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8806
Th
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295
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o
v
i
n
ce
,
it
w
a
s
s
e
en
f
r
o
m
p
eo
p
le
w
h
o
s
m
o
k
ed
i
n
2
0
1
3
as
m
u
c
h
as
3
7
% o
f
th
e
p
o
p
u
latio
n
[
4
]
.
1
.
2
.
Ca
us
e
o
f
n
o
n
-
co
m
m
u
nica
ble
dis
ea
s
e
N
on
-
co
m
m
u
n
icab
le
d
is
ea
s
es
ca
n
b
e
p
r
ev
e
n
ted
t
h
r
o
u
g
h
e
f
f
ec
tiv
e
i
n
ter
v
en
t
io
n
s
s
h
ar
ed
r
is
k
f
ac
to
r
s
,
n
a
m
e
l
y
to
b
ac
co
u
s
e,
u
n
h
ea
lth
y
d
iet,
p
h
y
s
ica
l
in
ac
ti
v
it
y
an
d
h
ar
m
f
u
l
u
s
e
o
f
alco
h
o
l.
C
h
a
n
g
e
i
n
b
eh
av
io
r
ar
e
w
ell
r
ec
ei
v
ed
in
d
ea
lin
g
w
it
h
n
o
n
-
co
m
m
u
n
icab
le
d
is
ea
s
e
s
r
elate
d
to
lif
est
y
le.
I
t
Nee
d
s
s
tr
o
n
g
e
v
id
en
c
e
s
u
p
p
o
r
ts
ex
p
la
n
atio
n
l
if
e
s
t
y
le
b
eh
av
io
r
s
n
eg
at
iv
e
r
o
le
i
n
t
h
e
in
cid
en
ce
o
f
ch
r
o
n
ic
p
ain
,
a
n
d
p
o
s
itiv
e
li
f
est
y
le
b
eh
av
io
r
s
r
o
le
in
th
e
i
n
cid
en
t
a
n
d
e
f
f
ec
tiv
e
m
an
a
g
e
m
en
t.
P
r
ev
en
tio
n
an
d
co
n
tr
o
l
o
f
n
o
n
-
co
m
m
u
n
icab
l
e
d
is
ea
s
es
ca
n
b
e
d
o
n
e
w
it
h
a
h
ea
lth
y
b
eh
a
v
io
r
.
Hea
lth
y
li
f
e
s
t
y
le
r
ec
o
m
m
e
n
d
ed
b
y
W
HO
ea
tin
g
lo
ts
o
f
f
r
u
it
s
an
d
v
e
g
etab
les,
r
ed
u
ce
f
at,
s
u
g
ar
a
n
d
s
alt
i
n
ta
k
e
a
n
d
ex
er
cisi
n
g
.
B
ased
o
n
h
eig
h
t
an
d
w
ei
g
h
t,
p
eo
p
le
ca
n
ex
a
m
in
e
t
h
eir
b
o
d
y
m
as
s
i
n
d
ex
(
B
MI
)
to
s
ee
if
th
e
y
ar
e
o
v
er
w
ei
g
h
t
[
2
]
.
C
h
a
n
g
e
o
f
li
f
est
y
le
r
eq
u
ir
e
s
a
co
m
p
r
eh
e
n
s
i
v
e
a
n
d
m
u
lt
i
d
i
m
en
s
io
n
al
ap
p
r
o
ac
h
,
th
er
ef
o
r
e
PT
M
co
n
tr
o
l
p
r
o
g
r
am
n
ee
d
s
to
b
e
f
o
cu
s
ed
o
n
a
co
m
p
r
eh
e
n
s
i
v
e
in
teg
r
ated
r
is
k
f
ac
to
r
s
(
p
r
o
m
o
ti
ve
,
p
r
ev
e
n
ti
v
e,
r
eh
ab
ilit
ati
v
e
c
u
r
ativ
e
)
co
v
er
p
o
licy
d
i
m
e
n
s
io
n
,
t
h
e
e
n
v
ir
o
n
m
e
n
t,
p
eo
p
le'
s
b
e
h
av
io
r
an
d
th
e
d
i
m
e
n
s
io
n
s
o
f
h
ea
lt
h
ca
r
e,
b
y
e
m
p
o
w
er
i
n
g
t
h
e
co
m
m
u
n
it
y
w
i
th
t
h
e
s
u
p
p
o
r
t
cr
o
s
s
-
p
r
o
g
r
a
m
a
n
d
cr
o
s
s
-
c
u
tti
n
g
.
P
r
ev
en
tio
n
an
d
co
n
tr
o
l
o
f
u
n
-
in
f
ec
tio
u
s
d
i
s
e
ases
t
h
at
ar
e
d
ev
elo
p
in
g
i
n
I
n
d
o
n
esia
i
s
an
i
n
te
g
r
ated
c
o
ac
h
in
g
P
o
s
n
o
n
-
co
m
m
u
n
icab
le
d
is
ea
s
es
(
P
o
s
b
in
d
u
P
T
M
)
.
P
o
s
b
in
d
u
P
T
M
is
an
i
n
te
g
r
ated
ac
ti
v
it
y
to
p
r
ev
en
t
a
n
d
co
n
tr
o
l
t
h
e
r
is
k
f
ac
to
r
s
o
f
n
o
n
-
co
m
m
u
n
i
ca
b
le
d
is
ea
s
es
ap
p
r
o
p
r
iate
c
o
m
m
u
n
it
y
-
b
ased
r
eso
u
r
ce
s
a
n
d
cu
s
to
m
s
o
f
th
e
p
eo
p
le
[
5
]
.
I
n
ter
est P
o
s
b
in
d
u
PT
M
is
to
in
cr
ea
s
e
co
m
m
u
n
it
y
p
ar
ticip
atio
n
in
p
r
ev
e
n
tio
n
a
n
d
ea
r
l
y
d
etec
tio
n
o
f
r
is
k
f
ac
to
r
s
f
o
r
NC
Ds.
Ma
i
n
ac
tiv
itie
s
ar
e
th
e
tar
g
et
g
r
o
u
p
o
f
h
ea
lt
h
y
p
eo
p
le,
r
is
k
a
n
d
p
eo
p
le
w
it
h
n
o
n
-
co
m
m
u
n
icab
le
d
is
ea
s
e
s
ag
ed
1
5
an
d
o
ld
er
[
6
]
.
P
o
s
b
in
d
u
PT
M
cu
r
r
en
tl
y
i
m
p
le
m
e
n
ted
b
y
th
e
ca
d
r
es
alo
n
g
w
it
h
h
ea
lth
ce
n
ter
s
,
s
ta
k
eh
o
l
d
er
s
h
av
e
n
o
t
b
ee
n
o
p
ti
m
ize
d
to
ac
h
iev
e
th
e
g
o
al
o
f
in
c
r
ea
s
in
g
co
m
m
u
n
it
y
p
ar
ticip
atio
n
in
e
f
f
o
r
ts
ea
r
l
y
d
etec
tio
n
,
p
r
ev
en
t
a
n
d
co
n
tr
o
l
n
o
n
-
co
m
m
u
n
icab
le
d
is
ea
s
e
r
i
s
k
f
ac
to
r
s
.
Dis
tr
ict
Hea
d
,
Hea
d
an
d
s
o
cial
o
r
g
an
izatio
n
s
/ci
v
il
s
o
ciet
y
h
as
n
o
t b
ee
n
o
p
ti
m
al
r
o
le
in
e
m
p
o
w
er
i
n
g
P
o
s
b
in
d
u
PT
M,
1
.
3
.
P
o
s
bin
d
u
P
T
M
e
m
po
w
er
m
e
nt
C
o
m
m
u
n
i
t
y
e
m
p
o
w
er
m
en
t
m
o
d
el
is
b
ased
o
n
th
r
ee
elem
e
n
ts
:
b
u
i
ld
in
g
co
n
f
id
en
ce
,
ca
p
ac
it
y
an
d
s
y
s
te
m
s
.
T
h
e
co
n
ce
p
t
o
f
em
p
o
w
er
m
e
n
t
m
o
d
el
o
f
h
ea
lth
a
n
d
w
el
f
ar
e
,
w
a
s
co
m
p
leted
w
ith
th
e
k
n
o
w
led
g
e,
co
n
f
id
e
n
ce
an
d
s
k
il
l
s
to
m
a
k
e
a
d
if
f
er
en
ce
i
n
th
eir
co
m
m
u
n
itie
s
.
E
m
p
o
w
er
m
e
n
t
Mo
d
el
o
f
h
ea
lth
an
d
w
ell
-
b
ei
n
g
b
etter
th
a
n
t
h
e
e
m
p
o
w
er
m
e
n
t
m
o
d
el
[
7]
.
C
h
r
o
n
ic
d
is
ea
s
e
s
el
f
-
m
a
n
ag
e
m
e
n
t
p
r
o
g
r
a
m
s
h
o
w
s
th
at
th
e
p
ar
ticip
atio
n
o
f
h
ea
lt
h
b
e
h
av
io
r
,
i
n
cr
ea
s
ed
h
ea
lt
h
s
tatu
s
an
d
d
ec
r
ea
s
e
th
e
n
u
m
b
er
o
f
d
a
y
s
s
p
en
t
in
th
e
h
o
s
p
ital
p
ar
ticip
an
ts
[
8]
.
A
cto
r
s
s
u
p
p
o
r
tin
g
an
d
h
i
n
d
er
in
g
ef
f
o
r
ts
to
in
cr
ea
s
e
p
u
b
lic
p
ar
tici
p
atio
n
in
t
h
e
cit
y
o
f
Ma
n
ad
o
an
d
P
alan
g
k
ar
a
y
a,
ar
e
as
f
o
llo
w
s
:
a)
lo
ca
l
g
o
v
er
n
m
en
t
lead
er
s
s
u
c
h
as
Hea
d
a
n
d
Lu
r
a
h
/Hea
d
o
f
th
e
Villag
e;
b
)
r
eli
g
io
u
s
a
n
d
co
m
m
u
n
it
y
lead
er
s
;
c)
Hea
lt
h
O
f
f
i
ce
o
r
h
ea
lt
h
ce
n
ter
;
d
)
co
m
m
u
n
it
y
;
e)
p
o
ten
tial
as
P
KK
o
r
g
an
izatio
n
,
NGO,
Yo
u
th
,
R
eli
g
io
u
s
I
n
s
tit
u
tio
n
s
an
d
C
u
s
to
m
Ag
e
n
c
y
[
9]
.
