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[
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e
s
y
s
tem
em
p
lo
y
s
co
m
m
u
n
ity
r
esear
c
h
m
eth
o
d
s
,
s
u
ch
as
th
e
R
ap
id
E
th
n
o
g
r
ap
h
ic
C
o
m
m
u
n
ity
Ass
ess
m
en
t
Pro
ce
s
s
(
R
E
C
AP)
,
an
d
h
as
co
n
tin
u
e
d
to
e
v
o
lv
e
o
v
er
m
o
r
e
th
a
n
ten
y
ea
r
s
,
g
ath
e
r
in
g
v
alu
ab
le
less
o
n
s
.
T
h
e
n
ex
t
p
h
ase
alig
n
s
with
th
e
co
m
m
u
n
ity
h
ea
lth
p
lan
f
o
r
2
0
2
3
–
2
0
2
7
,
u
s
in
g
th
e
"Str
ateg
y
f
o
r
Stre
n
g
th
e
n
in
g
L
o
ca
l Co
m
m
u
n
ities
: S
-
2
I
(
S2
I
)
"
to
r
ein
f
o
r
ce
th
e
"Str
ateg
y
f
o
r
W
ea
v
in
g
T
h
r
ee
Po
wer
s
"
o
f
th
e
T
h
ai
Hea
lth
Pro
m
o
tio
n
Fo
u
n
d
atio
n
,
wh
ich
in
clu
d
es in
tellectu
al,
s
o
cial,
an
d
p
o
lic
y
p
o
we
r
[
1
6
]
.
T
h
e
d
ata
s
y
s
tem
d
ev
elo
p
m
e
n
t
p
r
o
ject
f
o
r
c
o
m
m
u
n
ity
h
ea
lth
p
r
o
m
o
tio
n
,
u
n
d
er
tak
en
f
r
o
m
2
0
2
0
to
2
0
2
2
b
y
th
e
C
en
ter
f
o
r
C
o
m
m
u
n
ity
Data
Ma
n
ag
em
en
t
(
C
C
DM
)
an
d
th
e
Aca
d
em
ic
Su
p
p
o
r
t
C
en
ter
f
o
r
R
eg
io
n
al
Netwo
r
k
Ma
n
ag
em
en
t,
aim
ed
to
en
h
an
ce
th
e
ca
p
ac
ity
o
f
in
f
o
r
m
atio
n
s
y
s
tem
s
to
s
u
p
p
o
r
t
th
e
n
etwo
r
k
'
s
ef
f
o
r
ts
in
cr
ea
tin
g
liv
ab
le
lo
ca
l
co
m
m
u
n
ities
[
1
7
]
.
T
h
e
p
r
o
ject
s
et
th
e
o
b
jectiv
e
to
in
cr
ea
s
e
th
e
ca
p
ac
ity
o
f
in
f
o
r
m
atio
n
s
y
s
tem
s
an
d
p
r
o
g
r
am
s
to
s
u
p
p
o
r
t
th
e
n
etwo
r
k
i
n
jo
in
tly
c
r
ea
tin
g
liv
ab
le
lo
ca
l
c
o
m
m
u
n
ities
t
o
th
eir
f
u
lles
t
p
o
ten
tial.
I
t
also
aim
ed
to
em
p
o
wer
in
d
iv
i
d
u
als
to
u
tili
ze
th
e
p
r
o
g
r
a
m
an
d
s
u
p
p
o
r
t
d
ata
u
s
e
in
th
e
co
m
m
u
n
ity
h
ea
lth
d
ev
elo
p
m
en
t
p
r
o
ce
s
s
th
r
o
u
g
h
p
u
b
lic
h
ea
lth
p
o
licy
cr
e
atio
n
an
d
is
s
u
e
-
s
p
ec
if
ic
ca
m
p
a
ig
n
s
[
1
8
]
-
[
2
1
]
.
T
h
er
ef
o
r
e,
a
d
v
an
cin
g
th
e
i
n
f
o
r
m
atio
n
s
y
s
tem
to
p
r
o
m
o
te
co
m
m
u
n
ity
h
ea
lth
is
ess
en
tial.
T
h
e
p
r
o
ject'
s
p
r
o
ce
s
s
es a
n
d
o
u
tco
m
es sh
o
u
l
d
b
e
s
y
s
tem
atica
lly
ev
alu
ate
d
t
o
d
e
v
elo
p
s
tr
ateg
ic
p
r
o
p
o
s
als f
o
r
e
n
h
an
cin
g
t
h
ese
in
f
o
r
m
atio
n
s
y
s
tem
s
[
2
2
]
-
[
2
5
]
.
T
h
e
ev
alu
atio
n
co
n
ce
p
t
is
illu
s
tr
ated
in
F
ig
u
r
e
1
.
T
h
e
co
n
ce
p
tu
al
f
r
am
ewo
r
k
u
s
ed
f
o
r
th
e
d
ev
elo
p
m
en
tal
ev
alu
atio
n
en
co
m
p
ass
es
th
e
p
lan
n
in
g
,
im
p
lem
en
tatio
n
,
an
d
p
a
r
ticip
ato
r
y
s
u
m
m
ar
y
p
h
ases
.
T
h
e
ass
es
s
m
en
t
f
r
am
ewo
r
k
em
p
lo
y
s
th
e
C
I
PP
m
o
d
el,
wh
ich
in
clu
d
es
co
n
tex
t
(
C
)
,
in
p
u
t
(
I
)
,
p
r
o
ce
s
s
(
P),
an
d
p
r
o
d
u
ct
(
P)
e
v
alu
atio
n
s
,
as sh
o
wn
in
Fig
u
r
e
2
.
Fig
u
r
e
1
.
E
v
alu
atio
n
c
o
n
ce
p
t
u
al
f
r
am
ewo
r
k
Fig
u
r
e
2
.
I
s
s
u
es
in
ev
al
u
atio
n
s
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 Pu
b
lic
Hea
lth
Sci
,
Vo
l.
14
,
No
.
3
,
Sep
tem
b
er
20
25
:
14
6
8
-
14
7
8
1470
2.
M
E
T
H
O
D
T
h
is
r
esear
ch
aim
s
to
an
aly
z
e
th
e
s
y
s
tem
atic
ch
an
g
es
r
esu
ltin
g
f
r
o
m
th
e
p
r
o
ject
im
p
le
m
en
tatio
n
ac
co
r
d
in
g
to
th
e
C
I
PP
m
o
d
el
co
n
ce
p
t
a
n
d
to
d
ev
el
o
p
s
tr
ateg
ic
m
an
ag
em
en
t
p
r
o
p
o
s
als
f
o
r
ad
v
an
ci
n
g
in
f
o
r
m
atio
n
s
y
s
tem
s
f
o
r
p
r
o
m
o
tin
g
co
m
m
u
n
ity
h
ea
lth
.
2
.
1
.
R
esea
rc
h m
e
t
ho
do
lo
g
y
T
h
e
r
esear
ch
m
eth
o
d
o
lo
g
y
em
p
lo
y
ed
ev
alu
atio
n
r
esear
ch
m
eth
o
d
s
[
2
6
]
b
ased
o
n
th
e
co
n
ce
p
t
o
f
d
ev
elo
p
m
en
tal
ev
alu
atio
n
u
s
in
g
th
e
C
I
PP
m
o
d
el
[
2
7
]
,
[
2
8
]
.
Data
wer
e
co
llected
u
s
in
g
a
cr
o
s
s
-
s
ec
tio
n
al
m
ix
ed
-
m
eth
o
d
s
ap
p
r
o
ac
h
,
in
co
r
p
o
r
atin
g
q
u
an
titativ
e
an
d
q
u
alitativ
e
d
ata.
T
h
is
in
clu
d
ed
in
-
d
ep
th
in
ter
v
iews
an
d
g
r
o
u
p
d
is
cu
s
s
io
n
s
with
ce
n
tr
al,
r
eg
io
n
al,
an
d
lo
c
al
p
r
o
ject
o
r
g
an
izer
s
to
g
ath
er
q
u
alitativ
e
in
f
o
r
m
atio
n
.
Qu
an
titativ
e
d
ata
wer
e
co
llected
u
s
in
g
an
o
n
lin
e
q
u
esti
o
n
n
air
e
to
ev
alu
ate
th
e
ef
f
ec
tiv
en
ess
o
f
th
e
in
f
o
r
m
atio
n
s
y
s
tem
f
o
r
co
m
m
u
n
ity
h
ea
lth
p
r
o
m
o
tio
n
.
2.
1
.
1
.
P
o
pu
la
t
io
n a
nd
s
a
m
ple
T
h
e
p
o
p
u
latio
n
an
d
s
am
p
le
in
th
is
s
tu
d
y
wer
e
d
iv
id
ed
in
to
th
r
ee
g
r
o
u
p
s
[
2
9
]
:
-
Gr
o
u
p
1
:
C
en
tr
al
an
d
r
eg
io
n
al
p
r
o
ject
o
r
g
an
izin
g
team
s
,
co
n
s
is
tin
g
o
f
th
e
C
o
m
m
u
n
ity
Hea
lth
Sy
s
tem
R
esear
ch
an
d
Dev
elo
p
m
en
t
C
en
ter
,
th
e
Su
b
d
is
tr
ict
Hea
lth
Data
Ma
n
ag
em
en
t
C
en
ter
,
an
d
th
e
Aca
d
em
ic
Su
p
p
o
r
t Cen
ter
f
o
r
Netwo
r
k
Ma
n
ag
em
en
t,
to
talin
g
1
5
p
eo
p
le.
-
Gr
o
u
p
2
:
T
h
e
p
r
o
ject
o
r
g
an
izin
g
team
at
th
e
lo
ca
l
lev
el,
co
n
s
is
tin
g
o
f
th
e
co
m
m
u
n
ity
h
ea
lth
in
f
o
r
m
atio
n
s
y
s
tem
d
ev
elo
p
m
en
t
co
m
m
ittee
in
th
e
s
u
b
-
d
is
tr
ict
ar
ea
,
r
ep
r
esen
tativ
es
f
r
o
m
lo
ca
l
g
o
v
er
n
m
en
t
ag
en
cies,
an
d
civ
il
s
o
ciety
lead
er
s
co
v
er
in
g
eig
h
t
ar
ea
s
:
C
h
ian
g
Ma
i
an
d
Uttar
ad
it
(
No
r
th
er
n
R
eg
io
n
)
,
Ma
h
a
Sar
ak
h
am
an
d
Ub
o
n
R
atch
ath
an
i
(
No
r
th
ea
s
t
R
eg
io
n
)
,
Kan
ch
an
ab
u
r
i a
n
d
C
h
ac
h
o
en
g
s
ao
(
C
en
tr
al
R
eg
io
n
)
,
an
d
Ph
atth
alu
n
g
an
d
So
n
g
k
h
la
(
So
u
th
er
n
R
eg
io
n
)
,
to
talin
g
2
0
4
p
eo
p
le.
Pu
r
p
o
s
ef
u
l
s
am
p
lin
g
was
u
s
ed
to
s
elec
t
in
d
iv
id
u
als
wh
o
co
u
ld
co
m
m
u
n
icate
an
d
s
h
ar
e
th
eir
o
p
in
io
n
s
an
d
ex
p
er
ien
ce
s
an
d
wer
e
willin
g
to
p
ar
ticip
ate
in
in
-
d
ep
th
in
ter
v
iews o
r
f
o
cu
s
g
r
o
u
p
d
is
cu
s
s
io
n
s
.
-
Gr
o
u
p
3
:
T
h
e
n
etwo
r
k
to
cr
ea
te
liv
ab
le
lo
ca
l
co
m
m
u
n
ities
th
at
h
av
e
o
p
er
ated
o
r
ar
e
o
p
er
atin
g
in
d
ev
e
lo
p
in
g
in
f
o
r
m
atio
n
s
y
s
tem
s
f
o
r
p
r
o
m
o
tin
g
co
m
m
u
n
ity
h
ea
lth
f
r
o
m
2
0
2
0
to
2
0
2
2
,
to
talin
g
3
,
9
1
4
p
lace
s
.
T
h
is
in
clu
d
es
3
7
8
lear
n
in
g
ce
n
ter
s
an
d
3
,
5
3
6
lo
ca
tio
n
s
ac
r
o
s
s
th
e
n
o
r
th
er
n
(
1
7
p
r
o
v
in
ce
s
)
,
n
o
r
th
ea
s
ter
n
(
2
0
p
r
o
v
in
ce
s
)
,
ce
n
tr
al
(
2
5
p
r
o
v
in
ce
s
)
,
an
d
s
o
u
th
er
n
(
1
4
p
r
o
v
in
ce
s
)
r
eg
io
n
s
o
f
T
h
ailan
d
.
Sam
p
le
s
ize
ca
lcu
latio
n
u
s
in
g
Dan
iel
an
d
C
r
o
s
s
f
o
r
m
u
la
[
2
9
]
with
a
9
5
%
co
n
f
id
en
ce
lev
el
r
esu
lted
in
a
m
in
im
u
m
s
am
p
le
s
ize
o
f
3
5
0
p
lace
s
.
An
ad
d
itio
n
al
1
0
%
was
co
llected
to
p
r
ev
en
t
d
ata
lo
s
s
,
to
talin
g
3
8
3
p
lace
s
.
T
h
e
s
am
p
le
was
s
elec
ted
u
s
in
g
a
s
y
s
tem
atic
r
an
d
o
m
s
am
p
lin
g
m
eth
o
d
,
en
s
u
r
in
g
r
ep
r
esen
tativ
es
co
u
l
d
leg
ally
co
n
s
en
t a
n
d
wer
e
willin
g
to
p
ar
ticip
ate
in
th
e
r
esear
ch
[
2
9
]
.
