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m
m
a
t
i
c
s
t
e
ps
to
wa
r
ds
c
o
n
t
r
o
l
li
ng
c
e
r
vi
c
a
l
c
a
nc
e
r
.
B
y
de
v
e
l
o
p
i
ng
c
e
r
vi
c
a
l
c
a
nc
e
r
s
c
r
e
e
ni
ng
pr
o
gr
a
m
V
i
s
ua
l
I
n
s
p
e
c
t
i
o
n
w
i
t
h
A
c
e
t
i
c
A
c
i
d
(
VI
A
)
h
a
v
e
a
l
r
e
a
d
y
b
e
e
n
r
e
c
o
m
m
e
n
de
d
f
o
r
wo
m
e
n
.
I
n
s
p
i
t
e
o
f
e
c
o
n
o
m
i
c
s
uppo
r
t,
c
o
n
s
e
r
va
t
i
ve
s
o
c
i
e
t
y
un
a
bl
e
to
pr
o
vi
de
pr
o
pe
r
h
e
a
l
t
h
a
wa
r
e
n
e
s
s
to
t
h
e
wo
m
e
n
o
f
B
a
n
g
l
a
de
s
h
t
h
a
t
c
a
u
s
e
s
m
a
s
s
i
ve
t
h
r
e
a
t
f
o
r
t
h
e
w
h
o
l
e
s
o
c
i
e
t
y
.
R
e
ga
r
d
i
ng
s
u
c
c
e
s
s
f
u
l
pr
e
v
e
n
t
i
o
n
o
f
i
nva
s
i
ve
c
e
r
vi
c
a
l
c
a
n
c
e
r
B
a
n
g
l
a
de
s
h
s
t
i
ll
f
a
c
in
g
s
o
m
e
c
h
a
ll
e
n
ge
s
l
i
k
e
i
nf
r
a
s
t
r
uc
t
ur
e
c
o
n
s
t
r
a
i
ns
,
i
t
s
im
po
r
t
a
n
c
e
,
pa
t
i
e
n
t
n
o
n
c
o
m
p
li
a
n
c
e
,
e
t
c
.
On
t
h
e
o
th
e
r
h
a
n
d,
l
o
w
s
c
r
e
e
ni
ng
c
o
v
e
r
a
ge
c
o
u
l
d
b
e
due
t
o
l
a
c
k
o
f
kn
o
w
l
e
dge
o
n
c
e
r
vi
c
a
l
c
a
n
c
e
r
a
n
d
s
c
r
e
e
ni
ng,
e
s
p
e
c
i
a
ll
y
i
n
Ur
b
a
n
s
e
t
t
i
n
g
w
h
e
r
e
VI
A
s
c
r
e
e
ni
n
g
i
s
a
v
a
il
a
bl
e
.
Kn
o
w
l
e
dge
r
e
ga
r
d
i
n
g
c
e
r
vi
c
a
l
c
a
n
c
e
r
i
s
e
s
s
e
n
t
i
a
l
f
o
r
i
d
e
n
t
i
f
yi
ng
t
hi
s
d
i
s
e
a
s
e
s
;
t
h
u
s
wo
m
e
n
s
h
o
u
l
d
c
a
ut
i
o
us
,
m
o
t
i
v
a
t
e
a
n
d
h
a
vi
ng
p
o
s
i
t
i
v
e
a
ppr
o
a
c
h
t
o
pr
a
c
t
i
c
e
o
f
s
c
r
e
e
ni
ng
f
o
r
c
e
r
vi
c
a
l
c
a
n
c
e
r
.
No
t
m
u
c
h
i
s
k
n
o
wn
a
b
o
ut
B
a
n
g
l
a
de
s
hi
wo
m
e
n
kn
o
w
l
e
dge
,
a
tt
i
t
ude
a
n
d
pr
a
c
ti
c
e
t
o
wa
r
ds
c
e
r
vi
c
a
l
c
a
r
c
i
n
o
m
a
s
c
r
e
e
ni
ng.