2.
RE
S
E
ARCH
M
E
T
H
O
D
2
.
1
.
Resea
rc
h a
pp
ro
a
ch
T
h
is
r
esear
ch
m
et
h
o
d
ap
p
r
o
ac
h
,
co
m
b
i
n
ed
w
i
t
h
ex
p
lo
r
a
to
r
y
d
es
ig
n
.
E
x
p
lo
r
ato
r
y
d
e
s
ig
n
w
i
th
s
eq
u
en
tial
p
r
o
ce
d
u
r
es
u
s
in
g
a
co
m
b
i
n
atio
n
o
f
i
n
s
eq
u
e
n
ce
,
t
h
e
f
ir
s
t
t
w
o
m
et
h
o
d
s
o
f
q
u
al
itati
v
e
a
n
d
q
u
an
tita
tiv
e
m
et
h
o
d
s
[
10]
.
D
esig
n
ex
p
lo
r
ato
r
y
s
eq
u
e
n
tial
p
r
o
ce
d
u
r
e:
q
u
alitativ
e
f
o
llo
wed
b
y
q
u
an
titati
v
e
co
r
r
e
late
d
ata
b
et
w
ee
n
t
h
e
t
w
o
p
h
ases
[
11]
.
Desig
n
e
x
p
lo
r
ato
r
y
q
u
alitati
v
e
p
h
ase
s
tar
ts
w
it
h
th
e
m
ai
n
o
n
e,
th
e
f
i
n
d
in
g
s
ar
e
v
al
id
ated
o
r
in
f
o
r
m
ed
b
y
q
u
a
n
tita
tiv
e
r
es
u
lts
.
An
al
y
s
i
s
o
f
a
ca
s
e
s
tu
d
y
f
o
cu
s
i
n
g
o
n
a
s
m
all
n
u
m
b
er
o
f
ca
s
es
t
h
at
ar
e
ex
p
ec
ted
to
p
r
o
v
id
e
in
s
ig
h
t
s
in
to
th
e
ca
u
s
al
r
elatio
n
s
h
ip
in
a
l
ar
g
er
p
o
p
u
latio
n
o
f
ca
s
es
[
12]
.
Qu
alita
tiv
e
m
e
th
o
d
s
f
o
r
ex
p
lo
r
ato
r
y
p
u
r
p
o
s
es
a
n
d
f
o
llo
w
u
p
w
i
th
q
u
a
n
titati
v
e
m
et
h
o
d
s
o
n
a
lar
g
e
s
a
m
p
le
s
o
th
at
r
esear
ch
er
s
ca
n
g
e
n
er
alize
th
e
r
esu
lts
to
th
e
p
o
p
u
latio
n
[
10]
.
A
n
al
y
s
i
s
u
n
i
t
in
th
i
s
r
esear
ch
is
th
e
d
ev
elo
p
m
e
n
t
o
f
an
i
n
te
g
r
ated
p
o
s
t
n
o
n
-
co
m
m
u
n
ica
b
le
d
is
ea
s
es
(
P
o
s
b
i
n
d
u
PTM
)
.
T
h
e
s
tu
d
y
w
as
Evaluation Warning : The document was created with Spire.PDF for Python.
I
SS
N
:
2
2
5
2
-
8806
I
J
P
HS
Vo
l.
5
,
No
.
3
,
Sep
tem
b
er
20
1
6
:
2
9
4
–
3
0
5
296
co
n
d
u
cted
in
B
en
g
k
u
l
u
p
r
o
v
i
n
ce
co
n
s
is
ti
n
g
o
f
ten
(
1
0
)
d
is
tr
icts
/citie
s
t
h
at
w
as
co
n
d
u
cte
d
in
Ma
y
2
0
1
5
to
Ma
r
ch
2
0
1
6
.
T
h
e
s
tag
es o
f
r
es
ea
r
ch
ca
n
b
e
s
tr
u
ct
u
r
ed
s
ch
e
m
e
as f
o
llo
w
s
:
Fig
u
r
e
1
.
Sch
e
m
e
s
ta
g
e
o
f
q
u
a
litativ
e
m
et
h
o
d
s
,
q
u
an
t
itati
v
e
,
p
o
licy
a
n
al
y
s
i
s
an
d
i
m
p
le
m
e
n
t
atio
n
o
f
p
o
s
b
in
d
u
PT
M
2
.
2
.
P
ha
s
e
I
o
f
re
s
ea
rc
h
T
h
e
f
ir
s
t
p
h
ase
o
f
th
e
ca
s
e
s
tu
d
y
ap
p
r
o
ac
h
(
ca
s
e
s
t
u
d
y
)
u
s
i
n
g
th
e
m
et
h
o
d
,
th
e
r
esear
ch
d
esig
n
ev
alu
a
tio
n
s
tu
d
y
ex
p
lo
r
ato
r
y
.
Qu
alitat
iv
e
m
et
h
o
d
ap
p
r
o
ac
h
w
h
er
e
i
n
v
esti
g
ato
r
s
e
x
p
lo
r
ed
th
r
o
u
g
h
d
etailed
d
ee
p
d
ata
co
llectio
n
,
i
n
v
o
l
v
i
n
g
a
v
ar
iet
y
o
f
i
n
f
o
r
m
atio
n
s
o
u
r
ce
s
.
T
h
e
s
t
u
d
y
w
a
s
co
n
d
u
cted
in
th
e
cit
y
o
f
B
en
g
k
u
l
u
,
co
n
s
i
s
ti
n
g
o
f
8
(
eig
h
t)
s
o
ciet
y
P
o
s
b
in
d
u
P
T
M
an
d
3
(
th
r
ee
)
p
o
s
ts
o
f
Sp
ec
ial
G
r
o
u
p
,
o
n
e
P
o
s
b
in
d
u
PT
M
o
f
C
en
tr
al
B
en
g
k
u
l
u
Dis
tr
ict,
o
n
e
P
o
s
b
in
d
u
PT
M
o
f
Selu
m
a.
2
.
2
.
1
.
Da
t
a
co
llect
io
n
P
r
im
ar
y
a
n
d
s
ec
o
n
d
ar
y
d
ata
co
llectio
n
th
r
o
u
g
h
i
n
-
d
ep
th
i
n
ter
v
ie
w
s
,
d
ir
e
ct
o
b
s
er
v
atio
n
.
Seco
n
d
ar
y
d
ata
w
as
co
llected
t
h
r
o
u
g
h
o
b
s
er
v
atio
n
d
o
cu
m
e
n
ts
.
P
r
i
m
a
r
y
d
ata
a
n
d
s
ec
o
n
d
ar
y
d
ata
co
llected
in
clu
d
i
n
g
in
p
u
t,
f
o
r
m
atio
n
,
ex
ec
u
tio
n
,
m
o
n
ito
r
i
n
g
a
n
d
ev
a
lu
at
io
n
p
r
o
ce
s
s
.
T
h
e
n
u
m
b
er
o
f
i
n
f
o
r
m
an
ts
:
3
p
eo
p
le
f
r
o
m
Hea
lth
Dep
ar
t
m
en
t o
f
R
eg
e
n
c
y
/C
it
y
,
Hea
d
o
f
S
u
b
-
Di
s
tr
ict
6
p
eo
p
le,
th
e
Hea
d
o
f
Villag
e
7
p
eo
p
le,
th
e
Villag
e
Hea
d
1
P
er
s
o
n
,
Hea
d
o
f
P
u
b
lic
Hea
l
t
h
ce
n
tr
e
9
p
eo
p
le,
C
ad
r
e
1
0
p
eo
p
le,
C
h
air
m
a
n
o
f
t
h
e
Nei
g
h
b
o
r
h
o
o
d
5
p
eo
p
le,
m
e
m
b
er
s
o
f
P
o
s
b
in
d
u
PT
M
1
2
5
p
e
o
p
le
an
d
s
o
ciety
a
r
o
u
n
d
th
e
p
o
s
t
,
5
8
p
eo
p
le.
2
.
2
.
2
.
Q
ua
lita
t
iv
e
da
t
a
a
na
ly
s
is
Qu
alitat
iv
e
d
ata
an
a
l
y
s
is
co
n
s
i
s
ts
o
f
th
r
ee
s
tep
s
i
n
ter
ac
t
iv
e
m
o
d
els:
1
)
d
ata
r
ed
u
c
ti
o
n
;
2
)
th
e
p
r
esen
tatio
n
o
f
t
h
e
d
ata
s
o
t
h
at
it
i
s
p
o
s
s
ib
le
to
b
e
d
ed
u
ce
d
;
3
)
co
n
clu
s
io
n
/
v
er
i
f
icatio
n
.
Data
a
n
al
y
s
is
in
q
u
alitati
v
e
r
esear
ch
co
n
d
u
cted
s
in
ce
b
ef
o
r
e
en
ter
i
n
g
th
e
f
iel
d
,
d
u
r
in
g
t
h
e
f
ield
,
an
d
a
f
ter
f
ield
[
13
]
.
A
n
al
y
s
i
s
o
f
d
ata
d
u
r
i
n
g
f
ield
Sp
r
ad
le
y
m
o
d
els
d
i
v
id
e
t
h
e
d
ata
a
n
al
y
s
i
s
b
ased
o
n
t
h
e
s
tag
e
r
o
le
in
th
e
q
u
alita
tiv
e
r
esear
ch
th
a
t
d
o
m
ai
n
an
a
l
y
s
is
,
tax
o
n
o
m
y
,
a
n
d
co
m
p
o
n
e
n
tia
l,
th
e
m
atic
a
n
al
y
s
i
s
[
14
]
.