Sam
p
le
a
cc
ess
:
Pu
b
lic
r
elatio
n
s
m
eth
o
d
s
wer
e
u
s
ed
to
en
g
ag
e
lear
n
in
g
ce
n
ter
r
ep
r
esen
tativ
es
an
d
n
etwo
r
k
s
to
cr
ea
te
liv
ab
le
lo
ca
l
co
m
m
u
n
ities
.
E
lectr
o
n
ic
letter
s
an
d
em
ails
f
r
o
m
th
e
Facu
lty
o
f
Pu
b
lic
Hea
lth
wer
e
u
s
ed
to
p
u
b
licize
th
e
p
r
o
ject,
clar
if
y
o
b
jectiv
es,
an
d
ex
p
lain
th
e
r
esear
ch
p
r
o
ce
s
s
v
ia
QR
co
d
es.
Par
ticip
an
ts
p
r
o
v
id
ed
th
eir
willin
g
n
ess
to
p
ar
ticip
ate
b
ef
o
r
e
an
s
wer
in
g
th
e
q
u
esti
o
n
n
air
e.
T
h
e
s
am
p
le
g
r
o
u
p
,
co
v
er
in
g
all
r
eg
io
n
s
o
f
T
h
ailan
d
,
p
ar
ticip
ated
in
an
s
wer
in
g
th
e
o
n
lin
e
q
u
esti
o
n
n
air
e,
with
3
7
6
lo
ca
tio
n
s
ag
r
ee
in
g
to
p
r
o
v
id
e
in
f
o
r
m
atio
n
.
2
.
2
.
M
ea
s
urem
ent
t
o
o
ls
Acc
o
r
d
in
g
to
d
ev
elo
p
m
en
tal
ass
ess
m
en
t
g
u
id
elin
es,
th
e
to
o
ls
u
s
ed
in
th
is
ass
ess
m
en
t
wer
e
d
ev
elo
p
e
d
b
ased
o
n
s
tu
d
y
in
g
d
o
cu
m
en
t
in
f
o
r
m
atio
n
an
d
d
esig
n
in
g
th
e
ev
alu
atio
n
s
co
p
e
in
co
llab
o
r
atio
n
with
th
e
ev
alu
atio
n
team
an
d
p
r
o
ject
o
r
g
an
izer
s
[
2
8
]
.
T
h
e
to
o
ls
ar
e
d
iv
id
ed
in
to
th
r
ee
s
ets:
-
In
-
d
ep
th
in
ter
v
iew
q
u
esti
o
n
s
:
Fo
r
ce
n
tr
al
an
d
r
eg
io
n
al
p
r
o
ject
o
r
g
an
izer
s
(
Gr
o
u
p
1
)
,
f
o
cu
s
in
g
o
n
p
r
o
ce
s
s
is
s
u
es,
p
er
f
o
r
m
an
ce
,
an
d
f
u
tu
r
e
ch
allen
g
es,
to
talin
g
1
0
q
u
esti
o
n
s
.
-
Gr
o
u
p
d
is
cu
s
s
io
n
que
s
tio
n
s
:
Fo
r
p
r
o
ject
o
r
g
an
izer
s
at
th
e
lo
ca
l
lev
el
(
Gr
o
u
p
2
)
,
co
v
er
in
g
p
r
o
ject
in
itiatio
n
is
s
u
es,
p
r
o
ce
s
s
es,
p
er
f
o
r
m
an
ce
r
esu
lts
,
an
d
f
u
tu
r
e
ch
allen
g
es,
to
talin
g
1
1
q
u
esti
o
n
s
.
-
On
lin
e
q
u
est
io
n
n
air
e:
Fo
r
th
e
n
etwo
r
k
g
r
o
u
p
cr
ea
tin
g
liv
ab
le
lo
ca
l
co
m
m
u
n
ities
(
Gr
o
u
p
3
)
,
ass
ess
in
g
th
e
ef
f
ec
tiv
en
ess
o
f
th
e
T
C
NAP
in
f
o
r
m
atio
n
s
y
s
tem
.
T
h
is
q
u
esti
o
n
n
air
e
co
n
s
is
ts
o
f
th
r
ee
p
ar
ts
:
p
er
s
o
n
al
in
f
o
r
m
atio
n
an
d
ag
en
cy
d
etails
(
8
q
u
esti
o
n
s
)
,
in
f
o
r
m
atio
n
o
n
th
e
ef
f
ec
tiv
en
ess
o
f
th
e
T
C
NAP
p
r
o
g
r
a
m
r
eg
ar
d
in
g
o
p
er
atio
n
al
r
esu
lts
,
u
tili
za
tio
n
,
an
d
s
atis
f
ac
tio
n
(
2
2
item
s
)
,
an
d
in
f
o
r
m
atio
n
o
n
p
er
c
ep
tio
n
s
o
f
o
p
er
atio
n
s
,
p
r
o
b
lem
s
,
o
b
s
tacle
s
,
an
d
s
u
g
g
esti
o
n
s
(
1
0
item
s
)
.
T
h
e
to
o
ls
wer
e
ass
ess
ed
f
o
r
co
n
ten
t v
alid
ity
b
y
th
r
ee
ex
p
er
ts
s
p
ec
ializin
g
in
d
atab
ases
,
p
u
b
lic
h
ea
lth
,
an
d
in
f
o
r
m
atio
n
s
y
s
tem
o
p
er
atio
n
s
in
th
e
ar
ea
.
T
h
e
in
d
ex
o
f
item
o
b
jectiv
e
co
n
g
r
u
en
ce
(
I
OC
)
f
o
r
th
e
q
u
alitativ
e
d
ata
co
llectio
n
q
u
esti
o
n
s
was
1
.
0
0
,
wh
ile
two
item
s
in
th
e
o
n
lin
e
q
u
esti
o
n
n
air
e
ac
h
iev
ed
an
I
OC
o
f
0
.
6
7
.
All
o
th
er
q
u
esti
o
n
s
r
ec
eiv
ed
an
I
OC
o
f
1
.
0
0
.
T
o
ev
alu
ate
th
e
r
eliab
ilit
y
o
f
th
e
s
atis
f
ac
tio
n
q
u
esti
o
n
s
,
th
e
o
n
lin
e
q
u
es
tio
n
n
air
e
was
test
ed
with
a
s
am
p
le
o
f
3
0
in
d
iv
id
u
als
f
r
o
m
lo
ca
l
g
o
v
er
n
m
en
t
o
r
g
an
izatio
n
s
in
C
h
o
n
b
u
r
i
Pro
v
in
ce
wh
o
wer
e
n
o
t p
ar
t o
f
th
e
n
etwo
r
k
.
T
h
e
C
r
o
n
b
ac
h
'
s
alp
h
a
co
ef
f
icien
t w
as 0
.
8
2
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
n
t J Pu
b
lic
Hea
lth
Sci
I
SS
N:
2252
-
8
8
0
6
E
va
lu
a
tio
n
o
f th
e
p
r
o
ject
to
d
e
ve
lo
p
a
n
in
fo
r
ma
tio
n
s
ystem
fo
r
…
(
P
a
tch
a
n
a
Hen
g
b
o
r
ib
o
o
n
p
o
n
g
Ja
id
ee
)
1471
2
.
3
.
D
a
t
a
c
o
llect
io
n
T
h
e
q
u
alitativ
e
d
ata
was
co
llected
th
r
o
u
g
h
in
-
d
ep
th
in
ter
v
iews
an
d
g
r
o
u
p
d
is
cu
s
s
io
n
s
with
ce
n
tr
al,
r
eg
io
n
al,
an
d
lo
ca
l
p
r
o
ject
o
r
g
an
izin
g
team
s
.
Qu
an
titativ
e
d
ata
was
co
llected
u
s
in
g
o
n
lin
e
q
u
esti
o
n
n
air
es
d
is
tr
ib
u
ted
to
n
etwo
r
k
g
r
o
u
p
s
,
cr
ea
tin
g
liv
ab
le
lo
ca
l
co
m
m
u
n
ities
.
A
s
y
s
tem
atic
r
an
d
o
m
s
am
p
lin
g
m
e
th
o
d
was
u
s
ed
,
p
u
b
licizin
g
v
ia
QR
co
d
es
an
d
letter
s
r
eq
u
esti
n
g
co
o
p
er
atio
n
.
T
h
e
s
am
p
le
in
clu
d
ed
3
8
3
lo
ca
tio
n
s
,
with
3
7
6
lo
ca
tio
n
s
ag
r
ee
in
g
to
p
ar
ticip
ate,
co
v
er
in
g
all
r
eg
io
n
s
o
f
T
h
ailan
d
.
2
.
4
.
D
a
t
a
a
na
ly
s
is
T
h
e
co
llected
d
ata
wer
e
ch
ec
k
ed
f
o
r
co
m
p
leten
e
s
s
an
d
ac
cu
r
ac
y
b
ef
o
r
e
b
ein
g
an
aly
ze
d
as f
o
llo
ws:
-
Qu
an
titativ
e
d
ata
an
aly
s
is
Descr
ip
tiv
e
s
tatis
tics
,
in
clu
d
in
g
f
r
eq
u
en
cy
,
p
er
ce
n
tag
e,
m
ea
n
,
an
d
s
tan
d
ar
d
d
ev
iatio
n
,
wer
e
u
s
ed
to
d
escr
ib
e
th
e
g
en
er
al
ch
ar
ac
ter
is
tics
o
f
th
e
s
am
p
le
an
d
th
e
lev
el
o
f
s
atis
f
ac
tio
n
with
th
e
ef
f
ec
tiv
en
ess
o
f
th
e
T
C
NAP
in
f
o
r
m
atio
n
s
y
s
tem
.
T
h
is
an
aly
s
is
was p
er
f
o
r
m
ed
u
s
in
g
r
ea
d
y
-
m
ad
e
co
m
p
u
ter
p
r
o
g
r
am
s
.
-
Qu
alitativ
e
d
ata
an
al
y
s
is
T
h
e
p
r
o
ject'
s
r
esu
lts
wer
e
ex
p
lain
ed
ac
co
r
d
in
g
to
th
e
C
I
PP
m
o
d
el
ev
alu
atio
n
f
r
am
ewo
r
k
.
T
h
is
in
v
o
l
v
ed
an
aly
zin
g
th
e
ess
en
ce
o
f
th
e
d
ata
th
r
o
u
g
h
co
n
ten
t
an
aly
s
is
to
ca
teg
o
r
ize
it a
n
d
s
u
m
m
ar
ize
th
e
p
r
o
ject
ev
alu
atio
n
r
esu
lts
.
3.
RE
SU
L
T
S AN
D
D
I
SCU
SS
I
O
N
3
.
1
.
Resul
t
s
3
.
1
.
1.
Cha
r
a
ct
er
is
t
ics
o
f
inte
rv
iew
a
nd
f
o
cus
g
ro
up
info
rm
a
nts
in
t
he
o
pera
t
ing
a
re
a
s
o
f
t
he
net
wo
rk
t
o
cr
ea
t
e
liv
a
ble lo
ca
l c
o
mm
un
it
ies
T
h
e
s
am
p
le
g
r
o
u
p
f
o
r
g
r
o
u
p
d
is
cu
s
s
io
n
s
in
th
e
eig
h
t
tar
g
et
ar
ea
s
co
n
s
is
ted
o
f
2
0
4
p
ar
ticip
an
ts
,
with
1
6
5
r
esp
o
n
d
in
g
to
th
e
p
er
s
o
n
al
in
f
o
r
m
atio
n
s
u
r
v
ey
(
8
0
.
8
8
%).
Mo
s
t
o
f
th
e
s
am
p
le
wer
e
wo
m
en
(n
=
1
0
8
,
6
5
.
4
5
%)
,
with
an
av
er
ag
e
ag
e
o
f
4
8
.
4
5
±
1
2
.
3
4
y
ea
r
s
.
Am
o
n
g
th
em
,
3
7
.
5
8
%
wer
e
civ
il
s
er
v
an
ts
o
r
g
o
v
er
n
m
en
t
em
p
lo
y
ee
s
,
with
an
av
er
ag
e
o
f
4
.
7
3
±
3
.
3
3
y
ea
r
s
o
f
ex
p
er
ien
ce
p
ar
ticip
atin
g
in
in
f
o
r
m
atio
n
s
y
s
tem
s
f
o
r
co
m
m
u
n
ity
h
ea
lth
p
r
o
m
o
tio
n
.
Ad
d
itio
n
ally
,
6
7
.
8
8
%
h
ad
1
–
5
y
ea
r
s
o
f
ex
p
er
ien
ce
,
an
d
4
0
.
6
1
%
s
er
v
ed
as
p
ar
t o
f
th
e
d
ata
co
llectio
n
team
.
3.
1
.
2.
Cha
r
a
ct
er
is
t
ics o
f
info
rm
a
nts f
ro
m
a
s
urv
ey
o
f
re
p
re
s
ent
a
t
iv
es o
f
t
he
net
wo
rk
f
o
r
cr
ea
t
ing
liv
a
ble
lo
ca
l c
o
mm
un
it
ies
T
h
e
d
ata
s
u
r
v
ey
r
esu
lts
f
r
o
m
a
s
am
p
le
g
r
o
u
p
o
f
3
7
6
lo
ca
tio
n
s
u
s
in
g
th
e
T
C
NAP
p
r
o
g
r
am
r
ev
ea
l
e
d
th
at
6
8
.
