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s.
In
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terv
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re
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th
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Isla
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s.
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p
ro
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lt
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ied
c
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m
p
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ig
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th
ro
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ia
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ted
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o
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p
les
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h
e
a
re
a
.
K
ey
w
o
r
d
s
:
B
ir
th
co
n
tr
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M
ale
s
ter
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Sti
g
m
a
Vasecto
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T
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c
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a
rticle
u
n
d
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r th
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CC B
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-
SA
li
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se
.
C
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p
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A
uth
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r
:
Dian
Kr
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tian
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a
w
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P
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s
at
P
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elitia
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d
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Kep
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k
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B
er
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ca
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a
Nasio
n
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l
J
l.
P
e
r
m
ata
No
.
1
.
Hali
m
P
er
d
an
a
Ku
s
u
m
a,
E
ast J
ak
ar
ta
,
I
n
d
o
n
esia
E
m
ail:
d
ia
n
_
k
ir
a
w
at
y
@
y
a
h
o
o
.
co
m
1.
I
NT
RO
D
UCT
I
O
N
Ov
er
th
e
y
ea
r
s
,
m
ale
co
n
tr
ac
ep
tiv
e
u
s
e
r
e
m
ai
n
s
lo
w
co
m
p
ar
ed
to
f
em
ale
m
et
h
o
d
s
.
T
r
ad
itio
n
all
y
,
f
a
m
il
y
p
lan
n
i
n
g
h
a
s
f
o
c
u
s
ed
o
n
p
r
o
v
id
in
g
co
n
tr
ac
ep
tio
n
f
o
r
w
o
m
en
[
1
]
.
Ma
les
h
a
v
e
b
ee
n
co
n
s
id
er
ed
as
s
ile
n
t
p
ar
tn
er
s
in
r
ep
r
o
d
u
ctiv
e
h
ea
l
th
m
at
ter
s
[
2
]
.
Ma
le
in
v
o
l
v
e
m
en
t
in
co
n
tr
ac
ep
ti
v
e
u
s
e
h
a
s
b
ec
o
m
e
a
g
lo
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al
co
n
ce
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n
s
i
n
ce
t
h
e
e
n
ac
t
m
en
t
o
f
th
e
I
n
ter
n
a
tio
n
al
C
o
n
f
er
en
ce
o
n
P
o
p
u
latio
n
an
d
De
v
elo
p
m
e
n
t
in
1
9
9
4
in
C
air
o
[
3
]
.
T
h
e
n
ee
d
to
in
clu
d
e
m
en
i
n
r
ep
r
o
d
u
ctiv
e
h
ea
lt
h
co
n
ce
r
n
s
h
as
also
s
p
r
ea
d
o
u
t
s
in
ce
t
h
e
lau
n
c
h
o
f
s
u
s
t
a
i
n
a
b
l
e
d
e
v
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l
o
p
m
e
n
t
g
o
a
l
s
(
S
D
G
s
)
p
o
i
n
t
5
.
6
t
o
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n
s
u
r
e
u
n
i
v
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r
s
a
l
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c
c
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s
s
t
o
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x
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a
l
a
n
d
r
e
p
r
o
d
u
c
t
i
v
e
h
e
a
l
t
h
[
4
]
.
Ma
le
in
v
o
lv
e
m
e
n
t
i
n
f
a
m
il
y
p
lan
n
i
n
g
h
a
s
b
ee
n
u
n
d
er
s
to
o
d
as
t
h
e
in
teg
r
al
p
r
ev
e
n
tio
n
s
tr
ateg
y
o
f
u
n
w
an
ted
p
r
eg
n
an
c
y
,
r
ed
u
c
tio
n
o
f
u
n
s
a
f
e
ab
o
r
tio
n
s
,
a
n
d
p
r
o
m
o
tio
n
o
f
ch
ild
b
ir
t
h
s
p
ac
i
n
g
to
lo
w
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m
ater
n
a
l
a
n
d
ch
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m
o
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ta
lit
y
r
is
k
s
i
n
d
ev
elo
p
i
n
g
c
o
u
n
tr
ies
[
5
]
.
Ma
le
in
v
o
l
v
e
m
en
t
in
f
a
m
il
y
p
lan
n
i
n
g
al
s
o
g
r
ea
t
er
ed
u
ca
tio
n
al
a
n
d
ec
o
n
o
m
ic
o
p
p
o
r
tu
n
itie
s
f
o
r
wo
m
e
n
a
n
d
p
r
o
m
o
tes
g
en
d
er
eq
u
it
y
[
6
]
.
Vasecto
m
y
h
as
b
ee
n
e
s
p
o
u
s
e
d
as
o
n
e
o
f
t
h
e
t
w
o
m
ale
s
'
m
o
d
er
n
co
n
tr
ac
ep
tiv
e
m
et
h
o
d
s
,
o
th
er
t
h
a
n
th
e
m
ale
co
n
d
o
m
s
.
Vasecto
m
y
w
a
s
i
n
itial
l
y
f
o
u
n
d
ed
a
s
a
tr
ea
t
m
e
n
t
o
f
p
r
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s
tatic
e
n
lar
g
e
m
en
t
a
s
a
n
alter
n
ati
v
e
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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.
J
.
P
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b
lic
Hea
lth
Sci
.
I
SS
N:
2
2
5
2
-
8806
F
a
cto
r
s
a
ffect
th
e
va
s
ec
to
my
u
p
ta
ke
o
f m
a
r
r
ied
co
u
p
les in
B
a
n
g
ka
B
elitu
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…
(
Dia
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K
r
is
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a
n
i I
r
a
w
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ty
)
49
to
ca
s
tr
atio
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i
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h
e
ea
r
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y
n
i
n
e
-
te
n
th
in
t
h
e
U
n
ited
Ki
n
g
d
o
m
[
7
]
.
A
s
cien
tific
n
a
m
ed
Os
ch
n
er
w
a
s
t
h
e
f
ir
s
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s
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ted
v
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to
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y
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s
a
m
et
h
o
d
f
o
r
p
r
ev
en
ti
n
g
p
r
eg
n
an
c
y
[
7
]
.
T
h
e
f
ail
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r
e
r
ates
o
f
v
ase
cto
m
y
ar
e
le
s
s
t
h
a
n
1
%
w
h
ic
h
is
co
n
s
id
er
ed
a
v
er
y
ef
f
ec
tiv
e
m
et
h
o
d
[
8
]
.
T
h
e
co
m
m
o
n
s
id
e
ef
f
ec
ts
d
u
e
to
v
a
s
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m
y
ar
e
a
1
%
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%
in
cid
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p
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atic
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ato
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3
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4
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%
i
n
cid
en
ce
o
f
c
h
r
o
n
ic
s
cr
o
tal
p
ain
[
9
]
.
Vasecto
m
y
co
u
ld
b
e
an
a
lter
n
ati
v
e
f
o
r
co
u
p
les
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h
o
w
a
n
t
to
s
to
p
ch
ild
b
ea
r
in
g
.
T
h
e
p
r
o
ce
d
u
r
e
o
f
v
asecto
m
y
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s
s
i
m
p
le
an
d
ea
s
y
to
b
e
c
o
n
d
u
cted
in
lo
w
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r
ce
s
ettin
g
s
,
s
u
ch
as
B
an
g
k
a
B
elitu
n
g
I
s
la
n
d
s
[
1
0
]
.
Nev
er
th
e
less
,
co
m
p
ar
ed
w
it
h
t
u
b
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g
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e
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,
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asec
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k
n
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w
n
a
n
d
least
u
s
ed
a
m
o
n
g
co
u
p
les
[
1
1
,
1
2
]
.
On
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y
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n
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m
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co
m
p
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o
u
r
f
e
m
ales
o
n
a
g
lo
b
al
le
v
el,
w
h
o
u
s
ed
a
v
as
ec
to
m
y
[
1
3
]
.
A
t
th
e
n
at
io
n
al
le
v
el,
th
e
p
r
ev
ale
n
ce
r
ate
f
o
r
v
asecto
m
y
h
ad
s
te
ad
y
at
0
.
2
%
in
2
0
1
7
[
1
4
]
.
Un
f
o
r
tu
n
atel
y
,
th
e
v
asec
to
m
y
p
r
ac
tices
at
a
p
r
o
v
in
cia
l
lev
el,
p
ar
ticu
lar
l
y
i
n
t
h
e
B
an
g
k
a
B
elitu
n
g
I
s
lan
d
s
w
er
e
s
t
ill
u
n
r
ec
o
r
d
ed
.
Sa
m
p
le
d
ata
f
r
o
m
t
h
e
I
n
d
o
n
esia
De
m
o
g
r
ap
h
ic
a
n
d
Hea
lth
S
u
r
v
e
y
s
h
a
v
e
r
ep
o
r
ted
ze
r
o
ca
s
es
o
f
v
asect
o
m
y
p
r
ac
tice
in
t
h
e
I
s
lan
d
s
f
r
o
m
2
0
0
7
to
2
0
1
7
[
1
4
-
1
6
]
.