R
esu
lts
o
b
tai
n
ed
d
ata
in
ter
p
r
etatio
n
:
Ho
w
ca
n
a
n
i
n
h
ib
it
in
g
f
ac
to
r
an
d
s
u
p
p
o
r
t
o
f
s
tak
e
h
o
ld
er
s
,
ca
d
r
es
w
it
h
th
e
i
m
p
le
m
e
n
tatio
n
Im
p
le
m
e
n
tatio
n
Po
sb
i
n
d
u
PTM
I
mp
l
e
me
n
t
a
t
i
o
n
o
f
P
o
sb
i
n
d
u
P
T
M
R
o
l
e
o
f
S
t
a
k
e
h
o
l
d
e
r
s:
H
e
a
l
t
h
D
e
p
a
r
t
me
n
t
C
i
t
y
/
R
e
g
e
n
c
y
,
H
e
a
d
o
f
t
h
e
D
i
s
t
r
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c
t
,
t
h
e
V
i
l
l
a
g
e
H
e
a
d
,
P
u
b
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c
H
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h
C
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r
,
C
h
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ma
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N
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b
o
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d
K
n
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me
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o
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u
P
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A
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1
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C
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s A
f
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3
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C
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I
I
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P
o
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si
s
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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P
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2252
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8806
Th
e
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Dev
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(
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297
P
o
s
b
in
d
u
PT
M.
Ho
w
ab
o
u
t
th
e
k
n
o
w
led
g
e,
attit
u
d
es
an
d
b
eh
av
io
r
o
f
m
e
m
b
er
s
,
p
eo
p
le
w
ith
t
h
e
i
m
p
le
m
en
ta
tio
n
o
f
P
o
s
b
in
d
u
P
T
M.
2
.
3
.
P
ha
s
e
I
I
re
s
ea
rc
h
Qu
a
n
titati
v
e
m
eth
o
d
s
to
d
eter
m
i
n
e:
f
ac
to
r
s
r
elati
n
g
to
th
e
i
m
p
le
m
e
n
tat
io
n
o
f
P
OSB
I
ND
U
PT
M
in
th
e
ea
r
l
y
d
etec
tio
n
,
p
r
ev
e
n
tio
n
an
d
co
n
tr
o
l o
f
n
o
n
-
co
m
m
u
n
ic
ab
le
d
is
ea
s
es.
2
.
3
.
1
.
Desig
n o
f
qu
a
ntit
a
t
iv
e
m
et
h
o
ds
T
h
e
s
tu
d
y
u
s
ed
q
u
a
n
titat
iv
e
m
et
h
o
d
s
to
th
e
d
esig
n
o
f
t
h
e
ev
alu
atio
n
p
r
o
g
r
a
m
.
T
h
e
n
u
m
b
er
o
f
s
a
m
p
les
in
t
h
i
s
s
t
u
d
y
ar
e
d
eter
m
i
n
ed
b
ased
o
n
th
e
n
u
m
b
er
o
f
P
OSB
I
NDU
P
T
M
in
r
eg
en
ci
es
/
cities.
Sp
ec
if
ie
s
th
e
co
u
n
t
y
/
cit
y
b
y
c
lu
s
ter
s
a
m
p
lin
g
(
s
a
m
p
li
n
g
ar
ea
)
w
as
3
(
th
r
ee
)
r
eg
en
ci
e
s
/citie
s
:
1
)
th
e
cit
y
o
f
B
en
g
k
u
l
u
,
2
)
C
en
tr
al
B
en
g
k
u
l
u
Di
s
tr
ict,
3
)
Selu
m
a.
W
it
h
t
h
e
n
u
m
b
er
o
f
p
o
s
t
6
7
o
f
7
9
P
o
s
b
in
d
u
P
T
M.
T
o
tal
esti
m
ated
1
5
8
0
m
e
m
b
er
s
f
r
o
m
7
9
P
o
s
b
in
d
u
P
T
M
(
th
e
a
v
er
ag
e
m
e
m
b
e
r
p
er
P
o
s
b
in
d
u
P
T
M
2
0
)
.
Nu
m
b
er
o
f
s
a
m
p
les
o
f
a
m
e
m
b
er
s
h
ip
o
f
4
7
2
p
eo
p
le,
w
h
o
ca
m
e
a
t
t
h
e
ti
m
e
o
f
P
o
s
b
in
d
u
P
T
M.
T
h
e
n
u
m
b
er
o
f
s
a
m
p
les
as
m
a
n
y
as
3
8
1
p
eo
p
le
r
esid
in
g
ar
o
u
n
d
P
o
s
b
in
d
u
PT
M
w
h
o
ca
m
e
w
en
t to
t
h
e
h
ea
lth
ce
n
ter
.
2
.
3
.
2
.
Va
ria
ble
T
h
e
in
d
ep
en
d
en
t
v
ar
iab
les:
r
o
le
o
f
s
ta
k
e
h
o
ld
er
s
,
th
e
C
it
y
/r
eg
en
c
y
Hea
l
th
Of
f
ice,
h
ea
lt
h
ce
n
ter
s
,
Hea
d
o
f
t
h
e
D
is
tr
ict,
th
e
Vill
ag
e
Hea
d
,
C
h
air
o
f
th
e
Nei
g
h
b
o
r
h
o
o
d
;
Kn
o
w
led
g
e,
a
ttit
u
d
es
an
d
b
e
h
av
io
r
o
f
m
e
m
b
er
s
,
k
n
o
w
led
g
e,
attit
u
d
es
an
d
b
eh
av
io
r
o
f
s
o
ciet
y
t
o
w
ar
d
s
P
o
s
b
in
d
u
P
T
M
w
h
o
w
e
n
t
to
th
e
h
ea
lth
ce
n
ter
.
T
h
e
d
ep
en
d
en
t
v
ar
iab
le
w
a
s
th
e
s
co
p
e
o
f
m
e
m
b
er
s
o
n
th
e
i
m
p
le
m
e
n
tatio
n
o
f
P
o
s
b
in
d
u
P
T
M.
T
h
e
in
s
tr
u
m
en
t
u
s
ed
f
o
r
p
r
im
ar
y
d
ata
co
llectio
n
w
er
e:
th
e
q
u
esti
o
n
n
air
e:
to
k
n
o
w
t
h
e
r
o
le
o
f
s
t
ak
eh
o
ld
er
s
,
ca
d
r
es,
an
d
k
n
o
w
led
g
e,
attit
u
d
es
a
n
d
b
eh
av
io
r
o
f
s
o
ciet
y
as
w
ell
as
m
e
m
b
er
s
o
f
t
h
e
i
m
p
le
m
e
n
tatio
n
o
f
P
o
s
b
in
d
u
PT
M.
Un
iv
ar
ate
,
b
i
v
ar
iate
a
n
d
m
u
lt
iv
ar
iate
an
a
l
y
ze
s
to
d
eter
m
in
e
th
e
r
o
le
o
f
s
ta
k
eh
o
ld
er
s
,
k
n
o
w
led
g
e,
attitu
d
es
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d
b
eh
a
v
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r
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d
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to
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in
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u
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i
m
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m
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s
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n
g
ch
i
-
s
q
u
ar
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test
.
2
.
4
.
P
ha
s
e
I
I
I
o
f
re
s
ea
rc
h
T
h
e
r
esu
lts
o
f
p
h
ase
I
a
n
d
I
I
u
s
ed
as
m
ater
ial
f
o
r
m
u
lat
io
n
o
f
e
m
p
o
w
er
m
e
n
t
p
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lic
y
o
f
P
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s
b
id
u
P
T
M.
I
m
p
r
o
v
e
m
e
n
t
o
f
p
o
licies
s
tar
t
in
g
f
r
o
m
:
a.
Sta
k
e
h
o
ld
er
an
al
y
s
i
s
,
b
.
Dev
elo
p
i
n
g
s
tr
ateg
y
p
o
licy
c
h
a
n
g
e
s
;
c.
P
o
s
itio
n
,
P
o
w
er
,
an
d
P
er
ce
p
tio
n
s
,
d
ata
an
al
y
s
i
s
: th
e
i
m
p
le
m
en
tatio
n
o
f
tr
ian
g
le
p
o
lic
y
.
3.
RE
SU
L
T
S
A
ND
AN
AL
Y
SI
S
3
.
1
.
Resul
t
s
a
n
d Ana
ly
s
is
E
v
a
lua
t
io
n St
ud
y
o
f
P
o
s
bin
du
P
T
M
:
Q
ua
lita
t
iv
e
Appro
a
ch
Qu
alitat
iv
e
a
n
al
y
s
i
s
u
s
ed
Sp
r
ad
ley
m
o
d
el
th
e
r
es
u
lt
s
in
T
ab
le
1
,
T
ab
le
2
,
Fig
u
r
e
2
.
T
ab
le
1
.
Do
m
ain
An
al
y
s
i
s
I
m
p
le
m
en
ta
tio
n
o
f
P
o
s
b
in
d
u
P
T
M
No
D
o
mai
n
d
e
t
a
i
l
s
D
o
mai
n
A
n
a
l
y
si
s
1.
P
u
b
l
i
c
h
e
a
l
t
h
c
e
n
t
e
r
P
e
r
so
n
i
n
c
h
a
r
g
e
o
f
f
a
mi
l
y
a
n
d
c
o
mm
u
n
i
t
y
e
mp
o
w
e
r
me
n
t
i
n
h
e
a
l
t
h
2.
C
i
t
y
h
e
a
l
t
h
d
e
p
a
r
t
me
n
t
R
e
sp
o
n
s
i
b
l
e
f
o
r
d
e
v
e
l
o
p
me
n
t
o
f
h
e
a
l
t
h
3.
H
e
a
d
o
f
v
i
l
l
a
g
e
P
e
r
so
n
i
n
c
h
a
r
g
e
o
f
t
h
e
e
m
p
o
w
e
r
m
e
n
t
o
f
c
o
mm
u
n
i
t
i
e
s
i
n
t
h
e
v
i
l
l
a
g
e
s
4.
H
e
a
d
su
b
d
i
st
r
i
c
t
P
e
r
so
n
i
n
c
h
a
r
g
e
o
f
t
h
e
e
mp
o
w
e
r
m
e
n
t
o
f
c
o
mm
u
n
i
t
i
e
s
i
n
t
h
e
v
i
l
l
a
g
e
s
5.
H
e
a
d
o
f
n
e
i
g
h
b
o
r
h
o
o
d
P
e
r
so
n
i
n
c
h
a
r
g
e
o
f
c
o
mm
u
n
i
t
y
d
e
v
e
l
o
p
me
n
t
i
n
t
h
e
a
r
e
a
o
f
t
h
e
n
e
i
g
h
b
o
r
h
o
o
d
6.
