I
nte
rna
t
io
na
l J
o
urna
l o
f
P
u
bli
c
H
ea
lt
h Science
(
I
J
P
H
S)
Vo
l.
15
,
No
.
1
,
M
a
r
ch
20
26
,
p
p
.
2
3
2
~
2
4
1
I
SS
N:
2
2
5
2
-
8
8
0
6
,
DOI
: 1
0
.
1
1
5
9
1
/ijp
h
s
.
v
15
i
1
.
2
6
8
5
5
232
J
o
ur
na
l ho
m
ep
a
g
e
:
h
ttp
:
//
ijp
h
s
.
ia
esco
r
e.
co
m
Ana
ly
sis
of t
he
im
plementa
tion
of t
he healthy
In
do
ne
sia
pro
g
ra
m po
licy
wit
h a fam
ily
appr
o
a
ch
Abdu
l H
a
ris¹,
M
.
Rizk
i A
dity
a
²
¹D
e
p
a
r
t
me
n
t
o
f
N
u
r
si
n
g
,
P
o
l
t
e
k
k
e
s
K
e
me
n
k
e
s
M
a
t
a
r
a
m
,
M
a
t
a
r
a
m
,
I
n
d
o
n
e
s
i
a
²S
o
n
d
o
si
a
R
e
g
i
o
n
a
l
H
o
s
p
i
t
a
l
,
B
i
m
a
,
I
n
d
o
n
e
s
i
a
Art
icle
I
nfo
AB
S
T
RAC
T
A
r
ticle
his
to
r
y:
R
ec
eiv
ed
Sep
2
0
,
2
0
2
5
R
ev
is
ed
No
v
3
0
,
2
0
2
5
Acc
ep
ted
Feb
4
,
2
0
2
6
Th
is
st
u
d
y
e
v
a
lu
a
tes
t
h
e
im
p
lem
e
n
tatio
n
o
f
t
h
e
He
a
lt
h
y
In
d
o
n
e
sia
P
ro
g
ra
m
F
a
m
il
y
Ap
p
r
o
a
c
h
to
imp
ro
v
e
p
u
b
li
c
h
e
a
lt
h
a
n
d
i
d
e
n
ti
f
y
in
h
i
b
it
in
g
a
n
d
su
p
p
o
rti
n
g
fa
c
t
o
rs.
Th
is
q
u
a
li
ta
ti
v
e
r
e
s
e
a
r
c
h
e
m
p
lo
y
s
a
c
a
s
e
stu
d
y
a
p
p
ro
a
c
h
to
in
v
e
stig
a
t
e
h
e
a
lt
h
c
a
re
d
y
n
a
m
i
c
s
a
t
th
e
T
a
m
b
o
ra
Co
m
m
u
n
it
y
H
e
a
lt
h
Ce
n
t
e
r
in
Bi
m
a
Ci
ty
,
In
d
o
n
e
si
a
.
T
w
e
lv
e
in
fo
r
m
a
n
t
s
w
e
r
e
p
u
rp
o
siv
e
ly
se
le
c
t
e
d
.
D
a
t
a
c
o
ll
e
c
ti
o
n
in
v
o
lv
e
d
in
-
d
e
p
th
in
t
e
rv
ie
w
s,
d
i
r
e
c
t
o
b
se
rv
a
ti
o
n
,
a
n
d
d
o
c
u
m
e
n
t
r
e
v
ie
w,
a
ll
o
wi
n
g
fo
r
a
m
u
lt
i
f
a
c
e
t
e
d
p
e
rsp
e
c
ti
v
e
.
An
in
te
ra
c
ti
v
e
a
n
a
ly
si
s
m
o
d
e
l
b
y
M
il
e
s
a
n
d
Hu
b
e
r
m
a
n
w
a
s
u
se
d
fo
r
d
a
t
a
a
n
a
ly
si
s,
in
c
o
rp
o
ra
ti
n
g
d
a
t
a
c
o
ll
e
c
ti
o
n
,
re
d
u
c
ti
o
n
,
a
n
d
p
r
e
s
e
n
t
a
ti
o
n
it
e
ra
ti
v
e
ly
.
Re
su
lt
s
sh
o
we
d
th
a
t
8
5
%
o
f
imp
lem
e
n
ti
n
g
sta
ff
h
a
d
b
e
e
n
train
e
d
,
b
u
t
th
e
re
wa
s
a
s
h
o
rtag
e
o
f
field
su
rv
e
y
o
rs,
a
n
d
fa
m
il
y
v
isit
c
o
v
e
ra
g
e
o
n
l
y
re
a
c
h
e
d
7
2
%
,
b
e
lo
w
th
e
n
a
ti
o
n
a
l
targ
e
t
o
f
8
0
%
.
Alth
o
u
g
h
t
h
e
a
v
e
ra
g
e
h
e
a
lt
h
y
fa
m
il
y
i
n
d
e
x
o
f
0
.
6
5
in
d
i
c
a
tes
a
d
e
q
u
a
te
re
su
lt
s,
t
h
e
m
a
in
c
h
a
ll
e
n
g
e
s
li
e
in
c
lea
n
li
v
i
n
g
b
e
h
a
v
i
o
r
a
n
d
n
u
tri
t
io
u
s
d
iets.
T
h
e
p
ro
g
ra
m
fo
r
m
o
th
e
rs
g
iv
i
n
g
b
irt
h
i
n
h
e
a
lt
h
fa
c
il
it
ies
re
a
c
h
e
d
9
5
%
,
b
u
t
a
wa
re
n
e
ss
o
f
imp
ro
v
i
n
g
t
h
e
m
a
n
a
g
e
m
e
n
t
o
f
c
h
ro
n
ic
d
ise
a
se
s
,
su
c
h
a
s
h
y
p
e
rten
sio
n
a
n
d
tu
b
e
rc
u
lo
sis
,
re
m
a
in
e
d
lo
w,
wit
h
trea
tme
n
t
fu
lf
il
lme
n
t
a
t
6
5
%
a
n
d
7
0
%
,
re
sp
e
c
ti
v
e
ly
.
Th
e
c
o
n
c
lu
si
o
n
s
h
i
g
h
li
g
h
t
th
e
n
e
e
d
fo
r
a
d
a
p
tatio
n
stra
teg
ies
a
n
d
c
o
n
ti
n
u
o
u
s
e
v
a
lu
a
ti
o
n
fo
r
th
e
He
a
lt
h
y
I
n
d
o
n
e
sia
P
ro
g
ra
m
to
b
e
su
c
c
e
ss
fu
l
a
c
ro
ss
c
o
m
m
u
n
it
ies
.
K
ey
w
o
r
d
s
:
C
o
m
m
u
n
i
ty
h
ea
lth
ce
n
te
r
Fam
i
ly
Hea
lth
y
I
n
d
o
n
esia p
r
o
g
r
am
p
o
licy
I
m
p
le
m
en
ta
tio
n
Pu
b
lic
T
h
is i
s
a
n
o
p
e
n
a
c
c
e
ss
a
rticle
u
n
d
e
r th
e
CC B
Y
-
SA
li
c
e
n
se
.
C
o
r
r
e
s
p
o
nd
ing
A
uth
o
r
:
Ab
d
u
l
H
ar
is
Dep
ar
tm
en
t
o
f
Nu
r
s
in
g
,
Po
lte
k
k
es Ke
m
en
k
es M
atar
am
Ma
tar
am
,
NT
B
,
I
n
d
o
n
esia
E
m
ail:
ab
d
u
lh
ar
is
ab
d
u
l8
9
8
9
@
g
m
ail.
co
m
1.
I
NT
RO
D
UCT
I
O
N
T
h
e
Hea
lth
y
I
n
d
o
n
esia
Pro
g
r
am
with
a
Fam
ily
Ap
p
r
o
ac
h
(
PIS
-
PK)
s
er
v
es
as
a
s
ig
n
if
ican
t
h
ea
lth
in
itiativ
e
aim
ed
at
ad
d
r
ess
in
g
th
e
m
u
ltifa
ce
ted
h
ea
lth
c
h
allen
g
es
with
in
I
n
d
o
n
esia.
W
h
ile
it
p
r
o
m
o
tes
en
g
ag
em
e
n
t
in
h
ea
lth
-
r
elate
d
p
r
ac
tices
at
th
e
f
am
ily
lev
el,
th
e
p
r
o
g
r
am
f
ac
es
cr
itical
g
ap
s
b
etwe
en
n
atio
n
al
h
e
alt
h
o
b
j
ec
ti
v
es
an
d
l
o
ca
l
h
e
a
lth
ca
r
e
d
eli
v
er
y
o
u
t
co
m
es
.
Fo
r
in
s
ta
n
c
e,
s
e
v
e
r
al
s
t
u
d
i
es
i
n
d
i
c
ate
t
h
at
a
n
ti
ci
p
a
te
d
im
p
r
o
v
e
m
e
n
ts
i
n
h
e
alt
h
i
n
d
ice
s
,
s
u
c
h
as
s
tu
n
t
in
g
a
n
d
m
at
er
n
al
h
e
alt
h
,
r
e
m
a
in
u
n
m
e
t
d
u
e
t
o
p
er
v
asi
v
e
b
ar
r
i
er
s
,
in
c
lu
d
i
n
g
i
n
a
d
e
q
u
a
te
h
ea
lt
h
ca
r
e
s
t
a
f
f
t
r
a
in
in
g
a
n
d
i
n
s
u
f
f
ic
ie
n
t
c
o
m
m
u
n
it
y
i
n
v
o
lv
em
e
n
t
[
1
]
.
Mo
r
eo
v
er
,
u
r
b
a
n
-
r
u
r
al
d
is
p
ar
ities
ex
ac
er
b
ate
th
ese
ch
allen
g
es
b
y
c
r
ea
tin
g
d
if
f
er
en
tial
ac
ce
s
s
to
h
ea
lth
s
er
v
ices,
h
in
d
er
in
g
t
h
e
p
r
o
g
r
a
m
'
s
ef
f
icac
y
[
2
]
.
On
g
o
i
n
g
ass
ess
m
en
ts
an
d
ad
ap
tatio
n
s
o
f
h
ea
lth
s
tr
ateg
ies
ar
e
v
it
al
to
b
r
id
g
i
n
g
th
is
g
ap
,
en
s
u
r
i
n
g
co
m
p
r
e
h
en
s
iv
e
p
ar
ticip
atio
n
in
h
ea
lth
in
itiativ
es a
n
d
f
u
lf
illi
n
g
n
atio
n
al
h
ea
lth
g
o
als [
3
]
.
B
ey
o
n
d
b
asic
h
ea
lth
m
etr
ics,
t
h
e
n
o
tio
n
o
f
h
o
lis
tic
welln
ess
is
en
ca
p
s
u
lated
in
th
e
Hea
lth
y
I
n
d
o
n
esia
Pro
g
r
am
also
ad
d
r
ess
es
b
r
o
ad
er
s
o
cial
d
eter
m
i
n
an
ts
o
f
h
ea
l
th
,
s
u
ch
as
f
o
o
d
s
ec
u
r
ity
an
d
o
b
esit
y
p
r
e
v
en
tio
n
.
T
h
i
s
m
u
l
ti
f
a
c
e
t
e
d
a
p
p
r
o
a
c
h
is
im
p
o
r
t
a
n
t
f
o
r
a
n
a
t
i
o
n
f
a
c
i
n
g
t
h
e
d
u
a
l
b
u
r
d
e
n
s
o
f
u
n
d
e
r
n
u
t
r
i
t
i
o
n
a
n
d
r
i
s
i
n
g
o
b
e
s
it
y
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
A
n
a
lysi
s
o
f th
e
imp
leme
n
ta
tio
n
o
f th
e
h
ea
lth
y
I
n
d
o
n
esia
p
r
o
g
r
a
m
p
o
licy
w
ith
a
…
(
A
b
d
u
l
Ha
r
is
)
233
p
r
e
v
a
l
e
n
c
e
,
p
a
r
t
i
c
u
la
r
l
y
a
m
o
n
g
l
o
w
e
r
s
o
c
i
o
-
e
c
o
n
o
m
i
c
a
n
d
m
a
r
g
i
n
a
l
i
z
e
d
p
o
p
u
l
a
ti
o
n
s
[
4
]
.
T
h
e
g
o
v
er
n
m
en
t'
s
s
tr
ateg
ies
co
m
b
in
e
p
o
licy
f
o
r
m
u
latio
n
,
s
o
cio
ec
o
n
o
m
ic
em
p
o
wer
m
en
t,
an
d
co
m
m
u
n
ity
n
u
tr
itio
n
in
ter
v
en
tio
n
s
,
estab
lis
h
in
g
a
co
m
p
r
e
h
en
s
iv
e
f
r
am
ewo
r
k
d
esig
n
ed
t
o
en
h
an
ce
th
e
p
u
b
lic'
s
o
v
er
all
h
ea
lth
lan
d
s
ca
p
e
[
4
]
.
T
h
e
im
p
lem
en
tatio
n
o
f
th
e
P
I
S
-
PK
is
a
cr
u
cial
in
itiativ
e
th
at
aim
s
to
im
p
r
o
v
e
p
u
b
lic
h
ea
lth
in
I
n
d
o
n
esia
b
y
f
o
cu
s
in
g
o
n
f
a
m
ily
-
b
ased
in
ter
v
en
tio
n
s
.