B
a
n
g
l
a
de
s
h
Go
v
e
r
nm
e
n
t
h
a
s
t
a
ke
n
pr
o
gr
a
m
m
a
t
i
c
s
t
e
ps
t
o
wa
r
ds
c
o
n
t
r
o
l
li
ng
c
e
r
vi
c
a
l
c
a
n
c
e
r
b
y
de
v
e
l
o
p
i
ng
c
e
r
vi
c
a
l
c
a
n
c
e
r
s
c
r
e
e
ni
ng
pr
o
gr
a
m
[
11]
.
Al
s
o
v
a
r
i
o
us
de
v
e
l
o
p
m
e
n
t
pa
r
t
n
e
r
s
a
n
d
N
GO
’
s
a
r
e
wo
r
ki
n
g
i
n
t
hi
s
f
i
e
l
d.
T
h
e
r
e
i
s
m
e
d
i
a
c
a
m
pa
i
g
n
f
o
r
a
wa
r
e
n
e
s
s
de
v
e
l
o
p
m
e
n
t
.
S
c
r
e
e
ni
n
g
m
e
t
h
o
ds
i
n
c
l
ud
i
ng
VI
A
ha
v
e
a
l
r
e
a
d
y
b
e
e
n
r
e
c
o
m
m
e
n
de
d
f
o
r
wo
m
e
n
.
A
c
c
ur
a
t
e
i
nf
o
r
m
a
t
i
o
n
a
n
d
kn
o
w
l
e
dge
a
b
o
ut
c
e
r
vi
c
a
l
c
a
n
c
e
r
s
c
r
e
e
ni
ng
im
po
r
t
a
n
t
l
y
i
nf
l
ue
nc
e
wo
m
e
n’
s
c
e
r
vi
c
a
l
s
c
r
e
e
ni
ng
p
a
r
t
i
c
i
pa
t
i
o
n
.
C
e
r
vi
c
a
l
s
c
r
e
e
ni
ng,
pa
r
t
i
c
u
l
a
r
l
y
VI
A
a
t
t
e
n
da
nc
e
i
s
li
ke
ly
t
o
b
e
a
f
f
e
c
t
e
d
by
k
n
o
w
l
e
dge
,
h
e
a
l
t
h
pe
r
c
e
pt
i
o
n
o
f
wo
m
e
n
.
F
o
r
t
h
e
s
c
r
e
e
ni
ng
m
e
t
h
o
ds
to
b
e
f
u
ll
y
ut
i
li
z
e
d,
wo
m
e
n
n
e
e
d
t
o
b
e
a
wa
r
e
o
f
t
h
e
a
v
a
i
l
a
b
i
li
t
y
o
f
t
h
e
m
e
t
h
o
ds
a
n
d
to
h
a
v
e
kn
o
w
l
e
dge
o
f
t
h
e
s
c
r
e
e
ni
ng
m
e
t
h
o
ds
.
De
t
e
c
t
i
o
n
of
t
h
e
c
e
r
vi
c
a
l
c
a
nc
e
r
r
e
qu
i
r
e
s
k
n
o
w
l
e
dge
o
n
t
h
e
d
i
s
e
a
s
e
s
o
t
h
a
t
w
o
m
e
n
a
r
e
a
wa
r
e
,
a
s
w
e
l
l
a
s
m
o
t
i
v
a
t
i
o
n
a
n
d
h
e
n
c
e
h
a
v
e
po
s
i
t
i
v
e
a
t
t
i
t
ude
to
wa
r
ds
pr
a
c
t
i
c
e
o
f
s
c
r
e
e
ni
ng
f
o
r
c
e
r
vi
c
a
l
c
a
nc
e
r
.
Not
m
uc
h
i
s
k
n
o
wn
a
b
o
ut
B
a
n
g
l
a
de
s
hi
wo
m
e
n
kn
o
w
l
e
dg
e
,
a
tt
i
t
ude
a
n
d
pr
a
c
t
i
c
e
to
wa
r
ds
c
e
r
vi
c
a
l
c
a
r
c
i
n
o
m
a
s
c
r
e
e
ni
ng.