H
e
a
l
t
h
c
a
d
r
e
D
o
i
n
g
P
o
sb
i
n
d
u
P
T
M
So
u
r
ce
o
f
v
ar
io
u
s
r
eg
u
latio
n
s
B
ased
o
n
th
e
an
al
y
s
i
s
co
m
p
o
n
en
t
ial
an
al
y
s
is
t
h
e
m
e
:
P
u
b
lic
Hea
lth
C
e
n
ter
f
o
r
m
ed
P
o
s
b
in
d
u
P
T
M
th
at
d
id
n
o
t
d
o
s
o
cializa
tio
n
to
all
s
tak
e
h
o
ld
er
s
.
T
h
e
s
o
ci
et
y
d
id
n
o
t
co
n
t
in
u
o
u
s
l
y
in
v
o
lv
e
s
ta
k
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o
ld
er
i
n
m
o
n
ito
r
i
n
g
a
n
d
ev
al
u
ati
n
g
.
Stak
e
h
o
ld
er
s
:
Hea
d
o
f
s
u
b
d
is
tr
ict,
Hea
d
o
f
d
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tr
ict
h
ad
n
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t
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m
o
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d
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alu
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.
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th
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d
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n
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k
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p
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b
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d
u
PT
M
i
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tio
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.
T
h
e
m
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f
elt
t
h
e
ad
v
an
tag
e
o
f
f
o
llo
w
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n
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i
t.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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3
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Sep
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ax
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A
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m
en
tatio
n
No
T
a
x
o
n
o
mi
c
A
n
a
l
y
si
s
1.
P
u
b
l
i
c
H
e
a
l
t
h
C
e
n
t
e
r
1.
F
o
r
mat
i
o
n
D
o
i
n
g
so
c
i
a
l
i
z
e
P
o
sb
i
n
d
u
P
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M
a
t
t
e
n
d
e
d
b
y
c
a
d
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e
s,
v
i
l
l
a
g
e
,
H
e
a
d
o
f
n
e
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g
h
b
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n
d
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.
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e
e
t
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l
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t
h
e
ma
n
a
g
e
me
n
t
e
st
a
b
l
i
s
h
me
n
t
.
2.
I
mp
l
e
me
n
t
a
t
i
o
n
R
e
mi
n
d
i
n
g
t
h
e
c
a
d
r
e
s
t
o
p
r
e
p
a
r
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t
h
e
p
u
b
l
i
c
h
e
a
l
t
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c
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n
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r
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s
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m
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su
r
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b
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d
p
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ssu
r
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b
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d
su
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c
k
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d
mo
me
n
t
a
r
i
l
y
,
u
r
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a
c
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d
,
c
h
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st
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r
o
l
,
me
d
i
c
a
l
e
x
a
mi
n
a
t
i
o
n
a
n
d
d
r
u
g
d
e
l
i
v
e
r
y
.
C
a
d
r
e
h
e
l
p
e
d
me
a
su
r
i
n
g
w
e
i
g
h
t
,
h
e
i
g
h
t
,
w
a
i
st
c
i
r
c
u
m
f
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n
c
e
,
a
n
d
r
e
c
o
r
d
i
n
g
t
h
e
r
e
su
l
t
s.
3.
M
o
n
i
t
o
r
i
n
g
a
n
d
e
v
a
l
u
a
t
i
o
n
T
h
e
o
f
f
i
c
e
r
s
o
f
P
u
b
l
i
c
H
e
a
l
t
h
C
e
n
t
e
r
mak
e
r
e
p
o
r
t
f
r
o
m
t
h
e
a
c
t
i
v
i
t
y
r
e
su
l
t
c
o
n
si
st
i
n
g
n
u
m
b
e
r
o
f
me
mb
e
r
s,
c
h
e
c
k
i
n
g
u
p
r
e
su
l
t
a
n
d
i
l
l
n
e
ss.
2.
C
i
t
y
H
e
a
l
t
h
D
e
p
a
r
t
me
n
t
1.
F
o
r
mat
i
o
n
D
o
i
n
g
so
c
i
a
l
i
z
a
t
i
o
n
t
o
p
u
b
l
i
c
h
e
a
l
t
h
c
e
n
t
e
r
a
n
d
su
b
d
i
st
r
i
c
t
h
e
a
d
.
h
e
l
p
i
n
g
e
q
u
i
p
me
n
t
t
o
se
v
e
r
a
l
P
o
st
s.
2.
I
mp
l
e
me
n
t
a
t
i
o
n
N
o
t
i
n
v
o
l
v
e
d
i
n
t
h
e
i
m
p
l
e
me
n
t
a
t
i
o
n
3.
M
o
n
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t
o
r
i
n
g
a
n
d
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v
a
l
u
a
t
i
o
n
R
e
c
e
i
v
e
a
c
t
i
v
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t
y
r
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p
o
r
t
s fr
o
m t
h
e
p
u
b
l
i
c
h
e
a
l
t
h
c
e
n
t
e
r
3.
H
e
a
d
o
f
V
i
l
l
a
g
e
1.
F
o
r
mat
i
o
n
A
t
t
e
n
d
me
e
t
i
n
g
s
a
n
d
p
r
o
v
i
d
e
su
p
p
o
r
t
t
o
mo
b
i
l
i
z
e
t
h
e
c
o
mm
u
n
i
t
y
t
h
r
o
u
g
h
t
h
e
h
e
a
d
o
f
n
e
i
g
h
b
o
r
h
o
o
d
2
.
I
mp
l
e
m
e
n
t
a
t
i
o
n
G
e
t
t
i
n
g
r
e
p
o
r
t
f
r
o
m
c
a
d
r
e
a
n
d
g
i
v
i
n
g
su
p
p
o
r
t
t
o
t
h
e
m.
3
.
M
o
n
i
t
o
r
i
n
g
a
n
d
e
v
a
l
u
a
t
i
on
T
h
e
r
e
h
a
s b
e
e
n
n
o
e
v
a
l
u
a
t
i
o
n
o
f
t
h
e
i
mp
l
e
me
n
t
a
t
i
o
n
4.
H
e
a
d
S
u
b
D
i
st
r
i
c
t
1.
F
o
r
mat
i
o
n
S
o
me
o
f
p
e
o
p
l
e
d
i
d
n
o
t
k
n
o
w
a
b
o
u
t
P
o
sb
i
n
d
u
P
T
M
.
I
t
h
a
d
a
l
r
e
a
d
y
f
o
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m
e
d
a
n
d
g
i
f
t
e
d
su
p
p
o
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t
t
o
t
h
e
su
b
d
i
s
t
r
i
c
t
o
f
f
i
c
e
t
o
a
c
t
i
v
a
t
e
t
h
e
so
c
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e
t
y
.
2
.
I
mp
l
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me
n
t
a
t
i
o
n
T
h
e
r
e
w
e
r
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n
o
d
i
r
e
c
t
i
n
v
o
l
v
e
m
e
n
t
3
.
M
o
n
i
t
o
r
i
n
g
a
n
d
Ev
a
l
u
a
t
i
on
T
h
e
r
e
h
a
s b
e
e
n
n
o
e
v
a
l
u
a
t
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n
o
f
t
h
e
i
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l
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me
n
t
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t
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n
i
n
v
o
l
v
e
d
P
o
sb
i
n
d
u
P
T
M
.
5.
H
e
a
d
o
f
N
e
i
g
h
b
o
r
h
o
o
d
1.
F
o
r
mat
i
o
n
S
o
me
o
f
p
e
o
p
l
e
d
i
d
n
o
t
k
n
o
w
a
b
o
u
t
P
o
sb
i
n
d
i
P
T
M
.
S
o
me
w
h
o
a
l
r
e
a
d
y
k
n
o
w
n
,
c
o
me
a
n
d
i
n
v
i
t
e
o
t
h
e
r
s t
o
a
t
t
e
n
d
t
h
e
so
c
i
a
l
i
z
a
t
i
o
n
o
f
P
o
sb
i
n
d
u
P
T
M
.
2.
I
mp
l
e
me
n
t
a
t
i
o
n
S
o
me
me
mb
e
r
s
i
n
v
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t
e
d
p
e
o
p
l
e
t
o
j
o
i
n
P
o
sb
i
n
d
u
P
T
M
.
3.
M
o
n
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t
o
r
i
n
g
a
n
d
Ev
a
l
u
a
t
i
o
n
T
h
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r
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h
a
s b
e
e
n
n
o
e
v
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a
t
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f
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i
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l
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me
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t
i
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n
i
n
v
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l
v
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d
P
o
sb
i
n
d
u
P
T
M
6
H
e
a
l
t
h
C
a
d
r
e
1
.
F
o
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mat
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o
n
A
t
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n
d
a
n
d
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n
v
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t
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h
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Ev
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P
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Evaluation Warning : The document was created with Spire.PDF for Python.
I
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Th
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r
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ased
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3
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t
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o
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d
u
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a
ntit
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h
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s
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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N
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u
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Me
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R
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se
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V
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28
.
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0
00
G
o
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12
.
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%
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%
A
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me
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d
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89
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A
t
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p
r
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v
e
n
t
N
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u
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e
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0
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.
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d
1
8
.
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%
8
1
.
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t
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l
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g
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ss
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.
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27
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o
o
d
30
.
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69
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.
0
0
0
K
n
o
w
l
e
d
g
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NC
D
B
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h
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40
.
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0
.
0
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2
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o
o
d
24
.
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75
.
8%
So
u
r
ce
:
P
r
im
ar
y
d
ata
is
p
r
o
ce
s
s
ed
T
ab
le
5
.
Kn
o
w
led
g
e,
attit
u
d
e,
an
d
b
eh
av
io
r
o
f
P
o
s
b
in
d
u
P
T
M
co
m
u
n
n
it
y
R
e
se
a
r
c
h
V
a
r
i
a
b
l
e
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a
t
e
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o
r
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K
n
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g
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o
f
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u
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3
8
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e
ss
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77
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o
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d
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76
.
1%
A
t
t
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t
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d
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t
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o
me
K
n
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w
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u
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L
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4
.
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0
.
4
08
G
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o
d
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1
0
0
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A
t
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t
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sb
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L
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o
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L
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ss
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o
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d
69
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30
.
7
%
0
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46
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%
53
.
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A
t
t
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t
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0
03
13
.
3
%
86
.
7%
So
u
r
ce
:
P
r
im
ar
y
d
ata
is
p
r
o
ce
s
s
ed
3
.