6
2
% o
f
th
e
p
ar
ticip
an
ts
wer
e
wo
m
en
.
T
h
e
m
ajo
r
ity
wer
e
ag
ed
4
0
–
4
9
y
ea
r
s
(
4
1
.
2
2
%),
with
an
av
er
ag
e
ag
e
o
f
3
9
.
8
7
±
8
.
8
5
y
ea
r
s
.
T
h
ey
wer
e
p
r
im
ar
ily
d
ata
cu
s
to
d
ian
s
at
th
e
s
u
b
-
d
is
tr
ict
lev
el,
with
6
7
.
8
2
%
h
av
in
g
s
tar
ted
u
s
in
g
th
e
T
C
NAP
p
r
o
g
r
am
in
2
0
2
3
.
Of
th
ese,
4
4
.
4
1
%
u
s
ed
th
e
p
r
o
g
r
am
co
n
tin
u
o
u
s
ly
,
an
d
th
e
d
atab
a
s
e
was
last
u
p
d
ated
in
2
0
2
3
f
o
r
5
0
.
8
0
%
o
f
th
e
r
esp
o
n
d
en
ts
,
with
3
2
.
1
8
%
u
p
d
atin
g
in
2
0
2
4
.
T
h
e
T
C
NAP
p
r
o
g
r
a
m
was
u
s
ed
m
o
n
th
ly
b
y
2
8
.
9
9
%
o
f
th
e
p
ar
ticip
an
ts
.
R
eg
ar
d
in
g
th
e
r
o
le
o
f
th
e
ag
en
cies,
6
8
.
8
8
%
wer
e
p
ar
t
o
f
th
e
co
m
m
u
n
ity
h
ea
lth
s
u
b
d
is
tr
ict
n
etwo
r
k
,
f
o
llo
wed
b
y
th
e
C
o
m
m
u
n
ity
Hea
lth
Su
b
d
is
tr
ict
Netwo
r
k
Ma
n
ag
em
en
t
C
en
ter
(
C
C
SA)
at
1
8
.
3
5
%,
th
e
Sp
ec
i
a
l
I
s
s
u
e
Netwo
r
k
C
o
o
r
d
in
atio
n
C
en
ter
/OC
L
O
at
1
0
.
1
1
%,
lear
n
i
n
g
ce
n
ter
s
/s
ch
o
o
l
s
at
1
.
6
0
%,
an
d
th
e
Sp
ec
ial
i
z
e
d
C
o
m
m
u
n
ity
Hea
lth
Netwo
r
k
Ma
n
ag
em
en
t Cen
ter
/NC
C
C
at
1
.
0
6
%.
T
h
e
L
I
NE
ch
an
n
el
was
th
e
p
r
im
ar
y
m
ea
n
s
o
f
co
o
r
d
in
atio
n
with
T
C
NAP
p
r
o
g
r
am
ad
m
in
is
tr
ato
r
s
(
6
9
.
4
1
%)
an
d
th
e
Aca
d
em
ic
Su
p
p
o
r
t
C
en
ter
f
o
r
R
eg
io
n
al
Netwo
r
k
Ma
n
ag
em
en
t
(
6
9
.
1
5
%).
C
h
allen
g
es
an
d
s
atis
f
ac
tio
n
with
th
e
T
C
NAP
p
r
o
g
r
am
.
W
h
en
co
n
s
id
er
in
g
th
e
p
r
o
b
lem
s
en
co
u
n
ter
e
d
with
th
e
T
C
NAP
p
r
o
g
r
am
,
7
8
.
1
9
%
r
ep
o
r
ted
is
s
u
es
with
p
r
o
g
r
am
in
s
tab
ilit
y
,
1
3
.
5
6
%
f
ac
ed
in
co
n
v
en
ien
ce
in
u
s
e,
an
d
8
.
2
4
% h
ad
p
r
o
b
lem
s
ac
ce
s
s
in
g
th
e
p
r
o
g
r
am
.
T
h
e
s
am
p
le
g
r
o
u
p
'
s
o
p
in
io
n
s
o
n
th
e
ef
f
ec
tiv
en
es
s
o
f
th
e
T
C
NAP
p
r
o
g
r
am
h
ig
h
lig
h
ted
h
ig
h
s
atis
f
ac
tio
n
lev
els
ac
r
o
s
s
v
ar
io
u
s
asp
ec
ts
(
x
̅
=>
3
.
5
1
)
.
Ov
er
all
s
atis
f
ac
t
i
o
n
with
th
e
T
C
NAP
p
r
o
g
r
am
s
er
v
ices
was
r
ated
h
ig
h
ly
(
m
ea
n
s
co
r
e
o
f
3
.
9
9
±
0
.
7
6
)
.
S
p
ec
if
ic
asp
ec
ts
s
u
ch
as
th
e
clar
ity
o
f
m
ess
ag
es
in
th
e
p
r
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g
r
am
(
m
ea
n
s
co
r
e
o
f
4
.
0
4
±
0
.
7
1
)
,
ap
p
r
o
p
r
iaten
ess
o
f
th
e
p
r
o
g
r
am
(
m
ea
n
s
co
r
e
o
f
4
.
0
1
±
0
.
7
2
)
,
s
atis
f
ac
tio
n
with
lear
n
in
g
ex
ch
an
g
e
ac
tiv
ities
(
m
ea
n
s
co
r
e
o
f
4
.
0
5
±
0
.
7
3
)
,
an
d
cu
r
r
icu
lu
m
an
d
tr
ain
in
g
m
an
u
al
f
o
r
u
s
in
g
th
e
p
r
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g
r
am
(
m
ea
n
s
co
r
e
o
f
4
.
0
1
±
0
.
7
3
)
wer
e
also
r
ated
h
ig
h
ly
,
as
s
h
o
wn
in
T
ab
l
e
1.
W
h
en
co
n
s
id
er
in
g
th
e
o
v
er
all
s
atis
f
ac
t
io
n
with
th
e
p
r
o
g
r
am
s
er
v
ices
in
co
n
ju
n
ctio
n
with
th
e
co
n
tin
u
ed
u
s
e
o
f
T
C
NAP
d
ata,
it
was
f
o
u
n
d
th
at
8
0
.
3
5
%
o
f
u
s
er
s
co
n
tin
u
ed
to
u
s
e
T
C
NAP
d
ata
at
h
ig
h
to
v
er
y
h
ig
h
lev
el
s
,
as
s
h
o
wn
in
T
ab
le
2
.
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 Pu
b
lic
Hea
lth
Sci
,
Vo
l.
14
,
No
.
3
,
Sep
tem
b
er
20
25
:
14
6
8
-
14
7
8
1472
T
ab
le
1
.
Op
in
i
o
n
s
ab
o
u
t
th
e
ef
f
ec
tiv
en
ess
o
f
th
e
T
C
NAP
pr
o
g
r
am
(
n
=
3
7
6
)
T
ab
le
2
.
Ov
e
r
all
s
atis
f
ac
tio
n
with
u
s
in
g
th
e
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C
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m
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d
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ity
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ata
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e
(
n
=
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o
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t
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sf
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t
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p
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sco
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n
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o
u
s (
n
=
9
1
)
To
t
a
l
(
a
r
e
a
s)
p
e
r
c
e
n
t
a
g
e
(
%)
To
t
a
l
(
a
r
e
a
s)
p
e
r
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n
t
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g
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(
%)
H
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g
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e
s
t
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3
4
M
i
d
d
le
48
1
6
.
8
4
25
2
7
.
4
7
Lo
w
7
2
.
4
6
3
3
.
3
0
Lo
w
e
s
t
1
0
.
3
5
0
0
.
0
0
3.
1.
4
.
Resul
t
s
o
f
t
he
ev
a
lua
t
i
o
n o
f
inp
ut
f
a
ct
o
rs
(
I
np
ut:
I
)
I
n
p
u
t
f
ac
to
r
s
ca
n
b
e
class
if
ied
in
to
two
ca
teg
o
r
ies:
in
ter
n
al
an
d
ex
ter
n
al.
I
n
ter
n
al
in
p
u
t
f
ac
to
r
s
in
clu
d
e
"p
eo
p
le"
o
r
o
p
er
atio
n
al
p
er
s
o
n
n
el
f
r
o
m
f
o
u
r
lead
in
g
o
r
g
an
izatio
n
s
:
lo
ca
l
g
o
v
er
n
m
en
t
o
r
g
an
izatio
n
n
etwo
r
k
p
ar
tn
er
s
,
lo
ca
l
g
o
v
er
n
m
en
t d
ep
ar
tm
en
ts
,
g
o
v
er
n
m
en
t a
g
en
cies,
an
d
civ
il
s
o
ciety
o
r
g
an
izatio
n
s
.
W
o
r
k
er
s
m
u
s
t
b
e
in
s
p
ir
ed
,
d
eter
m
in
ed
,
an
d
co
m
m
itted
to
th
e
co
m
m
o
n
g
o
o
d
.
As
th
e
T
h
ai
Hea
lth
Pro
m
o
tio
n
Fo
u
n
d
atio
n
s
p
ec
if
ies,
team
m
an
ag
em
en
t
an
d
clea
r
ly
d
ef
in
ed
r
o
le
s
ar
e
ess
en
tial.
Per
s
o
n
n
el
n
ee
d
k
n
o
wled
g
e,
s
k
ills
,
an
d
ex
p
er
ien
ce
,
with
r
eg
u
lar
team
m
ee
tin
g
s
to
p
lan
,
f
o
llo
w
u
p
,
ev
alu
ate,
an
d
in
ter
ac
t.
“On
ce
th
e
w
o
r
kin
g
g
r
o
u
p
w
a
s
a
p
p
o
in
ted
,
th
e
o
r
d
ers
w
ere
a
lr
ea
d
y
in
p
la
ce
.
E
a
ch
tea
m
h
a
s
d
iffer
en
t
w
o
r
k
r
o
les.
Wh
en
I
co
me
to
w
o
r
k,
it w
o
r
ks.
I
ca
n
d
o
it.”
(
C
o
d
e
F0
0
1
)
“
Th
ere
is
n
o
t
mu
ch
s
p
a
ce
to
s
to
r
e
d
a
ta
in
o
u
r
mu
n
icip
a
lity.
We
a
lr
ea
d
y
h
a
ve
a
co
mmu
n
ity
c
o
mmittee
th
a
t
w
o
r
ks
w
ith
u
s
.
We
ca
n
d
ivid
e
tea
ms
to
w
o
r
k
a
cc
o
r
d
in
g
to
th
eir
r
o
les
a
n
d
r
esp
o
n
s
ib
ilit
ies.
We
h
a
ve
villa
g
e
h
ea
lth
vo
lu
n
teers
w
h
o
h
elp
u
s
,
w
h
ich
s
a
ve
s
u
s
mu
ch
en
erg
y
b
ec
a
u
s
e
villa
g
e
h
ea
lth
vo
lu
n
teers
I
t
e
m
O
p
i
n
i
o
n
l
e
v
e
l
M
e
a
n
(
x
̅
)
S
.
D
.
H
i
g
h
e
s
t
n
(
%)
H
i
g
h
n
(
%)
M
i
d
d
le
n
(
%)
Lo
w
n
(
%)
Lo
w
e
s
t
n
(
%)
P
r
o
c
e
ss
a
s
p
e
c
t
s
o
f
u
si
n
g
t
h
e
T
C
N
A
P
p
r
o
g
r
a
m
1
Ea
sy
-
to
-
u
se
f
o
r
ma
t
t
i
n
g
7
8
(
2
0
.
7
4
)
1
7
2
(
4
5
.
7
4
)
1
0
8
(
2
8
.
7
2
)
1
4
(
3
.
7
2
)
4
(
1
.
0
6
)
3
.
8
1
0
.
8
4
2
A
c
c
e
ss
t
o
t
h
e
p
r
o
g
r
a
m
i
s
e
a
s
y
a
n
d
f
a
s
t
6
5
(
1
7
.
2
9
)
1
8
3
(
4
8
.
6
7
)
1
0
1
(
2
6
.
8
6
)
1
6
(
4
.
2
6
)
1
1
(
2
.
9
3
)
3
.
7
3
0
.
9
0
3
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p
e
e
d
o
f
d
i
s
p
l
a
y
5
4
(
1
4
.
3
6
)
1
7
4
(
4
6
.
2
8
)
1
0
6
(
2
8
.
1
9
)
2
9
(
7
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7
1
)
1
3
(
3
.
4
6
)
3
.
6
0
0
.
9
4
4
C
o
n
v
e
n
i
e
n
t
t
o
v
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e
w
a
n
d
s
e
a
r
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h
i
n
f
o
r
m
a
t
i
o
n
7
3
(
1
9
.
4
1
)
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8
4
(
4
8
.
9
4
)
9
8
(
2
6
.
0
6
)
1
6
(
4
.
2
6
)
5
(
1
.
3
3
)
3
.
8
1
0
.
8
4
5
D
a
t
a
i
n
t
h
e
p
r
o
g
r
a
m
i
s s
a
f
e
9
9
(
2
6
.
3
3
)
1
8
8
(
5
0
.
0
0
)
8
2
(
2
1
.
8
1
)
7
(
1
.
8
6
)
0
(
0
.
0
0
)
4
.
0
1
0
.
7
5
C
o
n
t
e
n
t
o
f
i
n
f
o
r
mat
i
o
n
f
r
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m
t
h
e
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N
A
P
p
r
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g
r
a
m
6
I
n
f
o
r
mat
i
o
n
me
e
t
s
n
e
e
d
s.
1
0
1
(
2
6
.