No
o
th
er
r
esear
ch
h
ad
clar
if
ied
o
n
v
asecto
m
y
p
r
ac
ti
ce
in
t
h
e
I
s
la
n
d
s
.
Hen
ce
,
t
h
e
o
b
j
ec
tiv
e
o
f
t
h
is
s
t
u
d
y
i
s
to
r
ec
o
n
f
ir
m
w
h
eth
er
o
r
n
o
t v
a
s
ec
to
m
y
p
r
ac
tice
ex
i
s
ts
in
B
an
g
k
a
B
elit
u
n
g
I
s
la
n
d
s
an
d
to
id
en
tify
s
o
m
e
ch
a
llen
g
es
ass
o
ciate
d
w
it
h
lo
w
p
r
ac
tices o
f
v
asecto
m
y
in
t
h
e
B
an
g
k
a
B
elitu
n
g
I
s
lan
d
s
,
I
n
d
o
n
esia.
2.
RE
S
E
ARCH
M
E
T
H
O
D
2
.
1
.
Da
t
a
s
o
urce
s
B
an
g
k
a
B
elit
u
n
g
I
s
lan
d
s
,
I
n
d
o
n
esia
h
ad
b
ee
n
s
elec
ted
as
t
h
e
lo
ca
tio
n
o
f
th
is
s
t
u
d
y
.
I
n
th
e
ad
m
in
i
s
tr
ati
v
e
ter
m
,
t
h
e
B
an
g
k
a
B
elitu
n
g
I
s
la
n
d
s
w
as
d
iv
id
ed
in
to
s
i
x
r
e
g
en
cie
s
a
n
d
o
n
e
cit
y
,
n
a
m
el
y
B
an
g
k
a,
B
elitu
n
g
,
So
u
t
h
er
n
B
a
n
g
k
a
,
C
e
n
t
r
a
l
B
a
n
g
k
a
,
W
e
s
t
e
r
n
B
a
n
g
k
a
,
E
a
s
t
e
r
n
B
e
l
i
t
u
n
g
,
a
n
d
P
a
n
g
k
a
l
p
i
n
a
n
g
C
i
t
y
[
1
7
]
.
T
h
e
n
u
m
b
er
s
o
f
v
a
s
ec
to
m
y
p
r
ac
tices
i
n
t
h
e
B
an
g
k
a
B
elitu
n
g
I
s
lan
d
s
w
er
e
o
b
tain
ed
f
r
o
m
c
lin
ica
l
r
ep
o
r
ts
(
p
r
iv
ate
an
d
p
u
b
lic
cli
n
ics)
t
h
at
co
n
d
u
cted
v
a
s
ec
to
m
y
s
er
v
ices
b
et
w
ee
n
2
0
1
5
an
d
2
0
1
8
.
T
h
e
clin
ical
r
ep
o
r
t
o
f
m
ix
ed
co
n
tr
ac
ep
tiv
e
m
et
h
o
d
s
in
th
e
B
an
g
k
a
B
elit
u
n
g
I
s
la
n
d
s
f
r
o
m
2
0
1
5
to
2
0
1
8
w
a
s
o
b
tain
ed
f
r
o
m
th
e
n
at
io
n
al
p
o
p
u
latio
n
a
n
d
f
a
m
il
y
p
lan
n
i
n
g
b
o
ar
d
(
B
KKBN),
B
an
g
k
a
B
elit
u
n
g
I
s
la
n
d
s
[
1
8
]
.
T
h
o
s
e
v
er
if
ied
clin
ical
r
ep
o
r
ts
w
er
e
r
ep
o
r
ted
to
th
e
h
ea
lt
h
an
d
f
a
m
il
y
p
la
n
n
i
n
g
o
f
f
ice
s
f
r
o
m
r
eg
e
n
cie
s
/
cit
y
to
p
r
o
v
i
n
cial
lev
els
ea
c
h
m
o
n
t
h
.
D
u
e
to
a
li
m
ited
n
u
m
b
er
o
f
v
asecto
m
y
p
r
ac
tices
in
t
h
e
is
lan
d
s
,
h
e
n
ce
,
th
is
s
t
u
d
y
o
n
l
y
f
ea
t
u
r
es it i
n
ab
s
o
lu
te
n
u
m
b
er
s
.
Af
ter
w
ar
d
,
th
is
q
u
an
titati
v
e
d
a
ta
w
as
ex
p
lo
r
ed
b
y
tr
ia
n
g
u
la
ti
o
n
i
n
f
o
r
m
atio
n
f
r
o
m
i
n
-
d
ep
th
in
ter
v
ie
w
s
to
ch
ec
k
t
h
e
v
al
id
it
y
a
n
d
r
eliab
ilit
y
o
f
t
h
e
i
n
f
o
r
m
atio
n
i
n
th
is
s
t
u
d
y
.
T
h
e
tr
ian
g
u
lat
io
n
w
a
s
co
n
d
u
cted
to
en
r
ich
d
i
f
f
er
i
n
g
asp
ec
ts
o
f
v
as
ec
to
m
y
p
r
ac
tice
in
t
h
e
B
an
g
k
a
B
elitu
n
g
I
s
la
n
d
s
.
I
t
also
h
elp
s
th
e
co
n
f
ir
m
i
n
g
o
f
th
e
an
s
w
er
o
f
in
f
o
r
m
an
ts
w
h
e
r
e
o
n
e
s
et
o
f
f
in
d
in
g
s
co
n
f
ir
m
s
o
th
er
in
f
o
r
m
atio
n
.
Fi
n
all
y
,
th
e
tr
ian
g
u
la
tio
n
o
f
q
u
alitati
v
e
d
ata
ca
n
h
e
lp
to
ex
p
lain
th
e
r
es
u
lt
s
o
f
a
s
t
u
d
y
.
T
h
is
in
f
o
r
m
at
io
n
i
s
t
h
e
n
e
x
p
lo
r
ed
m
o
r
e
d
ee
p
l
y
t
h
r
o
u
g
h
i
n
-
d
ep
th
in
ter
v
ie
w
s
.
T
h
e
q
u
alita
t
iv
e
d
ata
o
f
th
is
s
tu
d
y
w
er
e
co
llected
th
r
o
u
g
h
in
-
d
ep
th
i
n
ter
v
ie
w
s
in
B
a
h
asa
o
f
th
r
ee
co
u
p
les
w
h
o
h
ad
alr
ea
d
y
co
n
d
u
cti
n
g
v
asecto
m
y
a
n
d
th
o
s
e
f
o
u
r
n
o
n
-
v
a
s
ec
to
m
y
co
u
p
le
s
in
Dec
e
m
b
er
2
0
1
8
.
I
n
f
o
r
m
atio
n
tr
ian
g
u
latio
n
w
as
u
s
ed
b
y
ask
i
n
g
th
o
s
e
m
ales
w
h
o
r
e
ce
iv
ed
v
asecto
m
y
s
er
v
ice
s
,
th
eir
p
ar
tn
er
s
,
an
d
v
asecto
m
y
s
er
v
i
ce
p
r
o
v
id
er
s
.
T
h
o
s
e
m
ales
w
er
e
s
e
lecte
d
r
an
d
o
m
l
y
an
d
r
ep
o
r
ted
an
o
n
y
m
o
u
s
f
o
r
t
h
eir
co
n
f
id
en
tl
y
.
I
n
f
o
r
m
a
n
t
s
cr
iter
ia
w
er
e
m
ar
r
ied
m
a
les
an
d
f
e
m
a
les
w
h
o
al
r
ea
d
y
co
n
d
u
cted
v
asecto
m
y
s
er
v
ice
an
d
w
h
o
w
er
e
d
is
a
g
r
ee
w
i
th
v
a
s
e
cto
m
y
.
T
h
e
k
e
y
i
n
f
o
r
m
an
t
cr
i
ter
ia
w
er
e
th
o
s
e
m
ed
ical
d
o
cto
r
s
w
h
o
d
eli
v
er
ed
v
asecto
m
y
p
r
ac
tice
s
i
n
B
a
n
g
k
a
B
elitu
n
g
I
s
la
n
d
s
P
r
o
v
in
ce
f
r
o
m
2
0
1
5
to
2
0
1
8
.
T
h
e
in
f
o
r
m
atio
n
ab
o
u
t
attit
u
d
es
o
n
v
a
s
ec
to
m
y
w
as
v
alid
ated
b
y
t
h
eir
r
ep
r
o
d
u
ctiv
e
p
a
r
tn
er
s
.
T
h
eir
p
ar
tn
er
s
w
er
e
i
n
ter
v
ie
wed
s
ep
ar
atel
y
.
T
h
is
s
tu
d
y
also
in
ter
v
ie
w
ed
t
w
o
h
ea
lth
p
r
o
v
id
er
s
w
h
o
co
n
d
u
ct
v
asecto
m
y
i
n
t
h
e
ar
ea
.