3
.
1
.
Ro
le
o
f
s
t
a
k
eho
lder
B
ased
o
n
T
ab
le
3
,
th
er
e
w
as
n
o
co
r
r
elatio
n
o
f
s
ta
k
e
h
o
ld
er
’
s
r
o
le
t
o
t
h
e
f
o
r
m
at
io
n
,
i
m
p
le
m
en
tatio
n
,
m
o
n
ito
r
i
n
g
,
an
d
ev
al
u
atio
n
p
r
o
ce
s
s
w
it
h
i
m
p
le
m
e
n
tatio
n
s
co
p
e
o
f
P
o
s
b
in
d
u
PT
M.
T
h
e
ef
f
ec
ti
v
e
n
es
s
o
f
p
r
ev
en
tio
n
a
n
d
co
n
tr
o
l
o
f
u
n
-
i
n
f
ec
tio
u
s
d
is
ea
s
e
s
d
esp
er
atel
y
n
ee
d
s
lead
er
s
h
ip
,
co
o
r
d
in
atio
n
,
m
u
lti
-
s
tak
e
h
o
ld
er
in
v
o
lv
e
m
e
n
t
a
n
d
m
u
lti
ac
tio
n
f
o
r
h
ea
lt
h
r
a
n
g
i
n
g
f
r
o
m
all
le
v
el
s
o
f
g
o
v
er
n
m
en
t
i
n
all
s
ec
to
r
s
,
in
cl
u
d
in
g
p
ar
tn
er
s
h
ip
s
w
it
h
ci
v
il so
ciet
y
an
d
p
r
iv
ate
s
ec
to
r
[
15
]
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
J
P
HS
I
SS
N:
2252
-
8806
Th
e
E
mp
o
w
ermen
t o
f I
n
teg
r
a
t
ed
Dev
elo
p
men
t P
o
s
t o
f No
n
C
o
mmu
n
ica
b
le
Di
s
ea
s
es
.
.
.
.
(
Ya
n
d
r
iz
a
l)
301
P
o
ten
tiall
y
to
b
e
s
tak
e
h
o
ld
er
s
ar
e:
1
)
g
o
v
er
n
m
e
n
t
o
f
f
icial
s
,
p
o
licy
m
ak
er
s
,
s
er
v
ice
a
n
d
co
n
tr
ac
t
m
an
a
g
er
;
2)
f
u
n
d
er
s
a
n
d
d
o
n
o
r
s
;
3
)
b
o
ar
d
m
e
m
b
er
s
,
m
an
a
g
er
s
an
d
p
er
s
o
n
n
el
o
f
t
h
e
i
m
p
le
m
en
ta
tio
n
o
f
t
h
e
p
r
o
g
r
am
;
4
)
th
e
s
er
v
ice
u
s
er
s
,
clien
t
s
o
r
b
en
ef
iciar
ie
s
;
5
)
th
e
p
u
b
lic
in
ter
e
s
t
g
r
o
u
p
s
o
r
ass
o
ciatio
n
s
.
C
o
n
s
id
er
w
h
et
h
er
th
e
n
o
te
o
n
s
tak
e
h
o
ld
er
s
:
1
)
m
ap
p
in
g
a
n
al
y
s
i
s
co
n
d
u
cted
s
tak
e
h
o
ld
er
;
2
)
g
r
o
u
p
s
o
f
k
e
y
s
ta
k
e
h
o
ld
er
s
clea
r
l
y
id
en
t
if
ied
;
3
)
s
p
ec
i
f
y
h
o
w
k
e
y
s
tak
e
h
o
ld
er
s
w
ill
b
e
in
v
o
lv
ed
i
n
th
e
p
r
o
ce
s
s
;
4
)
th
er
e
is
a
p
r
o
ce
s
s
f
o
r
r
ev
ie
w
i
n
g
s
tak
e
h
o
ld
er
g
r
o
u
p
s
an
d
in
v
o
lv
e
m
e
n
t
o
v
er
ti
m
e
[
16
]
.
Stak
eh
o
ld
er
s
ar
e
co
m
p
r
is
ed
o
f
th
e
f
o
llo
w
i
n
g
th
r
ee
ca
teg
o
r
ies:
1
)
d
ec
is
io
n
-
m
ak
er
s
,
2
)
th
e
g
e
n
er
al
p
u
b
li
c
(
civ
il
s
o
ciet
y
)
o
r
in
d
iv
id
u
a
ls
o
r
co
m
m
u
n
itie
s
af
f
ec
ted
b
y
a
p
ar
ticu
lar
d
ec
is
i
o
n
,
an
d
3
)
th
e
in
d
i
v
id
u
al
o
r
o
r
g
an
iza
tio
n
t
h
at
ai
m
s
to
r
aise
a
w
ar
e
n
ess
ab
o
u
t
th
e
is
s
u
e.
T
h
e
y
m
a
y
b
e
i
n
v
o
l
v
ed
w
it
h
o
r
a
f
f
ec
ted
b
y
t
h
e
d
ec
i
s
i
o
n
,
o
r
p
o
s
s
ib
l
y
s
p
r
ea
d
in
g
in
f
o
r
m
at
io
n
ab
o
u
t
th
e
tar
g
eted
d
ec
is
io
n
[
17
]
.
Mo
r
e
s
p
ec
if
icall
y
,
s
ta
k
eh
o
ld
er
s
ar
e
in
d
iv
id
u
als,
o
r
g
an
izatio
n
s
o
r
p
eo
p
le
w
h
o
h
a
v
e
a
d
ir
ec
t in
ter
est i
n
th
e
p
r
o
ce
s
s
a
n
d
o
u
tco
m
e
o
f
h
ea
lt
h
tec
h
n
o
lo
g
y
a
s
s
es
s
m
en
t [
18
]
.
P
u
b
lic
h
ea
lt
h
w
it
h
r
eg
ar
d
to
d
is
ea
s
e
p
r
ev
en
t
io
n
a
n
d
co
n
t
r
o
l
at
th
e
p
o
p
u
latio
n
le
v
el,
t
h
r
o
u
g
h
a
n
o
r
g
an
ized
ef
f
o
r
t
t
h
at
i
n
cl
u
d
es
o
r
g
an
iza
tio
n
s
,
p
u
b
lic,
p
r
iv
a
te
an
d
i
n
d
iv
id
u
al.
C
o
n
tr
ib
u
ti
o
n
to
p
u
b
lic
h
ea
lt
h
co
m
e
s
f
r
o
m
s
y
s
te
m
s
o
u
ts
id
e
t
h
e
f
o
r
m
a
l
h
ea
lt
h
ca
r
e
s
y
s
te
m
,
an
d
th
e
p
o
ten
tial
f
o
r
cr
o
s
s
-
s
e
k
to
r
al
co
n
tr
ib
u
tio
n
to
p
u
b
lic
h
ea
l
th
is
in
cr
ea
s
i
n
g
l
y
r
ec
o
g
n
ized
w
o
r
ld
w
id
e.
T
h
e
g
o
v
er
n
m
e
n
t
'
s
r
o
le
i
s
v
er
y
i
m
p
o
r
tan
t
i
n
i
n
f
l
u
en
c
in
g
th
e
h
ea
lt
h
o
f
th
e
p
o
p
u
latio
n
t
h
at
is
n
o
t
li
m
ited
in
t
h
e
h
ea
lt
h
s
ec
to
r
b
u
t
also
b
y
th
e
v
ar
io
u
s
s
ec
to
r
s
o
u
ts
id
e
th
e
h
ea
lt
h
s
y
s
te
m
[
19
]
.
T
h
e
g
o
v
e
r
n
m
e
n
t
s
h
o
u
ld
b
e
a
k
e
y
s
ta
k
eh
o
ld
er
in
t
h
e
d
e
v
elo
p
m
e
n
t
o
f
a
n
atio
n
al
p
o
lic
y
f
r
a
m
e
w
o
r
k
to
p
r
o
m
o
te
h
ea
lt
h
an
d
r
ed
u
ce
r
i
s
k
f
ac
to
r
s
.
Sta
k
eh
o
ld
er
a
n
al
y
s
is
also
p
r
o
v
id
es
a
f
r
a
m
e
w
o
r
k
i
n
w
h
ic
h
t
h
e
ar
ea
o
f
co
n
f
lict o
f
i
n
ter
est
ca
n
b
e
id
en
t
if
ied
,
a
n
d
a
s
s
is
t i
n
a
b
etter
u
n
d
er
s
ta
n
d
in
g
o
f
i
n
ter
d
ep
en
d
en
c
e
an
d
lin
k
ag
e
s
b
et
w
ee
n
t
h
e
v
ar
io
u
s
g
r
o
u
p
s
o
f
s
ta
k
eh
o
ld
er
s
,
n
e
w
p
ar
tn
er
s
h
ip
s
ca
n
b
e
d
etec
ted
[
20
]
.
T
h
e
r
ea
s
o
n
f
o
r
d
o
in
g
s
ta
k
eh
o
ld
er
an
al
y
s
i
s
h
av
e
b
ee
n
s
u
m
m
ar
ized
b
y
W
HO
as
f
o
llo
w
s
:
I
d
en
ti
f
y
p
eo
p
le,
g
r
o
u
p
s
an
d
i
n
s
t
itu
tio
n
s
th
at
w
ill
af
f
ec
t
th
e
p
r
o
j
ec
t
(
p
o
s
itiv
e
o
r
n
eg
at
iv
e)
;
1
)
a
n
ticip
ate
th
e
k
in
d
o
f
in
f
lu
e
n
ce
,
p
o
s
iti
v
el
y
o
r
n
e
g
at
iv
el
y
,
t
h
e
g
r
o
u
p
s
w
ill
h
a
v
e
a
p
r
o
j
ec
t;
2
)
d
ev
elo
p
s
tr
ateg
ie
s
to
g
et
t
h
e
m
o
s
t
e
f
f
ec
tiv
e
s
u
p
p
o
r
t
p
o
s
s
ib
le
f
o
r
th
e
p
r
o
j
ec
t
an
d
r
ed
u
ce
an
y
o
b
s
tacle
s
to
s
u
cc
e
s
s
f
u
l
i
m
p
le
m
e
n
tatio
n
[
20
]
.