T
h
is
p
r
o
g
r
a
m
co
n
s
is
ts
o
f
twelv
e
k
ey
h
ea
lth
in
d
icato
r
s
d
esig
n
ed
to
en
h
an
ce
th
e
h
ea
lt
h
s
tatu
s
o
f
f
am
ilies
,
s
ig
n
if
y
in
g
th
e
ce
n
tr
al
r
o
le
t
h
at
f
am
ilial
en
g
ag
em
e
n
t
p
lay
s
in
h
ea
lth
p
r
o
m
o
tio
n
ef
f
o
r
ts
in
th
e
co
u
n
tr
y
.
Key
in
d
icato
r
s
in
clu
d
e
p
ar
ticip
atio
n
in
f
am
ily
p
lan
n
in
g
,
m
ater
n
al
h
ea
lth
ca
r
e,
im
m
u
n
izatio
n
f
o
r
in
f
an
ts
,
an
d
o
n
g
o
i
n
g
h
ea
lt
h
m
an
ag
em
e
n
t
f
o
r
c
h
r
o
n
ic
co
n
d
itio
n
s
s
u
ch
as
tu
b
er
cu
lo
s
is
an
d
h
y
p
er
ten
s
io
n
[
5
]
.
T
h
e
s
u
cc
ess
o
f
PIS
-
PK
h
in
g
es
n
o
t
o
n
ly
o
n
h
ea
lth
ca
r
e
d
eliv
er
y
b
u
t
also
o
n
th
e
ac
tiv
e
en
g
ag
em
en
t
o
f
f
a
m
ilies
in
th
eir
h
ea
lth
m
an
ag
em
en
t,
alig
n
in
g
with
g
lo
b
al
h
ea
lth
s
tr
ateg
ies
th
at
ad
v
o
ca
te
f
o
r
f
am
ily
-
ce
n
ter
e
d
c
ar
e
as a
n
ef
f
ec
tiv
e
a
p
p
r
o
ac
h
to
im
p
r
o
v
i
n
g
h
ea
lth
o
u
tco
m
es [
6
]
.
T
h
e
p
r
o
g
r
am
f
ac
es
n
u
m
er
o
u
s
ch
allen
g
es
an
d
b
ar
r
ier
s
in
i
m
p
lem
en
tatio
n
,
p
ar
tic
u
lar
ly
i
n
r
eso
u
r
ce
-
lim
ited
s
ettin
g
s
.
Stu
d
ies
h
av
e
d
o
cu
m
en
ted
th
at
th
e
ef
f
ec
t
iv
en
ess
o
f
PIS
-
PK
ca
n
b
e
h
am
p
er
ed
b
y
s
ev
er
al
f
ac
to
r
s
,
in
clu
d
in
g
in
a
d
eq
u
ate
tr
ain
in
g
am
o
n
g
h
ea
lth
ca
r
e
p
r
o
v
id
er
s
,
in
s
u
f
f
icien
t
co
m
m
u
n
it
y
en
g
ag
em
e
n
t,
an
d
s
tr
u
ctu
r
al
is
s
u
es
with
in
th
e
h
ea
lth
ca
r
e
s
y
s
tem
[
7
]
.
T
h
ese
b
ar
r
ier
s
ar
e
p
ar
ticu
la
r
ly
p
r
o
m
i
n
en
t
in
r
u
r
al
ar
ea
s
,
wh
er
e
ac
ce
s
s
to
h
ea
lth
ca
r
e
f
a
cilities
an
d
co
n
tin
u
ity
o
f
ca
r
e
ar
e
lim
ited
.
M
o
r
eo
v
er
,
e
x
is
tin
g
s
o
cio
-
ec
o
n
o
m
ic
d
is
p
ar
ities
ex
ac
er
b
ate
th
ese
ch
allen
g
es,
as
m
ar
g
in
alize
d
p
o
p
u
latio
n
s
ty
p
ically
ex
p
er
ien
ce
h
ig
h
er
lev
els
o
f
h
ea
lth
b
u
r
d
en
s
a
n
d
l
o
wer
ac
c
ess
to
n
ec
ess
ar
y
h
ea
lth
s
er
v
ices,
m
ak
in
g
ef
f
ec
tiv
e
im
p
lem
e
n
tatio
n
o
f
f
am
ily
-
f
o
cu
s
ed
h
ea
lth
s
tr
ateg
ies ev
en
m
o
r
e
cr
itical
[
8
]
.
T
h
e
co
n
tex
t
o
f
u
r
b
a
n
v
er
s
u
s
r
u
r
al
d
is
p
ar
ities
also
p
lay
s
a
s
ig
n
if
ican
t
r
o
le
in
u
n
d
e
r
s
tan
d
in
g
th
e
im
p
lem
en
tatio
n
o
f
h
ea
lth
p
r
o
g
r
am
s
s
u
ch
as
PIS
-
PK.
I
n
d
e
n
s
ely
p
o
p
u
lated
u
r
b
a
n
ar
ea
s
,
co
m
m
u
n
ity
h
ea
lth
r
eso
u
r
ce
s
m
ay
b
e
m
o
r
e
r
ea
d
ily
av
ailab
le;
h
o
wev
er
,
is
s
u
es
s
u
ch
as
o
v
e
r
cr
o
wd
i
n
g
ca
n
im
p
ed
e
ef
f
ec
tiv
e
s
er
v
ice
d
eliv
er
y
.
C
o
m
p
ar
ativ
ely
,
r
u
r
al
r
eg
io
n
s
m
ay
s
tr
u
g
g
le
wit
h
s
y
s
tem
ic
b
ar
r
ier
s
u
n
d
er
s
co
r
ed
b
y
g
eo
g
r
ap
h
ic
is
o
latio
n
,
lim
ited
ec
o
n
o
m
ic
r
e
s
o
u
r
ce
s
,
an
d
r
ed
u
ce
d
h
ea
lth
ca
r
e
wo
r
k
f
o
r
ce
p
r
esen
ce
[
9
]
.
T
h
e
im
p
lem
en
tatio
n
o
f
PIS
-
PK
in
s
et
tin
g
s
lik
e
th
e
T
a
m
b
o
r
a
B
im
a
C
o
m
m
u
n
ity
Hea
lth
C
en
ter
is
p
ar
ticu
lar
ly
im
p
o
r
tan
t
f
o
r
id
en
tify
in
g
h
o
w
th
ese
co
n
te
x
tu
al
f
ac
to
r
s
in
f
lu
en
ce
b
o
th
t
h
e
en
g
ag
em
en
t
o
f
f
a
m
ilies
in
h
ea
lth
ca
r
e
in
itiativ
es
an
d
th
e
o
v
er
all
ef
f
ec
tiv
e
n
ess
o
f
p
u
b
lic
h
ea
lth
o
u
tc
o
m
es.
Mo
r
eo
v
er
,
th
e
n
o
v
elty
o
f
th
i
s
ca
s
e
s
tu
d
y
lies
i
n
its
ex
p
l
o
r
atio
n
o
f
th
e
s
p
ec
if
ic
ch
all
en
g
es
an
d
ac
h
iev
em
en
ts
en
co
u
n
ter
ed
in
th
e
T
am
b
o
r
a
B
im
a
C
o
m
m
u
n
i
ty
Hea
lth
C
en
ter
co
n
tex
t.
B
y
co
n
d
u
ctin
g
a
n
in
-
d
ep
th
e
v
alu
atio
n
o
f
lo
ca
l
p
r
ac
tices
an
d
h
ea
lth
o
u
tco
m
es,
t
h
is
s
tu
d
y
co
n
tr
i
b
u
tes
to
th
e
b
r
o
ad
er
u
n
d
er
s
tan
d
in
g
o
f
h
o
w
PIS
-
PK
ca
n
b
e
co
n
tex
tu
alize
d
to
b
etter
s
er
v
e
p
o
p
u
latio
n
s
with
u
n
iq
u
e
n
ee
d
s
[
1
0
]
.
I
t
h
ig
h
lig
h
ts
th
e
im
p
o
r
tan
ce
o
f
cu
s
to
m
izin
g
h
ea
lth
i
n
ter
v
en
tio
n
s
to
r
e
s
o
n
ate
with
th
e
cu
ltu
r
al
a
n
d
s
o
cio
-
e
co
n
o
m
ic
ch
ar
ac
ter
is
tics
o
f
c
o
m
m
u
n
ities
,
th
er
eb
y
m
a
x
im
izin
g
p
ar
ti
cip
atio
n
a
n
d
ef
f
ec
tiv
en
ess
in
h
ea
lth
p
r
o
m
o
tio
n
.
Ad
d
itio
n
ally
,
s
tu
d
y
in
g
th
e
in
ter
s
ec
tio
n
s
o
f
ac
ce
s
s
,
h
ea
lth
e
d
u
ca
tio
n
,
an
d
co
m
m
u
n
ity
in
v
o
lv
em
en
t
p
r
o
v
id
es
in
s
ig
h
ts
in
to
h
o
w
to
a
d
ap
t
ex
is
tin
g
f
r
am
ewo
r
k
s
to
e
n
h
a
n
ce
h
ea
lth
p
r
o
g
r
am
d
eliv
er
y
co
m
p
r
e
h
en
s
iv
ely
.
E
v
alu
atin
g
th
e
ef
f
ec
ti
v
en
ess
an
d
im
p
ac
t
o
f
PIS
-
PK
th
r
o
u
g
h
em
p
ir
ical
ev
id
e
n
ce
an
d
q
u
alitativ
e
d
ata
will
u
n
d
er
s
co
r
e
th
e
cr
itical
n
ee
d
f
o
r
co
n
tin
u
o
u
s
ass
ess
m
en
t
an
d
ad
ap
tatio
n
o
f
h
ea
lth
in
t
er
v
en
tio
n
s
to
m
ee
t
ev
o
lv
in
g
h
ea
lth
ch
allen
g
es
an
d
co
n
d
itio
n
s
with
in
d
iv
e
r
s
e
I
n
d
o
n
esian
co
m
m
u
n
ities
[
1
1
]
.
T
h
is
in
clu
d
es
ex
am
in
in
g
c
o
m
m
u
n
ity
p
e
r
ce
p
tio
n
s
o
f
h
ea
lth
s
er
v
ice
ef
f
ec
ti
v
en
ess
,
th
e
r
o
le
o
f
s
o
cial
d
et
er
m
in
an
ts
in
h
ea
lth
b
eh
av
io
r
s
,
a
n
d
th
e
o
v
er
all
s
ati
s
f
ac
tio
n
o
f
f
a
m
ilies
with
h
ea
lth
s
er
v
ices p
r
o
v
i
d
ed
u
n
d
er
th
e
p
r
o
g
r
a
m
.
T
h
e
p
u
r
p
o
s
e
o
f
th
is
s
tu
d
y
o
n
th
e
im
p
lem
en
tatio
n
o
f
th
e
H
ea
lth
y
I
n
d
o
n
esia
Pro
g
r
am
Po
l
icy
with
a
Fam
ily
Ap
p
r
o
ac
h
at
th
e
T
am
b
o
r
a
B
im
a
C
o
m
m
u
n
ity
Hea
lt
h
C
en
ter
is
to
ev
al
u
ate
th
e
e
f
f
ec
tiv
en
ess
o
f
th
e
p
r
o
g
r
a
m
'
s
im
p
lem
en
tatio
n
in
im
p
r
o
v
in
g
p
u
b
lic
h
ea
lth
th
r
o
u
g
h
a
f
am
ily
-
b
ased
ap
p
r
o
ac
h
.
T
h
is
s
tu
d
y
aim
s
to
id
en
tify
f
ac
t
o
r
s
th
at
h
in
d
er
an
d
s
u
p
p
o
r
t
th
e
im
p
lem
en
tatio
n
o
f
PIS
-
PK
an
d
its
im
p
ac
t
o
n
h
ea
lth
b
eh
av
i
o
r
a
n
d
co
m
m
u
n
ity
well
-
b
ei
n
g
in
t
h
e
ar
ea
.
T
h
e
n
o
v
elty
o
f
th
is
s
tu
d
y
lies
in
th
e
in
-
d
ep
th
an
aly
s
is
o
f
th
e
co
n
tex
tu
aliza
tio
n
o
f
th
e
Hea
lt
h
y
I
n
d
o
n
esia
Pro
g
r
a
m
Po
licy
with
a
Fam
ily
Ap
p
r
o
ac
h
p
r
o
g
r
am
in
th
e
T
a
m
b
o
r
a
B
im
a
C
o
m
m
u
n
ity
Hea
lth
C
en
ter
s
ettin
g
,
tak
in
g
in
to
ac
co
u
n
t
d
e
m
o
g
r
ap
h
ic
ch
ar
ac
ter
is
tics
an
d
l
o
ca
l
h
ea
lth
n
ee
d
s
.
T
h
is
s
tu
d
y
s
ee
k
s
to
p
r
o
v
id
e
ev
i
d
en
ce
-
b
ased
r
ec
o
m
m
e
n
d
atio
n
s
f
o
r
im
p
r
o
v
in
g
p
r
o
g
r
a
m
im
p
lem
e
n
tatio
n
,
as
well
as
co
n
tr
ib
u
tin
g
to
th
e
d
ev
elo
p
m
en
t
o
f
a
m
o
r
e
in
clu
s
iv
e
an
d
r
esp
o
n
s
iv
e
h
e
alth
p
o
licy
m
o
d
el
to
co
m
m
u
n
ity
n
ee
d
s
.