T
h
o
s
e
i
n
ter
v
ie
w
s
w
er
e
p
r
iv
ate
an
d
co
n
f
id
en
tial.
So
m
e
q
u
esti
o
n
s
w
er
e
o
p
en
-
en
d
ed
to
en
ab
le
t
h
e
r
esear
c
h
er
s
in
g
ain
i
n
g
i
n
f
o
r
m
atio
n
r
eg
ar
d
in
g
t
h
e
r
ea
s
o
n
s
b
eh
i
n
d
v
asecto
m
y
p
r
ac
tices.
T
h
e
r
esu
lt
s
o
f
th
e
i
n
-
d
ep
t
h
in
ter
v
i
e
w
s
w
er
e
le
f
t
an
d
tr
an
s
m
itted
in
to
th
e
tr
an
s
cr
ip
t
s
.
Af
ter
w
ar
d
,
th
e
m
a
tic
co
n
ten
t
an
al
y
s
is
a
n
d
lin
e
-
by
-
li
n
e
co
d
in
g
o
f
t
h
e
d
ataset
w
er
e
u
tili
ze
d
f
o
r
t
h
e
a
n
al
y
s
is
o
f
t
h
e
q
u
ali
tati
v
e
d
ata
b
y
u
s
i
n
g
A
T
L
A
S.ti.
Af
ter
th
e
d
ata
an
al
y
s
is
d
ev
elo
p
ed
,
th
e
m
es
w
er
e
s
u
b
s
eq
u
en
tl
y
f
o
r
m
ed
f
r
o
m
th
e
p
atter
n
s
t
h
at
e
m
er
g
ed
o
n
p
er
ce
p
tio
n
r
e
g
ar
d
in
g
v
a
s
ec
to
m
y
a
n
d
p
r
esen
ted
in
t
h
e
r
esu
l
ts
.
T
h
e
cr
iter
ia
f
o
r
in
f
o
r
m
a
n
ts
w
e
r
e
m
ar
r
ied
m
e
n
an
d
w
o
m
en
wh
o
h
ad
h
ad
v
a
s
ec
to
m
y
s
er
v
ice
s
an
d
d
id
n
o
t
ag
r
ee
w
ith
a
v
a
s
ec
to
m
y
.
T
h
e
k
e
y
in
f
o
r
m
a
n
t
cr
iter
ia
w
e
r
e
th
e
m
ed
ical
d
o
cto
r
s
w
h
o
d
eliv
er
ed
v
asecto
m
y
p
r
ac
tices
in
B
an
g
k
a
B
elitu
n
g
I
s
lan
d
s
P
r
o
v
in
ce
f
r
o
m
2
0
1
5
to
2
0
1
8
.
I
n
f
o
r
m
at
io
n
ab
o
u
t
v
a
s
ec
to
m
y
attit
u
d
es
h
as
b
ee
n
v
a
lid
ated
b
y
th
eir
r
ep
r
o
d
u
ctiv
e
p
ar
tn
er
s
.
T
h
eir
p
ar
t
n
e
r
s
h
a
v
e
b
ee
n
i
n
ter
v
ie
w
ed
s
ep
ar
atel
y
.
T
h
is
s
t
u
d
y
also
i
n
ter
v
ie
w
ed
t
w
o
h
ea
lt
h
p
r
o
v
id
er
s
w
h
o
co
n
d
u
c
t
v
asecto
m
y
i
n
t
h
e
ar
ea
.
T
h
o
s
e
in
ter
v
ie
w
s
w
er
e
p
r
i
v
ate
a
n
d
co
n
f
id
e
n
tial.
So
m
e
q
u
e
s
tio
n
s
w
er
e
o
p
en
-
e
n
d
ed
to
en
ab
le
t
h
e
r
esear
ch
er
s
to
g
ai
n
i
n
f
o
r
m
a
tio
n
r
eg
ar
d
i
n
g
th
e
r
ea
s
o
n
s
b
eh
i
n
d
v
asecto
m
y
p
r
ac
tices.
T
h
e
r
esu
lts
o
f
th
e
i
n
-
d
e
p
th
in
ter
v
ie
w
s
w
er
e
lef
t
a
n
d
tr
an
s
m
itted
in
to
th
e
tr
an
s
cr
ip
ts
.
T
h
en
,
th
e
m
atic
co
n
ten
t
an
al
y
s
i
s
a
n
d
li
n
e
-
by
-
li
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co
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in
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ataset
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al
itati
v
e
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
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Hea
lth
Sci
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Vo
l.
1
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No
.
1
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Ma
r
ch
20
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d
ata
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atter
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3.
RE
SU
L
T
S
A
ND
D
I
SCU
SS
I
O
N
3
.
1
.
T
he
qu
a
ntit
a
t
iv
e
re
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ult
T
ab
le
1
s
h
o
w
s
th
at
f
r
o
m
2
0
1
5
to
2
0
1
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,
9
0
7
m
en
w
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e
s
te
r
ilized
.
T
h
ese
f
in
d
i
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g
s
clar
if
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th
at
t
h
er
e
w
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ted
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v
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m
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0
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b
ased
o
n
th
e
p
u
b
licatio
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o
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n
d
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s
ian
De
m
o
g
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ap
h
ic
an
d
Hea
lt
h
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r
v
e
y
[
1
4
-
1
6
]
.
On
av
er
a
g
e,
2
2
6
m
en
ea
ch
y
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r
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er
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y
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th
e
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eg
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ile
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it
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P
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n
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elit
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ast
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eg
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ile
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ab
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m
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a
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90
83
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S
o
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e
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l
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a
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d
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a
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y
P
l
a
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n
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o
a
r
d
(
B
K
K
B
N
)
,
B
a
n
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k
a
B
e
l
i
t
u
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g
I
s
l
a
n
d
s (
2
0
1
9
)
[
1
8
]
.
3
.
2
.
T
he
qu
a
lita
t
iv
e
re
s
ult
3
.
2
.
1
.
F
e
m
a
le
s
t
ig
m
a
a
g
a
ins
t
v
a
s
ec
t
o
m
y
T
h
e
p
er
s
p
ec
tiv
e
ab
o
u
t
m
ale
i
n
v
o
l
v
e
m
en
t
in
f
a
m
il
y
p
lan
n
i
n
g
is
o
f
te
n
r
o
o
ted
in
a
n
e
g
ati
v
e
s
tig
m
a.
T
h
r
ee
o
u
t
o
f
f
o
u
r
f
e
m
ale
in
f
o
r
m
an
ts
s
tated
th
a
t
th
e
y
w
o
u
ld
n
o
t
allo
w
t
h
eir
h
u
s
b
an
d
s
to
d
o
a
v
asecto
m
y
.
T
h
e
y
w
er
e
af
r
aid
th
a
t
th
eir
h
u
s
b
a
n
d
s
w
o
u
ld
h
a
v
e
a
f
f
air
s
w
ith
a
n
o
th
er
w
o
m
a
n
,
w
it
h
o
u
t
an
y
n
o
tice.
Vasecto
m
y
i
s
p
er
ce
iv
ed
as
a
g
u
ar
an
tee
f
o
r
m
en
to
e
n
g
ag
e
i
n
a
p
r
o
m
is
cu
o
u
s
li
f
e
s
t
y
le
s
i
n
ce
t
h
e
y
w
er
e
i
n
ca
p
ab
le
o
f
i
m
p
r
eg
n
ati
n
g
a
w
o
m
a
n
.
T
h
e
d
is
b
elief
co
u
ld
cr
ea
te
is
s
u
e
s
t
h
at
m
i
g
h
t
lead
to
m
ar
ital
in
s
t
ab
ilit
y
.
T
w
o
f
e
m
a
le
p
ar
ticip
an
ts
in
t
h
e
n
o
n
-
v
a
s
ec
to
m
y
g
r
o
u
p
s
aid
:
Or
ig
i
n
al
s
cr
ip
t:
“
N
g
a
n
g
iz
in
in
.
.
Ta
ku
t la
kiku
k
a
w
in
la
g
i tru
s
g
a
k
ke
ta
h
u
an
.
” (
N
R
,
3
7
ye
a
r
s
o
ld
)
Tr
a
n
s
la
ted
s
cr
ip
t:
“
I
w
ill
n
o
t
allo
w
(
h
i
m
)
.
I
a
m
a
f
r
aid
t
h
a
t
m
y
h
u
s
b
an
d
w
ill
m
ar
r
y
to
an
o
th
er
w
o
m
an
,
w
i
th
o
u
t
an
y
n
o
tice
.
”
(
NR
,
3
7
y
ea
r
s
o
ld
)
Or
ig
i
n
al
s
cr
ip
t:
“
A
ch
g
a
a
h
,
va
s
ek
to
mi
itu
ka
ya
k
n
g
a
s
i
i
z
i
n
ke
la
ki
b
u
a
t
s
elin
g
ku
h
.
.