P
u
b
lic
Hea
lth
C
e
n
ter
a
s
m
e
n
to
r
in
g
i
m
p
le
m
e
n
tat
io
n
s
ta
n
d
b
y
v
illa
g
e
h
as
g
iv
e
n
s
u
p
p
lies
g
o
o
d
f
ac
ilit
atio
n
tech
n
iq
u
es
th
at
ca
n
lead
ac
tiv
e
s
ta
n
d
b
y
v
i
llag
e.
Fa
cilitat
io
n
is
d
o
n
e
in
t
h
e
d
ev
elo
p
m
e
n
t
o
f
r
u
r
al
h
ea
lt
h
ce
n
ter
s
id
le
y
et
to
r
ea
lize
co
m
m
u
n
it
y
d
e
v
elo
p
m
e
n
t,
b
u
t
m
o
r
e
to
w
ar
d
s
th
e
s
o
cial
m
o
b
ilizatio
n
[
21
]
.
T
h
e
em
p
o
w
er
m
e
n
t
o
f
n
o
n
-
co
m
m
u
n
icab
le
d
is
ea
s
e
i
n
te
g
r
ate
d
d
ev
elo
p
m
e
n
t
p
o
s
t
(
P
o
s
b
in
d
u
PT
M
)
w
il
l
co
n
d
u
ct
a
r
e
v
ie
w
o
f
p
u
b
lic
p
a
r
ticip
atio
n
a
n
d
s
ta
k
eh
o
ld
er
s
in
v
o
lv
ed
o
r
n
o
t
to
cr
ea
te
a
m
o
d
el.
P
r
ev
en
tio
n
is
a
p
r
o
m
i
n
en
t
f
ea
t
u
r
e
o
f
h
ea
lt
h
c
ar
e
r
ef
o
r
m
t
h
at
last
ed
late
1
9
6
0
s
,
s
tar
tin
g
ea
r
l
y
1
9
7
0
in
th
e
Un
ited
States
,
a
s
tr
ateg
y
h
as
b
ee
n
li
k
e
a
v
a
cc
in
atio
n
ac
r
o
s
s
t
h
e
n
a
tio
n
,
th
e
p
r
o
m
o
tio
n
o
f
l
if
e
s
t
y
le
c
h
an
g
es,
an
d
s
af
et
y
r
eg
u
lat
io
n
s
ar
e
in
tr
o
d
u
ce
d
an
d
b
ec
o
m
e
w
id
el
y
ac
ce
p
ted
as
a
m
ea
n
s
to
i
m
p
r
o
v
e
p
u
b
lic
h
e
alth
w
h
ile
r
ed
u
cin
g
h
ea
lt
h
ca
r
e
ex
p
en
d
it
u
r
es [
22
]
.
T
h
e
r
o
le
o
f
s
tak
e
h
o
ld
er
s
in
th
e
i
m
p
le
m
en
tatio
n
o
f
t
h
e
P
o
s
b
in
d
u
P
T
M
n
ec
ess
ar
y
to
b
e
en
h
an
ce
d
.
T
h
e
u
n
d
er
s
ta
n
d
in
g
o
f
s
ta
k
eh
o
ld
er
s
to
co
n
tr
ib
u
te
a
n
d
to
e
m
p
o
w
er
P
o
s
b
in
d
u
P
T
M
th
at
u
s
ed
b
y
t
h
e
co
m
m
u
n
it
y
.
Stak
e
h
o
ld
er
r
o
le
in
th
e
i
m
p
le
m
en
tatio
n
\
ca
n
b
e
s
tr
u
ct
u
r
ed
as
f
o
llo
w
s
:
t
h
e
tas
k
o
f
t
h
e
Dis
tr
ict
Hea
d
,
Villag
e,
Neig
h
b
o
r
h
o
o
d
em
p
o
w
er
co
m
m
u
n
it
ies
th
r
o
u
g
h
m
o
b
ilizatio
n
o
f
g
i
v
i
n
g
u
n
d
er
s
ta
n
d
in
g
to
th
e
p
u
b
lic
ab
o
u
t
th
e
b
en
ef
icia
l
ac
tiv
it
y
o
r
ef
f
ec
t
to
em
p
o
w
er
co
m
m
u
n
itie
s
.
P
o
s
b
in
d
u
P
T
M
is
o
n
e
o
f
th
e
ac
tiv
i
ties
th
at
b
en
e
f
it
t
h
e
co
m
m
u
n
it
y
s
o
a
s
to
e
m
p
o
w
er
co
m
m
u
n
it
y
s
tak
e
h
o
ld
er
s
r
esp
o
n
s
ib
le
f
o
r
t
h
e
e
v
en
t.
C
h
a
n
g
e
o
r
in
n
o
v
atio
n
p
o
lic
y
w
it
h
ad
eq
u
a
te
s
o
cializa
tio
n
n
e
ed
s
to
b
e
f
o
llo
w
ed
u
p
.
So
ciali
za
tio
n
s
h
o
u
ld
b
e
d
o
n
e
to
e
n
ab
le
th
e
s
i
m
ilar
it
y
a
n
d
alig
n
m
e
n
t
i
n
w
ea
r
i
n
g
a
n
e
w
p
o
lic
y
s
u
c
h
as
r
u
r
al/
v
i
llag
e
/R
W
s
tan
d
b
y
.
T
o
b
e
m
o
r
e
ea
s
il
y
u
n
d
er
s
to
o
d
b
y
t
h
e
lo
ca
l
g
o
v
er
n
m
en
t,
a
p
o
lic
y
t
h
at
i
s
a
s
s
o
ciate
d
w
i
th
th
e
e
m
p
o
w
er
m
e
n
t
o
f
t
h
e
co
m
m
u
n
it
y
,
esp
ec
iall
y
th
e
s
tr
en
g
th
e
n
i
n
g
o
f
th
e
ca
p
ac
it
y
o
f
v
i
llag
e
s
a
n
d
s
u
b
-
le
v
el
g
o
v
e
r
n
m
e
n
ts
n
ee
d
to
b
e
i
n
te
g
r
ated
in
t
h
e
f
r
a
m
e
w
o
r
k
o
f
m
i
n
is
tr
ie
s
at
th
e
ce
n
tr
al
lev
e
l
w
it
h
i
n
th
e
f
r
a
m
e
w
o
r
k
o
f
t
h
e
d
ev
elo
p
m
e
n
t
an
d
s
tr
e
n
g
t
h
en
in
g
o
f
r
eg
io
n
al
au
to
n
o
m
y
[
23
]
.
A
cto
r
s
s
u
p
p
o
r
tin
g
an
d
co
m
m
u
n
it
y
p
ar
ticip
atio
n
i
n
th
e
cit
y
o
f
Ma
n
ad
o
an
d
P
alan
g
k
ar
a
y
a
.
s
u
p
p
o
r
tin
g
f
ac
to
r
s
ar
e:
a)
lo
ca
l
g
o
v
er
n
m
e
n
t
lead
er
s
s
u
c
h
a
s
Hea
d
an
d
L
u
r
ah
/Hea
d
o
f
t
h
e
Villag
e;
b
)
r
elig
io
u
s
an
d
co
m
m
u
n
it
y
lead
er
s
;
c)
P
u
b
lic
Hea
lth
(
P
HC
)
;
d
)
p
o
ten
ti
al
as
P
KK
o
r
g
an
izatio
n
,
NGO
,
Yo
u
th
,
R
eli
g
io
u
s
I
n
s
tit
u
tio
n
s
a
n
d
C
u
s
to
m
Ag
e
n
c
y
[
9
]
.
Dete
r
m
i
n
an
ts
o
f
h
ea
lt
h
ca
n
n
o
t
b
e
d
ea
lt
w
i
th
w
i
th
o
u
t
t
h
e
co
llab
o
r
ativ
e
w
o
r
k
o
f
a
ll
p
ar
ties
.
P
eo
p
le
k
n
e
w
w
h
at
t
h
e
y
n
ee
d
ed
,
n
ec
e
s
s
ar
y
w
o
r
k
to
id
en
ti
f
y
t
h
e
n
ee
d
s
an
d
th
en
as
k
s
ta
k
eh
o
ld
er
s
t
o
h
elp
p
r
o
v
id
e
th
e
to
o
ls
an
d
r
eso
u
r
ce
s
th
e
y
n
ee
d
to
d
ev
elo
p
tar
g
eted
h
ea
lth
p
la
n
[
24
]
.
3
.
3
.
2
.
Ro
le
o
f
ca
dre
T
h
e
r
o
le
o
f
t
h
e
p
r
ac
titi
o
n
er
at
th
e
m
o
m
e
n
t
i
s
p
eo
p
le
ar
o
u
n
d
th
e
is
s
u
e
s
t
h
at
b
r
in
g
s
m
all
g
r
o
u
p
s
to
g
eth
er
t
h
e
y
d
ee
m
i
m
p
o
r
tan
t
to
th
eir
li
v
es,
i
n
cl
u
d
in
g
:
1
)
s
elf
-
h
elp
g
r
o
u
p
s
ar
o
u
n
d
o
r
g
an
ized
f
o
r
a
s
p
ec
if
i
c
p
r
o
b
lem
s
u
c
h
as
s
u
p
p
o
r
t
g
r
o
u
p
s
m
o
u
r
n
i
n
g
;
2
)
T
h
e
p
u
b
lic
h
ea
lt
h
g
r
o
u
p
s
t
h
at
u
s
u
all
y
co
m
e
to
g
et
h
er
to
ca
m
p
aig
n
o
n
s
p
ec
i
f
ic
is
s
u
e
s
s
u
ch
a
s
p
o
llu
tio
n
;
3
)
d
ev
el
o
p
m
e
n
t
o
f
co
m
m
u
n
it
y
h
ea
lt
h
p
r
o
j
ec
ts
s
u
ch
as
n
eig
h
b
o
r
h
o
o
d
-
b
ased
p
r
o
j
ec
t
s
et
u
p
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tack
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lo
ca
l
p
r
o
b
le
m
s
s
u
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h
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p
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h
o
u
s
in
g
,
a
n
d
w
ith
g
o
v
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m
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n
t
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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:
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2
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8806
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5
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3
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Sep
tem
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er
20
1
6
:
2
9
4
–
3
0
5
302
s
u
p
p
o
r
t,
an
d
a
c
o
m
m
u
n
it
y
h
ea
lth
w
o
r
k
er
w
h
o
is
p
aid
[
25
]
.