T
h
er
ef
o
r
e,
th
e
r
esu
lts
o
f
th
is
s
tu
d
y
ar
e
ex
p
ec
ted
to
m
ak
e
a
s
ig
n
if
ican
t
co
n
tr
ib
u
tio
n
to
s
tr
en
g
th
en
in
g
h
ea
lth
p
o
licies at
th
e
n
atio
n
al
an
d
lo
ca
l le
v
els.
2.
M
E
T
H
O
D
2
.
1
.
De
s
ig
n
T
h
is
r
esear
ch
is
q
u
alitativ
e
r
esear
ch
with
a
ca
s
e
s
tu
d
y
ap
p
r
o
ac
h
.
T
h
e
T
am
b
o
r
a
C
o
m
m
u
n
ity
Hea
lth
C
en
ter
(
P
u
s
ke
s
ma
s
T
am
b
o
r
a)
is
lo
ca
ted
in
B
im
a
R
eg
en
cy
,
o
n
e
o
f
I
n
d
o
n
esia'
s
p
r
im
ar
y
h
ea
lth
ca
r
e
f
ac
ilit
ies.
T
h
e
P
u
s
ke
s
ma
s
s
er
v
es
as
a
h
e
alth
ca
r
e
p
r
o
v
id
er
f
o
r
th
e
l
o
ca
l
co
m
m
u
n
ity
an
d
p
lay
s
a
cr
u
cia
l
r
o
le
in
i
m
p
r
o
v
in
g
p
u
b
lic
h
ea
lth
an
d
p
r
e
v
en
tin
g
d
is
ea
s
e.
B
im
a
R
eg
en
cy
is
k
n
o
wn
f
o
r
its
g
eo
g
r
ap
h
ic
an
d
s
o
cial
ch
allen
g
es
th
at
im
p
ac
t a
cc
ess
to
an
d
q
u
ality
o
f
h
ea
lth
ca
r
e,
m
ak
in
g
th
e
s
elec
tio
n
o
f
t
h
is
lo
ca
tio
n
h
ig
h
ly
r
ele
v
an
t.
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.
15
,
No
.
1
,
M
ar
ch
20
26
:
2
3
2
-
241
234
2
.
2
.
Resea
rc
h
i
nfo
r
m
a
nts
T
h
e
in
f
o
r
m
an
ts
in
th
is
s
tu
d
y
co
n
s
is
ted
o
f
1
2
i
n
d
iv
id
u
als
r
ep
r
esen
tin
g
v
a
r
io
u
s
elem
en
ts
i
n
v
o
lv
e
d
in
h
ea
lth
ca
r
e
s
er
v
ices
at
th
e
T
am
b
o
r
a
C
o
m
m
u
n
ity
Hea
lth
C
en
ter
.
I
n
f
o
r
m
a
n
ts
wer
e
s
elec
t
ed
u
s
in
g
p
u
r
p
o
s
iv
e
s
am
p
lin
g
,
a
tech
n
iq
u
e
f
o
r
s
elec
tin
g
in
f
o
r
m
a
n
ts
b
ased
o
n
s
p
ec
if
ic
cr
iter
ia
r
elev
an
t
to
th
e
r
esear
ch
o
b
jectiv
es.
T
h
e
s
elec
tio
n
o
f
1
2
in
f
o
r
m
a
n
ts
f
o
r
th
is
q
u
alitativ
e
ca
s
e
s
tu
d
y
at
th
e
T
am
b
o
r
a
C
o
m
m
u
n
ity
Hea
lth
C
en
ter
(
P
u
s
ke
s
ma
s
)
is
ju
s
tifie
d
th
r
o
u
g
h
s
ev
er
al
cr
itical
f
ac
to
r
s
.
Pu
r
p
o
s
ef
u
l
s
am
p
lin
g
is
ess
en
tial
in
q
u
alitativ
e
r
esear
ch
to
en
s
u
r
e
th
at
th
e
i
n
f
o
r
m
an
ts
c
o
n
tr
ib
u
te
r
ic
h
,
r
elev
an
t
d
ata
th
at
alig
n
with
th
e
r
esear
ch
o
b
jectiv
es.
T
h
u
s
,
en
g
ag
in
g
a
d
iv
er
s
e
g
r
o
u
p
o
f
in
f
o
r
m
a
n
ts
in
clu
d
in
g
th
e
H
1
Hea
d
o
f
P
u
s
ke
s
ma
s
,
3
PIS
-
PK
o
f
f
icer
s
,
4
h
ea
lth
wo
r
k
er
s
(
co
m
p
r
is
in
g
b
o
th
m
ed
ical
an
d
n
o
n
-
m
e
d
ical
s
taf
f
)
,
2
h
ea
lth
ca
d
r
es,
an
d
2
tar
g
et
f
am
ilies
as
s
h
o
w
n
i
n
T
a
b
l
e
1
,
e
n
a
b
l
e
s
t
h
e
s
t
u
d
y
t
o
e
n
c
a
p
s
u
l
a
t
e
m
u
l
t
i
p
l
e
p
e
r
s
p
e
c
t
i
v
es
a
n
d
e
x
p
e
r
i
e
n
c
e
s
i
n
h
e
a
l
t
h
c
a
r
e
s
e
r
v
ic
e
s
,
wh
ich
is
v
ital f
o
r
a
c
o
m
p
r
e
h
en
s
iv
e
u
n
d
er
s
tan
d
in
g
o
f
th
e
d
y
n
a
m
ics in
a
co
m
p
lex
h
ea
lth
ca
r
e
en
v
ir
o
n
m
en
t.
T
ab
l
e
1
.
I
n
f
o
r
m
an
ts
Ty
p
e
o
f
i
n
f
o
r
man
t
N
u
mb
e
r
I
n
c
l
u
si
o
n
c
r
i
t
e
r
i
a
H
e
a
d
o
f
Pu
ske
sm
a
s
1
Le
a
d
e
r
sh
i
p
i
n
si
g
h
t
s o
n
p
o
l
i
c
y
a
n
d
ma
n
a
g
e
men
t
P
I
S
-
P
K
O
f
f
i
c
e
r
s
3
I
mp
l
e
men
t
a
t
i
o
n
o
f
h
e
a
l
t
h
p
r
o
g
r
a
ms
H
e
a
l
t
h
w
o
r
k
e
r
s
4
P
e
r
sp
e
c
t
i
v
e
s o
n
d
a
i
l
y
h
e
a
l
t
h
c
a
r
e
p
r
a
c
t
i
c
e
s
H
e
a
l
t
h
c
a
d
r
e
s
2
C
o
mm
u
n
i
t
y
h
e
a
l
t
h
e
d
u
c
a
t
i
o
n
r
o
l
e
s
Ta
r
g
e
t
f
a
mi
l
i
e
s
2
F
i
r
st
h
a
n
d
e
x
p
e
r
i
e
n
c
e
s
w
i
t
h
h
e
a
l
t
h
ser
v
i
c
e
s
2
.
3
.
T
y
pe
o
f
i
nfo
rm
a
nt
T
h
e
ty
p
es
o
f
in
f
o
r
m
an
ts
s
ele
cted
ar
e
cr
u
cial
f
o
r
g
ain
in
g
a
co
m
p
r
eh
e
n
s
iv
e
u
n
d
er
s
tan
d
i
n
g
o
f
th
e
d
y
n
am
ics
at
p
lay
.
T
h
e
Hea
d
o
f
th
e
C
o
m
m
u
n
ity
Hea
lth
C
en
ter
(
P
u
s
ke
s
ma
s
)
s
er
v
es
as
a
lead
er
,
p
r
o
v
id
i
n
g
in
s
ig
h
ts
in
to
p
o
licy
,
m
an
a
g
e
m
en
t,
an
d
ch
allen
g
es
in
h
ea
l
th
s
er
v
ices.
PIS
-
PK
o
f
f
icer
s
,
with
th
eir
r
o
le
in
im
p
lem
en
tin
g
h
ea
lth
p
r
o
g
r
a
m
s
,
p
r
o
v
id
e
d
ata
o
n
th
e
ef
f
e
ctiv
en
ess
o
f
ex
is
tin
g
p
r
o
g
r
a
m
s
.
Hea
lth
wo
r
k
er
s
,
co
n
s
is
tin
g
o
f
b
o
th
m
e
d
ical
an
d
n
o
n
-
m
ed
ical
p
er
s
o
n
n
el,
o
f
f
e
r
p
er
s
p
ec
tiv
es
o
n
d
aily
p
r
ac
tic
es
an
d
ev
alu
atio
n
o
f
s
er
v
ices
p
r
o
v
id
ed
to
p
atien
ts
.
Hea
lth
ca
d
r
es
p
lay
a
cr
u
cial
r
o
le
in
b
r
id
g
in
g
th
e
g
a
p
b
etwe
en
th
e
co
m
m
u
n
ity
an
d
h
ea
lth
f
ac
ilit
ies,
as
well
as
in
h
ea
lth
e
d
u
ca
tio
n
.
Fin
ally
,
t
h
e
tar
g
et
f
am
ilies
,
as
s
u
b
jects o
f
th
e
in
ter
v
en
tio
n
,
p
r
o
v
id
e
in
v
alu
ab
le
f
ir
s
th
an
d
e
x
p
er
ien
ce
in
ass
ess
in
g
th
e
im
p
ac
t
o
f
h
ea
lth
s
er
v
ices.
B
y
co
m
b
in
in
g
in
f
o
r
m
atio
n
f
r
o
m
th
ese
v
a
r
io
u
s
in
f
o
r
m
an
ts
,
th
e
r
esear
ch
ca
n
p
r
o
d
u
ce
a
m
o
r
e
h
o
lis
tic
p
ictu
r
e
o
f
p
r
ac
tice
s
an
d
ch
allen
g
es
in
th
e
p
u
b
lic
h
ea
lth
s
ec
to
r
.
2
.
4
.
Da
t
a
c
o
llect
io
n t
ec
hn
iqu
e
R
esear
ch
d
ata
was
co
llected
th
r
o
u
g
h
th
r
ee
m
ain
tech
n
iq
u
es
:
in
-
d
ep
th
i
n
ter
v
iews,
o
b
s
er
v
a
tio
n
,
an
d
d
o
cu
m
e
n
t
r
e
v
iew.
E
ac
h
tech
n
iq
u
e
h
as
its
o
wn
ad
v
a
n
tag
e
s
an
d
lim
itatio
n
s
,
co
m
p
lem
e
n
tin
g
ea
c
h
o
t
h
er
t
o
p
r
o
v
id
e
a
m
o
r
e
h
o
lis
tic
u
n
d
e
r
s
tan
d
in
g
.
2
.
5
.
In
-
depth
i
nte
rv
iew
In
-
d
ep
t
h
in
ter
v
iews we
r
e
co
n
d
u
cted
to
g
ath
e
r
d
etailed
in
f
o
r
m
atio
n
f
r
o
m
th
e
in
f
o
r
m
an
ts
'
p
er
s
p
e
cti
v
es
.
T
h
e
s
em
i
-
s
tr
u
ctu
r
e
d
i
n
ter
v
ie
w
f
o
r
m
at
allo
wed
r
esear
ch
e
r
s
to
tailo
r
q
u
esti
o
n
s
b
ased
o
n
t
h
e
in
f
o
r
m
a
n
ts
'
r
esp
o
n
s
es,
th
u
s
d
ee
p
en
i
n
g
d
i
s
cu
s
s
io
n
s
o
n
r
elev
a
n
t
to
p
ics.
T
h
e
q
u
esti
o
n
s
f
o
cu
s
ed
o
n
t
h
eir
ex
p
er
ien
ce
s
in
h
e
alt
h
c
ar
e,
t
h
e
ir
p
e
r
c
ep
ti
o
n
s
o
f
im
p
l
em
e
n
te
d
p
o
l
ici
es,
a
n
d
th
e
c
h
al
le
n
g
es
t
h
e
y
f
a
ce
i
n
d
ail
y
p
r
a
ctic
e.
2
.
6
.
O
bs
er
v
a
t
io
n
Dir
ec
t
o
b
s
er
v
atio
n
s
at
th
e
r
es
ea
r
ch
s
ite
wer
e
co
n
d
u
cted
to
o
b
tain
co
n
tex
tu
al
in
f
o
r
m
atio
n
r
eg
ar
d
in
g
in
ter
ac
tio
n
s
at
th
e
c
o
m
m
u
n
ity
h
ea
lth
ce
n
ter
.
T
h
ese
o
b
s
er
v
atio
n
s
f
o
c
u
s
ed
o
n
p
atien
t
c
r
o
wd
s
,
in
ter
ac
tio
n
s
b
etwe
en
h
ea
lth
ca
r
e
wo
r
k
e
r
s
an
d
p
atien
ts
,
an
d
th
e
ef
f
ec
ti
v
en
ess
o
f
h
ea
lth
in
f
o
r
m
atio
n
d
eli
v
er
y
.
Ad
d
itio
n
ally
,
o
b
s
er
v
atio
n
s
o
f
t
h
e
p
h
y
s
ical
en
v
ir
o
n
m
e
n
t
an
d
a
v
ailab
le
r
eso
u
r
ce
s
wer
e
co
n
d
u
cted
to
u
n
d
er
s
tan
d
f
ac
to
r
s
in
f
lu
en
cin
g
s
er
v
ice
d
eliv
er
y
.