Di
a
j
a
ja
n
ke
ma
n
a
ma
n
a
a
ma
n
g
a
b
a
k
a
l
n
g
a
milin
p
eremp
u
a
n
la
in
.
.
o
k
…
”
(
NI
,
4
2
y
ea
r
s
o
ld
)
T
r
a
n
s
l
a
te
d
s
c
r
i
p
t
:
"N
o
w
ay
,
th
is
v
a
s
ec
t
o
m
y
i
s
l
ik
e
g
iv
in
g
a
p
er
m
it
t
o
y
o
u
r
m
an
t
o
h
av
e
an
af
f
a
i
r
.
H
e
c
a
n
p
l
ay
a
r
o
u
n
d
a
s
h
e
l
ik
es
w
ith
o
u
t
f
e
a
r
in
g
o
f
im
p
r
eg
n
a
t
in
g
o
th
e
r
w
o
m
an
.
.
.
ok
.
”
(
N
I
,
4
2
y
e
a
r
s
o
l
d
)
I
n
co
n
tr
ast,
th
o
s
e
co
u
p
le
s
w
h
o
ex
p
er
ien
ce
d
v
asecto
m
y
s
tated
th
at
v
asec
to
m
y
h
ad
m
ad
e
th
e
m
h
ap
p
ier
b
ec
au
s
e
th
e
w
iv
e
s
h
ad
n
o
m
o
r
e
o
b
lig
atio
n
s
to
u
s
e
co
n
tr
a
ce
p
tiv
es.
T
h
o
s
e
s
tate
m
e
n
ts
h
ad
d
im
i
n
i
s
h
ed
t
h
e
m
is
p
er
ce
p
tio
n
o
f
v
asecto
m
y
.
T
w
o
f
e
m
ale
p
ar
ticip
an
t
s
i
n
th
e
v
asecto
m
y
g
r
o
u
p
d
ec
lar
ed
:
Or
ig
i
n
al
s
cr
ip
t:
“
S
eja
k
la
ki
a
ku
d
is
teri
l,
a
ku
n
d
a
k
p
erlu
p
u
s
i
n
g
p
u
s
in
g
p
a
ka
i
k
o
n
tr
a
s
ep
s
i
…
”
(
P
V
,
4
8
ye
a
r
s
o
ld
)
T
r
an
s
lated
s
cr
ip
t:”
Si
n
ce
m
y
h
u
s
b
a
n
d
h
ad
a
v
asecto
m
y
,
I
d
o
n
’
t
h
a
v
e
to
w
o
r
r
y
ab
o
u
t
(
u
s
i
n
g
co
n
tr
ac
ep
tiv
e.
”
(
P
V,
4
8
y
ea
r
s
o
ld
)
Or
ig
i
n
al
s
cr
ip
t:
“
g
a
a
d
a
b
eb
a
n
la
g
i..
k
a
p
a
n
a
ja
s
ia
p
mela
ya
n
i su
a
mi.
” (
A
DS
,
4
5
ye
a
r
s
o
ld
)
Tr
a
n
s
la
ted
s
crip
t:
“
I
d
o
n
’
t h
a
v
e
an
y
b
u
r
d
en
a
n
y
m
o
r
e.
.
.
I
am
r
ea
d
y
an
y
ti
m
e
to
s
er
v
e
m
y
h
u
s
b
an
d
.
”
(
ADS,
4
5
y
ea
r
s
o
ld
)
3
.
2
.
2
.
M
a
le
s
t
ig
m
a
a
g
a
ins
t
v
a
s
ec
t
o
m
y
T
h
r
ee
m
ale
i
n
f
o
r
m
a
n
ts
w
h
o
d
id
n
o
t
ex
p
er
ien
ce
v
a
s
ec
to
m
y
h
ad
ex
p
r
es
s
ed
u
n
ea
s
i
n
es
s
ab
o
u
t
th
e
p
o
ten
tial
ef
f
ec
t
o
f
v
asecto
m
y
o
n
th
e
s
ex
u
al
f
ait
h
f
u
ln
e
s
s
o
f
t
h
eir
p
ar
tn
er
s
.
T
w
o
m
ale
p
ar
ti
cip
an
ts
i
n
t
h
e
n
o
n
-
v
asecto
m
y
g
r
o
u
p
p
er
ce
iv
ed
th
at:
Or
ig
i
n
al
s
cr
ip
t:
“
Ou
ch
n
ta
r
a
b
is
d
is
teri
l,
imp
o
ten
d
o
n
k
.
ka
s
ia
n
b
in
i a
k
u
la
h
.
.
.
”
(
J
K,
4
3
y
ea
r
s
o
ld
)
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
-
8806
F
a
cto
r
s
a
ffect
th
e
va
s
ec
to
my
u
p
ta
ke
o
f m
a
r
r
ied
co
u
p
les in
B
a
n
g
ka
B
elitu
n
g
…
(
Dia
n
K
r
is
ti
a
n
i I
r
a
w
a
ty
)
51
T
r
an
s
lated
s
cr
ip
t:
“
Ou
c
h
a
f
ter
I
g
o
t
s
ter
il
ized
,
I
w
ill
b
e
i
m
p
o
ten
t.
O
m
y
p
o
o
r
w
if
e.
”
(
J
K,
4
3
y
ea
r
s
o
ld
)
Or
ig
i
n
al
s
cr
ip
t:
“
K
a
lo
u
d
a
h
d
i
g
itu
in
,
n
ta
r
p
u
n
ya
k
u
lo
yo
.
.
g
a
w
a
t n
a
n
ti.
”
(
OS,
4
7
y
ea
r
s
o
ld
)
T
r
an
s
lated
s
cr
ip
t: “
I
f
it
's d
o
n
e,
m
in
e
w
i
ll b
e
s
l
u
g
g
is
h
.
.
.
it
'
s
s
o
b
ad
.”
(
OS,
4
7
y
ea
r
s
o
ld
)
On
e
m
ale
i
n
f
o
r
m
a
n
t
s
tated
th
a
t
th
e
y
w
o
u
ld
n
o
t
d
o
a
n
y
v
a
s
ec
to
m
y
b
ec
au
s
e
t
h
e
y
ar
e
a
f
r
aid
o
f
t
h
e
s
o
r
e
th
at
m
ig
h
t b
e
o
cc
u
r
r
ed
.
T
h
e
m
ale
w
a
s
af
r
aid
o
f
t
h
e
p
ain
o
f
h
i
s
p
en
is
d
u
e
to
v
asecto
m
y
p
r
ac
t
ice.
Or
ig
i
n
al
s
cr
ip
t:
“
d
is
te
r
il?
g
a
k
b
era
n
i..
.
ta
ku
t.
.
s
a
kit
…
”
(
P
S,
4
9
y
ea
r
s
o
ld
)
T
r
an
s
lated
s
cr
ip
t: st
er
ilized
?
I
d
o
n
'
t d
a
r
e
.
.
.
I
am
a
f
r
aid
.
.
.
it h
u
r
ts
.”
(
P
S,
4
9
y
ea
r
s
o
ld
)
Nev
er
th
e
less
,
t
h
i
s
s
t
u
d
y
al
s
o
i
n
ter
v
ie
w
ed
th
r
ee
m
ales
’
i
n
f
o
r
m
an
ts
w
h
o
h
ad
e
x
p
er
ien
ce
d
v
asecto
m
y
:
R
L
(
4
9
y
ea
r
s
o
ld
)
,
NZ
R
(
4
7
y
ea
r
s
o
ld
)
,
an
d
I
D
R
(
4
4
y
ea
r
s
o
ld
)
.
T
h
e
y
s
tated
t
h
at
a
f
ter
th
e
y
w
er
e
g
i
v
en
a
v
asecto
m
y
,
t
h
eir
s
ex
u
al
ac
tiv
it
ies
b
ec
o
m
e
m
o
r
e
in
ten
s
e
s
in
c
e
th
e
y
ar
e
n
o
t
af
r
aid
o
f
th
e
p
r
eg
n
a
n
cie
s
an
y
m
o
r
e.
T
w
o
o
f
th
r
ee
m
ales
s
tated
t
h
e
y
co
n
d
u
c
ted
v
asec
to
m
y
b
ec
au
s
e
th
e
y
lo
v
e
t
h
eir
w
i
v
es
a
n
d
th
e
y
f
elt
p
it
y
b
ec
au
s
e
th
eir
w
i
v
es
ex
p
er
ien
ce
d
a
s
i
d
e
ef
f
ec
t
o
f
f
e
m
ale
co
n
tr
ac
ep
tiv
e
m
eth
o
d
s
.