B
ased
o
n
th
e
Pra
n
ata
et.
al
r
esear
ch
r
esu
lts
,
s
p
ec
if
icall
y
to
in
te
g
r
ated
s
er
v
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ce
p
o
s
t
ca
d
r
es,
it
is
n
ec
ess
ar
y
to
im
p
r
o
v
e
t
h
e
s
k
i
lls
o
f
ad
v
o
c
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y
an
d
n
e
g
o
tiatio
n
p
er
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d
ically
t
h
u
s
m
o
r
e
co
n
f
id
e
n
t in
ca
r
r
y
in
g
o
u
t d
ev
e
lo
p
m
en
t a
ctiv
itie
s
[
9
]
.
3
.
3
.
3
.
K
no
w
ledg
e,
a
t
t
it
ud
e
a
nd
beha
v
io
r
o
f
p
o
s
bin
du
P
T
M
m
e
m
b
er
Kn
o
w
led
g
e
o
f
P
o
s
b
in
d
u
P
T
M
w
it
h
A
t
tit
u
d
e
Su
p
p
o
r
ts
P
o
s
b
in
d
u
P
T
M
,
an
al
y
s
i
s
s
ta
tis
tica
l
te
s
t
r
esu
lt
p
v
alu
e
0
.
0
0
0
<p
0
.
05
,
w
i
th
a
co
n
f
id
en
ce
le
v
el
o
f
5
%.
K
n
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u
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n
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h
ip
b
et
w
ee
n
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e
h
av
io
r
o
f
co
m
i
n
g
to
th
e
P
o
s
t
w
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h
k
n
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w
led
g
e
o
f
u
n
-
in
f
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s
d
is
ea
s
e
s
.
3
.
3
.
4
.
K
no
w
ledg
e,
a
t
t
it
ud
e
a
nd
beha
v
io
r
o
f
s
o
ciet
y
Kn
o
w
i
n
g
t
h
er
e
w
a
s
th
e
P
o
s
b
i
n
d
u
P
T
M
w
it
h
k
n
o
w
led
g
e,
an
al
y
s
i
s
s
tati
s
tical
tes
t
p
v
alu
e
0
,
7
3
8
>
p
0
,
0
5
.
Me
an
s
th
er
e
is
n
o
r
elatio
n
b
et
w
ee
n
k
n
o
w
led
g
e
o
f
co
m
i
n
g
to
th
e
p
o
s
t
w
it
h
an
at
tit
u
d
e
o
f
cu
r
io
s
it
y
o
f
it.
Kn
o
w
led
g
e
an
d
Desire
C
o
m
i
n
g
I
n
to
th
e
p
o
s
t,
an
al
y
s
i
s
s
tat
i
s
tical
test
p
v
al
u
e
0
,
4
0
8
>
0
,
0
5
.
Me
an
s
th
er
e
is
n
o
r
elatio
n
b
et
w
ee
n
k
n
o
w
led
g
e
o
f
co
m
i
n
g
to
t
h
e
p
o
s
t
w
it
h
t
h
e
d
esire
to
co
m
e.
P
eo
p
le
m
i
g
h
t
n
o
t
k
n
o
w
ab
o
u
t
P
o
s
b
in
d
u
P
T
M
ca
u
s
ed
n
o
d
esire
to
co
m
e.
Kn
o
w
led
g
e
a
n
d
P
r
ev
en
t
B
eh
a
v
io
r
o
f
t
h
e
d
is
ea
s
es,
an
al
y
s
is
s
tatis
t
ical
test
r
es
u
lt
p
v
al
u
e
0
,
0
0
0
<
p
0
,
0
5
.
Me
an
s
th
er
e
is
a
r
elatio
n
s
h
ip
o
f
k
n
o
w
led
g
e
ab
o
u
t
P
o
s
b
in
d
u
P
T
M
an
d
p
r
ev
en
t
th
e
ill
n
ess
.
A
s
ta
tis
tical
te
s
t
a
n
al
y
s
i
s
r
es
u
lts
o
b
tain
ed
p
v
al
u
e
0
,
0
0
3
<p
0
,
0
5
.
Me
an
s
t
h
er
e
i
s
a
r
elatio
n
s
h
ip
b
et
w
ee
n
t
h
e
k
n
o
w
led
g
e
o
f
n
on
-
co
m
m
u
n
ica
b
le
d
is
ea
s
es
i
n
teg
r
ated
d
e
v
e
lo
p
m
e
n
t
p
o
s
t
a
n
d
p
r
ev
en
ti
n
g
t
h
e
ill
n
es
s
.
T
h
e
p
o
s
t
m
e
m
b
er
s
alr
ea
d
y
k
n
o
w
t
h
e
ac
tiv
ities
a
n
d
b
en
ef
its
o
f
P
o
s
b
in
d
u
P
T
M
,
s
o
w
illi
n
g
to
co
m
e
ev
er
y
m
o
n
t
h
f
o
r
ea
r
l
y
d
etec
ti
o
n
an
d
p
r
ev
en
tio
n
o
f
n
o
n
-
co
m
m
u
n
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le
d
is
ea
s
e
s
.
Me
m
b
e
r
s
'
k
n
o
w
led
g
e
o
f
r
is
k
f
ac
to
r
s
,
t
h
e
s
u
f
f
er
in
g
an
d
th
e
t
h
r
ea
t
t
h
at
w
o
u
ld
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e
f
elt
i
f
t
h
e
d
is
ea
s
e
i
s
n
o
t
co
n
tag
io
u
s
,
i
m
p
ac
t
o
n
a
ttit
u
d
es
a
n
d
b
eh
av
io
r
p
r
ev
en
tio
n
.
T
h
e
s
u
f
f
er
in
g
an
d
th
e
t
h
r
ea
t
o
f
n
o
n
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co
m
m
u
n
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d
is
ea
s
e
s
is
o
b
tain
ed
f
r
o
m
a
v
ar
iet
y
o
f
r
eso
u
r
ce
s
i
n
cl
u
d
in
g
ed
u
ca
tio
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an
d
co
u
n
s
el
in
g
at
th
e
ti
m
e
o
f
f
o
llo
w
th
e
ac
ti
v
itie
s
.
C
o
m
p
lian
ce
m
e
m
b
er
to
co
m
e
to
th
e
p
o
s
t
h
a
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a
f
f
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ted
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y
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e
a
v
ailab
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en
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ar
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d
.
th
e
m
e
m
b
er
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f
ee
l
le
s
s
u
s
e
f
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l
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f
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n
tr
ea
ted
P
o
s
b
in
d
u
P
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M
cir
cu
m
f
er
en
ce
.
Stak
e
h
o
ld
er
s
n
ee
d
to
d
ev
elo
p
s
tr
ateg
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s
to
p
r
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er
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o
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d
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en
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h
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in
teg
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m
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er
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it
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ased
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Nei
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ati
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t
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M
to
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a
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t
h
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m
a
tio
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ac
tiv
it
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ca
r
r
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o
u
t,
g
o
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r
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o
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o
t
h
at
p
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p
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m
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tiv
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T
h
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f
t
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e
i
n
ter
v
e
n
tio
n
is
d
o
n
e
i
n
t
h
r
ee
(
3
)
p
o
s
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y
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v
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g
in
f
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m
at
io
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ea
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o
f
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a
m
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h
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m
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p
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(
7
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d
p
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p
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it
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itted
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to
lear
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it.
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ig
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t
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t
t
h
e
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m
p
ac
t
o
f
P
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s
b
in
d
u
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.
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ciety
k
n
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wled
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th
e
b
e
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av
io
r
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as
s
till
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led
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e
o
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n
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a
s
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lac
k
.
P
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h
o
k
n
o
w
ab
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t
t
h
e
P
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b
u
t
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d
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an
d
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eh
a
v
io
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s
to
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n
t
n
o
n
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m
m
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s
e
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s
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t
ill
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k
.
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h
e
r
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lt
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o
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th
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k
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e,
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t
u
d
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n
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io
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d
if
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er
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n
t
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m
t
h
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p
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le
w
h
o
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av
e
n
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t
f
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ed
P
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in
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in
d
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m
e
m
b
er
s
k
n
o
w
ab
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t
P
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s
b
in
d
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an
d
ac
tiv
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m
e
to
i
t.
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n
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w
led
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e
o
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m
m
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ticip
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Hea
lth
B
elief
Mo
d
el/T
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e
Hea
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h
B
eli
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Mo
d
e
[
26
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,
w
as
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p
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er
ce
iv
ed
s
u
s
ce
p
tib
ili
t
y
/
s
ev
er
i
t
y
;
2
)
th
e
p
er
ce
iv
ed
b
en
e
f
its
a
n
d
p
er
ce
iv
ed
b
ar
r
ier
s
;
3
)
c
u
es
to
ac
tio
n
;
4
)
s
elf
-
ef
f
icac
y
[
26
]
.
Hea
lth
B
el
ief
Mo
d
el
is
m
o
s
t
o
f
te
n
ap
p
lied
to
h
ea
lth
p
r
o
b
le
m
s
r
elate
d
to
th
e
p
r
ev
en
tio
n
an
d
w
it
h
o
u
t
s
y
m
p
to
m
s
,
s
u
ch
as
ca
n
ce
r
an
d
h
y
p
er
te
n
s
io
n
ea
r
l
y
d
etec
tio
n
,
an
d
r
ele
v
a
n
t
i
n
ter
v
e
n
tio
n
s
to
r
ed
u
ce
r
is
k
f
ac
to
r
s
f
o
r
ca
r
d
io
v
asc
u
lar
d
is
ea
s
e
[
27
]
.
Hea
lth
B
elief
Mo
d
el
is
a
p
s
y
c
h
o
lo
g
ical
m
o
d
el
t
h
at
atte
m
p
ts
to
ex
p
lai
n
an
d
p
r
ed
ict
h
ea
lth
b
eh
a
v
io
r
.
T
h
is
i
s
d
o
n
e
b
y
f
o
c
u
s
i
n
g
o
n
th
e
attitu
d
es a
n
d
b
elief
s
o
f
in
d
i
v
id
u
als.