2
.
7
.
Do
cu
m
ent
r
ev
iew
R
elev
an
t d
o
cu
m
en
ts
,
s
u
ch
as a
n
n
u
al
r
ep
o
r
ts
,
h
ea
lth
d
ata,
an
d
p
r
o
to
co
ls
u
s
ed
at
th
e
co
m
m
u
n
ity
h
ea
lth
ce
n
ter
,
wer
e
an
al
y
ze
d
to
o
b
tai
n
s
ec
o
n
d
ar
y
d
ata
to
s
u
p
p
o
r
t
th
e
f
in
d
i
n
g
s
f
r
o
m
in
ter
v
iews
a
n
d
o
b
s
er
v
atio
n
s
.
T
h
is
d
o
cu
m
e
n
t
r
ev
iew
p
r
o
v
id
ed
a
d
d
itio
n
al
in
f
o
r
m
atio
n
o
n
m
a
n
ag
em
en
t
s
tr
ateg
ies,
h
ea
lth
p
r
o
g
r
a
m
p
la
n
s
,
an
d
ac
h
iev
em
en
ts
.
2
.
8
.
Da
t
a
a
na
ly
s
i
s
T
h
e
d
ata
o
b
tain
ed
f
r
o
m
th
ese
th
r
ee
tech
n
iq
u
es
wer
e
an
aly
z
ed
u
s
in
g
th
e
in
ter
ac
tiv
e
an
aly
s
is
m
o
d
el
d
ev
elo
p
e
d
b
y
Miles
an
d
Hu
b
er
m
an
.
T
h
is
m
o
d
el
in
clu
d
e
s
th
r
ee
m
ain
co
m
p
o
n
en
ts
:
d
ata
co
llectio
n
,
d
ata
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
A
n
a
lysi
s
o
f th
e
imp
leme
n
ta
tio
n
o
f th
e
h
ea
lth
y
I
n
d
o
n
esia
p
r
o
g
r
a
m
p
o
licy
w
ith
a
…
(
A
b
d
u
l
Ha
r
is
)
235
r
ed
u
ctio
n
,
an
d
d
ata
p
r
esen
tat
io
n
.
T
h
e
an
al
y
s
is
p
r
o
ce
s
s
was
ca
r
r
ied
o
u
t
iter
ativ
ely
an
d
in
p
ar
allel,
with
r
esear
ch
er
s
co
n
tin
u
ally
r
etu
r
n
in
g
to
th
e
d
ata
to
g
e
n
er
ate
d
ee
p
er
in
ter
p
r
etatio
n
s
.
Data
was
an
aly
ze
d
u
s
in
g
Miles
an
d
Hu
b
e
r
m
an
'
s
in
ter
ac
tiv
e
an
aly
s
is
m
o
d
el,
en
co
m
p
a
s
s
in
g
d
ata
co
llectio
n
,
r
ed
u
ctio
n
,
an
d
p
r
esen
tatio
n
.
T
r
ian
g
u
latio
n
was
co
n
d
u
cte
d
b
y
co
m
p
ar
in
g
d
ata
f
r
o
m
d
if
f
er
en
t
s
o
u
r
ce
s
f
o
r
c
o
n
s
is
ten
cy
,
wh
ile
m
em
b
e
r
-
ch
ec
k
in
g
i
n
v
o
lv
e
d
v
alid
atin
g
f
in
d
in
g
s
with
in
f
o
r
m
an
ts
to
e
n
h
an
ce
th
e
cr
ed
i
b
ilit
y
o
f
r
esu
lts
.
2
.
9
.
Da
t
a
r
e
d
uct
io
n
Data
r
ed
u
ctio
n
is
n
ec
ess
ar
y
t
o
s
elec
t
r
elev
an
t
d
ata
an
d
elim
in
ate
u
n
n
ec
ess
ar
y
in
f
o
r
m
atio
n
.
At
th
is
s
tag
e,
in
ter
v
iew
tr
an
s
cr
ip
ts
an
d
o
b
s
er
v
atio
n
n
o
tes ar
e
o
r
g
a
n
i
ze
d
an
d
ca
te
g
o
r
ized
ac
co
r
d
i
n
g
to
r
esear
ch
th
em
e
.
3.
RE
SU
L
T
S AN
D
D
I
SCU
SS
I
O
N
T
ab
le
2
p
r
esen
ts
th
e
r
esu
lts
o
f
th
e
an
aly
s
is
o
f
th
e
im
p
le
m
en
t
atio
n
o
f
th
e
Hea
lth
y
I
n
d
o
n
esia
Pro
g
r
am
u
s
in
g
a
f
am
ily
ap
p
r
o
ac
h
,
wh
ic
h
in
clu
d
es
s
ev
er
al
cr
itical
an
al
y
s
is
asp
ec
t
s
.
Firs
t,
in
ter
m
s
o
f
in
p
u
t,
8
5
%
o
f
th
e
PIS
-
PK
im
p
lem
en
tin
g
s
taf
f
h
av
e
b
ee
n
tr
ain
ed
,
alth
o
u
g
h
th
er
e
is
a
s
h
o
r
tag
e
o
f
f
ield
s
u
r
v
ey
o
r
s
.
Seco
n
d
,
in
ter
m
s
o
f
p
r
o
ce
s
s
,
f
am
ily
v
is
it c
o
v
er
ag
e
r
ea
ch
ed
7
2
%,
b
el
o
w
th
e
n
atio
n
al
tar
g
et
o
f
8
0
%.
I
n
t
er
m
s
o
f
o
u
t
p
u
t,
th
e
av
er
ag
e
h
ea
lth
y
f
am
ily
in
d
e
x
v
alu
e
was
0
.
6
5
%,
wh
ich
is
co
n
s
id
er
ed
a
d
eq
u
ate,
b
u
t
th
e
r
e
a
r
e
is
s
u
es
r
elate
d
to
clea
n
an
d
h
ea
lth
y
liv
i
n
g
b
e
h
a
v
io
r
s
(
PHB
S)
an
d
n
u
tr
itio
n
.
Su
p
p
o
r
t
f
r
o
m
lo
ca
l
g
o
v
er
n
m
e
n
ts
an
d
ca
d
r
es
is
a
s
ig
n
if
ican
t
s
u
p
p
o
r
tin
g
f
ac
to
r
,
with
th
e
av
ailab
ilit
y
o
f
o
p
e
r
atio
n
al
b
u
d
g
ets
an
d
ac
tiv
e
ca
d
r
es.
C
o
n
v
er
s
ely
,
lo
w
co
m
m
u
n
ity
p
ar
ticip
atio
n
an
d
th
e
h
ig
h
wo
r
k
lo
ad
o
f
h
ea
lth
w
o
r
k
er
s
ar
e
in
h
ib
itin
g
f
ac
to
r
s
th
at
m
ak
e
it
d
if
f
icu
lt
to
ac
h
iev
e
th
e
tar
g
et.
Fin
ally
,
in
ter
m
s
o
f
o
u
tco
m
e,
6
0
%
o
f
f
am
ilies
s
h
o
wed
an
in
cr
ea
s
e
in
h
ea
lth
y
b
e
h
av
io
r
,
b
u
t c
o
n
tin
u
ed
s
tr
en
g
th
en
in
g
o
f
ed
u
ca
tio
n
t
o
im
p
r
o
v
e
co
m
m
u
n
ity
h
ea
lth
b
e
h
av
io
r
is
s
till
n
ee
d
ed
.
T
ab
le
3
s
h
o
ws
th
at
m
o
s
t
in
d
i
ca
to
r
s
ar
e
ap
p
r
o
ac
h
in
g
t
h
eir
t
ar
g
ets,
alth
o
u
g
h
ch
allen
g
es
r
e
m
ain
.
T
h
e
f
am
ily
p
lan
n
in
g
(
KB
)
p
r
o
g
r
a
m
h
as
r
ea
ch
ed
8
5
%
co
v
er
ag
e
,
b
u
t
s
o
m
e
f
am
ilies
r
em
ain
in
ac
tiv
e.
Nin
ety
-
f
iv
e
p
er
ce
n
t
o
f
m
o
th
er
s
r
ec
eiv
i
n
g
ca
r
e
at
h
ea
lth
f
ac
ilit
ies,
ap
p
r
o
ac
h
in
g
th
e
n
ati
o
n
al
s
tan
d
ar
d
.
I
n
f
an
t
im
m
u
n
izatio
n
is
ac
h
iev
ed
at
8
8
%,
d
esp
ite
ac
ce
s
s
co
n
s
tr
ain
ts
.
On
ly
7
2
%
o
f
in
f
an
ts
ar
e
e
x
clu
s
iv
ely
b
r
ea
s
tf
ed
,
in
d
icatin
g
th
e
n
ee
d
f
o
r
f
u
r
th
er
e
d
u
ca
tio
n
.
Ot
h
er
h
ea
lth
in
d
icato
r
s
,
s
u
ch
as
tr
ea
tm
en
t
f
o
r
p
u
lm
o
n
ar
y
tu
b
er
cu
lo
s
is
(
7
0
%)
an
d
h
y
p
er
ten
s
io
n
(
6
5
%),
in
d
icate
th
e
n
ee
d
f
o
r
im
p
r
o
v
ed
co
m
p
lian
ce
an
d
ac
ce
s
s
ib
ilit
y
.
C
o
n
v
er
s
ely
,
n
eg
ativ
e
in
d
icato
r
s
,
s
u
ch
as
s
m
o
k
in
g
w
ith
in
th
e
f
am
ily
(
4
0
%)
a
n
d
ac
ce
s
s
to
ad
eq
u
ate
s
an
itatio
n
,
in
d
icate
cr
itical
ar
ea
s
r
eq
u
ir
in
g
f
u
r
th
er
atten
tio
n
.
Fam
ily
s
u
p
p
o
r
t
f
o
r
p
eo
p
le
with
m
en
tal
d
is
o
r
d
er
s
(
9
0
%)
a
n
d
B
PJ
S
m
em
b
er
s
h
ip
(
8
2
%)
d
em
o
n
s
tr
ate
p
o
s
itiv
e
as
p
ec
ts
o
f
f
am
ily
h
ea
lth
ef
f
o
r
ts
.
T
a
b
l
e
2
.
R
es
u
l
ts
o
f
t
h
e
a
n
a
l
y
s
is
o
f
t
h
e
i
m
p
l
e
m
e
n
t
a
ti
o
n
o
f
t
h
e
H
e
a
l
t
h
y
I
n
d
o
n
e
s
i
a
P
r
o
g
r
a
m
w
ith
a
f
a
m
i
l
y
a
p
p
r
o
a
c
h
A
n
a
l
y
s
i
s
a
s
p
e
c
t
s
I
n
d
i
c
a
t
o
r
F
i
n
d
i
n
g
s
I
n
f
o
r
mat
i
o
n
I
n
p
u
t
(
p
o
l
i
c
y
&
H
R
)
A
v
a
i
l
a
b
i
l
i
t
y
o
f
P
I
S
-
P
K
i
mp
l
e
m
e
n
t
i
n
g
s
t
a
f
f
8
5
%
o
f
t
h
e
w
o
r
k
f
o
r
c
e
h
a
s
b
e
e
n
t
r
a
i
n
e
d
i
n
P
I
S
-
PK
Th
e
r
e
i
s
st
i
l
l
a
sh
o
r
t
a
g
e
o
f
f
i
e
l
d
su
r
v
e
y
o
r
s
P
r
o
c
e
ss
(
i
mp
l
e
m
e
n
t
a
t
i
o
n
)
F
a
mi
l
y
v
i
si
t
c
o
v
e
r
a
g
e
7
2
%
o
f
f
a
m
i
l
i
e
s
h
a
v
e
b
e
e
n
v
i
si
t
e
d
Th
e
n
a
t
i
o
n
a
l
t
a
r
g
e
t
o
f
8
0
%
h
a
s
n
o
t
b
e
e
n
a
c
h
i
e
v
e
d
O
u
t
p
u
t
(
a
c
t
i
v
i
t
y
r
e
su
l
t
s)
A
v
e
r
a
g
e
h
e
a
l
t
h
y
f
a
mi
l
y
i
n
d
e
x
v
a
l
u
e
0
.
6
5
%
(
a
d
e
q
u
a
t
e
c
a
t
e
g
o
r
y
)
Th
e
r
e
a
r
e
s
t
i
l
l
p
r
o
b
l
e
ms
w
i
t
h
P
H
B
S
a
n
d
N
u
t
r
i
t
i
o
n
S
u
p
p
o
r
t
i
n
g
f
a
c
t
o
r
s
S
u
p
p
o
r
t
f
r
o
m l
o
c
a
l
g
o
v
e
r
n
me
n
t
a
n
d
c
a
d
r
e
s
O
p
e
r
a
t
i
o
n
a
l
o
r
d
e
r
a
v
a
i
l
a
b
l
e
,
a
c
t
i
v
e
c
a
d
r
e
s
S
u
p
p
o
r
t
p
r
o
g
r
a
m
a
c
c
e
l
e
r
a
t
i
o
n
I
n
h
i
b
i
t
i
n
g
f
a
c
t
o
r
s
C
o
mm
u
n
i
t
y
p
a
r
t
i
c
i
p
a
t
i
o
n
a
n
d
h
e
a
l
t
h
w
o
r
k
e
r
w
o
r
k
l
o
a
d
Lo
w
p
a
r
t
i
c
i
p
a
t
i
o
n
r
a
t
e
,
h
i
g
h
w
o
r
k
l
o
a
d
.