T
w
o
m
ale
p
ar
ticip
an
ts
i
n
t
h
e
v
asecto
m
y
g
r
o
u
p
d
ec
lar
ed
th
at
:
Or
ig
i
n
al
s
cr
ip
t:
“
Ga
a
d
a
ma
s
a
la
h
d
en
g
a
n
s
teri
l,
ma
la
h
s
eja
k
d
is
teri
l
a
ku
s
a
ma
b
in
ik
u
leb
ih
s
erin
g
n
g
a
ma
r
…
”
(
NZ
R
,
4
7
y
ea
r
s
o
ld
)
T
r
an
s
lated
s
cr
ip
t:
T
h
er
e
is
n
o
p
r
o
b
le
m
w
i
th
b
ein
g
s
ter
ilized
.
.
I
n
f
ac
t,
s
in
ce
th
en
(
t
h
e
s
ter
il
izatio
n
)
,
m
y
w
i
f
e
a
n
d
I
h
av
e
s
e
x
m
o
r
e
f
r
eq
u
e
n
tl
y
.
”
(
NZ
R
,
4
7
y
ea
r
s
o
ld
)
Or
ig
i
n
al
s
cr
ip
t:
“
K
a
s
ia
n
s
a
ma
b
in
i,
u
d
a
h
t
u
a
m
a
s
ih
min
u
m
p
il..
d
i
a
s
erin
g
p
u
s
in
g
.
y
a
u
d
a
h
g
a
n
tia
n
a
ku
a
ja
ya
n
g
s
teri
l
.”
(
R
L
,
4
9
y
ea
r
s
o
ld
)
T
r
an
s
lated
s
cr
ip
t:
"
Ho
w
p
it
y
m
y
w
i
f
e,
s
h
e
is
o
ld
alr
ea
d
y
b
u
t
s
h
e
s
t
ill
co
n
s
u
m
ed
p
ill.
S
h
e
o
f
te
n
f
ee
ls
d
izz
y
.
So
,
I
d
ec
id
ed
t
o
r
e
p
lace
h
er
d
u
t
y
to
b
e
s
ter
ilized
.”
(
R
L
,
4
9
y
ea
r
s
o
ld
)
Or
ig
i
n
al
s
cr
ip
t:
“
A
w
a
ln
ya
s
ih
ta
ku
t,
ta
p
i
a
k
u
cin
ta
s
a
ma
b
in
iku
.
.
ka
s
ia
n
d
i
a
r
ep
o
t
n
g
u
r
u
s
i
n
a
n
a
k
n
ta
r
ka
lo
s
a
ya
min
ta
ja
ta
h
d
i
a
h
a
mil
la
g
i
ta
mb
a
h
ka
s
ia
n
.
.
b
ia
r
a
ku
a
ja
ya
n
g
s
teri
l..
o
k
…
.
”
(
I
DR
,
5
4
y
ea
r
s
o
ld
)
T
r
an
s
lated
s
cr
ip
t:
“
At
f
ir
s
t,
I
w
a
s
s
ca
r
ed
,
b
u
t
I
lo
v
e
m
y
w
i
f
e.
.
.
it
is
a
p
ity
o
f
h
er
b
ec
au
s
e
s
h
e
h
a
s
to
tak
e
ca
r
e
o
f
m
y
c
h
i
ld
r
e
n
.
I
f
I
as
k
ed
f
o
r
s
e
x
,
s
h
e
w
o
u
ld
g
e
t
p
r
eg
n
a
n
t
ag
ai
n
,
it
w
i
ll
i
n
cr
ea
s
e
h
er
b
u
r
d
en
.
.
.
s
o
,
let
m
e
b
e
t
h
e
o
n
e
w
h
o
g
et
s
ter
ilized
.
.
.
o
k
.
”
(
I
D
R
,
5
4
y
ea
r
s
o
ld
)
3
.
2
.
3
.
H
ea
lt
h pro
v
ider
v
ie
w
p
o
int
Qu
alitat
iv
e
d
ata
w
er
e
also
co
l
lecte
d
th
r
o
u
g
h
i
n
-
d
ep
th
i
n
ter
v
ie
w
s
w
i
th
t
w
o
-
tr
ai
n
i
n
g
s
-
d
o
cto
r
s
d
r
.
R
D
(
6
0
y
ea
r
s
o
ld
)
an
d
d
r
.
NG
(
4
2
y
ea
r
s
o
ld
)
as
k
e
y
in
f
o
r
m
a
n
ts
.
T
h
o
s
e
k
e
y
i
n
f
o
r
m
a
n
ts
s
a
id
th
at
i
n
f
o
r
m
atio
n
r
eg
ar
d
in
g
v
a
s
ec
to
m
y
w
as
al
s
o
s
p
r
ea
d
o
u
t
b
y
p
ee
r
-
g
r
o
u
p
s
w
h
o
lead
b
y
s
o
m
e
m
ales
w
h
o
h
ad
ex
p
er
ie
n
ce
d
v
asecto
m
y
.
I
n
i
n
ter
v
ie
w
s
w
i
t
h
th
e
d
o
cto
r
s
,
th
e
r
esu
l
ts
r
ev
ea
led
th
at
co
u
p
les
i
n
B
an
g
k
a
B
elitu
n
g
I
s
lan
d
s
g
en
er
all
y
s
h
o
w
ed
lo
w
i
n
ter
est
in
d
is
c
u
s
s
io
n
s
o
n
v
a
s
ec
to
m
y
.
T
h
is
ap
ath
y
cr
ea
ted
a
s
i
tu
at
io
n
,
t
h
at
h
u
s
b
a
n
d
n
o
r
w
i
v
es
ar
e
r
elu
cta
n
t
to
i
n
itiate
d
is
cu
s
s
io
n
s
o
n
v
asec
to
m
y
.
T
h
is
lo
w
in
ter
e
s
t
b
y
co
u
p
les
was
attr
ib
u
ted
to
t
h
e
m
is
co
n
ce
p
tio
n
s
an
d
m
i
s
i
n
f
o
r
m
atio
n
as
s
o
ciate
d
w
it
h
t
h
e
p
r
o
ce
d
u
r
e.
T
w
o
h
ea
lt
h
p
r
o
v
id
er
s
w
h
o
s
er
v
ed
v
asecto
m
y
s
tated
th
at
:
Or
ig
i
n
al
s
cr
ip
t:
"
ka
mi
co
b
a
m
en
g
in
fo
r
ma
s
ika
n
s
teri
l
ke
p
a
d
a
p
a
r
a
s
u
a
mi,
ta
p
i
ke
tika
ka
mi
b
ila
n
g
itu
p
erma
n
en
,
o
r
a
n
g
-
o
r
a
n
g
g
a
ma
u
d
en
g
erin
la
g
i
.
”
(
d
r
.
R
D,
6
0
y
ea
r
s
o
ld
)
T
r
an
s
lated
s
cr
ip
t:
"
w
e
tr
y
to
in
f
o
r
m
t
h
e
h
u
s
b
a
n
d
s
ab
o
u
t
s
ter
ilizatio
n
,
b
u
t
w
h
en
w
e
s
a
y
i
t
is
p
er
m
a
n
e
n
t,
th
e
y
d
o
n
'
t
w
a
n
t to
h
ea
r
an
y
m
o
r
e
.
"
(
d
r
.
R
D,
6
0
y
e
ar
s
o
ld
)
Or
ig
i
n
al
s
cr
ip
t:
“
g
in
i
ya
ma
s
a
la
h
n
ya
,
ke
tika
d
ib
ila
n
g
ke
o
r
a
n
g
-
o
r
a
n
g
k
a
lo
v
a
s
ek
to
mi
itu
meto
d
a
o
p
era
s
i
p
r
ia
.
.
n
a
h
mereka
ta
ku
t
ka
r
en
a
k
a
ta
-
ka
t
a
o
p
era
s
i
id
en
tik
d
en
g
a
n
o
r
a
n
g
s
a
kit.
Mer
ek
a
ju
g
a
ta
ku
t
ka
r
en
a
p
erma
n
en
,
g
a
b
is
a
p
u
n
ya
a
n
a
k
la
g
i..
imp
o
ten
ka
ta
merek
a
.
(
d
r
.
NG,
4
2
y
ea
r
s
o
ld
)
T
r
an
s
lated
s
cr
ip
t:
"T
h
is
is
th
e
p
r
o
b
lem
w
h
e
n
w
e
s
aid
t
h
at
v
asecto
m
y
is
a
m
ale
s
u
r
g
er
y
m
eth
o
d
.
T
h
ey
ar
e
a
f
r
aid
b
ec
au
s
e
th
e
wo
r
d
“
s
u
r
g
er
y
”
i
s
s
y
n
o
n
y
m
o
u
s
w
it
h
s
ick
p
eo
p
le.
T
h
ey
ar
e
als
o
af
r
aid
b
ec
au
s
e
it
is
p
er
m
a
n
en
t,
t
h
e
y
w
il
l
n
o
t
b
e
ab
le
to
h
a
v
e
a
n
y
m
o
r
e
ch
i
ld
r
en
…
i
m
p
o
te
n
t,
t
h
e
y
s
a
id
.”
(
d
r
.