C
o
m
m
u
n
i
t
y
e
m
p
o
w
er
m
e
n
t
as
a
p
r
o
ce
s
s
is
ab
o
u
t
th
e
d
if
f
e
r
en
t
p
ar
tn
er
s
an
d
co
m
m
u
n
iti
es,
s
er
v
ice
w
o
r
k
er
s
,
m
a
n
a
g
er
s
a
n
d
p
o
licy
m
ak
er
s
to
w
o
r
k
to
g
e
th
er
to
e
m
p
o
w
er
co
m
m
u
n
itie
s
a
n
d
s
er
v
ice
u
s
er
s
a
n
d
as
w
ell
a
s
n
e
w
w
a
y
s
a
n
d
b
etter
o
r
g
an
izatio
n
o
f
t
h
e
p
u
b
lic
d
o
m
ai
n
.
C
o
m
m
u
n
it
y
e
m
p
o
w
er
m
en
t
h
a
s
i
m
p
licatio
n
s
f
o
r
th
o
s
e
i
n
v
o
lv
ed
ta
k
es
ti
m
e
,
m
o
n
e
y
,
i
n
v
e
s
t
m
en
t
a
n
d
co
n
f
id
en
ce
b
u
ild
in
g
.
C
o
m
m
u
n
i
t
y
-
b
ased
ap
p
r
o
ac
h
to
f
r
a
m
i
n
g
citize
n
e
m
p
o
w
er
m
e
n
t
as
a
cr
ea
to
r
an
d
o
w
n
er
o
f
t
h
e
s
er
v
ice
a
n
d
t
h
e
p
u
b
lic
d
o
m
ai
n
.
User
co
m
m
u
n
it
y
o
r
s
er
v
ice
is
ac
tiv
e
an
d
t
h
er
e
is
a
tr
en
d
to
w
ar
d
s
p
u
b
lic
s
e
cto
r
in
n
o
v
ati
v
e
w
o
r
k
cu
ltu
r
e
[
28
]
.
Hea
lth
C
en
ter
s
taf
f
as
ad
v
is
o
r
s
P
o
s
b
in
d
u
P
T
M,
s
h
o
u
ld
m
a
k
e
ef
f
o
r
ts
to
i
n
v
o
lv
e
th
e
co
m
m
u
n
it
y
.
T
h
e
m
ai
n
p
o
in
t
o
f
t
h
e
s
tu
d
y
[
28
]
:
1
)
a
m
eth
o
d
r
esp
o
n
s
i
v
e
to
en
g
ag
e
a
n
d
co
o
p
er
ate
w
i
th
th
e
p
u
b
lic
s
er
v
ice
s
r
eq
u
ir
e
u
s
er
s
to
p
r
o
v
id
e
s
u
f
f
icie
n
t
ti
m
e
v
o
l
u
n
teer
s
;
2
)
w
h
er
e
th
e
te
n
d
en
c
y
to
u
s
e
m
e
th
o
d
s
r
esp
o
n
s
i
v
e,
s
er
v
ice
u
s
er
s
ar
e
m
o
r
e
lik
el
y
to
co
o
p
er
ate
an
d
d
em
o
n
s
tr
ate
a
co
m
m
it
m
en
t
to
co
m
m
u
n
it
y
ac
ti
v
itie
s
;
3
)
t
h
er
e
is
co
n
f
u
s
io
n
o
v
er
w
h
a
t
m
ea
n
in
g
f
u
l
p
ar
ticip
atio
n
an
d
o
f
ten
m
is
i
n
ter
p
r
etatio
n
o
f
le
v
els
a
n
d
s
tep
s
to
w
ar
d
e
m
p
o
w
er
m
e
n
t;
4
)
co
m
m
u
n
it
y
-
led
,
'
b
o
tto
m
-
u
p
'
p
l
an
n
i
n
g
a
n
d
d
ev
elo
p
m
e
n
t
ca
p
ac
it
y
to
f
o
s
ter
co
o
p
er
atio
n
an
d
j
o
in
t
w
o
r
k
b
et
w
ee
n
se
r
v
ice
p
r
o
v
id
er
s
a
n
d
t
h
e
p
u
b
lic;
5
)
estab
lis
h
r
ec
ip
r
o
ca
l
r
elatio
n
s
h
ip
s
a
n
d
tr
u
s
t
ta
k
es
a
lo
n
g
ti
m
e.
W
h
er
e
t
h
e
p
u
r
p
o
s
e
o
f
th
e
o
r
g
an
iza
tio
n
in
cl
u
d
in
g
t
h
e
i
n
v
o
lv
e
m
en
t
o
f
in
d
i
g
e
n
o
u
s
co
m
m
u
n
it
ies,
it
is
i
m
p
o
r
tan
t
to
d
em
o
n
s
tr
ate
t
h
i
s
u
n
d
er
s
tan
d
i
n
g
to
th
e
s
ta
f
f
an
d
s
er
v
ice
u
s
er
s
.
Hea
lth
B
elie
f
Mo
d
el/T
h
e
Hea
lth
B
elie
f
Mo
d
el
(
HB
M)
w
as
d
ev
elo
p
ed
to
h
elp
u
n
d
er
s
tan
d
w
h
y
p
eo
p
le
d
o
n
o
t u
s
e
o
f
f
er
ed
p
r
ev
en
ti
v
e
s
er
v
ices,
an
d
h
as e
v
o
l
v
ed
to
ad
d
r
ess
n
e
w
p
r
o
b
le
m
s
i
n
th
e
p
r
ev
en
t
io
n
a
n
d
d
etec
tio
n
(
eg
,
s
cr
ee
n
in
g
)
as
well
as
li
f
est
y
le
b
eh
a
v
io
r
s
s
u
c
h
as
h
ea
lt
h
y
b
eh
a
v
io
r
an
d
in
j
u
r
y
p
r
ev
en
tio
n
.
Hea
l
th
B
elief
Mo
d
el
ca
n
b
e
d
e
v
elo
p
ed
o
n
an
e
m
p
o
w
er
m
en
t
o
f
P
o
s
b
in
d
u
P
T
M,
to
f
in
d
o
u
t
w
h
y
p
eo
p
le
d
o
n
o
t
tak
e
ad
v
an
ta
g
e
o
f
P
o
s
b
in
d
u
P
T
M
a
ctiv
el
y
ea
ch
m
o
n
t
h
.
3
.
4
.
Vis
it
o
f
p
o
s
bin
d
u
P
T
M
m
e
mb
er
P
o
s
b
in
d
u
P
T
M
i
m
p
le
m
e
n
ted
ev
er
y
m
o
n
t
h
b
y
Kad
er
an
d
h
ea
lth
ce
n
ter
s
ta
f
f
,
Nu
m
b
er
o
f
Me
m
b
er
s
w
h
o
v
is
it
th
e
p
o
s
t
in
J
a
n
u
ar
y
to
Dec
e
m
b
er
2
0
1
5
f
o
r
o
n
e
y
ea
r
as
m
a
n
y
as
9
7
7
3
p
eo
p
le
f
r
o
m
9
4
p
o
s
ts
,
t
h
e
av
er
ag
e
p
er
m
o
n
th
8
1
5
m
e
m
b
er
s
.
T
h
e
p
er
ce
n
tag
e
w
h
o
in
d
ic
ated
th
e
r
is
k
o
f
h
i
g
h
b
lo
o
d
p
r
ess
u
r
e
b
et
w
ee
n
2
0
-
2
5
%
o
f
all
m
e
m
b
er
s
w
h
o
v
i
s
it.
Me
m
b
er
s
w
h
o
d
o
b
lo
o
d
test
s
ar
e
w
h
o
h
a
v
e
b
ee
n
s
u
f
f
er
in
g
t
h
e
r
is
k
o
f
h
y
p
er
te
n
s
io
n
,
Go
u
t,
Diab
etes
m
ellit
u
s
(
DM
)
th
at
p
er
f
o
r
m
co
n
ti
n
u
o
u
s
b
lo
o
d
ch
ec
k
s
.
Me
m
b
er
s
w
h
o
s
u
f
f
er
n
o
n
-
co
m
m
u
n
icab
le
d
is
ea
s
es
ca
n
c
o
n
tr
o
l
r
is
k
f
ac
to
r
s
s
u
c
h
as
b
lo
o
d
s
u
g
ar
,
u
r
ic
ac
id
a
n
d
b
lo
o
d
p
r
ess
u
r
e.
T
h
e
r
es
u
lt
s
o
f
th
e
ex
a
m
i
n
atio
n
o
f
b
lo
o
d
s
u
g
ar
lev
e
ls
≥
2
0
0
m
m
/
g
o
r
h
y
p
er
te
n
s
io
n
≥
1
4
0
/
9
0
,
n
o
t
all
m
e
m
b
er
s
ar
e
ab
o
v
e
s
tan
d
ar
d
r
is
k
o
f
n
o
n
-
co
m
m
u
n
i
ca
b
le
d
is
ea
s
es,
r
esu
l
ts
ca
n
b
e
s
ee
n
in
F
ig
u
r
e
4
.
0
10
20
30
40
H
i
gh
Bl
oo
d
P
r
e
ssure
Shor
tl
y
Bl
ood
Suga
r
Fig
u
r
e
4
.
P
er
ce
n
tag
e
o
f
h
i
g
h
b
lo
o
d
p
r
ess
u
r
e,
ch
o
lest
er
o
l a
n
d
b
lo
o
d
s
u
g
ar
p
er
io
d
J
an
u
ar
y
-
Dec
e
m
b
er
2
0
1
5
in
B
en
g
k
u
l
u
P
r
o
v
in
ce
P
o
s
b
in
d
u
P
T
M
m
e
m
b
er
s
an
d
co
m
m
u
n
it
y
w
h
o
d
o
n
o
t
k
n
o
w
ab
o
u
t
P
o
s
b
in
d
u
P
T
M
d
u
r
in
g
2
0
1
5
ev
er
w
e
n
t
to
t
h
e
h
ea
lt
h
ce
n
ter
o
r
o
th
er
p
r
i
m
ar
y
ca
r
e
a
n
d
h
o
s
p
it
a
lized
d
u
e
to
n
o
n
-
co
m
m
u
n
icab
le
d
is
ea
s
es
s
u
c
h
a
s
h
ig
h
b
lo
o
d
p
r
ess
u
r
e,
d
iab
etes m
ellit
u
s
,
an
d
ac
cid
en
t.
I
t c
an
b
e
s
ee
n
i
n
Fi
g
u
r
e
5
.
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