8
6
)
2
0
7
(
5
5
.
0
5
)
6
3
(
1
6
.
7
6
)
5
(
1
.
3
3
)
0
(
0
.
0
0
)
4
.
0
7
0
.
7
0
7
I
n
f
o
r
mat
i
o
n
i
s
u
s
e
f
u
l
f
o
r
ma
k
i
n
g
d
e
c
i
si
o
n
s.
1
1
4
(
3
0
.
3
2
)
2
1
1
(
5
6
.
1
2
)
4
7
(
1
2
.
5
0
)
4
(
1
.
0
6
)
0
(
0
.
0
0
)
4
.
1
6
0
.
6
7
8
Th
e
i
n
f
o
r
m
a
t
i
o
n
i
s
a
c
c
u
r
a
t
e
,
c
l
e
a
r
,
a
n
d
r
e
l
i
a
b
l
e
.
1
0
0
(
2
6
.
6
0
)
2
0
3
(
5
3
.
9
9
)
6
7
(
1
7
.
8
2
)
4
(
1
.
0
6
)
2
(
0
.
5
3
)
4
.
0
5
0
.
7
3
9
P
a
r
t
i
c
i
p
a
t
e
i
n
a
c
t
i
v
i
t
i
e
s
i
n
t
h
e
p
r
o
g
r
a
m
.
1
0
8
(
2
8
.
7
2
)
2
1
6
(
5
7
.
4
5
)
4
8
(
1
2
.
7
7
)
4
(
1
.
0
6
)
0
(
0
.
0
0
)
4
.
1
4
0
.
6
6
I
n
t
e
r
ms
o
f
u
si
n
g
d
a
t
a
f
r
o
m
t
h
e
TC
N
A
P
p
r
o
g
r
a
m
10
Q
u
i
c
k
l
y
i
n
t
e
r
a
c
t
w
i
t
h
t
h
e
d
a
t
a
b
a
se.
7
9
(
2
1
.
0
1
)
1
8
5
(
4
9
.
2
0
)
8
5
(
2
2
.
6
1
)
1
9
(
5
.
0
5
)
8
(
2
.
1
3
)
3
.
8
2
0
.
8
9
11
Th
e
i
n
f
o
r
m
a
t
i
o
n
i
s
u
sef
u
l
a
n
d
c
a
n
b
e
f
u
r
t
h
e
r
d
e
v
e
l
o
p
e
d
.
1
2
7
(
3
3
.
7
8
)
2
0
1
(
5
3
.
4
6
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Evaluation Warning : The document was created with Spire.PDF for Python.
I
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t J Pu
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lic
Hea
lth
Sci
I
SS
N:
2252
-
8
8
0
6
E
va
lu
a
tio
n
o
f th
e
p
r
o
ject
to
d
e
ve
lo
p
a
n
in
fo
r
ma
tio
n
s
ystem
fo
r
…
(
P
a
tch
a
n
a
Hen
g
b
o
r
ib
o
o
n
p
o
n
g
Ja
id
ee
)
1473
a
lr
ea
d
y
kn
o
w
w
ell
a
b
o
u
t
co
mmu
n
ity
h
ea
lth
.
Th
e
co
mmu
n
ity
co
mmittee
ca
n
u
s
e
o
u
r
in
fo
r
ma
tio
n
to
ma
n
a
g
e
th
e
a
r
ea
a
cc
o
r
d
in
g
to
th
e
r
is
k
p
r
o
b
lems th
a
t o
cc
u
r
d
ir
ec
tly.
”
(
C
o
d
e
F0
0
7
)
Ad
d
itio
n
ally
,
ex
ter
n
al
in
p
u
t f
ac
to
r
s
in
clu
d
e
o
p
er
atin
g
b
u
d
g
ets an
d
k
n
o
wled
g
e
s
u
p
p
o
r
t,
esp
ec
ially
tr
ain
in
g
an
d
m
en
to
r
in
g
f
r
o
m
th
e
T
h
ai
Hea
lth
Pro
m
o
tio
n
Fo
u
n
d
atio
n
,
wh
ich
h
elp
s
lo
ca
l
p
er
s
o
n
n
el
g
ain
k
n
o
wled
g
e
,
u
n
d
er
s
tan
d
in
g
,
an
d
g
u
id
elin
es f
o
r
th
e
T
C
NAP
wo
r
k
p
r
o
ce
s
s
.
“T
h
e
b
u
d
g
et
is
n
o
p
r
o
b
lem.
N
o
ma
tter
h
o
w
mu
ch
h
e
g
a
ve
me,
I
tr
ied
to
u
s
e
it.
We
h
a
ve
a
clea
r
p
la
n
.
W
e
mu
s
t
ma
n
a
g
e
a
cc
o
r
d
in
g
to
th
e
b
u
d
g
et
th
a
t h
e
h
a
s
g
iven
u
s
.
”
(
C
o
d
e
F0
0
3
)
“T
ec
h
n
ica
lly,
TC
N
A
P
h
a
s
b
ee
n
s
et
u
p
to
b
e
s
imila
r
to
th
e
R
o
ya
l
Th
a
i
A
r
my
in
th
a
t
w
e
mu
s
t
co
llect
d
a
ta
a
n
n
u
a
lly,
u
p
d
a
tin
g
a
t
lea
s
t
o
n
ce
a
ye
a
r
.
Th
e
Th
a
i
Hea
lth
P
r
o
mo
tio
n
F
o
u
n
d
a
tio
n
b
u
d
g
et
is
like
lu
b
r
ica
tin
g
o
il,
ma
kin
g
o
u
r
w
o
r
ksp
a
ce
mo
r
e
efficien
t.
I
t
ma
y
n
o
t
b
e
a
b
u
d
g
et
th
a
t
ca
n
b
e
u
s
ed
d
ir
ec
tly.
”
(
C
o
d
e
F0
0
9
)
“
B
efo
r
e
w
e
co
llected
d
a
ta
,
w
e
h
a
d
a
mee
tin
g
to
d
is
cu
s
s
th
e
test
.
F
r
o
m
o
u
r
u
n
d
ers
ta
n
d
in
g
,
w
e
d
id
it
in
o
u
r
h
o
u
s
e
b
efo
r
e
g
o
in
g
to
th
e
a
r
ea
to
b
u
ild
a
n
o
th
er
h
o
u
s
e.
Wh
ere
w
e
co
llect
d
a
ta
,
w
e
b
r
in
g
fr
ien
d
s
w
h
o
a
r
e
villa
g
e
h
ea
lth
vo
lu
n
teers
,
ma
kin
g
it c
o
n
ve
n
ien
t to
co
llect.
”
(
C
o
d
e
F0
0
2
)
“
B
efo
r
e
co
llectin
g
a
ctu
a
l
d
a
ta
,
my
a
u
n
t,
th
e
p
r
esid
en
t
o
f
th
e
villa
g
e
h
ea
lth
vo
lu
n
teers
,
in
vited
t
h
e
P
erma
n
en
t
S
ec
r
eta
r
y
to
s
tu
d
y
h
o
w
w
e
co
u
ld
imp
leme
n
t
th
is
in
o
u
r
co
u
n
tr
y.
We
co
llected
d
a
ta
in
o
u
r
villa
g
e
b
efo
r
e
s
to
r
in
g
it
in
th
e
a
r
ea
.
Th
e
mu
n
icip
a
lity
p
r
o
vid
es
kn
o
w
led
g
e
a
b
o
u
t
th
e
lifes
tyle
o
f
th
e
p
la
ce
w
e
a
r
e
g
o
in
g
.
”
(
C
o
d
e
F0
0
5
)
3.
1.
5
.
P
ro
ce
s
s
ev
a
lua
t
io
n r
es
ults (
P
ro
ce
s
s
:
P
)
T
h
e
im
p
o
r
tan
t m
ec
h
an
is
m
s
d
r
iv
in
g
T
C
NAP
ca
n
b
e
d
iv
id
ed
in
to
f
iv
e
m
ain
s
tep
s
:
1)
C
r
ea
tin
g
u
n
d
er
s
tan
d
in
g
f
o
r
th
e
lead
in
g
g
r
o
u
p
s
o
f
th
e
f
o
u
r
m
ain
o
r
g
an
izatio
n
s
.
“
Th
e
fa
ct
th
a
t
w
e
w
o
r
k
in
th
e
mu
n
icip
a
lity
mea
n
s
th
a
t
w
e
mu
s
t
ca
r
e
fo
r
a
n
d
h
elp
p
eo
p
le
in
th
e
a
r
ea
.
We
fo
cu
s
o
n
o
u
r
b
r
o
th
ers
a
n
d
s
is
ters
'
h
ea
lth
a
n
d
q
u
a
lity
o
f life.
We
ca
n
n
o
t h
elp
a
t th
is
p
o
in
t if
w
e
d
o
n
o
t k
n
o
w
th
e
in
fo
r
ma
tio
n
.
”
(
C
o
d
e
F0
0
5
)
“
W
e
w
a
n
t
e
d
t
o
l
e
a
r
n
a
b
o
u
t
w
o
r
k
i
n
g
w
i
t
h
t
h
e
T
h
a
i
H
e
a
l
t
h
P
r
o
m
o
t
i
o
n
F
o
u
n
d
a
t
i
o
n
.
T
h
e
a
d
m
i
n
i
s
t
r
a
to
r
s
w
e
r
e
v
e
r
y
e
x
c
i
t
e
d
w
h
e
n
t
h
e
r
e
w
a
s
a
p
r
o
j
e
c
t
f
o
r
u
s
t
o
l
e
a
r
n
a
b
o
u
t
w
o
r
k
i
n
g
w
i
t
h
o
t
h
e
r
m
u
n
i
c
i
p
a
l
i
t
i
e
s
.
I
w
a
n
t
c
h
a
n
g
e
t
o
c
o
m
e
f
r
o
m
o
u
r
c
o
m
m
u
n
i
t
y
.
T
h
i
s
i
s
w
h
e
r
e
w
e
r
e
c
e
i
v
e
d
t
h
e
b
u
d
g
e
t
t
o
s
t
o
r
e
i
n
f
o
r
m
a
t
i
o
n
i
n
t
h
e
s
u
b
-
d
i
s
t
r
i
c
t
.
B
y
s
t
o
r
i
n
g
,
a
n
a
l
y
z
i
n
g
,
u
s
i
n
g
,
a
n
d
o
w
n
i
n
g
i
t
o
u
r
s
e
l
v
e
s
.
”
(
C
o
d
e
F
0
0
8
)
2)
B
u
ild
in
g
a
team
ac
co
r
d
in
g
to
th
e
g
iv
en
in
s
tr
u
ctio
n
s
.
“
S
ettin
g
u
p
va
r
io
u
s
w
o
r
kin
g
g
r
o
u
p
s
s
ta
r
ts
w
ith
th
e
a
d
min
is
tr
a
tio
n
d
ep
a
r
tmen
t.
Th
e
d
a
ta
s
to
r
a
g
e,
ve
r
ifica
tio
n
,
a
n
d
lea
d
ers
h
ip
d
ep
a
r
tmen
ts
u
s
e
th
e
in
fo
r
ma
tio
n
.
A
ll
th
ese
d
ep
a
r
tmen
ts
co
me
to
g
eth
er
h
ere.
A
s
I
co
n
tin
u
ed
to
d
r
ive,
I
w
en
t
to
lea
r
n
w
ith
th
e
Th
a
i
Hea
lth
P
r
o
mo
tio
n
F
o
u
n
d
a
tio
n
's
n
etw
o
r
k.
”
(
C
o
d
e
F0
0
2
)
“Ou
r
a
r
ea
is
d
iffer
en
t
fr
o
m
o
th
er
p
la
ce
s
.
We
a
r
e
d
r
iven
b
y
th
e
villa
g
e
h
e
a
d
ma
n
,
n
o
t
b
y
lo
ca
l
a
d
min
is
tr
a
tive
o
r
g
a
n
iz
a
tio
n
s
.
We
co
o
r
d
in
a
te
w
ith
fo
u
r
p
a
r
ts
:
lo
ca
l
a
d
min
is
tr
a
tive
o
r
g
a
n
iz
a
tio
n
s
(
s
u
b
d
is
tr
ict
mu
n
icip
a
liti
es),
lo
ca
liti
es,
a
n
d
citiz
en
s
.
”
(
C
o
d
e
F0
0
3
)
3)
C
r
ea
tin
g
lear
n
in
g
o
r
en
h
an
cin
g
p
o
ten
tial th
r
o
u
g
h
v
ar
io
u
s
m
eth
o
d
s
.
"Tr
a
in
in
g
b
efo
r
e
co
llectin
g
d
a
ta
in
th
e
a
r
ea
h
elp
s
p
eo
p
le
u
n
d
ers
ta
n
d
th
e
q
u
esti
o
n
n
a
ir
e
a
n
d
a
s
k
q
u
esti
o
n
s
co
r
r
ec
tly.
I
f
w
e
r
ea
d
it
to
th
em,
th
ey
w
ill
n
o
t
a
n
s
w
er
u
s
.
We
h
a
ve
to
u
n
d
ers
ta
n
d
it
fir
s
t
o
r
tr
y
it o
u
t.”
(
C
o
d
e
F
0
0
2
)
“Ev
eryo
n
e
w
h
o
co
llects
in
fo
r
ma
tio
n
fr
o
m
TAT
a
n
d
th
e
co
mmu
n
ity
mu
s
t
u
n
d
erg
o
tr
a
in
in
g
to
u
n
d
ers
ta
n
d
th
e
q
u
esti
o
n
n
a
ir
e
a
n
d
lea
r
n
th
r
o
u
g
h
h
a
n
d
s
-
o
n
p
r
a
ctice
in
th
e
a
r
ea
.