M
a
k
e
s
i
t
d
i
f
f
i
c
u
l
t
t
o
a
c
h
i
e
v
e
t
a
r
g
e
t
s
O
u
t
c
o
m
e
C
h
a
n
g
e
s
i
n
f
a
mi
l
y
h
e
a
l
t
h
b
e
h
a
v
i
o
r
6
0
%
o
f
f
a
m
i
l
i
e
s
sh
o
w
e
d
a
n
i
n
c
r
e
a
s
e
i
n
h
e
a
l
t
h
y
b
e
h
a
v
i
o
r
Th
e
r
e
i
s
st
i
l
l
a
n
e
e
d
f
o
r
st
r
e
n
g
t
h
e
n
i
n
g
c
o
n
t
i
n
u
o
u
s
e
d
u
c
a
t
i
o
n
T
ab
le
4
p
r
esen
ts
a
g
ap
an
aly
s
is
o
f
1
2
h
ea
lth
y
f
am
ily
in
d
ica
to
r
s
at
th
e
T
am
b
o
r
a
C
o
m
m
u
n
ity
Hea
lth
C
en
ter
,
co
m
p
ar
i
n
g
th
e
co
m
m
u
n
ity
h
ea
lth
ce
n
ter
'
s
ac
h
iev
e
m
en
ts
with
n
atio
n
al
tar
g
ets.
T
h
e
d
ata
s
h
o
ws
th
at
s
ev
er
al
in
d
icato
r
s
f
ell
s
h
o
r
t o
f
th
e
n
atio
n
al
tar
g
et,
i
n
clu
d
in
g
: h
y
p
er
ten
s
io
n
p
atien
ts
r
ec
ei
v
in
g
r
eg
u
lar
tr
ea
tm
e
n
t
(
-
2
0
%),
th
e
n
u
m
b
er
o
f
f
am
ily
m
em
b
er
s
wh
o
s
m
o
k
e
(
-
2
0
%),
an
d
T
B
p
atien
ts
r
ec
eiv
in
g
s
t
an
d
ar
d
tr
ea
tm
e
n
t
(
-
1
5
%).
Me
an
wh
ile,
in
d
icato
r
s
s
u
ch
as
d
eliv
er
y
in
a
h
ea
lth
f
a
cility
an
d
ac
ce
s
s
to
h
ea
lth
y
latr
in
es
ex
ce
ed
ed
th
e
n
atio
n
al
tar
g
et,
with
s
u
r
p
lu
s
e
s
o
f
+5
%
an
d
+
8
%,
r
esp
ec
tiv
ely
.
T
h
e
a
v
er
ag
e
ac
h
iev
em
e
n
t
at
th
e
T
am
b
o
r
a
C
o
m
m
u
n
ity
Hea
lth
C
en
ter
wa
s
7
3
%,
wh
ich
is
co
n
s
id
er
e
d
to
b
e
in
th
e
f
air
ly
h
ea
lth
y
ca
te
g
o
r
y
.
T
h
ese
f
in
d
in
g
s
in
d
icate
th
e
n
ee
d
f
o
r
ef
f
o
r
ts
to
im
p
r
o
v
e
co
m
p
lian
ce
with
h
ea
lth
p
r
o
g
r
am
s
,
p
ar
ticu
la
r
ly
in
th
e
m
an
ag
em
en
t
o
f
ch
r
o
n
ic
d
is
ea
s
es a
n
d
in
ter
v
en
t
io
n
s
to
ad
d
r
ess
s
m
o
k
in
g
r
is
k
f
ac
to
r
s
in
f
am
ilies
.
T
ab
le
5
s
h
o
ws
th
at
t
h
e
f
in
d
in
g
s
in
d
icate
th
at
ex
clu
s
iv
e
b
r
ea
s
tf
ee
d
in
g
,
T
B
,
h
y
p
e
r
ten
s
io
n
,
an
d
s
m
o
k
in
g
a
r
e
p
r
i
o
r
ities
f
o
r
in
ter
v
en
tio
n
,
with
k
e
y
is
s
u
es
id
en
tifie
d
as
cu
ltu
r
al,
ec
o
n
o
m
ic,
an
d
a
lack
o
f
u
n
d
er
s
tan
d
i
n
g
.
R
ec
o
m
m
en
d
ed
im
p
r
o
v
em
e
n
t
s
tr
ateg
ies
in
clu
d
e
s
tr
en
g
th
en
in
g
ed
u
ca
tio
n
,
e
m
p
o
wer
in
g
ca
d
r
es,
r
o
u
tin
e
m
o
n
ito
r
in
g
,
an
d
p
o
lic
y
ad
v
o
ca
cy
.
T
h
ese
s
tep
s
ar
e
ex
p
ec
ted
to
ac
h
iev
e
s
ig
n
if
ica
n
t
im
p
r
o
v
em
e
n
ts
in
p
u
b
lic
h
ea
lth
i
n
d
icato
r
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.
15
,
No
.
1
,
M
ar
ch
20
26
:
2
3
2
-
241
236
T
ab
le
3
.
A
ch
iev
e
m
en
ts
o
f
1
2
i
n
d
icato
r
s
o
f
h
ea
lth
y
f
am
ilies
H
e
a
l
t
h
y
f
a
mi
l
y
i
n
d
i
c
a
t
o
r
s
A
c
h
i
e
v
e
me
n
t
(
%)
I
n
f
o
r
mat
i
o
n
Th
e
f
a
m
i
l
y
f
o
l
l
o
w
s
t
h
e
f
a
mi
l
y
p
l
a
n
n
i
n
g
p
r
o
g
r
a
m
8
5
%
Th
e
r
e
a
r
e
st
i
l
l
i
n
a
c
t
i
v
e
f
a
mi
l
i
e
s i
n
K
B
M
o
t
h
e
r
g
i
v
e
s
b
i
r
t
h
a
t
a
h
e
a
l
t
h
f
a
c
i
l
i
t
y
9
5
%
A
l
mo
s
t
i
n
l
i
n
e
w
i
t
h
t
h
e
n
a
t
i
o
n
a
l
t
a
r
g
e
t
.
Th
e
b
a
b
y
r
e
c
e
i
v
e
d
c
o
m
p
l
e
t
e
i
mm
u
n
i
z
a
t
i
o
n
s
8
8
%
Th
e
r
e
a
r
e
st
i
l
l
o
b
st
a
c
l
e
s
t
o
a
c
c
e
ss
a
n
d
r
e
f
u
sa
l
o
f
i
mm
u
n
i
z
a
t
i
o
n
.
Th
e
b
a
b
y
r
e
c
e
i
v
e
s
e
x
c
l
u
s
i
v
e
b
r
e
a
s
t
f
e
e
d
i
n
g
7
2
%
N
e
e
d
f
o
r
o
n
g
o
i
n
g
e
d
u
c
a
t
i
o
n
To
d
d
l
e
r
g
r
o
w
t
h
i
s
mo
n
i
t
o
r
e
d
8
0
%
Li
mi
t
e
d
P
o
sa
n
d
u
i
n
s
e
v
e
r
a
l
a
r
e
a
s
P
u
l
m
o
n
a
r
y
T
B
s
u
f
f
e
r
e
r
s re
c
e
i
v
e
t
r
e
a
t
men
t
a
c
c
o
r
d
i
n
g
t
o
st
a
n
d
a
r
d
s
7
0
%
Th
e
r
e
a
r
e
st
i
l
l
p
a
t
i
e
n
t
s w
h
o
h
a
v
e
st
o
p
p
e
d
t
a
k
i
n
g
t
h
e
i
r
me
d
i
c
a
t
i
o
n
H
y
p
e
r
t
e
n
si
o
n
s
u
f
f
e
r
e
r
s
t
a
k
e
r
e
g
u
l
a
r
m
e
d
i
c
a
t
i
o
n
6
5
%
Lo
w
c
o
m
p
l
i
a
n
c
e
r
a
t
e
P
e
o
p
l
e
w
i
t
h
me
n
t
a
l
d
i
so
r
d
e
r
s
a
r
e
n
o
t
n
e
g
l
e
c
t
e
d
9
0
%
Th
e
r
e
i
s
q
u
i
t
e
g
o
o
d
f
a
m
i
l
y
s
u
p
p
o
r
t
N
o
sm
o
k
i
n
g
i
n
t
h
e
f
a
m
i
l
y
4
0
%
S
mo
k
i
n
g
r
a
t
e
s a
r
e
st
i
l
l
h
i
g
h
Th
e
f
a
m
i
l
y
b
e
c
o
m
e
s a
B
P
JS
mem
b
e
r
8
2
%
Th
e
r
e
a
r
e
st
i
l
l
f
a
m
i
l
i
e
s
n
o
t
r
e
g
i
s
t
e
r
e
d
F
a
mi
l
i
e
s
h
a
v
e
a
c
c
e
ss
t
o
c
l
e
a
n
w
a
t
e
r
f
a
c
i
l
i
t
i
e
s
8
5
%
Th
e
r
e
a
r
e
a
r
e
a
s w
i
t
h
l
i
m
i
t
e
d
f
a
c
i
l
i
t
i
e
s
F
a
mi
l
i
e
s
h
a
v
e
a
c
c
e
ss
t
o
h
e
a
l
t
h
y
t
o
i
l
e
t
s
8
8
%
Th
e
r
e
a
r
e
st
i
l
l
i
n
a
d
e
q
u
a
t
e
t
o
i
l
e
t
s
D
e
scri
p
t
i
o
n
:
A
v
e
r
a
g
e
f
a
mi
l
y
h
e
a
l
t
h
i
n
d
e
x
=
0
.
7
2
%
(
su
f
f
i
c
i
e
n
t
c
a
t
e
g
o
r
y
)
T
ab
le
4
.
An
aly
s
is
o
f
t
h
e
ca
m
p
aig
n
g
ap
f
o
r
1
2
h
ea
lth
y
f
a
m
ily
in
d
icato
r
s
H
e
a
l
t
h
y
f
a
mi
l
y
i
n
d
i
c
a
t
o
r
s
N
a
t
i
o
n
a
l
t
a
r
g
e
t
(
%)
Ta
mb
o
r
a
a
c
h
i
e
v
e
me
n
t
(
%)
G
a
p
(
%)
I
n
f
o
r
mat
i
o
n
F
a
mi
l
i
e
s
f
o
l
l
o
w
t
h
e
f
a
m
i
l
y
p
l
a
n
n
i
n
g
p
r
o
g
r
a
m
8
0
%
78
-
2
A
l
mo
s
t
r
e
a
c
h
e
d
,
n
e
e
d
t
o
i
n
c
r
e
a
se
K
B
C
h
i
l
d
b
i
r
t
h
i
n
a
h
e
a
l
t
h
f
a
c
i
l
i
t
y
9
0
%
95
+5
Ex
c
e
e
d
i
n
g
t
h
e
t
a
r
g
e
t
C
o
m
p
l
e
t
e
b
a
s
i
c
i
mm
u
n
i
z
a
t
i
o
n
f
o
r
b
a
b
i
e
s
8
5
%
88
+3
I
t
h
a
s
b
e
e
n
a
c
h
i
e
v
e
d
Th
e
b
a
b
y
r
e
c
e
i
v
e
s
e
x
c
l
u
s
i
v
e
b
r
e
a
s
t
f
e
e
d
i
n
g
8
0
%
72
-
8
N
e
e
d
f
o
r
m
o
t
h
e
r
s' e
d
u
c
a
t
i
o
n
a
l
s
u
p
p
o
r
t
To
d
d
l
e
r
g
r
o
w
t
h
i
s
mo
n
i
t
o
r
e
d
8
0
%
80
0
A
c
c
o
r
d
i
n
g
t
o
t
a
r
g
e
t
TB
s
u
f
f
e
r
e
r
s
r
e
c
e
i
v
e
t
r
e
a
t
m
e
n
t
a
c
c
o
r
d
i
n
g
t
o
st
a
n
d
a
r
d
s
8
5
%
70
-
15
Th
e
g
a
p
i
s
q
u
i
t
e
l
a
r
g
e
,
r
e
q
u
i
r
e
s
s
t
r
i
c
t
mo
n
i
t
o
r
i
n
g
H
y
p
e
r
t
e
n
si
o
n
s
u
f
f
e
r
e
r
s
t
a
k
e
r
e
g
u
l
a
r
med
i
c
a
t
i
o
n
8
5
%
65
-
20
Lo
w
c
o
m
p
l
i
a
n
c
e
P
e
o
p
l
e
w
i
t
h
me
n
t
a
l
d
i
so
r
d
e
r
s
a
r
e
n
o
t
n
e
g
l
e
c
t
e
d
8
0
%
90
+
1
0
Ex
c
e
e
d
i
n
g
t
h
e
t
a
r
g
e
t
N
o
sm
o
k
i
n
g
mem
b
e
r
s
6
0
%
40
-
20
S
mo
k
i
n
g
r
a
t
e
s
a
r
e
h
i
g
h
,
e
d
u
c
a
t
i
o
n
a
n
d
r
e
g
u
l
a
t
i
o
n
n
e
e
d
t
o
b
e
i
m
p
r
o
v
e
d
Th
e
f
a
m
i
l
y
b
e
c
o
m
e
s a
mem
b
e
r
o
f
B
P
J
S
8
5
%
82
-
3
A
l
mo
s
t
o
n
t
a
r
g
e
t
A
c
c
e
ss
t
o
c
l
e
a
n
w
a
t
e
r
f
a
c
i
l
i
t
i
e
s
8
0
%
85
+5
I
t
h
a
s
b
e
e
n
a
c
h
i
e
v
e
d
A
c
c
e
ss
t
o
h
e
a
l
t
h
y
t
o
i
l
e
t
s
8
0
%
88
+8
I
t
h
a
s
b
e
e
n
a
c
h
i
e
v
e
d
I
n
f
o
r
mat
i
o
n
:
A
v
e
r
a
g
e
a
c
h
i
e
v
e
m
e
n
t
o
f
Ta
m
b
o
r
a
C
o
mm
u
n
i
t
y
H
e
a
l
t
h
C
e
n
t
e
r
=
0
.