NG,
4
2
y
ea
r
s
o
ld
)
I
n
in
ter
v
ie
w
s
w
it
h
h
ea
lt
h
ca
r
e
p
r
o
v
id
er
s
,
th
e
n
o
n
-
r
e
v
er
s
ib
ili
t
y
o
f
th
e
p
r
o
ce
d
u
r
e
e
m
er
g
ed
as
a
w
ell
-
en
tr
en
c
h
ed
t
h
e
m
e
as
o
n
e
o
f
t
h
e
r
ea
s
o
n
s
w
h
y
m
e
n
co
n
s
id
e
r
v
asecto
m
y
as
an
u
n
f
a
v
o
r
ab
le
f
a
m
il
y
p
la
n
n
in
g
m
et
h
o
d
.
T
h
e
p
r
o
ce
d
u
r
e
is
p
e
r
m
an
e
n
t;
t
h
e
co
m
m
u
n
i
t
y
m
e
m
b
er
s
ar
e
af
r
aid
if
in
th
e
f
u
t
u
r
e
th
e
y
w
a
n
t
to
h
av
e
ch
ild
r
en
b
u
t
h
a
v
e
alr
ea
d
y
d
o
n
e
a
v
asecto
m
y
.
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n
L
ati
n
Am
er
ica
r
ev
ea
l
s
t
h
at
a
w
i
f
e’
s
d
is
ap
p
r
o
v
al
e
m
er
g
ed
as
a
m
aj
o
r
f
ac
to
r
th
at
ca
n
in
f
lu
e
n
ce
a
m
en
’
s
in
te
n
tio
n
to
ac
ce
p
t
v
a
s
ec
to
m
y
o
r
n
o
t
[
1
9
]
.
T
h
is
i
s
a
v
er
y
cr
u
cial
f
i
n
d
in
g
i
n
t
h
i
s
s
t
u
d
y
b
ec
au
s
e
g
i
v
en
t
h
e
f
ac
t
th
at
t
h
e
co
u
p
le
’
s
p
o
te
n
tial
r
o
le
in
t
h
e
d
ec
is
io
n
-
m
a
k
i
n
g
p
r
o
ce
s
s
,
v
a
s
ec
to
m
y
p
r
o
m
o
tio
n
a
l
ef
f
o
r
ts
s
h
o
u
ld
b
e
d
ir
ec
ted
to
w
ar
d
w
o
m
e
n
as
well
as
m
en
[
2
0
,
2
1
]
.
T
h
er
ef
o
r
e,
a
m
an
’
s
d
ec
is
io
n
to
d
o
a
v
asecto
m
y
r
ev
o
l
v
es
ar
o
u
n
d
th
e
w
i
f
e
'
s
ap
p
r
o
v
al
.
T
h
e
m
is
p
er
ce
p
tio
n
o
f
v
a
s
ec
t
o
m
y
o
n
t
h
e
s
e
x
u
al
p
er
f
o
r
m
a
n
ce
o
f
m
e
n
w
a
s
a
d
is
ad
v
a
n
t
ag
e
to
t
h
e
u
p
tak
e
o
f
t
h
i
s
m
et
h
o
d
.
W
o
m
e
n
g
en
er
all
y
d
id
n
o
t
h
av
e
s
u
f
f
ic
ien
t i
n
f
o
r
m
atio
n
t
h
at
v
asec
to
m
y
d
id
n
o
t
af
f
ec
t
th
e
s
ex
u
al
p
er
f
o
r
m
a
n
ce
o
f
m
en
[
2
2
]
.
I
n
an
ea
r
lier
s
t
u
d
y
in
So
u
t
h
er
n
Gh
a
n
a
a
m
o
n
g
co
u
p
les
w
h
o
ch
o
o
s
e
b
o
th
t
u
b
al
o
cc
lu
s
io
n
a
n
d
v
a
s
ec
to
m
y
,
it
was
r
ep
o
r
ted
th
at
w
o
m
en
p
la
y
e
d
k
e
y
r
o
les
i
n
t
h
e
d
ec
is
io
n
to
d
o
v
asecto
m
y
[
2
3
]
.
Am
o
n
g
t
h
o
s
e
w
h
o
h
ad
c
h
o
s
en
v
asecto
m
y
,
w
o
m
e
n
w
er
e
m
o
r
e
lik
el
y
to
co
m
m
u
n
icate
t
h
e
p
r
o
ce
d
u
r
e
w
it
h
t
h
eir
p
ar
tn
er
s
an
d
to
h
av
e
k
n
o
w
n
a
s
atis
f
ied
v
a
s
ec
to
m
y
u
s
er
b
ef
o
r
e
m
ak
i
n
g
th
e
c
h
o
ice
[
2
4
,
2
5
]
.
A
l
s
o
,
v
ir
tu
al
l
y
all
r
esp
o
n
d
e
n
ts
r
ep
o
r
ted
h
ea
r
in
g
n
e
g
ati
v
e
co
m
m
e
n
ts
ab
o
u
t
v
a
s
ec
to
m
y
.
T
h
ese
co
n
ce
r
n
s
ca
n
b
e
d
is
p
elled
w
h
en
t
h
e
co
r
r
ec
t
an
d
ac
cu
r
ate
in
f
o
r
m
atio
n
ab
o
u
t
v
a
s
ec
to
m
y
is
m
ad
e
av
a
ilab
le
to
co
u
p
les
eit
h
er
b
y
h
ea
l
th
ca
r
e
p
r
o
v
id
er
s
o
r
o
th
er
v
a
s
ec
to
m
ize
d
m
en
[
2
6
]
.
T
h
er
e
is
ev
id
en
ce
th
at
th
e
lo
w
u
s
e
o
f
v
asecto
m
y
is
n
o
t
en
t
ir
el
y
b
ec
a
u
s
e
o
f
m
e
n
’
s
r
e
s
is
ta
n
ce
to
t
h
e
m
et
h
o
d
,
b
u
t
also
b
ec
au
s
e
o
f
t
h
e
les
s
i
n
f
o
r
m
atio
n
r
ec
eiv
e
d
b
y
th
o
s
e
co
u
p
les
o
n
v
asecto
m
y
p
r
ac
tice,
h
e
n
ce
,
it
b
ec
am
e
b
ar
r
ier
s
to
m
a
k
e
i
n
f
o
r
m
atio
n
a
n
d
s
er
v
ices
av
ailab
le
a
n
d
ac
ce
s
s
ib
le
f
o
r
th
o
s
e
co
u
p
le
s
[
2
7
,
2
8
]
.
T
h
e
s
t
u
d
y
f
u
r
th
er
r
e
v
ea
led
t
h
at
v
as
ec
to
m
y
w
as
w
id
el
y
s
tig
m
at
ized
w
it
h
v
asecto
m
ize
d
m
e
n
lab
eled
i
n
o
f
f
e
n
s
iv
e
te
r
m
s
.
Ne
v
er
t
h
eles
s
,
g
iv
e
n
th
e
s
tig
m
a
attac
h
ed
to
m
ale
s
ter
il
izatio
n
,
ev
e
n
m
en
w
h
o
h
a
v
e
h
ad
af
f
ir
m
ati
v
e
ex
p
er
ien
ce
s
w
it
h
th
e
p
r
o
ce
d
u
r
e
m
ig
h
t
w
ell
ch
o
o
s
e
n
o
t
to
ex
p
o
s
e
o
r
ac
k
n
o
w
led
g
e
t
h
i
s
to
o
th
er
s
i
n
t
h
e
co
m
m
u
n
it
y
,
th
u
s
li
m
it
in
g
t
h
e
s
p
r
ea
d
o
f
p
o
s
iti
v
e
s
id
es
th
at
ar
e
ess
e
n
tial to
in
cr
ea
s
e
ac
ce
p
ta
n
c
e
o
f
v
asecto
m
y
[
2
9
]
.
Fa
m
il
y
p
lan
n
i
n
g
s
er
v
ices
p
r
o
v
id
er
s
s
h
o
u
ld
b
e
co
n
ce
r
n
ed
ab
o
u
t
th
i
s
an
d
m
ea
s
u
r
es
ta
k
e
n
to
r
ed
u
ce
th
e
m
is
p
er
ce
p
tio
n
.
T
h
e
u
s
e
o
f
in
n
o
v
ativ
e
w
a
y
s
s
u
c
h
as
u
s
i
n
g
m
o
d
el
co
u
p
les
to
p
r
o
m
o
te
v
asec
to
m
y
m
a
y
b
e
m
o
r
e
ef
f
ec
tiv
e
[
3
0
]
.
An
o
th
er
s
tr
ate
g
y
t
h
at
co
u
ld
b
e
u
s
ed
to
in
cr
ea
s
e
ac
ce
p
tan
ce
f
o
r
v
asect
o
m
y
i
s
to
in
cr
ea
s
e
k
n
o
w
led
g
e
o
n
t
h
e
n
at
u
r
e
o
f
t
h
e
v
asecto
m
y
p
r
o
ce
d
u
r
e
to
ch
a
n
g
e
th
e
m
i
n
d
s
o
f
p
eo
p
le
o
f
th
e
p
er
ce
iv
ed
ef
f
ec
t
s
o
f
v
asecto
m
y
o
n
b
o
th
a
m
an
’
s
p
h
y
s
ical
an
d
s
ex
u
al
ab
ilit
y
[
1
9
]
.