” (
C
o
d
e
F
0
0
4
)
4)
C
o
llectin
g
,
r
ec
o
r
d
in
g
,
an
d
ch
ec
k
in
g
d
ata
in
th
e
T
C
NAP
p
r
o
g
r
am
.
“
T
h
e
v
i
l
l
a
g
e
h
e
a
l
t
h
v
o
l
u
n
t
e
e
r
s
w
e
r
e
t
h
e
m
a
i
n
s
o
u
r
c
e
o
f
d
a
t
a
c
o
l
l
e
c
t
i
o
n
i
n
2
0
1
6
a
n
d
2
0
1
9
.
M
o
s
t
v
i
l
l
a
g
e
h
e
a
l
t
h
v
o
l
u
n
t
e
e
r
s
c
o
l
l
e
c
t
e
d
i
n
f
o
r
m
a
t
i
o
n
f
r
o
m
T
C
N
A
P
a
n
d
t
h
e
C
o
m
m
u
n
i
t
y
H
e
a
l
t
h
V
o
l
u
n
t
e
e
r
s
.
V
i
l
l
a
g
e
h
e
a
l
t
h
v
o
l
u
n
t
e
e
r
s
s
e
c
r
e
t
l
y
w
h
i
s
p
e
r
e
d
t
h
a
t
T
C
N
A
P
d
a
t
a
w
a
s
m
o
r
e
d
e
t
a
i
l
e
d
a
n
d
r
e
a
l
i
s
t
i
c
.
”
(
C
o
d
e
F
0
0
7
)
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 Pu
b
lic
Hea
lth
Sci
,
Vo
l.
14
,
No
.
3
,
Sep
tem
b
er
20
25
:
14
6
8
-
14
7
8
1474
“W
e
ca
ll
th
is
typ
e
o
f
w
o
r
k
‘
Tr
i
-
P
a
la
n
g
,
'
mea
n
in
g
th
a
t
ev
ery
d
ivis
io
n
d
ir
ec
to
r
is
a
ma
n
a
g
er
w
h
o
a
cts
a
s
a
co
a
ch
fo
r
th
e
co
mmu
n
ity.
Th
ere
a
r
e
yo
u
n
g
o
fficers
in
th
eir
d
ivis
io
n
,
w
h
ich
is
a
mid
d
le
-
leve
l
tea
m,
a
n
d
th
ere
is
a
co
mmu
n
ity
tea
m
o
r
'b
u
mip
u
tr
a
,
'
p
eo
p
le
h
ir
ed
to
w
o
r
k
in
th
eir
o
w
n
co
mmu
n
ity.
"
(
C
o
d
e
F0
0
4
)
“
Mu
n
icip
a
l
o
fficia
ls
ma
in
ly
r
ec
o
r
d
in
fo
r
ma
tio
n
.
A
b
o
u
t
3
–
4
p
eo
p
le
a
r
e
w
o
r
kin
g
to
g
eth
er.
I
f
th
e
co
mmu
n
ity
h
a
s
co
llected
a
n
d
in
s
p
ec
ted
it,
w
e
w
ill
g
r
a
d
u
a
lly
r
ec
o
r
d
it
u
n
til
th
e
n
u
mb
er
is
co
mp
lete.
Th
e
mo
s
t
imp
o
r
ta
n
t
p
iece
o
f
in
fo
r
ma
tio
n
is
th
e
I
D
ca
r
d
n
u
mb
er.
I
f
ev
en
o
n
e
d
ig
it
is
w
r
o
n
g
,
th
e
d
a
ta
ca
n
n
o
t b
e
s
a
ve
d
fu
r
th
er.”
(
C
o
d
e
F0
0
8
)
“W
h
en
a
s
s
ig
n
ed
to
b
e
a
r
ec
o
r
d
in
g
tea
m,
w
e
en
ter
in
fo
r
ma
tio
n
in
to
th
e
co
mp
u
ter
a
s
a
cc
u
r
a
tely
a
s
p
o
s
s
ib
le.
Ma
n
y
ke
ys h
elp
ea
ch
o
th
er,
b
u
t I
'm
n
o
t su
r
e
th
a
t o
th
ers
w
ill
ke
y
like
u
s
.
W
e
d
o
it
s
ep
a
r
a
tely
w
ith
o
u
t p
r
io
r
tr
a
in
in
g
.
I
f th
ere
a
r
e
p
r
o
b
lems,
w
e'
ll ta
lk
in
th
e
LINE
g
r
o
u
p
.
”
(
C
o
d
e
F0
0
6
)
“
Th
e
villa
g
e
h
ea
d
men
a
n
d
villa
g
e
h
ea
d
men
a
s
s
is
ta
n
ts
s
erve
a
s
a
n
in
s
p
ec
tio
n
tea
m.
We
ch
ec
k
to
s
ee
if
ev
ery
h
o
u
s
e
is
co
mp
lete
a
n
d
if
th
e
in
fo
r
ma
tio
n
is
tr
u
e.
We
w
ill
kn
o
w
s
in
ce
w
e
h
a
ve
a
lr
ea
d
y
d
o
n
e
th
e
in
fo
r
ma
tio
n
fo
r
th
e
C
ivil S
ervice
C
o
mmiss
io
n
.
”
(
C
o
d
e
F0
0
2
)
“As
th
e
d
ir
ec
to
r
o
f
th
e
d
ep
a
r
tmen
t
w
h
o
is
a
ls
o
a
co
a
ch
fo
r
th
e
co
mmu
n
ity,
I
h
a
ve
to
ch
ec
k
w
h
eth
er
a
ll
th
e
in
fo
r
ma
tio
n
is
co
mp
lete.
I
f
it
is
in
co
r
r
ec
t,
I
ch
ec
k
it
fr
o
m
th
e
b
o
o
k
a
n
d
ed
it
it
to
ma
ke
it
co
r
r
ec
t
a
n
d
co
mp
lete
b
efo
r
e
s
en
d
in
g
it fo
r
d
a
ta
en
tr
y.
”
(
C
o
d
e
F0
0
4
)
5)
An
aly
s
is
an
d
u
s
e
o
f
d
ata
f
r
o
m
th
e
T
C
NAP
p
r
o
g
r
am
.
“
A
fter
en
teri
n
g
a
ll
th
e
d
a
ta
,
it
w
ill
b
e
p
r
o
ce
s
s
ed
in
to
d
a
ta
,
g
r
a
p
h
s
,
a
n
d
a
s
u
mma
r
y
o
f
ea
ch
to
p
ic.
I
n
th
e
S
u
b
d
is
tr
ict
A
d
min
is
tr
a
tive
Org
a
n
iz
a
tio
n
,
w
e
w
ill
kn
o
w
w
h
ere
to
ex
p
a
n
d
.
Th
is
w
o
r
k
w
ill
b
e
in
clu
d
ed
in
th
e
s
u
b
d
is
tr
ict's
d
ev
elo
p
men
t
p
la
n
fo
r
th
e
n
ex
t
b
u
d
g
et.
Th
e
S
u
b
d
is
tr
ict
A
d
min
is
tr
a
tive
Org
a
n
iz
a
tio
n
a
n
d
S
u
b
d
is
tr
ict
Hea
lth
P
r
o
mo
tio
n
Ho
s
p
ita
l wi
ll
a
lr
ea
d
y
b
e
w
o
r
kin
g
to
g
eth
er o
n
h
ea
lth
in
fo
r
ma
tio
n
.
”
(
C
o
d
e
F0
0
2
)
“
Usi
n
g
d
a
ta
,
w
e
w
ill
p
u
ll
th
e
o
ve
r
a
ll,
villa
g
e,
a
n
d
to
p
ic
in
fo
r
ma
tio
n
a
n
d
s
ep
a
r
a
te
it
in
to
p
o
in
ts
.
We
p
r
ep
a
r
e
in
fo
r
ma
tio
n
fo
r
ea
ch
a
s
p
ec
t,
ma
kin
g
d
ia
g
r
a
ms to
ma
ke
it e
a
s
ier to
s
ee
.
”
(
C
o
d
e
F0
0
5
)
3.
1.
6
.
P
er
f
o
rm
a
nce
ev
a
lua
t
io
n r
esu
lt
s
(
P
ro
du
ct
:
P
)
T
h
e
o
u
tp
u
t
r
esu
ltin
g
f
r
o
m
d
r
iv
in
g
T
C
NAP
r
esu
lts
in
s
u
cc
ess
f
u
l
o
p
er
atio
n
s
ac
co
r
d
in
g
to
th
e
g
o
als
s
et
in
d
ev
elo
p
in
g
p
r
o
g
r
am
s
th
at
m
ee
t
th
e
n
ee
d
s
o
f
th
e
ar
ea
.
T
h
is
in
clu
d
es
cr
ea
tin
g
a
co
n
cr
ete
s
tr
u
ctu
r
e
f
o
r
th
e
s
u
b
d
is
tr
ict
in
f
o
r
m
atio
n
s
y
s
tem
,
p
r
ep
ar
in
g
co
m
m
u
n
ity
h
ea
lth
s
tatu
s
r
ep
o
r
ts
,
an
d
d
ev
elo
p
in
g
tr
ain
in
g
co
u
r
s
es
an
d
lear
n
in
g
m
ater
ials
f
o
r
o
n
lin
e
tr
ain
in
g
.
Mo
s
t
o
u
tp
u
ts
wer
e
ac
h
iev
ed
ac
co
r
d
in
g
to
th
e
s
et
g
o
als,
with
o
n
ly
m
in
o
r
ex
ce
p
tio
n
s
.
Fo
r
ex
am
p
le,
th
e
tr
ain
in
g
ce
n
ter
f
o
r
s
u
b
d
is
tr
ict
in
f
o
r
m
atio
n
s
y
s
tem
s
ac
h
iev
ed
5
7
o
f
th
e
tar
g
eted
6
0
lo
ca
tio
n
s
,
an
d
th
e
T
C
NAP
PLUS
p
r
o
g
r
am
d
ev
elo
p
ed
th
r
ee
o
f
th
e
tar
g
eted
f
iv
e
p
r
o
g
r
am
s
.
T
h
er
e
ar
e
two
cr
itical
o
u
tco
m
es:
ch
an
g
es
in
in
d
iv
id
u
als
an
d
th
e
co
m
m
u
n
ity
o
r
s
u
b
-
d
is
tr
ict
ar
ea
.
T
h
e
T
C
NAP
wo
r
k
in
g
g
r
o
u
p
h
as im
p
r
o
v
ed
p
er
s
o
n
n
el
k
n
o
wled
g
e,
attitu
d
es,
an
d
p
o
ten
tial,
s
ig
n
if
ican
tly
r
aisi
n
g
th
eir
ab
ilit
ies.
L
o
ca
l
g
o
v
er
n
m
en
t
o
r
g
an
izatio
n
s
co
u
ld
u
s
e
in
f
o
r
m
atio
n
f
r
o
m
T
C
NAP
to
p
r
ep
ar
e
lo
ca
l
d
ev
elo
p
m
en
t
p
lan
s
t
h
at
m
ee
t
th
e
ar
ea
'
s
ac
tu
al
n
ee
d
s
,
r
ec
eiv
in
g
s
u
p
p
o
r
t
f
r
o
m
v
ar
io
u
s
ag
en
cies,
s
u
ch
as
estab
lis
h
in
g
a
p
h
y
s
ical
th
er
ap
y
ce
n
ter
an
d
cr
ea
tin
g
co
m
m
u
n
ity
en
ter
p
r
is
es.
“
TC
N
A
P
in
fo
r
ma
tio
n
is
b
en
eficia
l
fo
r
lo
ca
l
a
d
min
is
tr
a
tive
o
r
g
a
n
iz
a
tio
n
s
.
We
u
s
e
N
HS
O
fu
n
d
s
,
w
h
ich
a
r
e
s
ma
ll
fu
n
d
s
(
lo
ca
l
o
r
a
r
ea
h
ea
lth
in
s
u
r
a
n
ce
fu
n
d
o
r
s
u
b
d
is
tr
ict
h
ea
lth
fu
n
d
)
th
a
t
w
e
ca
n
u
s
e
to
a
ct
o
n
h
ea
lth
ma
tter
s
mo
r
e
d
ir
ec
tly.
A
fter
mee
tin
g
w
ith
villa
g
ers
,
w
e
u
s
e
th
is
in
fo
r
ma
tio
n
to
r
ec
o
g
n
iz
e
p
r
o
b
lems a
n
d
p
la
n
to
d
ev
elo
p
p
r
o
p
o
s
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3
.
2
.
D
is
cus
s
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T
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m
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s
tem
Dev
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m
en
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Pro
ject
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o
r
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ity
Hea
lth
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(
T
C
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as b
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o
p
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ess
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u
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r
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(
2
0
2
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o
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r
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p
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p
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am
'
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p
ab
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to
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p
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ex
ten
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iv
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ap
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licatio
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u
s
ag
e
f
r
o
m
th
e
n
etwo
r
k
to
cr
ea
te
liv
ab
le
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8
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f
in
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s
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clu
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e:
-
C
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tex
tu
al
a
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p
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t
T
h
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t
w
o
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k
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l
a
b
o
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a
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e
s
i
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c
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m
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g
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m
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z
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t
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s
u
c
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m
u
n
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p
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d
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t
r
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t
i
v
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n
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z
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t
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o
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s
.