E
v
e
n
f
e
w
a
c
a
d
e
m
i
c
r
e
s
e
a
r
c
h
e
s
o
n
c
e
r
vi
c
a
l
c
a
nc
e
r
s
c
r
e
e
ni
n
g
e
xi
s
t
i
n
B
a
n
g
l
a
de
s
h
,
w
hi
c
h
n
e
e
ds
t
o
un
de
r
t
a
ke
t
hi
s
r
e
s
e
a
r
c
h
o
n
t
h
e
a
b
o
ve
t
i
t
l
e
o
f
t
h
e
r
e
s
e
a
r
c
h
m
e
n
t
i
o
n
e
d
i
s
s
ue
.
T
hi
s
s
t
udy
a
im
e
d
t
o
l
o
o
ki
n
g
o
n
h
o
w
k
n
o
w
l
e
dge
a
bl
e
o
n
t
hi
s
s
c
r
e
e
ni
ng
wa
s
,
w
h
a
t
wa
s
t
h
e
r
e
f
o
r
e
t
h
e
i
r
a
t
t
i
t
ude
a
n
d
pr
a
c
t
i
c
e
o
n
s
c
r
e
e
ni
ng
f
o
r
c
e
r
vi
c
a
l
c
a
n
c
e
r
.
I
nf
o
r
m
a
t
i
o
n
o
b
t
a
i
ne
d
f
r
o
m
t
hi
s
s
t
ud
y
s
h
o
u
l
d
a
l
e
r
t
a
ut
h
o
r
i
t
i
e
s
a
n
d
s
e
r
vi
c
e
pr
o
vi
d
e
r
s
s
o
t
h
a
t
pr
o
pe
r
m
e
a
s
ur
e
s
c
a
n
be
t
a
ke
n
t
o
s
a
v
e
t
h
e
li
ve
s
o
f
B
a
n
g
l
a
d
e
s
hi
wo
m
e
n
by
e
duc
a
t
i
n
g
t
h
e
m
o
n
t
h
e
i
m
po
r
t
a
n
c
e
o
f
t
h
e
s
c
r
e
e
ni
ng
s
e
r
vi
c
e
s
a
v
a
il
a
bl
e
i
n
m
a
ny
p
l
a
c
e
s
.
T
hi
s
s
t
ud
y
a
im
s
t
o
a
s
s
e
s
s
t
h
e
l
e
v
e
l
o
f
k
n
o
w
l
e
dge
,
a
tt
i
t
ude
a
n
d
pr
a
c
t
i
c
e
o
n
c
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c
a
l
c
a
n
c
e
r
s
c
r
e
e
ni
ng
t
h
r
o
ugh
VI
A
a
m
o
n
g
wo
m
e
n
i
n
ur
b
a
n
a
r
e
a
o
f
B
a
n
g
l
a
de
s
h
.
2.
M
E
T
HO
D
2.
1.
S
t
u
d
y
ar
e
a
T
h
e
s
t
ud
y
wa
s
i
nc
o
r
po
r
a
t
e
d
t
h
e
s
a
m
p
l
e
po
pu
l
a
t
i
o
n
i
n
r
e
pr
e
s
e
n
t
a
t
i
v
e
wa
y
a
n
d
t
h
e
e
n
t
i
r
e
po
pul
a
t
i
o
n
o
f
d
i
f
f
e
r
e
n
t
s
c
h
o
o
l
pr
e
m
i
s
e
s
w
h
e
r
e
wo
m
e
n
we
r
e
ga
t
h
e
r
e
d,
ga
r
m
e
n
t
s
f
a
c
t
or
i
e
s
,
s
l
u
m
a
r
e
a
s
,
s
o
m
e
r
e
s
i
de
nc
e
a
r
e
a
s
,
uni
ve
r
s
i
t
y
c
a
m
pu
s
,
o
r
ga
ni
z
a
t
i
o
n’
s
o
f
f
i
c
e
s
a
n
d
c
o
r
po
r
a
t
e
o
f
f
i
c
e
pr
e
mi
s
e
s
.