T
h
e
w
o
m
e
n
’
s
attit
u
d
es
to
w
ar
d
s
v
asecto
m
y
w
er
e
also
a
f
ac
to
r
in
h
o
w
ac
ti
v
e
th
e
y
w
er
e
i
n
th
e
f
a
m
il
y
p
lan
n
in
g
d
ec
is
io
n
-
m
a
k
i
n
g
p
r
o
ce
s
s
[
3
1
]
.
Desp
ite
e
f
f
o
r
ts
t
h
at
h
av
e
b
ee
n
co
n
d
u
cted
b
y
th
e
B
an
g
k
a
B
elitu
n
g
’
s
Go
v
er
n
m
e
n
t
to
in
co
r
p
o
r
ate
f
a
m
il
y
p
la
n
n
in
g
i
n
to
t
h
e
ex
i
s
tin
g
p
ee
r
g
r
o
u
p
to
s
p
r
ea
d
o
u
t
m
o
r
e
ac
cu
r
ate
a
n
d
co
r
r
ec
t
in
f
o
r
m
atio
n
,
th
e
m
is
p
er
ce
p
tio
n
an
d
s
ti
g
m
a
ar
e
s
till
m
aj
o
r
ch
allen
g
e
s
.
I
n
a
s
it
u
atio
n
w
h
e
r
e
a
c
c
e
s
s
t
o
c
o
r
r
e
c
t
i
n
f
o
r
m
a
t
i
o
n
i
s
l
a
c
k
i
n
g
,
c
o
m
m
u
n
i
t
y
m
em
b
e
r
s
a
r
e
c
o
m
p
e
l
l
e
d
t
o
r
e
l
y
o
n
m
i
s
i
n
f
o
r
m
a
t
i
o
n
,
w
h
i
c
h
i
s
a
lw
a
y
s
b
o
t
h
e
r
i
n
g
m
y
t
h
s
[
3
2
,
3
3
]
.
A
s
t
u
d
y
co
n
d
u
cted
in
th
e
Ki
n
g
d
o
m
o
f
E
s
w
ati
n
i
f
o
u
n
d
th
at
lack
o
f
k
n
o
w
led
g
e
ab
o
u
t
th
e
p
r
o
ce
d
u
r
e
f
o
r
a
v
asecto
m
y
,
s
o
cieta
l n
o
r
m
s
,
cu
ltu
r
al
b
elief
s
,
an
d
m
is
co
n
ce
p
ti
o
n
s
i
n
f
l
u
e
n
c
e
d
t
h
e
a
c
c
e
p
t
a
b
i
l
i
t
y
o
f
v
a
s
e
c
t
o
m
y
[
3
4
]
.
Nev
er
th
e
less
,
a
s
tu
d
y
i
n
B
a
n
g
lad
es
h
s
h
o
w
ed
t
h
at
f
a
m
il
y
p
lan
n
in
g
h
ea
lt
h
w
o
r
k
er
s
w
er
e
s
ig
n
i
f
ica
n
t
s
o
u
r
ce
s
o
f
v
asecto
m
y
k
n
o
w
l
ed
g
e
[
3
5
]
.
Hen
ce
,
t
h
er
e
is
a
n
ee
d
to
o
f
f
er
co
m
p
r
eh
e
n
s
iv
e
i
n
f
o
r
m
atio
n
to
co
m
m
u
n
it
y
m
e
m
b
er
s
.
T
h
e
u
s
e
o
f
m
u
lt
ip
le
in
f
o
r
m
atio
n
s
o
u
r
ce
s
s
u
c
h
as
h
o
m
e
v
is
i
ts
,
h
ea
lth
p
r
o
v
id
er
s
,
m
as
s
m
ed
ia
(
r
ad
io
,
in
ter
n
et,
n
e
w
s
p
ap
er
,
m
a
g
az
i
n
e,
o
r
telev
is
i
o
n
)
,
an
d
p
ee
r
g
r
o
u
p
s
co
u
ld
h
elp
to
r
ed
u
ce
th
e
mi
s
p
er
ce
p
tio
n
o
f
v
asec
to
m
y
[
3
6
,
3
7
]
.
Mo
r
eo
v
er
,
th
e
u
s
e
o
f
co
u
p
les
w
h
o
h
av
e
e
x
p
er
ien
ce
d
v
as
ec
to
m
y
to
s
h
ar
e
th
eir
ex
p
er
ie
n
ce
s
ab
o
u
t
v
asec
t
o
m
y
w
o
u
ld
s
tr
o
n
g
l
y
a
n
ad
v
a
n
tag
e
to
clar
i
f
y
t
h
e
m
i
s
in
f
o
r
m
a
tio
n
o
n
v
asecto
m
y
[
2
1
,
3
8
]
.
Mo
s
t
o
f
th
e
m
ale
s
w
i
ll
ch
o
o
s
e
co
n
tr
ac
ep
tiv
e
m
et
h
o
d
s
th
at
ar
e
co
m
m
o
n
l
y
u
s
ed
in
th
e
co
m
m
u
n
it
y
an
d
as su
c
h
b
eliev
ed
s
o
cial
l
y
s
ta
n
d
ar
d
[
3
9
]
.
T
h
er
e
ar
e
th
r
ee
li
m
i
tatio
n
s
to
th
i
s
s
t
u
d
y
.
Firstl
y
,
t
h
e
n
u
m
b
er
o
f
m
ale
s
w
h
o
p
r
ac
ticed
v
a
s
ec
to
m
y
i
n
th
e
B
an
g
k
a
B
elit
u
n
g
I
s
la
n
d
s
w
er
e
v
er
y
r
ar
e.
T
h
er
ef
o
r
e,
th
i
s
s
t
u
d
y
ca
n
n
o
t
co
n
d
u
ct
f
u
r
th
er
r
eg
r
ess
io
n
a
n
al
y
s
i
s
.
Seco
n
d
l
y
,
a
cu
lt
u
r
al
an
d
r
elig
io
u
s
tab
o
o
th
at
in
h
ib
it
s
th
e
u
s
e
o
f
v
asecto
m
y
i
n
th
i
s
s
tu
d
y
r
em
ai
n
s
u
n
k
n
o
w
n
u
n
le
s
s
t
h
e
y
ar
e
ex
p
lo
r
ed
b
y
an
eth
n
o
g
r
ap
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RE
F
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NC
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S
[1
]
S
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e
n
s
o
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,
R
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l.
,
“
Co
n
stru
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t
s
o
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Eq
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ty
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e
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A
s
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c
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n
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Us
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in
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ra
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7
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6
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6
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2
.
[2
]
Ay
u
,
S
.
,
M
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,
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,
“
Hu
s
b
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31
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[3
]
G
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.
[4
]
W
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Org
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“
S
D
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3
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2
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.
[5
]
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g
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n
y
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A
.
,
e
t
a
l.
,
“
Ba
rriers
to
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In
v
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lv
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m
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in
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lt
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.
[6
]
A
d
a
m
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u
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B.
,
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t
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l
.
,
“
M
a
l
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g
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:
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p
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N
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,
2
0
1
7
.
[7
]
Ko
g
a
n
,
P
.
,
W
a
ld
,
M
.
,
“
M
a
le
Co
n
trac
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p
ti
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:
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ry
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n
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De
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lo
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[8
]
S
h
a
rli
p
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I.
D.
,
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t
a
l.
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se
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to
m
y
:
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4
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4
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,
2
0
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.
[9
]
Aw
sa
re
,
N.S
.
,
e
t
a
l.
,
“
Co
m
p
li
c
a
ti
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f
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to
m
y
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”
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n
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ls
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th
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rg
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g
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l.
8
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o
.
6
,
p
p
.
4
0
6
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4
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0
,
2
0
0
5
.
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0
]
P
i
o
tr
o
w
sk
a
,
K.
e
t
a
l.
,
“
M
a
le
Ho
r
m
o
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a
l
Co
n
trac
e
p
ti
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n
:
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p
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a
n
d
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ise
,
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h
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L
a
n
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t
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tes
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rin
o
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o
g
y
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l.
5
,
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o
.
3
,
p
p
.
2
1
4
-
2
2
3
,
2
0
1
7
.
[1
1
]
Ira
wa
t
y
,
D.
K.,
P
ra
to
m
o
,
H.
“
S
o
c
io
-
De
m
o
g
ra
p
h
ic
Ch
a
ra
c
teristics
o
f
M
a
le
Co
n
trac
e
p
ti
v
e
Us
e
in
I
n
d
o
n
e
sia
,
”
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a
la
y
sia
n
J
o
u
r
n
a
l
o
f
Pu
b
li
c
He
a
lt
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M
e
d
icin
e
,
v
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l.