7
3
(
f
a
i
r
l
y
h
e
a
l
t
h
y
c
a
t
e
g
o
r
y
)
.
I
n
d
i
c
a
t
o
r
w
i
t
h
t
h
e
b
i
g
g
e
st
g
a
p
:
i
)
H
y
p
e
r
t
e
n
si
o
n
s
u
f
f
e
r
e
r
s
t
a
k
e
r
e
g
u
l
a
r
m
e
d
i
c
a
t
i
o
n
(
-
2
0
%)
;
i
i
)
N
o
f
a
mi
l
y
mem
b
e
r
s
smo
k
e
(
-
2
0
%)
;
a
n
d
i
i
i
)
T
B
p
a
t
i
e
n
t
s
r
e
c
e
i
v
e
t
r
e
a
t
me
n
t
a
c
c
o
r
d
i
n
g
t
o
st
a
n
d
a
r
d
s (
-
1
5
%)
T
ab
l
e
5
.
An
aly
s
i
s
o
f
p
u
b
l
ic
h
e
al
th
i
n
d
i
ca
to
r
s
an
d
in
te
r
v
en
tio
n
-
b
a
s
ed
im
p
r
o
v
em
en
t
s
tr
at
eg
i
es
Lo
w
g
a
p
i
n
d
i
c
a
t
o
r
M
a
i
n
p
r
o
b
l
e
m
R
e
c
o
mm
e
n
d
a
t
i
o
n
s f
o
r
i
m
p
r
o
v
e
me
n
t
s
t
r
a
t
e
g
i
e
s
B
a
b
i
e
s rec
e
i
v
e
e
x
c
l
u
si
v
e
b
r
e
a
st
mi
l
k
(
7
2
%)
Lo
w
m
o
t
h
e
r
p
a
t
i
e
n
c
e
i
s
i
n
f
l
u
e
n
c
e
d
b
y
t
h
e
c
u
l
t
u
r
e
o
f
p
r
o
m
o
t
i
n
g
f
o
r
m
u
l
a
mi
l
k
1.
S
t
r
e
n
g
t
h
e
n
i
n
g
e
x
c
l
u
si
v
e
b
r
e
a
s
t
f
e
e
d
i
n
g
e
d
u
c
a
t
i
o
n
t
h
r
o
u
g
h
p
r
e
g
n
a
n
c
y
c
l
a
ss
e
s
a
n
d
h
e
a
l
t
h
p
o
s
t
s
2.
Emp
o
w
e
r
me
n
t
o
f
b
r
e
a
st
f
e
e
d
i
n
g
c
a
d
r
e
s i
n
e
a
c
h
v
i
l
l
a
g
e
3.
C
o
l
l
a
b
o
r
a
t
i
o
n
w
i
t
h
c
o
mm
u
n
i
t
y
a
n
d
r
e
l
i
g
i
o
u
s
l
e
a
d
e
r
s fo
r
o
u
t
r
e
a
c
h
TB
p
a
t
i
e
n
t
s
a
c
c
o
r
d
i
n
g
t
o
st
a
n
d
a
r
d
s
(
7
0
%)
P
a
t
i
e
n
t
s
t
o
p
p
e
d
t
a
k
i
n
g
med
i
c
a
t
i
o
n
,
l
a
c
k
o
f
f
a
mi
l
y
su
p
e
r
v
i
si
o
n
1.
O
p
t
i
mi
z
i
n
g
D
O
TS w
i
t
h
me
d
i
c
a
t
i
o
n
c
o
mp
a
n
i
o
n
s
2.
I
n
t
e
n
s
i
v
e
m
o
n
i
t
o
r
i
n
g
b
y
c
a
d
r
e
s
a
n
d
o
f
f
i
c
e
r
s
3.
P
r
o
v
i
si
o
n
o
f
t
r
a
n
s
p
o
r
t
a
t
i
o
n
i
n
c
e
n
t
i
v
e
s
f
o
r
TB
p
a
t
i
e
n
t
s
.
4.
F
a
mi
l
y
e
d
u
c
a
t
i
o
n
f
o
r
t
r
e
a
t
me
n
t
su
p
p
o
r
t
H
y
p
e
r
t
e
n
si
o
n
su
f
f
e
r
e
r
s
t
a
k
e
r
e
g
u
l
a
r
me
d
i
c
a
t
i
o
n
(
6
5
%)
Lo
w
c
o
m
p
l
i
a
n
c
e
,
e
c
o
n
o
m
i
c
f
a
c
t
o
r
s a
n
d
l
a
c
k
o
f
u
n
d
e
r
s
t
a
n
d
i
n
g
1.
S
t
r
e
n
g
t
h
e
n
i
n
g
t
h
e
B
P
JS
P
r
o
l
a
n
i
s
p
r
o
g
r
a
m
2.
R
o
u
t
i
n
e
b
l
o
o
d
p
r
e
ssu
r
e
m
o
n
i
t
o
r
i
n
g
a
t
t
h
e
e
l
d
e
r
l
y
h
e
a
l
t
h
p
o
st
3.
Ed
u
c
a
t
i
o
n
o
n
b
a
l
a
n
c
e
d
n
u
t
r
i
t
i
o
n
a
n
d
p
h
y
s
i
c
a
l
a
c
t
i
v
i
t
y
4.
H
o
me
p
h
y
s
i
o
f
o
r
p
a
t
i
e
n
t
s w
i
t
h
l
o
w
c
o
n
t
r
o
l
N
o
f
a
m
i
l
y
m
e
mb
e
r
s
smo
k
e
(
4
0
%)
H
i
g
h
sm
o
k
i
n
g
r
a
t
e
s
i
n
so
c
i
e
t
y
,
f
a
c
t
o
r
s
-
h
a
b
i
t
s a
n
d
c
u
l
t
u
r
e
1.
Ed
u
c
a
t
i
o
n
o
n
t
h
e
d
a
n
g
e
r
s
o
f
s
mo
k
i
n
g
f
r
o
m a
d
o
l
e
s
c
e
n
c
e
t
h
r
o
u
g
h
sc
h
o
o
l
s
a
n
d
y
o
u
t
h
h
e
a
l
t
h
p
o
s
t
s
2.
En
f
o
r
c
e
m
e
n
t
o
f
sm
o
k
e
-
f
r
e
e
a
r
e
a
s
(
K
T
R
)
3.
P
r
o
v
i
d
i
n
g
s
e
r
v
i
c
e
s fo
r
b
o
a
r
d
i
n
g
h
o
u
se
r
e
si
d
e
n
t
s
t
o
s
t
o
p
s
mo
k
i
n
g
a
t
t
h
e
c
o
mm
u
n
i
t
y
h
e
a
l
t
h
c
e
n
t
e
r
4.
A
d
v
o
c
a
c
y
t
o
t
h
e
g
o
v
e
r
n
m
e
n
t
r
e
g
a
r
d
i
n
g
c
i
g
a
r
e
t
t
e
r
e
g
u
l
a
t
i
o
n
s
F
a
mi
l
i
e
s
n
o
t
r
e
g
i
s
t
e
r
e
d
w
i
t
h
K
JN
(
8
2
%)
A
d
mi
n
i
s
t
r
a
t
i
v
e
a
n
d
e
c
o
n
o
m
i
c
c
o
n
st
r
a
i
n
t
s
1.
S
o
c
i
a
l
i
z
a
t
i
o
n
o
f
J
K
N
b
e
n
e
f
i
t
s
i
n
t
h
e
c
o
mm
u
n
i
t
y
2.
B
P
JS
r
e
g
i
s
t
r
a
t
i
o
n
o
u
t
r
e
a
c
h
s
e
r
v
i
c
e
i
n
t
h
e
v
i
l
l
a
g
e
3.
P
e
r
mi
s
u
b
si
d
y
t
h
r
o
u
g
h
9
P
B
I
(
su
b
s
i
d
i
a
r
y
o
f
v
i
l
l
a
g
e
h
e
a
d
a
ssi
s
t
a
n
c
e
)
T
h
e
p
r
o
g
r
a
m
b
en
ef
its
f
r
o
m
t
r
a
in
ed
p
e
r
s
o
n
n
el,
with
a
p
p
r
o
x
i
m
ately
8
5
%
o
f
th
e
PIS
-
PK
im
p
lem
en
tin
g
s
taf
f
h
av
in
g
r
ec
eiv
ed
t
r
ain
in
g
.
Nev
er
th
eless
,
th
e
p
e
r
s
is
te
n
t
s
h
o
r
tag
e
o
f
f
ield
s
u
r
v
ey
o
r
s
r
aises
co
n
ce
r
n
s
r
eg
ar
d
in
g
th
e
ad
eq
u
ac
y
o
f
m
an
p
o
wer
f
o
r
ef
f
ec
tiv
e
ex
e
cu
tio
n
.
T
h
e
p
r
o
g
r
a
m
'
s
ef
f
icac
y
is
s
ig
n
if
ican
tly
in
f
lu
en
ce
d
b
y
th
e
t
r
ain
in
g
o
f
p
er
s
o
n
n
el
an
d
c
o
m
m
u
n
ity
en
g
a
g
em
en
t,
with
ab
o
u
t
8
5
%
o
f
PIS
-
PK
s
taf
f
tr
ain
ed
.
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
A
n
a
lysi
s
o
f th
e
imp
leme
n
ta
tio
n
o
f th
e
h
ea
lth
y
I
n
d
o
n
esia
p
r
o
g
r
a
m
p
o
licy
w
ith
a
…
(
A
b
d
u
l
Ha
r
is
)
237
Ho
wev
er
,
m
an
p
o
wer
s
h
o
r
tag
e
s
,
p
ar
ticu
lar
ly
in
f
ield
s
u
r
v
ey
o
r
s
,
h
in
d
er
p
r
o
g
r
am
ex
ec
u
tio
n
,
wh
ich
alig
n
s
with
f
in
d
in
g
s
em
p
h
asizin
g
th
e
cr
it
ical
r
o
le
o
f
tr
ain
e
d
p
er
s
o
n
n
el
in
co
m
m
u
n
ity
h
ea
lth
in
itiati
v
es
[
1
2
]
.
No
ta
b
ly
,
f
am
ily
v
is
it
co
v
er
ag
e
o
f
7
2
%
p
o
in
ts
to
th
e
n
ee
d
f
o
r
s
tr
ate
g
ic
r
ee
v
alu
atio
n
,
as
lo
w
co
m
m
u
n
ity
p
ar
ticip
atio
n
ca
n
s
tifle
p
r
o
g
r
am
s
u
cc
ess
[
1
3
]
.
Stu
d
ies
s
u
g
g
est
en
h
an
ce
d
co
m
m
u
n
ity
in
v
o
lv
e
m
en
t
is
v
ital
f
o
r
ac
h
iev
in
g
h
ea
lth
tar
g
ets,
with
f
am
ily
e
n
g
ag
em
e
n
t
lead
in
g
to
im
p
r
o
v
ed
h
ea
lth
o
u
tc
o
m
es
[
1
4
]
.
I
n
d
icato
r
s
o
f
h
ea
lth
b
eh
av
io
r
s
,
wh
ile
s
h
o
win
g
p
o
s
itiv
e
tr
en
d
s
,
r
ev
ea
l
p
er
s
is
ten
t
is
s
u
es
in
ar
ea
s
s
u
ch
as
b
r
ea
s
tf
ee
d
in
g
,
wh
er
e
cu
ltu
r
al
n
o
r
m
s
im
p
ed
e
p
r
ac
tic
e
d
esp
ite
a
r
ep
o
r
ted
p
r
ev
alen
c
e
o
f
6
3
.
7
% [
1
5
]
.
I
n
ter
m
s
o
f
p
r
o
ce
s
s
,
co
v
er
ag
e
o
f
f
am
ily
v
is
its
r
ea
ch
ed
7
2
%,
f
allin
g
s
h
o
r
t
o
f
th
e
n
atio
n
al
tar
g
et
o
f
8
0
%.
T
h
is
s
h
o
r
tf
all
s
u
g
g
ests
a
n
ee
d
f
o
r
r
ee
v
al
u
atio
n
o
f
im
p
l
em
en
tatio
n
s
tr
ateg
ies.