H
i
g
h
-
r
a
n
k
i
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x
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c
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t
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l
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d
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P
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M
i
n
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r
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D
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M
i
n
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e
r
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n
d
P
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l
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c
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c
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t
.
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h
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t
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f
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ma
n
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t
o
f
d
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t
a
[
1
8
]
.
T
h
i
s
a
p
p
r
o
a
c
h
i
n
v
o
l
v
e
s
c
o
l
l
e
c
t
i
n
g
,
a
n
a
l
y
z
i
n
g
,
a
n
d
u
s
i
n
g
d
a
t
a
i
n
d
e
p
e
n
d
e
n
t
l
y
.
C
u
r
r
e
n
t
l
y
,
l
o
c
a
l
a
d
m
i
n
i
s
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r
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t
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n
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z
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d
t
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e
s
s
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h
e
i
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w
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d
a
t
a
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o
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m
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y
c
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e
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n
f
o
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m
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f
o
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l
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d
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o
p
m
e
n
t
.
T
h
i
s
f
o
s
t
e
r
s
a
s
e
n
s
e
o
f
o
w
n
e
r
s
h
i
p
o
v
e
r
t
h
e
d
a
t
a
b
a
s
e
[
3
0
].
-
I
n
p
u
t
f
ac
to
r
s
T
h
e
lo
ca
l
g
o
v
er
n
m
en
t
h
as
n
o
t
allo
ca
ted
ad
d
itio
n
al
m
an
p
o
wer
f
o
r
th
is
p
r
o
ject.
Ho
wev
er
,
a
cr
u
cial
r
eso
u
r
ce
f
o
r
th
is
wo
r
k
is
th
e
h
u
m
an
r
eso
u
r
ce
s
with
in
th
e
ar
ea
,
wh
ich
co
m
e
f
r
o
m
f
o
u
r
m
ain
o
r
g
an
izatio
n
s
:
lo
ca
l
g
o
v
er
n
m
en
t
o
r
g
an
izatio
n
n
etwo
r
k
s
,
lo
ca
l
g
o
v
er
n
m
en
t
d
ep
ar
tm
en
ts
,
g
o
v
er
n
m
en
t
ag
en
cies,
an
d
civ
il
s
o
ciety
o
r
g
an
izatio
n
s
.
T
h
e
p
er
s
o
n
n
el
m
u
s
t
b
e
d
ed
icate
d
,
in
s
p
ir
ed
,
an
d
d
eter
m
in
ed
,
wo
r
k
in
g
to
g
eth
er
f
o
r
th
e
co
m
m
o
n
g
o
o
d
.
T
h
is
is
co
n
s
is
t
en
t
with
th
e
an
aly
s
is
o
f
th
e
h
ea
lth
m
an
ag
em
en
t
b
ase
in
th
e
ar
ea
,
wh
ich
f
o
u
n
d
th
at
p
ar
ticip
ato
r
y
m
an
ag
em
en
t
u
n
d
er
h
o
lis
tic
d
ev
elo
p
m
en
t,
b
o
th
at
th
e
in
d
iv
id
u
al
an
d
o
r
g
an
izatio
n
al
lev
els,
r
esu
lts
in
ef
f
ec
tiv
e
co
llab
o
r
atio
n
[
2
9
]
,
[3
1
]
.
Ad
d
itio
n
ally
,
in
p
u
t
f
ac
t
o
r
s
f
r
o
m
o
u
ts
id
e
th
e
ar
ea
in
clu
d
e
o
p
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atin
g
b
u
d
g
ets
an
d
k
n
o
wled
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u
p
p
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t.
Sp
ec
if
ically
,
tr
ain
in
g
an
d
m
en
to
r
in
g
s
u
p
p
o
r
t
f
r
o
m
th
e
T
h
ai
Hea
lth
Pro
m
o
tio
n
Fo
u
n
d
atio
n
h
elp
s
lo
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l
p
er
s
o
n
n
el
g
ain
k
n
o
wled
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e,
u
n
d
er
s
tan
d
in
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,
an
d
g
u
id
elin
es
f
o
r
th
e
T
C
NAP
wo
r
k
p
r
o
ce
s
s
.
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h
is
s
u
p
p
o
r
t
s
tr
en
g
th
en
s
p
er
s
o
n
n
el
th
r
o
u
g
h
r
eg
u
lar
team
m
ee
tin
g
s
to
p
lan
,
f
o
llo
w
u
p
,
ev
alu
ate,
an
d
cr
ea
te
co
n
tin
u
o
u
s
team
in
ter
ac
tio
n
s
[3
2
]
,
[
3
3
].
-
Pro
ce
s
s
s
id
e
T
h
e
im
p
lem
en
tatio
n
p
r
o
ce
s
s
ca
n
b
e
d
iv
id
ed
in
to
f
iv
e
m
ain
s
tep
s
:
i
)
cr
ea
tin
g
u
n
d
er
s
tan
d
in
g
am
o
n
g
th
e
lead
er
s
o
f
th
e
f
o
u
r
m
ain
o
r
g
an
izatio
n
s
,
ii
)
b
u
ild
in
g
a
team
ac
co
r
d
in
g
to
th
e
g
iv
en
r
ec
o
m
m
en
d
atio
n
s
,
iii
)
cr
ea
tin
g
lear
n
in
g
o
r
en
h
an
cin
g
p
o
ten
tial
th
r
o
u
g
h
v
ar
io
u
s
m
eth
o
d
s
,
iv
)
co
llectin
g
,
r
ec
o
r
d
in
g
,
an
d
u
s
in
g
d
ata
f
r
o
m
th
e
T
C
NAP
p
r
o
g
r
am
an
d
ch
ec
k
in
g
d
ata
with
in
th
e
T
C
NAP
p
r
o
g
r
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,
an
d
v
)
an
aly
zin
g
an
d
u
s
in
g
d
ata
f
r
o
m
th
e
T
C
NAP
p
r
o
g
r
am
.
T
h
ese
s
tep
s
ar
e
co
n
s
id
er
ed
th
e
m
ain
m
ec
h
an
is
m
s
o
f
T
C
NAP
o
p
er
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s
,
b
eg
in
n
in
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with
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n
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er
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tan
d
in
g
th
e
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b
jectiv
es
an
d
m
ain
p
r
in
cip
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o
f
cr
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tin
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a
s
u
b
-
d
is
tr
ict
in
f
o
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m
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y
s
tem
b
y
lo
ca
l
ad
m
in
is
tr
ativ
e
o
r
g
an
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n
ad
m
in
is
tr
ato
r
s
.
L
o
ca
l
p
eo
p
le
ar
e
em
p
o
wer
ed
to
co
llect,
an
aly
ze
,
u
s
e,
an
d
o
wn
th
e
d
ata.
T
h
e
p
lan
in
v
o
lv
es
f
o
r
m
in
g
f
iv
e
team
s
:
th
e
m
an
ag
em
en
t
team
,
th
e
d
ata
co
llectio
n
team
,
th
e
d
ata
v
er
if
icatio
n
team
,
th
e
d
ata
r
e
co
r
d
in
g
team
,
an
d
th
e
team
r
esp
o
n
s
ib
le
f
o
r
an
aly
zin
g
an
d
u
s
in
g
th
e
d
ata
[
1
8
]
.
3
.
2
.
1
.
P
er
f
o
rm
a
nce
re
s
ults c
o
v
er
ing
pro
du
ct
io
n,
re
s
ults,
a
nd
ef
f
ec
t
s
T
h
e
o
u
tp
u
t
f
r
o
m
im
p
lem
en
tin
g
T
C
NAP
h
as
led
to
s
u
cc
ess
f
u
l
o
p
er
atio
n
s
ac
co
r
d
in
g
to
th
e
g
o
als
s
et
f
o
r
d
ev
elo
p
in
g
p
r
o
g
r
am
s
th
at
m
ee
t
th
e
n
ee
d
s
o
f
th
e
ar
ea
.
T
h
is
in
clu
d
es
estab
lis
h
in
g
a
co
n
cr
ete
s
tr
u
ctu
r
e
f
o
r
th
e
s
u
b
d
is
tr
ict
in
f
o
r
m
atio
n
s
y
s
tem
an
d
u
s
in
g
th
e
d
ata
to
p
r
ep
ar
e
co
m
m
u
n
ity
h
ea
lth
s
tatu
s
r
ep
o
r
ts
an
d
ca
s
e
s
tu
d
ies.
Ad
d
itio
n
ally
,
th
e
d
ev
elo
p
m
en
t
o
f
tr
ain
in
g
co
u
r
s
es
an
d
th
e
cr
ea
tio
n
o
f
lear
n
in
g
an
d
teac
h
in
g
m
ater
ials
f
o
r
o
n
lin
e
tr
ain
in
g
an
d
lear
n
in
g
h
av
e
b
ee
n
ac
h
iev
ed
.
Mo
s
t o
u
tp
u
ts
wer
e
r
ea
lized
ac
co
r
d
in
g
to
th
e
s
et
g
o
als.
Ho
wev
er
,
th
e
tr
ain
in
g
ce
n
ter
f
o
r
d
ev
elo
p
in
g
s
u
b
-
d
is
tr
ict
in
f
o
r
m
atio
n
s
y
s
tem
s
,
wh
ich
s
p
ec
ial
izes
in
d
ev
elo
p
in
g
an
d
u
s
in
g
ac
tio
n
ab
le
d
ata,
ac
h
iev
ed
5
7
o
f
th
e
tar
g
eted
6
0
lo
ca
tio
n
s
,
an
d
th
e
T
C
NAP
PLUS
p
r
o
g
r
am
d
ev
elo
p
ed
3
o
f
th
e
tar
g
eted
5
p
r
o
g
r
am
s
.
T
h
er
e
ar
e
two
im
p
o
r
tan
t
o
u
tco
m
es:
in
d
iv
id
u
al
an
d
ar
ea
-
lev
el
r
esu
lts
.
T
h
e
T
C
NAP
wo
r
k
in
g
g
r
o
u
p
h
as
s
ig
n
if
ican
tly
im
p
r
o
v
ed
p
er
s
o
n
n
el'
s
k
n
o
wled
g
e,
attitu
d
es,
an
d
p
o
ten
tial,
allo
win
g
th
em
to
en
h
an
ce
th
eir
ab
ilit
ies
ef
f
ec
tiv
ely
.
At
th
e
ar
ea
lev
el,
ch
an
g
es
h
av
e
o
cc
u
r
r
ed
in
th
e
co
m
m
u
n
ity
,
ag
en
cies,
an
d
s
u
b
-
d
is
tr
ict
ar
ea
s
.
L
o
ca
l
g
o
v
er
n
m
en
t
o
r
g
an
izatio
n
s
wer
e
ab
le
to
u
s
e
in
f
o
r
m
atio
n
f
r
o
m
T
C
NAP
to
p
r
ep
ar
e
lo
ca
l d
ev
elo
p
m
en
t
p
lan
s
th
at
m
ee
t
th
e
g
o
als
an
d
ac
tu
al
n
ee
d
s
o
f
th
e
ar
ea
.
T
h
is
in
f
o
r
m
atio
n
was
also
u
s
ed
to
r
ec
eiv
e
s
u
p
p
o
r
t
f
r
o
m
v
ar
io
u
s
ag
en
cies
f
o
r
ar
ea
o
p
er
atio
n
s
,
s
u
ch
as
estab
lis
h
in
g
a
p
h
y
s
ical
th
er
ap
y
ce
n
ter
a
n
d
cr
ea
tin
g
co
m
m
u
n
ity
en
ter
p
r
is
es
b
ased
o
n
co
s
t
p
er
ce
p
tio
n
s
.
T
h
is
ap
p
r
o
ac
h
s
tr
en
g
th
en
s
p
er
s
o
n
n
el
an
d
lo
ca
l
g
o
v
er
n
m
en
t
o
r
g
an
izatio
n
s
,
m
ak
in
g
th
em
b
etter
eq
u
ip
p
ed
to
h
an
d
le
r
o
u
tin
e
co
m
m
u
n
ity
h
ea
lth
m
an
ag
em
en
t
[
2
9
]
an
d
cr
itical
ev
en
ts
,
s
u
ch
as
d
is
aster
s
itu
at
io
n
s
[
1
8
]
.
T
h
e
im
p
lem
en
tatio
n
o
f
T
C
NAP
en
co
u
r
ag
es
th
e
p
ar
ticip
ati
o
n
o
f
all
g
o
v
er
n
m
e
n
t
ag
en
ci
es
an
d
th
e
p
r
iv
ate
an
d
p
u
b
lic
s
ec
to
r
s
to
u
s
e
r
eliab
le
in
f
o
r
m
atio
n
f
r
o
m
a
u
n
if
ied
d
atab
ase.
T
h
is
s
y
s
tem
atic
ap
p
r
o
ac
h
is
r
ef
lecte
d
in
th
e
l
o
g
ical
m
o
d
el,
wh
ich
p
o
s
its
th
at
g
o
o
d
p
r
o
ce
s
s
es
lead
to
g
o
o
d
r
esu
lts
.
T
h
e
ar
ea
h
as
lear
n
ed
to
an
aly
ze
an
d
u
s
e
d
ata
to
p
la
n
,
im
p
lem
en
t,
an
d
c
o
n
tin
u
o
u
s
ly
m
o
n
ito
r
an
d
ev
alu
ate
[
2
7
]
.