T
h
e
r
e
s
e
a
r
c
h
pa
r
t
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c
i
pa
n
t
s
we
r
e
t
h
e
a
du
l
t
r
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s
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de
n
t
s
o
f
Dh
a
k
a
ur
b
a
n
a
r
e
a
whi
c
h
we
r
e
r
e
c
r
u
i
t
e
d
pur
p
o
s
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ve
l
y
o
n
t
h
e
b
a
s
i
s
o
f
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nc
l
us
i
o
n
a
n
d
e
x
c
l
u
s
i
o
n
c
r
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t
e
r
i
a
.
I
n
i
nc
l
us
i
o
n
c
r
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e
r
i
a
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e
s
po
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n
t
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m
u
s
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s
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d
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ng
a
t
Dh
a
k
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ur
b
a
n
a
r
e
a
a
n
d
t
h
e
i
r
a
ge
m
us
t
b
e
18
y
e
a
r
s
a
n
d
a
b
o
v
e
,
e
v
e
n
t
ua
l
ly
t
h
e
i
r
pa
r
t
i
c
i
p
a
t
i
o
n
s
h
o
u
l
d
be
v
o
l
u
n
t
a
r
y
.
C
o
-
m
o
r
bi
d
m
e
n
t
a
l
pr
o
ble
m
s
a
n
d
r
e
s
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de
n
t
s
w
h
o
we
r
e
tr
a
v
e
ll
i
ng
o
f
t
h
e
c
i
t
y
m
us
t
b
e
e
x
c
l
ude
d.
T
h
e
e
n
t
i
r
e
s
t
ud
y
dur
a
t
i
o
n
wa
s
b
e
t
we
e
n
N
o
v
e
m
b
e
r
2015
a
n
d
J
u
ly
2016.
Ho
we
v
e
r
t
h
e
da
t
a
c
o
l
l
e
c
t
i
o
n
p
e
r
i
o
d
wa
s
No
v
e
m
b
e
r
2015
to
J
a
n
ua
r
y
2016.
2.
2.
S
am
p
l
e
s
i
z
e
d
e
t
e
r
m
in
at
ion
A
r
e
pr
e
s
e
n
t
a
t
i
v
e
s
a
m
p
l
e
s
i
z
e
wa
s
de
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e
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m
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ude
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h
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t
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d
a
n
a
ppr
o
xi
m
a
t
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s
a
m
p
l
e
s
i
z
e
267.
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x
c
e
pt
i
n
g
s
o
m
e
n
o
n
-
r
e
s
po
n
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e
dur
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c
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t
i
o
n
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c
o
n
s
i
de
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d
10%
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dd
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t
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o
n
a
l
s
a
m
p
l
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a
s
n
o
n
r
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s
po
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e
s
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c
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h
a
s
g
i
ve
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m
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o
t
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r
e
d
tot
a
l
s
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m
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l
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s
s
t
ud
y
s
h
o
u
l
d
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a
ppr
o
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t
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l
y
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t
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t
i
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bl
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f
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que
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r
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o
f
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d
285
s
a
m
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s
f
o
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ly
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i
s
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2.
3.
S
am
p
l
in
g
t
e
c
h
n
iq
u
e
As
t
h
e
VI
A
s
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r
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k
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we
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l
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c
t
e
d
f
r
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m
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t
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n
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t
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d
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s
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po
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da
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pe
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y
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a
s
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
J
P
HS
I
S
S
N:
2252
-
8806
K
no
w
ledge
,
A
tt
it
ude
and
P
r
ac
ti
c
e
of
C
e
r
v
ical
C
anc
e
r
Sc
r
e
e
ning
thr
ough
V
i
s
ual
I
ns
pe
c
ti
on
.
.
.
.
(
Sus
mita
K
ar
)
223
2.
4.
De
ve
l
op
m
e
n
t
of
Re
s
e
a
r
c
h
in
s
t
r
u
m
e
n
t
I
n
t
hi
s
s
t
ud
y
da
t
a
wa
s
c
o
l
l
e
c
t
e
d
by
us
i
ng
s
e
mi
-
s
t
r
uc
t
u
r
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d
que
s
t
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o
n
na
i
r
e
.
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que
s
t
i
o
nn
a
i
r
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wa
s
de
v
e
l
o
pe
d
a
f
t
e
r
r
i
go
r
o
us
r
e
vi
e
w
o
f
t
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a
v
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bl
e
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e
a
r
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h
do
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m
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n
t
s
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n
d
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.