1
9
,
n
o
.
1
,
p
p
.
1
5
2
-
1
5
7
,
2
0
1
9
.
[1
2
]
Un
it
e
d
Na
ti
o
n
s,
“
T
re
n
d
s
i
n
Co
n
tr
a
c
e
p
ti
v
e
Us
e
W
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rld
w
id
e
,
”
Ne
w
Yo
rk
:
Un
it
e
d
Na
ti
o
n
s,
2
0
1
5
.
[1
3
]
Ro
ss
,
J.
Ha
rd
e
e
,
K.,
“
Us
e
o
f
M
a
le
M
e
th
o
d
s
o
f
Co
n
trac
e
p
ti
o
n
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rld
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”
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o
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rn
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l
o
f
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o
so
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ia
l
S
c
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e
n
c
e
,
v
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l.
4
9
,
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o
.
5
,
p
p
.
6
4
8
-
6
6
3
,
2
0
1
7
.
[1
4
]
T
h
e
Na
ti
o
n
a
l
P
o
p
u
latio
n
a
n
d
F
a
m
il
y
P
lan
n
in
g
Bo
a
rd
,
e
t
a
l.
,
“
In
d
o
n
e
sia
De
m
o
g
ra
p
h
ic
a
n
d
He
a
lt
h
S
u
rv
e
y
2
0
1
7
,
”
J
a
k
a
rta
:
T
h
e
Na
ti
o
n
a
l
Po
p
u
l
a
ti
o
n
a
n
d
F
a
mily P
l
a
n
n
in
g
B
o
a
r
d
,
2
0
1
8
.
[1
5
]
T
h
e
Na
ti
o
n
a
l
P
o
p
u
latio
n
a
n
d
F
a
m
il
y
P
lan
n
in
g
Bo
a
rd
,
e
t
a
l.
,
“
In
d
o
n
e
sia
De
m
o
g
ra
p
h
ic
a
n
d
He
a
lt
h
S
u
rv
e
y
2
0
1
2
,
”
J
a
k
a
rta
:
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h
e
Na
ti
o
n
a
l
Po
p
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l
a
ti
o
n
a
n
d
F
a
mily P
l
a
n
n
in
g
B
o
a
r
d
,
2
0
1
3
.
[1
6
]
T
h
e
Na
ti
o
n
a
l
P
o
p
u
latio
n
a
n
d
F
a
m
il
y
P
lan
n
in
g
Bo
a
rd
,
e
t
a
l.
,
“
In
d
o
n
e
sia
De
m
o
g
ra
p
h
ic
a
n
d
He
a
lt
h
S
u
rv
e
y
2
0
0
7
,
”
J
a
k
a
rta
:
T
h
e
Na
ti
o
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Po
p
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2
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8
.
[1
7
]
T
h
e
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tatisti
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g
k
a
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n
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a
n
Ba
n
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k
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tu
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g
,
2
0
1
7
.
[1
8
]
T
h
e
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ti
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n
a
l
P
o
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u
latio
n
a
n
d
F
a
m
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n
d
s,
“
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2
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9
.
[1
9
]
Hu
b
e
rt,
C
.
,
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t
a
l.
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terili
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1
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0
]
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in
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,
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“
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ry
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2
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1
1
.
[2
1
]
Ira
wa
t
y
,
D.
K.
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ra
to
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,
H.,
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S
p
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3
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p
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3
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.
[2
2
]
S
h
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tt
u
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k
,
D.,
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t
a
l.
,
“
W
h
o
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to
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in
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?
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p
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4
.
[2
3
]
A
d
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,
P
.
B.
,
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t
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l.
,
“
If
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,
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.
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Evaluation Warning : The document was created with Spire.PDF for Python.
I
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[2
4
]
Ha
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n
,
M
.
,
e
t
a
l.
,
“
Ch
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terv
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7
,
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p
.
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.
[2
5
]
O
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d
iran
,
K.
A
.
,
Isiu
g
o
-
A
b
a
n
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e
,
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C.
,
“
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Nig
e
ria,”
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ric
a
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Po
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tu
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,
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l.
1
7
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o
.
2
,
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p
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6
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-
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[2
6
]
M
u
sriz
a
l,
Y.
H.,
“
V
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to
m
y
In
ten
ti
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d
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sia
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3
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[2
7
]
Ha
rd
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e
,
K.,
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t
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l.
,
“
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4
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0
1
7
.
[2
8
]
Da
h
a
l,
G
.
P.
,
e
t
a
l.
,
“
F
e
rti
li
ty
-
L
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it
in
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e
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v
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ter
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p
p
.
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-
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4
,
2
0
0
8
.
[2
9
]
Na
ir,
G
.
R.
,
e
t
a
l.
,
“
Kn
o
w
led
g
e
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n
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tt
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n
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i,
”
In
ter
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l
Fa
mily P
la
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n
in
g
Per
sp
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c
ti
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e
s
,
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l.
4
,
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1
2
,
p
p
.
4
5
6
3
-
4
5
6
8
,
2
0
1
7
.
[3
0
]
P
iet
-
P
e
l
o
n
,
N.
J.,
Ro
b
,
U.,
“
M
a
le
In
v
o
lv
e
m
e
n
t
in
th
e
Ba
n
g
lad
e
sh
F
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y
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n
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lt
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ter
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rl
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mm
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l
th
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n
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l.
1
7
,
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o
.
2
,
p
p
.
1
9
5
-
2
0
6
,
1
9
9
7
.
[3
1
]
Bu
n
c
e
,
A
.
,
e
t
a
l.
,
“
F
a
c
to
rs
Affe
c
ti
n
g
V
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se
c
to
m
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c
c
e
p
tab
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in
T
a
n
z
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ter
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ti
o
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a
l
Fa
mily
Pl
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n
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ive
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0
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p
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1
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-
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1
,
2
0
0
7
.
[3
2
]
Nz
io
k
a
,
C.
,
“
F
ield
Ex
p
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rien
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e
s in
In
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in
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,
”
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wit
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d
,
2
0
0
2
.
[3
3
]
S
e
w
a
k
,
R.
,
e
t
a
l.
,
“
M
a
le
Co
n
trac
e
p
ti
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n
:
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so
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,
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e
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ica
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Hy
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o
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se
s
,
v
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l.
1
0
7
,
n
o
.
2
,
p
p
.
1
-
4
,
2
0
1
7
.
[3
4
]
S
h
o
n
g
w
e
,
P
.
,
e
t
a
l.
,
“
A
ss
e
ss
in
g
th
e
A
c
c
e
p
tab
il
it
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f
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se
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to
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s
a
F
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m
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P
lan
n
in
g
Op
ti
o
n
:
A
Qu
a
li
tativ
e
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tu
d
y
w
it
h
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e
n
in
t
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e
Kin
g
d
o
m
o
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Eswa
ti
n
i,
”
In
ter
n
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l
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o
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a
l
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n
v
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me
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l
Res
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n
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Pu
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lt
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,
v
o
l.
1
6
,
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o
.
5
1
5
8
,
p
p
.
1
-
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3
,
2
0
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9
.
[3
5
]
A
n
d
a
lee
b
,
S
.
S
.
“
F
a
m
il
y
P
lan
n
in
g
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ield
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o
rk
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in
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n
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lad
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s
In
f
lu
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n
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e
Ag
e
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ts:
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o
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c
y
I
m
p
li
c
a
ti
o
n
s
J
o
u
rn
a
l
o
f
He
a
lt
h
&
Po
p
u
la
t
i
o
n
i
n
De
v
e
lo
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i
n
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C
o
u
n
tries
,
v
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l.
2
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o
.
1
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p
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.
1
-
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1
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2
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0
4
.
[3
6
]
Ja
to
,
M
.
N.,
e
t
a
l.
,
“
T
h
e
I
m
p
a
c
t
o
f
M
u
lt
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e
d
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F
a
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lan
n
in
g
P
ro
m
o
ti
o
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o
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t
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e
Co
n
trac
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ti
v
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Be
h
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v
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f
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m
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T
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a
n
ia,”
In
ter
n
a
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a
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F
a
mily P
l
a
n
n
in
g
Per
sp
e
c
ti
v
e
s
,
v
o
l.
2
5
,
n
o
.
2
,
p
p
.
6
0
-
67,
1
9
9
9
.
[3
7
]
A
ja
e
ro
,
C.
K.,
e
t
a
l.
,
“
A
c
c
e
ss
t
o
M
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ss
M
e
d
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M
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a
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a
n
d
Us
e
o
f
F
a
m
il
y
P
lan
n
i
n
g
in
Nig
e
ria:
A
S
p
a
ti
o
-
De
m
o
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ic A
n
a
l
y
sis
f
ro
m
th
e
2
0
1
3
DH
S
,
”
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C
P
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l
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,
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l.
1
6
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o
.
4
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7
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p
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.
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.
[3
8
]
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