A
s
a
r
esu
lt,
T
C
N
A
P
o
p
er
atio
n
s
h
av
e
led
to
v
a
r
io
u
s
awa
r
d
s
,
s
u
ch
as
th
e
Kin
g
Pra
jad
h
ip
o
k
'
s
Awa
r
d
,
th
e
Go
o
d
Go
v
er
n
an
ce
Awa
r
d
,
an
d
th
e
Ou
ts
tan
d
in
g
L
o
ca
l
Ad
m
in
is
tr
ativ
e
Or
g
an
izatio
n
s
A
war
d
f
o
r
Mo
d
el
I
n
f
o
r
m
atio
n
,
b
r
in
g
in
g
g
r
ea
t
p
r
id
e
to
th
e
ar
ea
an
d
p
e
r
s
o
n
n
el
[
3
4
]
-
[
3
6
]
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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2
2
5
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8
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6
I
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t J Pu
b
lic
Hea
lth
Sci
,
Vo
l.
14
,
No
.
3
,
Sep
tem
b
er
20
25
:
14
6
8
-
14
7
8
1476
4.
CO
NCLU
SI
O
N
Un
d
er
th
e
n
etwo
r
k
to
cr
ea
te
liv
ab
le
lo
ca
l
co
m
m
u
n
ities
,
th
e
s
u
b
-
d
is
tr
ict
in
f
o
r
m
atio
n
s
y
s
tem
d
ev
elo
p
m
en
t c
o
m
m
ittee
s
h
o
u
ld
co
n
s
id
er
th
e
f
ea
s
ib
ilit
y
an
d
ap
p
r
o
p
r
iaten
ess
o
f
d
r
iv
in
g
T
C
NAP
s
u
s
tain
ab
ly
in
th
e
s
u
b
-
d
is
tr
ict
ar
ea
.
T
h
is
in
v
o
lv
es
im
p
r
o
v
in
g
th
e
s
u
b
-
d
is
tr
ict
-
lev
el
d
atab
ase
to
b
e
cu
r
r
en
t
an
d
r
ef
lectiv
e
o
f
th
e
ac
tu
al
s
itu
atio
n
in
th
e
ar
ea
.
Ad
d
itio
n
ally
,
ex
p
an
d
in
g
T
C
NAP'
s
o
p
er
atio
n
s
to
n
ea
r
b
y
ar
ea
s
s
h
o
u
ld
b
e
co
n
s
id
er
e
d
to
ac
h
iev
e
b
r
o
ad
in
f
o
r
m
atio
n
lin
k
ag
e
an
d
in
teg
r
atio
n
o
f
wo
r
k
u
s
in
g
em
p
ir
ical
ev
id
en
ce
.
T
h
is
will
lead
to
th
e
co
n
cr
ete
im
p
lem
en
tatio
n
o
f
lar
g
e
-
s
ca
le
o
p
er
atio
n
s
at
th
e
n
ex
t
lev
el.
T
h
e
d
ata
d
ev
elo
p
m
en
t
p
r
o
ject
f
o
r
p
r
o
m
o
tin
g
co
m
m
u
n
ity
h
ea
lth
(
T
C
NAP)
s
h
o
u
ld
f
o
s
ter
p
ar
ticip
atio
n
with
n
etwo
r
k
s
to
cr
ea
te
liv
ab
le
lo
ca
l
co
m
m
u
n
ities
.
I
t
is
im
p
o
r
tan
t
to
co
n
s
id
er
d
ev
elo
p
in
g
th
e
T
C
NAP
p
r
o
g
r
am
'
s
o
p
er
atin
g
s
y
s
tem
to
en
s
u
r
e
s
tab
ili
ty
,
co
n
v
en
ien
ce
,
an
d
s
p
ee
d
,
m
ak
in
g
it
ca
p
ab
le
o
f
s
u
p
p
o
r
tin
g
m
o
r
e
ap
p
licatio
n
s
b
o
th
n
o
w
an
d
in
th
e
f
u
tu
r
e
.
W
o
r
k
s
h
o
p
s
o
n
cr
ea
tin
g
in
f
o
r
m
atio
n
s
y
s
tem
s
f
o
r
p
r
o
m
o
tin
g
co
m
m
u
n
ity
h
ea
lth
s
h
o
u
ld
b
e
o
r
g
an
ized
as
a
p
r
im
ar
y
ac
tiv
ity
f
o
r
d
ev
elo
p
in
g
lo
ca
l g
o
v
er
n
m
en
t o
r
g
an
izatio
n
n
etwo
r
k
team
s
.
T
h
e
H
e
a
l
t
h
P
r
o
m
o
t
i
o
n
F
o
u
n
d
a
t
i
o
n
(
T
h
a
i
H
e
a
l
t
h
P
r
o
m
o
t
i
o
n
F
o
u
n
d
a
t
i
o
n
)
i
s
t
h
e
p
r
i
m
a
r
y
a
g
e
n
c
y
r
e
s
p
o
n
s
i
b
l
e
f
o
r
d
e
v
e
l
o
p
i
n
g
i
n
f
o
r
m
a
t
i
o
n
s
y
s
t
e
m
s
f
o
r
c
o
m
m
u
n
i
t
y
h
e
a
l
t
h
p
r
o
m
o
t
i
o
n
.
I
t
h
a
s
t
a
k
e
n
s
t
e
p
s
t
o
c
r
e
a
t
e
v
a
l
u
e
s
e
m
p
h
a
s
i
z
i
n
g
t
h
a
t
“
i
n
f
o
r
m
a
t
i
o
n
i
s
s
e
c
u
r
i
t
y
”
f
o
r
l
o
c
a
l
g
o
v
e
r
n
m
e
n
t
o
r
g
a
n
i
z
a
t
i
o
n
s
,
u
n
d
e
r
t
h
e
p
r
i
n
c
i
p
l
e
s
o
f
s
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l
f
-
m
a
n
a
g
e
m
e
n
t
o
f
d
a
t
a
b
y
l
o
c
a
l
c
o
m
m
u
n
i
t
i
e
s
(
s
e
l
f
-
c
o
l
l
e
c
t
i
o
n
,
s
e
l
f
-
a
n
a
l
y
s
i
s
,
s
e
l
f
-
u
s
e
,
a
n
d
o
w
n
e
r
s
h
i
p
)
.
H
o
w
e
v
e
r
,
t
o
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n
s
u
r
e
c
o
n
t
i
n
u
o
u
s
o
p
e
r
a
t
i
o
n
,
t
h
e
d
i
r
e
c
t
i
o
n
o
f
p
o
l
i
c
y
m
a
k
i
n
g
s
h
o
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l
d
b
e
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e
c
o
n
s
i
d
e
r
e
d
t
o
e
s
t
a
b
l
i
s
h
T
C
N
A
P
o
p
e
r
a
t
i
o
n
s
a
s
t
h
e
p
o
l
i
c
y
o
f
t
h
e
d
e
c
e
n
t
r
a
l
i
z
a
t
i
o
n
c
o
m
m
i
s
s
i
o
n
a
n
d
a
s
a
m
a
n
d
a
t
o
r
y
i
n
d
i
c
a
t
o
r
f
o
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l
o
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a
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g
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v
e
r
n
m
e
n
t
o
r
g
a
n
i
z
a
t
i
o
n
s
.
T
h
i
s
w
i
l
l
h
e
l
p
d
r
i
v
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t
h
e
e
x
p
a
n
s
i
o
n
o
f
r
e
s
u
l
t
s
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n
d
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n
c
r
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a
s
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p
a
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a
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v
e
r
n
m
e
n
t
o
r
g
a
n
i
z
a
t
i
o
n
s
;
by
p
r
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a
f
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m
f
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x
c
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a
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n
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k
n
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l
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t
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l
.
T
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p
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d
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m
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D
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ased
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lth
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E
T
H
I
CAL AP
P
RO
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ev
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p
r
o
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r
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.
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m
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d
ig
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t
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ig
h
ts
o
r
welf
ar
e.
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h
e
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jec
t
d
id
n
o
t
p
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s
e
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y
d
an
g
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to
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e
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ar
ticip
an
ts
.
Par
ticip
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ts
h
ad
th
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ig
h
t
to
d
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id
e
wh
eth
er
o
r
n
o
t
to
p
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v
id
e
in
f
o
r
m
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n
an
d
co
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ld
with
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r
aw
f
r
o
m
th
e
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tu
d
y
at
an
y
tim
e
with
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u
t a
n
y
lo
s
s
o
f
b
en
ef
its
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r
co
n
s
eq
u
en
ce
s
.
Par
ticip
atio
n
was e
n
tire
ly
v
o
lu
n
tar
y
.
RE
F
E
R
E
NC
E
S
[
1
]
H
.
C
a
r
r
e
i
r
a
,
R
.
W
i
l
l
i
a
m
s
,
H
.
S
t
r
o
n
g
m
a
n
,
a
n
d
K
.
B
h
a
s
k
a
r
a
n
,
“
I
d
e
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t
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f
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c
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t
a
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h
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n
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q
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p
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d
a
t
a
b
a
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U
K
:
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s
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s
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m
a
t
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v
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w
,
”
B
M
J
O
p
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n
,
v
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l
.
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.
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m
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n
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9
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0
2
9
2
2
7
.
[
2
]
T.
B
a
k
a
s
e
t
a
l
.
,
“
S
y
st
e
ma
t
i
c
r
e
v
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w
o
f
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e
a
l
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a
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q
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y
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e
m
o
d
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e
a
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Q
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a
l
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f
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,
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0
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1
8
6
/
1
4
7
7
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7
5
2
5
-
10
-
134.
[
3
]
J.
S
.
L
i
n
d
h
o
l
t
,
S
.
V
e
n
t
e
g
o
d
t
,
a
n
d
E.
W
.
H
e
n
n
e
b
e
r
g
,
“
D
e
v
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l
o
p
m
e
n
t
a
n
d
v
a
l
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d
a
t
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f
Q
o
L5
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r
c
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n
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c
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a
t
a
b
a
se
s.
A
sh
o
r
t
,
g
l
o
b
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l
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n
d
g
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n
e
r
i
c
q
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b
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o
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a
n
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g
r
a
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f
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h
e
q
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a
l
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t
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f
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f
e
,
”
E
u
ro
p
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a
n
J
o
u
rn
a
l
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f
S
u
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ry
,
v
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l
.
1
6
8
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p
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4
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3
1
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
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t J Pu
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Hea
lth
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N:
2252
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8
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E
va
lu
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tio
n
o
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to
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in
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ma
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(
P
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Hen
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Ja
id
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)
1477
[
4
]
R
.
F
e
r
n
á
n
d
e
z
-
B
a
l
l
e
st
e
r
o
s,
“
Q
u
a
l
i
t
y
o
f
l
i
f
e
:
t
h
e
d
i
f
f
e
r
e
n
t
i
a
l
c
o
n
d
i
t
i
o
n
s,”
Psy
c
h
o
l
o
g
y
i
n
S
p
a
i
n
,
v
o
l
.
2
,
n
o
.
1
,
p
p
.
5
7
–
6
5
,
1
9
9
8
.
[
5
]
O
.
R
a
m
i
r
e
z
-
R
u
b
i
o
e
t
a
l
.
,
“
U
r
b
a
n
h
e
a
l
t
h
:
a
n
e
x
a
m
p
l
e
o
f
a
‘
h
e
a
l
t
h
i
n
a
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p
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l
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c
i
e
s’
a
p
p
r
o
a
c
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n
t
h
e
c
o
n
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e
x
t
o
f
S
D
G
s i
mp
l
e
me
n
t
a
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n
,
”
G
l
o
b
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a
t
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n
d
H
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t
h
,
v
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1
2
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9
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9
-
z.
[
6
]
W
o
r
l
d
H
e
a
l
t
h
O
r
g
a
n
i
z
a
t
i
o
n
(
W
H
O
)
,
“
H
e
a
l
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a
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p
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l
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c
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e
s
(
H
i
A
P
)
f
r
a
mew
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r
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y
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,
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.
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:
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0
.
1
0
9
3
/
h
e
a
p
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o
/
d
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u
0
3
5
.
[
7
]
J.
X
u
e
t
a
l
.
,
“
A
sy
s
t
e
m
a
t
i
c
g
o
v
e
r
n
me
n
t
-
d
r
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v
e
n
g
r
e
e
n
d
e
v
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l
o
p
m
e
n
t
t
r
a
n
sf
o
r
mat
i
o
n
st
r
a
t
e
g
y
w
i
t
h
C
h
i
n
e
se
c
h
a
r
a
c
t
e
r
i
st
i
c
s
:
t
h
e
c
a
se
st
u
d
y
o
f
t
h
e
X
i
n
i
n
g
me
t
r
o
p
o
l
i
t
a
n
a
r
e
a
,
”
I
n
t
e
r
n
a
t
i
o
n
a
l
J
o
u
rn
a
l
o
f
E
n
v
i
r
o
n
m
e
n
t
a
l
Re
se
a
r
c
h
a
n
d
Pu
b
l
i
c
H
e
a
l
t
h
,
v
o
l
.
2
0
,
n
o
.
2
,
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.
1
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2
1
,
2
0
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3
,
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:
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3
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9
0
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j
e
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2
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0
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1
3
2
1
.
[
8
]
S
.
V
a
r
d
o
u
l
a
k
i
s,
J.
S
a
l
m
o
n
d
,
T.
K
r
a
f
f
t
,
a
n
d
L.
M
o
r
a
w
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k
a
,
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b
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n
e
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me
n
t
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e
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t
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n
s
t
o
w
a
r
d
s
t
h
e
S
u
s
t
a
i
n
a
b
l
e
D
e
v
e
l
o
p
m
e
n
t
G
o
a
l
s,”
Sc
i
e
n
c
e
o
f
T
h
e
T
o
t
a
l
En
v
i
r
o
n
m
e
n
t
,
v
o
l
.