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e
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t
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ipan
t
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d
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hi
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c
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o
b
t
a
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d
f
r
o
m
t
h
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De
pa
r
t
m
e
n
t
o
f
P
ubl
i
c
He
a
l
t
h
u
n
de
r
t
h
e
f
a
c
u
l
t
y
o
f
Alli
e
d
He
a
l
t
h
S
c
i
e
n
c
e
s
,
Da
f
f
o
d
i
l
I
n
t
e
r
n
a
t
i
o
n
a
l
U
ni
ve
r
s
i
t
y
,
B
a
n
g
l
a
de
s
h
.
2.
5.
S
t
at
is
t
ical
an
al
ys
is
T
h
e
c
o
l
l
e
c
t
e
d
da
t
a
we
r
e
t
h
e
n
e
d
i
t
e
d,
c
o
de
d
a
n
d
e
n
t
e
r
e
d
i
n
t
o
t
h
e
c
o
m
put
e
r
t
h
r
o
ugh
a
de
s
i
g
n
e
d
da
t
a
c
a
pt
ur
i
n
g
f
o
r
m
a
t
i
n
S
P
S
S
s
o
f
t
wa
r
e
.
An
a
ly
s
e
s
h
a
ve
do
n
e
by
t
a
r
ge
t
i
n
g
t
h
e
s
t
ud
y
o
bj
e
c
t
i
ve
s
a
n
d
by
c
o
ns
i
d
e
r
i
n
g
t
h
e
i
n
d
i
c
a
t
o
r
s
.
De
s
c
r
i
pt
i
ve
a
n
a
ly
s
e
s
o
f
a
ll
r
e
l
e
va
n
t
v
a
r
i
a
bl
e
s
we
r
e
do
n
e
by
us
i
ng
M
e
a
s
ur
e
s
o
f
C
e
n
t
r
a
l
T
e
n
de
n
c
y
,
De
pr
e
s
s
i
o
n
,
C
o
nf
i
de
n
c
e
I
n
t
e
r
v
a
l
,
e
t
c
.
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s
o
c
i
a
t
i
o
n
a
n
d
d
if
f
e
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n
t
i
a
t
i
o
n
w
i
t
hi
n/
b
e
t
we
e
n
v
a
r
i
a
bl
e
s
we
r
e
t
e
s
t
e
d
by
us
i
ng
a
ppr
o
pr
i
a
t
e
t
e
s
t
s
t
a
t
i
s
t
i
c
s
.
3.
RE
S
UL
T
S
3.
1.
S
oc
io
d
e
m
ogr
ap
h
ic
c
h
a
r
ac
t
e
r
is
t
ics
S
o
c
i
o
de
m
o
gr
a
phi
c
f
a
c
t
o
r
s
we
r
e
a
r
r
a
n
ge
d
i
n
t
h
e
T
a
bl
e
1
a
c
c
o
r
di
n
g
t
o
pa
r
t
i
c
i
pa
n
t
s
’
m
a
r
i
t
a
l
s
t
a
t
us
,
a
ge
,
e
duc
a
t
i
o
n
,
o
c
c
upa
t
i
o
n
,
m
o
n
t
hly
f
a
mi
ly
i
nc
o
m
e
a
n
d
n
u
m
be
r
o
f
c
hil
dr
e
n
.
T
a
bl
e
1.
S
o
c
i
o
e
c
o
n
o
m
i
c
S
t
a
t
us
o
f
t
h
e
R
e
s
po
n
de
n
t
s
(
n
=
285)
F
r
e
qu
e
n
c
y
%
M
a
r
it
a
l
S
ta
tu
s
U
nma
r
r
ie
d
35
12.3
M
a
r
r
ie
d
243
85.3
D
iv
o
r
c
e
d
3
1.1
O
th
e
r
s
4
1.4
A
ge
18
-
23
30
10.5
24
-
29
59
20.7
30
-
35
73
25.6
36
-
41
44
15.4
42
-
47
42
14.7
48
-
53
21
7.4
54 & Above
16
5.6
E
duc
a
ti
o
n
I
ll
it
e
r
a
te
41
14.4
P
r
im
a
r
y
43
15.1
U
nde
r
gr
a
dua
t
e
93
32.6
G
r
a
dua
t
e
a
nd
ab
ove
100
5.1
O
th
e
r
s
8
2.8
O
c
c
upa
ti
o
n
S
e
r
v
i
c
e
144
50.5
B
us
in
e
s
s
6
2.1
U
ne
mpl
oy
e
d
11
3.9
H
o
us
e
w
i
f
e
124
43.5
M
o
nt
hl
y
F
a
mi
l
y
I
n
c
o
m
e
(
in
t
h
o
us
a
nds
)
T
k.