As
n
o
ted
b
y
[
1
6
]
,
b
ar
r
ie
r
s
s
u
ch
as
lo
w
co
m
m
u
n
ity
p
ar
tic
ip
atio
n
ca
n
im
p
ed
e
p
r
o
g
r
am
s
u
cc
ess
,
in
d
icatin
g
th
at
m
o
r
e
r
o
b
u
s
t
s
tr
ateg
ies
ar
e
n
ec
ess
ar
y
to
en
co
u
r
ag
e
ac
tiv
e
in
v
o
lv
em
e
n
t
d
u
r
i
n
g
d
eliv
e
r
y
p
h
ases
.
I
n
itiativ
es
aim
ed
at
en
h
an
cin
g
co
m
m
u
n
ity
p
ar
ticip
atio
n
,
as
s
u
g
g
ested
b
y
[
1
7
]
,
i
n
d
icate
th
at
f
am
iliar
izi
n
g
h
ea
lth
p
r
o
f
ess
io
n
als
with
p
ar
ticip
atio
n
g
o
als
ca
n
s
ig
n
if
ican
tly
im
p
r
o
v
e
o
u
tc
o
m
es.
T
h
e
av
er
ag
e
Hea
lth
y
Fam
ily
I
n
d
ex
(
I
KS
)
s
tan
d
s
at
0
.
6
5
,
ca
teg
o
r
ize
d
as
ad
eq
u
ate.
Ho
wev
er
,
ch
allen
g
es
r
em
ain
co
n
ce
r
n
in
g
clea
n
an
d
h
ea
lth
y
liv
in
g
b
e
h
a
v
io
r
s
an
d
n
u
tr
itio
n
al
p
r
ac
tices.
Su
p
p
o
r
tin
g
f
ac
t
o
r
s
s
u
ch
as
a
well
-
f
u
n
ctio
n
in
g
o
p
er
atio
n
al
f
r
am
ewo
r
k
an
d
ac
t
iv
e
lo
ca
l
ca
d
r
es
h
av
e
b
ee
n
v
i
tal
in
aid
in
g
h
ea
lt
h
in
itiativ
es.
Acc
o
r
d
in
g
to
[
1
8
]
,
co
m
m
u
n
ity
-
b
ased
n
u
tr
iti
o
n
p
r
o
g
r
am
s
ca
n
lead
to
l
o
n
g
er
-
te
r
m
b
en
e
f
its
,
h
ig
h
lig
h
tin
g
th
e
r
o
le
o
f
lo
ca
l
s
u
p
p
o
r
t
in
s
u
ch
h
ea
lth
in
ter
v
en
tio
n
s
.
Nev
er
th
eless
,
ad
d
r
ess
in
g
b
eh
av
io
r
s
ar
o
u
n
d
n
u
tr
itio
n
r
e
q
u
ir
es c
o
n
tin
u
o
u
s
en
g
ag
em
e
n
t b
ey
o
n
d
b
aselin
e
in
itiativ
es [
1
9
]
.
L
o
ca
l
s
o
cio
-
cu
ltu
r
al
an
d
ec
o
n
o
m
ic
f
ac
to
r
s
s
ig
n
if
ica
n
tly
in
f
lu
en
ce
th
e
r
esu
lts
o
f
th
e
Hea
lth
y
I
n
d
o
n
esia
Pro
g
r
am
.
Fo
r
in
s
tan
ce
,
th
e
p
r
e
v
ailin
g
cu
ltu
r
al
n
o
r
m
s
th
at
f
av
o
r
f
o
r
m
u
la
f
ee
d
in
g
o
f
te
n
h
in
d
er
ex
clu
s
iv
e
b
r
ea
s
tf
ee
d
i
n
g
p
r
ac
t
ices,
with
ex
clu
s
iv
e
b
r
ea
s
tf
ee
d
in
g
r
ates
r
ep
o
r
ted
at
ap
p
r
o
x
im
ately
6
3
.
7
%
in
s
o
m
e
s
tu
d
ies,
in
d
icatin
g
th
at
m
an
y
i
n
f
an
ts
s
till
d
o
n
o
t
r
ec
ei
v
e
ex
clu
s
iv
e
b
r
ea
s
tf
ee
d
in
g
[
2
0
]
.
T
h
e
im
p
licatio
n
s
o
f
th
ese
n
o
r
m
s
ar
e
co
m
p
o
u
n
d
ed
b
y
ec
o
n
o
m
ic
f
ac
to
r
s
,
wh
er
e
m
an
y
m
o
th
er
s
m
ay
lack
th
e
r
eso
u
r
ce
s
o
r
s
u
p
p
o
r
t
n
ec
ess
ar
y
to
p
r
io
r
itize
b
r
ea
s
tf
ee
d
in
g
[
2
1
]
.
Ad
d
itio
n
ally
,
s
o
cio
ec
o
n
o
m
ic
s
tatu
s
af
f
ec
ts
h
e
alth
b
eh
a
v
io
r
s
an
d
ac
ce
s
s
to
ca
r
e,
wh
ic
h
ca
n
b
e
ex
em
p
lifie
d
b
y
ad
h
er
en
ce
c
h
a
llen
g
es
in
v
a
r
io
u
s
h
ea
lth
m
a
n
ag
em
en
t
s
ce
n
ar
i
o
s
,
alth
o
u
g
h
s
p
ec
if
ic
f
ig
u
r
es a
s
s
o
ciate
d
with
h
y
p
er
te
n
s
io
n
m
an
a
g
em
en
t w
er
e
n
o
t c
ited
.
E
d
u
ca
tio
n
also
p
lay
s
a
cr
itical
r
o
le
;
m
o
th
er
s
with
h
ig
h
er
ed
u
ca
tio
n
lev
els
ten
d
to
en
g
ag
e
m
o
r
e
ef
f
ec
tiv
ely
with
h
ea
lth
p
r
ac
ti
ce
s
lik
e
b
r
ea
s
tf
ee
d
in
g
an
d
f
a
m
ily
p
lan
n
in
g
,
wh
ic
h
lead
s
to
im
p
r
o
v
e
d
h
ea
lth
o
u
tco
m
es
[
2
2
]
.
Fu
r
th
er
m
o
r
e,
co
m
m
u
n
ity
en
g
ag
em
e
n
t
s
tr
ateg
ies
th
at
in
v
o
lv
e
lo
ca
l
f
ig
u
r
es
ca
n
ef
f
ec
tiv
ely
b
r
id
g
e
cu
ltu
r
al
g
ap
s
an
d
r
ein
f
o
r
ce
h
ea
lth
m
ess
ag
es,
f
o
s
ter
in
g
g
r
ea
ter
p
ar
ticip
atio
n
in
h
e
alth
p
r
o
g
r
am
s
[
2
3
]
.
T
h
ese
in
ter
twin
ed
s
o
cio
-
cu
ltu
r
al
an
d
ec
o
n
o
m
ic
f
ac
to
r
s
u
n
d
e
r
s
co
r
e
th
e
n
ee
d
f
o
r
tailo
r
e
d
in
t
er
v
en
tio
n
s
th
at
n
o
t
o
n
ly
ad
d
r
ess
th
ese
b
ar
r
ier
s
b
u
t
en
h
an
ce
c
o
m
m
u
n
ity
in
v
o
lv
e
m
en
t to
im
p
r
o
v
e
h
ea
lth
in
d
icat
o
r
s
h
o
lis
tically
.
R
eg
ar
d
in
g
m
ater
n
al
h
ea
lth
,
a
n
o
tab
le
ac
h
iev
em
e
n
t
is
th
e
r
ate
o
f
m
o
th
er
s
d
eliv
er
in
g
at
h
ea
lt
h
f
ac
ilit
ies,
wh
ich
h
as
r
ea
ch
e
d
9
5
%.
T
h
is
is
co
n
s
is
ten
t
with
n
atio
n
al
ta
r
g
ets,
r
ef
lectin
g
ad
v
an
ce
m
en
ts
in
ac
ce
s
s
ib
ilit
y
an
d
awa
r
en
ess
a
r
o
u
n
d
m
e
d
ical
ca
r
e
d
u
r
in
g
ch
ild
b
ir
th
,
p
ar
ticu
lar
ly
with
in
u
r
b
an
s
ettin
g
s
[
2
4
]
.
Stu
d
ies
s
u
g
g
est
th
at
in
cr
ea
s
es
in
f
ac
ilit
y
-
b
ased
d
eliv
er
ies
c
an
b
e
attr
i
b
u
ted
t
o
en
h
an
ce
d
m
ater
n
al
ed
u
ca
tio
n
an
d
co
m
m
u
n
ity
h
ea
lth
in
itiativ
es th
at
u
n
d
e
r
s
co
r
e
th
e
im
p
o
r
t
an
ce
o
f
s
k
illed
ass
is
tan
ce
d
u
r
i
n
g
ch
ild
b
ir
th
[
2
5
]
.
I
n
f
an
t
im
m
u
n
izatio
n
at
8
8
%
is
co
m
m
en
d
ab
le;
h
o
wev
er
,
ch
allen
g
es
r
em
ain
in
r
u
r
al
ar
ea
s
wh
er
e
ac
ce
s
s
an
d
ed
u
ca
tio
n
al
b
a
r
r
ier
s
d
eter
f
u
ll
p
ar
ticip
atio
n
[
2
5
]
.
I
n
th
e
r
ea
lm
o
f
in
f
a
n
t
n
u
tr
itio
n
,
th
e
ex
clu
s
iv
ely
b
r
ea
s
tf
ee
d
in
g
r
ate
is
r
e
p
o
r
ted
at
7
2
%,
h
ig
h
lig
h
tin
g
th
e
n
ee
d
f
o
r
f
u
r
th
er
e
d
u
ca
tio
n
i
n
itiativ
es tar
g
etin
g
m
o
th
e
r
s
.
T
h
e
s
ig
n
if
ican
ce
o
f
b
r
ea
s
tf
ee
d
in
g
an
d
its
co
r
r
elatio
n
with
in
f
an
t
h
ea
lth
u
n
d
er
s
co
r
es
th
e
n
e
ce
s
s
ity
f
o
r
o
n
g
o
in
g
ed
u
ca
tio
n
an
d
s
u
p
p
o
r
t
s
y
s
tem
s
f
o
r
n
ew
m
o
th
er
s
[
2
6
]
.
T
h
e
m
o
n
ito
r
in
g
o
f
to
d
d
ler
s
'
g
r
o
wth
a
t
8
0
%
is
p
r
o
m
is
in
g
b
u
t
also
em
p
h
asizes
th
e
lim
ite
d
av
ailab
ilit
y
o
f
co
m
m
u
n
ity
h
ea
lth
p
o
s
ts
in
s
o
m
e
ar
ea
s
,
n
ec
ess
itatin
g
s
tr
ateg
ic
im
p
r
o
v
em
e
n
ts
in
s
er
v
ice
d
is
tr
i
b
u
tio
n
[
2
7
]
.
C
h
allen
g
es
ar
e
ev
id
en
t
i
n
tr
e
atm
en
t
ad
h
er
e
n
ce
f
o
r
co
n
d
iti
o
n
s
s
u
ch
as
p
u
lm
o
n
ar
y
tu
b
e
r
cu
lo
s
is
an
d
h
y
p
er
ten
s
io
n
,
with
r
esp
ec
tiv
e
co
m
p
lian
ce
r
ates
o
f
7
0
%
a
n
d
6
5
%.
Stu
d
ies
h
av
e
lin
k
ed
m
e
d
icatio
n
ad
h
e
r
en
c
e
to
p
atien
t
k
n
o
wled
g
e
an
d
r
o
b
u
s
t
s
u
p
p
o
r
t
m
ec
h
a
n
is
m
s
[
2
8
]
,
[
2
9
]
.
Mo
r
eo
v
er
,
lo
w
r
ate
s
o
f
ad
h
er
en
ce
to
h
y
p
er
ten
s
io
n
tr
ea
tm
e
n
ts
co
u
ld
lead
t
o
s
ig
n
if
ica
n
t
co
m
p
licatio
n
s
,
r
ein
f
o
r
cin
g
t
h
e
n
ec
ess
ity
f
o
r
o
n
g
o
in
g
p
atien
t
ed
u
ca
tio
n
a
n
d
s
u
p
p
o
r
tiv
e
h
ea
lth
s
y
s
tem
s
[
2
9
]
.
C
o
n
v
er
s
ely
,
in
d
icato
r
s
r
e
v
ea
l
cr
itical
ar
ea
s
n
ee
d
in
g
atten
tio
n
,
s
u
ch
as
an
alar
m
in
g
f
a
m
ily
s
m
o
k
in
g
r
ate
at
4
0
%
an
d
in
a
d
eq
u
ate
ac
ce
s
s
to
s
an
itatio
n
f
ac
ilit
ies
[
2
6
]
.
T
h
e
p
r
esen
ce
o
f
s
m
o
k
in
g
with
in
f
a
m
ilies
n
eg
ativ
ely
im
p
ac
ts
o
v
er
all
h
e
alth
o
u
tco
m
es
an
d
n
ec
ess
itates
im
p
ac
tf
u
l
p
u
b
lic
h
ea
lth
ca
m
p
aig
n
s
to
r
e
d
u
ce
to
b
ac
co
u
s
e
[
2
6
]
.