7
4
8
,
p
.
1
4
1
5
3
0
,
D
e
c
.
2
0
2
0
,
d
o
i
:
1
0
.
1
0
1
6
/
j
.
s
c
i
t
o
t
e
n
v
.
2
0
2
0
.
1
4
1
5
3
0
.
[
9
]
N
.
H
a
t
t
h
a
p
h
a
s
u
,
“
M
e
c
h
a
n
i
sms
f
o
r
d
r
i
v
i
n
g
t
h
e
o
p
e
r
a
t
i
o
n
s
o
f
g
o
v
e
r
n
me
n
t
o
r
g
a
n
i
z
a
t
i
o
n
s
t
o
a
c
h
i
e
v
e
s
u
st
a
i
n
a
b
l
e
d
e
v
e
l
o
p
me
n
t
g
o
a
l
s:
A
c
a
se
st
u
d
y
o
f
t
h
e
M
i
n
i
s
t
r
y
o
f
I
n
t
e
r
i
o
r
(
i
n
T
h
a
i
:
ก
ล
ไก
ก
าร
ข
ับเ
ค
ล
ื่อ
นก
าร
ด
าเ
น
ิ
นง
านข
อ
งอ
งค
์
ก
า
รภ
าค
ร
ั
ฐ
เ
พ
ื่
อ
บรรล
ุเ
ป
้
าห
มา
ยก
ารพัฒนาที่ยั่ง
ยื
น
ก
ร
ณ
ี
ศ
ึก
ษ
า
ก
ระท
)
,
”
C
h
u
l
a
l
o
n
g
k
o
r
n
U
n
i
v
e
r
s
i
t
y
,
ก
ร
ุ
งเ
ทพ
ฯ
,
ไทย
,
2
0
2
1
.
d
o
i
:
1
0
.
5
8
8
3
7
/
C
H
U
LA
.
I
S
.
2
0
2
1
.
4
5
4
.
[
1
0
]
N
a
t
i
o
n
a
l
S
t
a
t
i
s
t
i
c
a
l
O
f
f
i
c
e
T
h
a
i
l
a
n
d
(
N
S
O
)
,
“
P
o
p
u
l
a
t
i
o
n
a
n
d
h
o
u
si
n
g
c
e
n
s
u
s.
”
[
O
n
l
i
n
e
]
.
A
v
a
i
l
a
b
l
e
:
h
t
t
p
s
:
/
/
w
w
w
.
n
s
o
.
g
o
.
t
h
/
n
s
o
w
e
b
/
mai
n
/
s
u
mm
a
n
o
/
a
E
(
A
c
c
e
ss
e
d
:
d
E
B
1
7
,
2
0
2
4
)
.
[
1
1
]
K
.
F
o
x
,
“
T
h
e
u
se
o
f
c
e
n
s
u
s
d
a
t
a
f
o
r
n
a
t
i
o
n
a
l
d
e
v
e
l
o
p
m
e
n
t
p
l
a
n
n
i
n
g
.
f
o
c
u
s
o
n
t
h
e
2
0
1
0
p
o
p
u
l
a
t
i
o
n
a
n
d
h
o
u
si
n
g
c
e
n
s
u
s,
”
3
3
,
2
0
1
4
.
[
O
n
l
i
n
e
]
.
A
v
a
i
l
a
b
l
e
:
h
t
t
p
s:
/
/
i
d
e
a
s
.
r
e
p
e
c
.
o
r
g
/
p
/
e
c
r
/
c
o
l
0
3
3
/
3
5
9
2
8
.
h
t
ml
(
A
c
c
e
s
sed
:
d
EB
1
7
,
2
0
2
4
)
.
[
1
2
]
M
i
n
i
s
t
r
y
o
f
P
u
b
l
i
c
H
e
a
l
t
h
T
h
a
i
l
a
n
d
,
“
M
e
d
i
c
a
l
a
n
d
h
e
a
l
t
h
d
a
t
a
w
a
r
e
h
o
u
se
s
y
st
e
m,
”
2
0
2
4
.
[
O
n
l
i
n
e
]
.
A
v
a
i
l
a
b
l
e
:
h
t
t
p
s
:
/
/
h
d
c
serv
i
c
e
.
m
o
p
h
.
g
o
.
t
h
/
h
d
c
/
m
a
i
n
/
i
n
d
e
x
.
p
h
p
(
A
c
c
e
ss
e
d
:
d
EB
1
7
,
2
0
2
4
)
.
[
1
3
]
O
.
S
r
i
k
o
e
n
,
M
.
P
h
u
h
o
n
g
t
o
n
g
,
a
n
d
P
.
C
h
a
i
r
a
t
,
“
D
e
v
e
l
o
p
me
n
t
o
f
g
u
i
d
e
l
i
n
e
c
o
mm
u
n
i
t
y
c
a
r
e
b
y
c
a
r
e
g
i
v
e
r
s:
l
o
n
g
t
e
r
m c
a
r
e
s
y
s
t
e
m f
o
r
d
e
p
e
n
d
e
n
t
e
l
d
e
r
l
y
(
i
n
T
h
a
i
:
ก
ารพั
ฒน
าแ
น
ว
ทา
งอ
าส
าส
มัคร
ดูแล
ผู
้
ส
ู
งอ
ายุ
ใ
นก
ารดูแล
ระยะยา
ว
ส
าห
ร
ั
บผ
ู
้
ส
ู
งอ
ายุ
ที่ม
ีภ
าวะ
พ
ึ่
งพ
ิ
ง
)
,
”
J
o
u
r
n
a
l
o
f
K
h
o
n
K
a
e
n
Pr
o
v
i
n
c
i
a
l
H
e
a
l
t
h
O
f
f
i
c
e
,
v
o
l
.
1
,
n
o
.
2
,
p
p
.
3
9
–
5
4
,
2
0
1
9
.
[
1
4
]
K
.
N
u
n
t
a
b
o
o
t
,
P
.
B
o
o
n
s
a
w
a
s
d
g
u
l
c
h
a
i
,
a
n
d
N
.
B
u
b
p
a
,
“
R
o
l
e
s
o
f
m
u
t
u
a
l
h
e
l
p
o
f
l
o
c
a
l
c
o
mm
u
n
i
t
y
n
e
t
w
o
r
k
s
i
n
c
o
mm
u
n
i
t
y
h
e
a
l
t
h
a
c
t
i
v
i
t
i
e
s
:
I
mp
r
o
v
e
m
e
n
t
f
o
r
t
h
e
q
u
a
l
i
t
y
o
f
l
i
f
e
o
f
o
l
d
e
r
p
e
o
p
l
e
i
n
T
h
a
i
l
a
n
d
,
”
I
n
t
e
r
n
a
t
i
o
n
a
l
J
o
u
r
n
a
l
o
f
N
u
rsi
n
g
S
c
i
e
n
c
e
s
,
v
o
l
.
6
,
n
o
.
3
,
p
p
.
2
6
6
–
2
7
1
,
J
u
l
.
2
0
1
9
,
d
o
i
:
1
0
.
1
0
1
6
/
j
.
i
j
n
ss.
2
0
1
9
.
0
4
.
0
0
1
.
[
1
5
]
N
.
Ec
o
n
o
m
i
d
e
s
a
n
d
I
.
Li
a
n
o
s,
“
R
e
st
r
i
c
t
i
o
n
s
o
n
p
r
i
v
a
c
y
a
n
d
e
x
p
l
o
i
t
a
t
i
o
n
i
n
t
h
e
d
i
g
i
t
a
l
e
c
o
n
o
m
y
:
a
m
a
r
k
e
t
f
a
i
l
u
r
e
p
e
r
s
p
e
c
t
i
v
e
,
”
J
o
u
rn
a
l
o
f
C
o
m
p
e
t
i
t
i
o
n
L
a
w
& E
c
o
n
o
m
i
c
s
,
v
o
l
.
1
7
,
n
o
.
4
,
p
p
.
7
6
5
–
8
4
7
,
D
e
c
.
2
0
2
1
,
d
o
i
:
1
0
.
1
0
9
3
/
j
o
c
l
e
c
/
n
h
a
b
0
0
7
.
[
1
6
]
H
e
a
l
t
h
P
r
o
mo
t
i
o
n
F
o
u
n
d
a
t
i
o
n
,
“
M
a
s
t
e
r
p
l
a
n
(
2
0
2
3
-
2
0
2
7
)
,
”
H
e
a
l
t
h
P
r
o
m
o
t
i
o
n
F
o
u
n
d
a
t
i
o
n
.
[
O
n
l
i
n
e
]
.
A
v
a
i
l
a
b
l
e
:
h
t
t
p
s:
/
/
n
9
.
c
l
/
9
s
2
p
u
v
(
A
c
c
e
sse
d
:
d
EB
1
7
,
2
0
2
4
)
.
[
1
7
]
P
.
W
a
t
t
a
n
a
r
u
n
g
k
a
r
n
,
S
.
M
o
n
g
k
o
l
c
h
a
i
a
r
u
n
y
a
,
P
.
B
u
r
a
n
a
p
a
k
d
e
e
,
a
n
d
N
.
M
a
n
mae
t
e
e
,
“
C
o
mm
u
n
i
t
y
m
a
n
a
g
e
me
n
t
i
n
h
e
a
l
t
h
p
r
o
m
o
t
i
o
n
a
n
d
En
v
i
r
o
n
me
n
t
a
l
h
e
a
l
t
h
(
i
n
Th
a
i
:
ก
าร
จ
ัด
ก
าร
ส
ุ
ข
ภ
า
พ
ข
อ
ง
ชุม
ช
น
ด
้
าน
ส
่
งเ
ส
ร
ิ
ม
ส
ุ
ข
ภ
าพ
แ
ล
ะ
อ
นามัย
ส
ิ่
งแ
ว
ดล
้
อ
ม
)
,
”
T
h
a
i
l
a
n
d
J
o
u
r
n
a
l
o
f
H
e
a
l
t
h
Pro
m
o
t
i
o
n
a
n
d
En
v
i
r
o
n
m
e
n
t
a
l
H
e
a
l
t
h
,
v
o
l
.
4
4
,
n
o
.
1
,
2
0
2
1
.
[
1
8
]
K
.
N
u
n
t
a
b
o
o
t
,
P
.
B
o
o
n
sawa
sd
g
u
l
c
h
a
i
,
a
n
d
N
.
B
u
b
p
a
,
T
h
a
i
l
a
n
d
c
o
m
m
u
n
i
t
y
n
e
t
w
o
r
k
a
p
p
r
a
i
s
a
l
p
r
o
g
ra
m
:
T
C
N
A
P
.
B
n
a
g
k
o
k
,
Th
a
i
l
a
n
d
:
T
h
a
i
H
e
a
l
t
h
P
r
o
m
o
t
i
o
n
F
o
u
n
d
a
t
i
o
n
,
2
0
1
7
.
[
1
9
]
V
.
H
a
l
d
a
n
e
e
t
a
l
.
,
“
C
o
mm
u
n
i
t
y
p
a
r
t
i
c
i
p
a
t
i
o
n
i
n
h
e
a
l
t
h
ser
v
i
c
e
s
d
e
v
e
l
o
p
m
e
n
t
,
i
m
p
l
e
me
n
t
a
t
i
o
n
,
a
n
d
e
v
a
l
u
a
t
i
o
n
:
A
s
y
st
e
ma
t
i
c
r
e
v
i
e
w
o
f
e
mp
o
w
e
r
m
e
n
t
,
h
e
a
l
t
h
,
c
o
mm
u
n
i
t
y
,
a
n
d
p
r
o
c
e
ss
o
u
t
c
o
mes
,
”
PLO
S
O
N
E
,
v
o
l
.
1
4
,
n
o
.
5
,
p
.
e
0
2
1
6
1
1
2
,
M
a
y
2
0
1
9
,
d
o
i
:
1
0
.
1
3
7
1
/
j
o
u
r
n
a
l
.
p
o
n
e
.
0
2
1
6
1
1
2
.
[
2
0
]
A
.
G
a
u
t
h
i
e
r
-
B
e
a
u
p
r
é
,
C
.
K
u
z
i
e
m
s
k
y
,
B
.
J
.
B
a
t
t
i
s
t
i
n
i
,
a
n
d
J
.
W
.
J
u
t
a
i
,
“
E
v
o
l
u
t
i
o
n
o
f
p
u
b
l
i
c
h
e
a
l
t
h
p
o
l
i
c
y
o
n
h
e
a
l
t
h
c
a
r
e
s
e
lf
-
m
a
n
a
g
e
m
e
n
t
:
t
h
e
c
a
s
e
o
f
O
n
t
a
r
i
o
,
C
a
n
a
d
a
,
”
B
M
C
H
e
a
l
t
h
S
e
r
v
i
c
e
s
R
e
s
e
a
r
c
h
,
v
o
l
.
2
3
,
n
o
.
1
,
2
0
2
3
,
d
o
i
:
1
0
.
1
1
8
6
/
s
1
2
9
1
3
-
0
2
3
-
0
9
1
9
1
-
3.
[
2
1
]
R
.
V
a
l
a
i
t
i
s
e
t
a
l
.
,
“
M
o
v
i
n
g
t
o
w
a
r
d
s
a
n
e
w
v
i
s
i
o
n
:
i
m
p
l
e
me
n
t
a
t
i
o
n
o
f
a
p
u
b
l
i
c
h
e
a
l
t
h
p
o
l
i
c
y
i
n
t
e
r
v
e
n
t
i
o
n
,
”
BM
C
P
u
b
l
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