0
-
10
75
26.3
11
-
20
47
16.5
21
-
30
23
8.1
31
-
40
21
7.4
41
-
50
35
12.3
51 & Above
84
29.5
N
o
.
o
f
C
hi
ld
r
e
n
0
63
22.1
1
60
21.1
2
101
35.4
3
39
13.7
4
15
5.3
5
3
1.1
6
4
1.4
Th
e
r
e
s
u
l
t
s
s
h
o
we
d
t
h
a
t
m
o
s
t
o
f
t
h
e
r
e
s
po
n
de
n
t
s
(
85.
3%
)
we
r
e
m
a
r
r
i
e
d.
T
h
e
m
a
j
o
r
po
r
t
i
o
n
s
o
f
t
h
e
r
e
s
po
n
de
n
t
s
we
r
e
i
n
r
e
pr
o
duc
t
i
ve
a
ge
.
T
h
e
r
e
s
u
l
t
s
i
n
d
i
c
a
t
e
d
t
h
a
t
m
o
r
e
t
h
a
n
h
a
lf
o
f
t
he
wo
m
e
n
(
56.
8%
)
wh
o
Evaluation Warning : The document was created with Spire.PDF for Python.
I
S
S
N
:
2252
-
8806
I
J
P
HS
V
o
l
.
6
,
N
o
.
3
,
S
e
p
t
e
m
be
r
201
7
:
22
1
–
2
30
224
pa
r
t
i
c
i
pa
t
e
d
i
n
t
h
e
i
n
t
h
e
s
t
ud
y
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r
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e
i
t
h
e
r
y
o
un
g
o
r
y
o
un
g
a
du
l
t
s
(
a
ge
d
18
-
35
y
e
a
r
s
)
.
R
e
ga
r
d
i
n
g
r
e
s
po
n
de
n
t
s
e
duc
a
t
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n
i
t
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nd
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c
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67.
7%
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we
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e
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g
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e
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o
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t
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c
o
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t
e
x
t
,
e
v
e
n
a
l
o
we
r
pr
o
p
or
t
i
o
n
o
f
il
li
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e
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a
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e
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m
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n
pa
r
t
i
c
i
pa
t
e
d
i
n
t
hi
s
s
t
udy
.
3.
2.
K
n
owl
e
d
ge
an
d
p
r
ac
t
ice
t
owar
d
s
s
c
r
e
e
n
in
g
o
f
VI
A
f
o
r
c
e
r
vica
l
c
an
c
e
r
F
i
gur
e
1
do
c
um
e
n
t
e
d
t
h
a
t
m
a
j
o
r
i
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I
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8806
I
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6
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3
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7
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30
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AC
K
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Evaluation Warning : The document was created with Spire.PDF for Python.
I
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2252
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8806
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.
.
(
Sus
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K
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229
RE
F
E
R
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NC
E
S
[1
]
Fe
rl
a
y
J
.
,
et
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l
.
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“
E
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m
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n
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:
127
(
12
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,
pp.
2
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[2
]
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e
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A
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CA
:
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ca
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[3
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Si
m
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I
m
p
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[4
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O
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rv
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[5
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ras
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f
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:
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p
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1
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Rah
m
a
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.
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.
,
et
a
l
.,
“
G
y
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Can
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Sp
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To
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vol
/
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e:
26
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p
p
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.
[1
2
]
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e
k
h
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.
,
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a
l
.,
“
Ce
rv
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:
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t
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