
e
n
tatio
n
P
ro
c
e
s
s
In
T
h
e
W
o
rk
in
g
A
re
a
O
f
P
u
sk
e
s
m
a
s
S
i
m
p
a
n
g
Du
re
n
Riv
e
r,
Ja
m
b
i
District,
O
u
t
sid
e
Cit
y
,
M
u
a
ro
Ja
m
b
i
District
Ye
a
r
2
0
1
7
,
”
J
o
u
rn
a
l
Ke
sm
a
s
J
a
mb
i
,
v
o
l
.
2
,
n
o
.
1
,
p
p
.
12
-
2
7
,
2
0
1
8
.
[2
6
]
A
.
Ku
rn
ias
a
r
i,
A
.
S
u
ry
o
p
u
tr
o
,
S
.
P
.
A
rso
,
a
n
d
A
.
S
riatm
i,
“
A
n
a
l
y
si
s
o
f
th
e
Im
p
lem
e
n
tatio
n
o
f
th
e
El
d
e
rly
P
o
sy
a
n
d
u
a
t
th
e
Ba
n
d
a
r
h
a
rjo
a
n
d
Kro
b
o
k
a
n
P
u
sk
e
sm
a
s
S
e
m
a
r
a
n
g
Cit
y
,
”
J
o
u
rn
a
l
Ke
se
h
a
t
an
M
a
sy
a
ra
k
a
t
,
v
o
l.
6
,
n
o
.
5
,
p
p
.
1
-
1
2
,
2
0
1
8
.
[2
7
]
Re
c
o
rd
N
.
B,
On
i
o
n
D
.
K,
P
ri
o
r
R
.
E
e
t
a
l.
,
“
Co
m
m
u
n
it
y
-
W
id
e
C
a
rd
io
v
a
sc
u
lar
Dise
a
se
P
re
v
e
n
ti
o
n
P
r
o
g
ra
m
s
a
n
d
He
a
lt
h
Ou
tco
m
e
s
in
a
Ru
ra
l
Co
u
n
ty
,
1
9
7
0
-
2
0
1
0
,”
J
AM
A,
v
o
l.
3
1
3
,
n
o
.
2
,
p
p
.
1
4
7
-
1
5
5
,
2
0
1
5
,
d
o
i:
1
0
.
1
0
0
1
/
jam
a
.
2
0
1
4
.
1
6
9
6
9
.
[2
8
]
S
.
In
d
a
rjo
,
S
.
In
d
a
rj
o
,
B.
He
r
m
a
wa
ti
,
a
n
d
E.
Nu
g
ra
h
a
,
“
No
n
-
Co
m
m
u
n
ica
b
le
Dise
a
se
s
T
r
a
in
in
g
P
o
st
(
P
o
sb
i
n
d
u
P
T
M
)
Ef
f
o
rts
a
t
P
o
sy
a
n
d
u
Ca
d
re
s
in
Ka
li
k
a
y
e
n
V
il
lag
e
,
Ke
c
.
Eas
t
Un
g
a
ra
n
,
Ka
b
.
S
e
m
a
ra
n
g
,
”
J
o
u
rn
a
l
Ab
d
ima
s
,
v
o
l.
23
,
n
o
.
2
,
p
p
.
1
3
4
-
1
3
8
,
2
0
1
9
.
[2
9
]
Ro
sd
ian
a
e
t
a
l.
,
“
5
9
/
5
0
0
0
Im
p
le
m
e
n
tatio
n
o
f
th
e
Ch
ro
n
ic
Dise
a
se
M
a
n
a
g
e
m
e
n
t
P
ro
g
ra
m
(P
ro
l
a
n
is),
”
Hig
e
ia
J
o
u
rn
a
l
o
f
P
u
b
li
c
He
a
l
th
Res
e
a
rc
h
a
n
d
De
v
e
lo
p
me
n
t
,
v
o
l
.
1
,
n
o
.
3
,
p
p
.
40
-
1
5
0
,
2
0
1
7
.
[3
0
]
A
.
M
e
iri
a
n
a
,
L
.
T
risn
a
n
to
,
a
n
d
R.
S
.
P
a
d
m
a
w
a
ti
,
“
I
m
p
le
m
e
n
tati
o
n
o
f
th
e
Ch
r
o
n
ic
D
ise
a
se
M
a
n
a
g
e
m
e
n
t
P
ro
g
ra
m
(P
r
o
lan
is)
in
Hy
p
e
rten
sio
n
a
t
th
e
Je
ti
s
H
e
a
lt
h
Ce
n
ter,
Yo
g
y
a
k
a
rta
Cit
y
,
”
J
o
u
rn
a
l
Ke
b
ij
a
k
an
Ke
se
h
a
t
an
In
d
o
n
e
s
ia
J
KKI
,
v
o
l.
8
,
n
o
.
2
,
p
p
.
51
-
5
8
,
2
0
1
8
.
[3
1
]
P
u
sk
e
s
m
a
s
N
g
li
p
a
r
II,
“
P
ro
f
il
e
R
e
p
o
rt
o
f
UP
T
P
u
sk
e
sm
a
s
Ng
li
p
a
r
II
2
0
1
7
,
”
Ce
n
ter
f
o
r
Da
ta
a
n
d
In
f
o
rm
a
ti
o
n
o
f
th
e
M
in
istry
o
f
He
a
lt
h
o
f
th
e
Re
p
u
b
li
c
o
f
In
d
o
n
e
sia
,
Ja
k
a
rta,
p
p
.
1
-
1
0
,
2
0
1
7
.
[3
2
]
D.
F
.
Ra
d
i
n
a
a
n
d
N.
A
.
Da
m
a
y
a
n
ti
,
“
9
5
/
5
0
0
0
Ev
a
lu
a
ti
o
n
o
f
th
e
I
m
p
le
m
e
n
tatio
n
o
f
M
in
im
u
m
S
e
rv
ice
S
tan
d
a
rd
s
i
n
th
e
In
f
a
n
t
P
n
e
u
m
o
n
ia
P
a
ti
e
n
t
D
isc
o
v
e
r
y
P
ro
g
ra
m
,
”
J
o
u
rn
a
l
Ad
m
in
istra
si
Ke
se
h
a
t
a
n
In
d
o
n
e
s
ia
,
v
o
l.
1
,
n
o
.
4
,
p
p
.
3
0
1
-
3
0
8
,
2
0
1
3
.
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