Ad
d
itio
n
al
ly
,
wh
ile
a
f
a
v
o
r
a
b
le
f
am
ily
s
u
p
p
o
r
t
s
tr
u
ctu
r
e
f
o
r
m
en
ta
l
h
ea
lth
is
s
u
es
is
ev
id
en
ce
d
at
9
0
%,
th
er
e
is
a
p
r
ess
in
g
n
ee
d
to
im
p
r
o
v
e
f
ac
i
liti
es
r
elate
d
to
s
m
o
k
in
g
ce
s
s
atio
n
an
d
ad
eq
u
ate
s
an
itatio
n
,
th
u
s
im
p
r
o
v
in
g
b
r
o
ad
er
h
ea
lth
m
etr
ics
[
3
0
]
.
T
h
e
r
e
p
o
r
t
also
in
d
icate
s
a
h
ig
h
willin
g
n
ess
to
p
ar
ticip
ate
in
th
e
n
atio
n
al
h
ea
l
th
in
s
u
r
an
ce
s
ch
em
e
at
8
2
%,
y
et
r
ef
lects
th
e
ex
is
ten
ce
o
f
u
n
r
eg
is
ter
ed
f
am
ilies
,
s
u
g
g
esti
n
g
th
e
im
p
o
r
tan
ce
o
f
o
u
tr
ea
ch
p
r
o
g
r
am
s
t
o
in
cr
ea
s
e
en
r
o
llm
en
t
[
3
1
]
.
Acc
ess
to
clea
n
wate
r
(
8
5
%
)
an
d
a
d
eq
u
ate
to
ilet
f
ac
ilit
ies
(
8
8
%)
s
h
o
ws
a
p
o
s
itiv
e
tr
e
n
d
,
alth
o
u
g
h
d
ef
icien
cies
r
em
ai
n
in
ce
r
tain
r
e
g
io
n
s
,
f
u
r
th
er
n
ec
ess
itatin
g
tar
g
eted
i
n
ter
v
en
tio
n
s
[
2
6
]
.
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.
15
,
No
.
1
,
M
ar
ch
20
26
:
2
3
2
-
241
238
T
h
e
an
aly
s
is
o
f
th
e
g
ap
i
n
h
ea
lth
y
f
am
ily
in
d
icato
r
s
at
th
e
T
am
b
o
r
a
C
o
m
m
u
n
ity
Hea
lth
C
en
ter
r
ev
ea
ls
d
is
tin
ct
ar
ea
s
o
f
h
ea
lth
ac
h
iev
em
en
t
a
n
d
n
ee
d
,
p
ar
ticu
lar
ly
in
ch
r
o
n
ic
d
is
ea
s
e
m
an
ag
em
e
n
t
an
d
s
m
o
k
in
g
h
ab
its
.
T
h
e
ce
n
ter
’
s
av
er
ag
e
ac
h
iev
em
en
t
r
ate
o
f
7
3
%
class
if
ies
i
t
as
f
air
ly
h
ea
lth
y
,
b
u
t
n
o
tab
le
d
ef
icien
cies
ex
is
t
in
th
e
m
an
ag
em
en
t
o
f
h
y
p
er
ten
s
io
n
,
tu
b
er
cu
lo
s
is
(
T
B
)
,
an
d
s
m
o
k
in
g
ce
s
s
atio
n
ef
f
o
r
ts
.
T
h
e
d
ata
in
d
icate
s
s
u
b
s
tan
tial
g
a
p
s
in
tr
ea
tm
en
t
c
o
m
p
lian
ce
:
h
y
p
er
ten
s
io
n
p
atien
ts
r
ec
eiv
in
g
r
eg
u
lar
m
ed
icatio
n
s
tan
d
at
6
5
%,
wh
ich
is
b
elo
w
th
e
n
atio
n
al
tar
g
et
o
f
8
5
%,
an
d
a
s
im
ilar
co
m
p
lian
ce
g
ap
ex
is
ts
f
o
r
T
B
p
atien
ts
,
wh
o
r
ec
eiv
e
tr
ea
tm
e
n
t
ac
co
r
d
i
n
g
to
s
tan
d
ar
d
s
at
o
n
ly
7
0
%
c
o
m
p
ar
ed
to
th
e
s
am
e
8
5
%
tar
g
et
[
5
]
.
T
h
ese
g
a
p
s
u
n
d
er
s
co
r
e
th
e
n
ec
ess
ity
f
o
r
a
s
tr
ateg
ic
f
o
cu
s
o
n
e
n
h
an
ci
n
g
c
o
m
p
lian
ce
in
c
h
r
o
n
ic
d
is
ea
s
e
m
an
ag
em
en
t.
C
o
n
v
er
s
ely
,
th
e
T
am
b
o
r
a
C
o
m
m
u
n
ity
Hea
lth
C
en
ter
h
as
ex
ce
ed
ed
s
ev
er
al
ta
r
g
ets,
p
ar
t
icu
lar
ly
in
f
ac
ilit
atin
g
ch
ild
b
ir
t
h
in
h
ea
lt
h
f
ac
ilit
ies
an
d
en
s
u
r
i
n
g
ac
ce
s
s
to
h
ea
lth
y
latr
in
es,
r
ep
o
r
ted
at
9
5
%
a
n
d
8
8
%,
r
esp
ec
tiv
ely
,
ag
ai
n
s
t
n
atio
n
al
tar
g
ets
o
f
9
0
%
an
d
8
0
%
[
5
]
.
T
h
e
s
u
cc
ess
in
th
ese
in
d
ic
ato
r
s
s
u
g
g
ests
th
at
co
m
m
u
n
ity
h
ea
lth
in
itiativ
es
tar
g
eted
at
m
ater
n
al
h
ea
lth
an
d
s
an
itatio
n
ar
e
ef
f
ec
tiv
e
an
d
c
o
u
ld
s
er
v
e
as
m
o
d
els
f
o
r
a
d
d
r
ess
in
g
th
e
s
h
o
r
tf
alls
in
ch
r
o
n
ic
d
is
ea
s
e
m
an
ag
em
en
t
an
d
s
m
o
k
in
g
ce
s
s
atio
n
.
T
h
e
in
d
icato
r
with
th
e
m
o
s
t
s
ig
n
if
ican
t
s
h
o
r
tf
all
is
r
elate
d
to
th
e
n
u
m
b
er
o
f
f
am
ily
m
em
b
er
s
wh
o
d
o
n
o
t
s
m
o
k
e,
wh
ich
s
tan
d
s
at
4
0
%,
a
n
o
ta
b
le
g
ap
b
elo
w
th
e
n
atio
n
al
o
b
jectiv
e
o
f
6
0
%.
T
o
b
ac
co
u
s
ag
e
is
a
c
r
itical
p
u
b
lic
h
ea
lth
co
n
ce
r
n
,
as
s
m
o
k
in
g
in
cr
ea
s
e
s
th
e
r
is
k
o
f
n
u
m
er
o
u
s
d
is
ea
s
es,
n
ec
ess
itat
in
g
co
m
p
r
e
h
en
s
iv
e
ed
u
ca
tio
n
a
n
d
r
eg
u
lato
r
y
in
itiativ
es
to
m
itig
ate
s
u
ch
r
is
k
s
with
in
f
am
ilies
[
3
2
]
.
R
esear
ch
s
u
p
p
o
r
ts
th
at
tar
g
eted
s
m
o
k
in
g
ce
s
s
atio
n
p
r
o
g
r
a
m
s
an
d
co
m
m
u
n
ity
em
p
o
wer
m
e
n
t
b
ec
o
m
e
v
ital
in
r
e
d
u
cin
g
to
b
a
cc
o
u
s
e
[
3
3
]
.
T
h
er
ef
o
r
e,
a
m
u
lti
-
f
ac
eted
s
tr
ateg
y
th
at
in
teg
r
ates
ed
u
ca
tio
n
al
o
u
tr
ea
c
h
an
d
ac
ce
s
s
ib
le
ce
s
s
a
tio
n
r
eso
u
r
ce
s
is
p
ar
am
o
u
n
t
f
o
r
im
p
r
o
v
in
g
co
m
p
lian
ce
with
ch
r
o
n
ic
d
is
ea
s
e
m
an
ag
em
e
n
t a
n
d
r
e
d
u
cin
g
s
m
o
k
in
g
r
ates in
th
e
co
m
m
u
n
ity
.
E
x
clu
s
iv
e
b
r
ea
s
tf
ee
d
in
g
,
cu
r
r
en
tly
at
7
2
%,
is
h
in
d
er
ed
b
y
cu
ltu
r
al
in
f
lu
en
ce
s
th
at
p
r
o
m
o
te
f
o
r
m
u
la
f
ee
d
in
g
.
T
o
ad
d
r
ess
th
is
is
s
u
e,
it
is
cr
itical
to
s
tr
en
g
th
en
ed
u
ca
tio
n
s
u
r
r
o
u
n
d
in
g
b
r
e
astfe
ed
in
g
th
r
o
u
g
h
co
m
m
u
n
ity
e
n
g
ag
em
e
n
t
in
itiativ
es.
Pro
g
r
am
s
th
at
in
co
r
p
o
r
a
te
p
r
eg
n
an
c
y
class
es
an
d
h
ea
lth
p
o
s
t
in
ter
ac
tio
n
s
ca
n
p
r
o
v
id
e
m
o
th
er
s
with
v
ital
in
f
o
r
m
atio
n
ab
o
u
t
th
e
b
en
e
f
its
o
f
ex
clu
s
iv
e
b
r
ea
s
tf
ee
d
in
g
,
as
d
em
o
n
s
tr
ated
in
v
ar
io
u
s
p
u
b
lic
h
ea
lth
s
tu
d
ies
[
3
4
]
.
Fu
r
th
e
r
m
o
r
e
,
em
p
o
we
r
in
g
co
m
m
u
n
ity
h
ea
lth
wo
r
k
er
s
an
d
f
o
s
ter
in
g
co
llab
o
r
atio
n
s
with
in
f
l
u
en
tial
co
m
m
u
n
ity
an
d
r
elig
io
u
s
lea
d
er
s
ca
n
au
g
m
en
t
th
e
r
ea
ch
a
n
d
ef
f
ec
tiv
e
n
ess
o
f
s
u
ch
ed
u
ca
tio
n
al
ca
m
p
aig
n
s
.
T
B
m
an
ag
em
en
t,
with
ad
h
e
r
en
ce
r
ates
r
e
p
o
r
ted
at
7
0
%,
s
u
f
f
er
s
p
r
im
a
r
ily
d
u
e
to
im
p
r
o
p
er
m
ed
icatio
n
ad
h
e
r
en
ce
an
d
a
lack
o
f
f
am
ilial
s
u
p
p
o
r
t.
Su
cc
e
s
s
f
u
l
in
ter
v
en
tio
n
s
s
u
ch
as
th
e
Dir
ec
tly
Ob
s
er
v
ed
T
r
ea
tm
en
t,
Sh
o
r
t
-
co
u
r
s
e
(
DO
T
S)
s
tr
ateg
y
c
o
u
ld
b
e
o
p
tim
ized
b
y
in
teg
r
atin
g
m
e
d
icatio
n
co
m
p
an
i
o
n
s
to
en
h
an
ce
co
m
p
lian
ce
[
3
5
]
.
A
d
d
itio
n
ally
,
p
r
o
v
id
in
g
lo
g
is
tical
s
u
p
p
o
r
t
lik
e
tr
a
n
s
p
o
r
tatio
n
i
n
ce
n
tiv
es
f
o
r
p
atien
ts
ca
n
f
ac
ilit
ate
ac
ce
s
s
to
tr
ea
tm
en
t,
wh
ich
is
esp
ec
ially
cr
u
cial
in
lo
w
-
r
eso
u
r
ce
s
ettin
g
s
.
Fam
ily
-
ce
n
ter
ed
ed
u
ca
tio
n
p
r
o
g
r
am
s
ca
n
also
b
o
ls
ter
tr
ea
tm
en
t
s
u
p
p
o
r
t
b
y
en
s
u
r
in
g
th
at
f
am
ily
m
em
b
er
s
ar
e
in
f
o
r
m
ed
p
ar
ticip
an
ts
in
th
e
p
atien
t'
s
ca
r
e
p
r
o
ce
s
s
[
3
6
].
T
h
e
ch
allen
g
e
p
o
s
ed
b
y
h
ig
h
r
ates
o
f
f
am
ilies
n
o
t
r
eg
is
ter
ed
with
th
e
Natio
n
al
Hea
lth
I
n
s
u
r
an
ce
/
Ja
min
a
n
K
eseh
a
ta
n
N
a
s
io
n
a
l
(
J
KN)
s
tan
d
s
at
an
alar
m
in
g
8
2
%,
lar
g
ely
d
u
e
to
ad
m
in
is
tr
ativ
e
h
u
r
d
les
an
d
ec
o
n
o
m
ic
co
n
s
tr
a
in
ts
.
T
o
o
v
er
co
m
e
th
ese
b
ar
r
i
er
s
,
d
is
s
em
in
atin
g
in
f
o
r
m
atio
n
ab
o
u
t
th
e
b
en
ef
its
o
f
h
ea
lth
in
s
u
r
a
n
ce
in
lo
ca
l
co
m
m
u
n
ities
is
cr
itical.
E
n
g
ag
in
g
in
o
u
tr
ea
c
h
ac
tiv
ities
th
at
f
ac
ilit
ate
r
eg
is
tr
atio
n
with
in
v
illag
es
ca
n
b
o
ls
ter
o
v
er
all
en
r
o
llm
e
n
t,
m
ak
in
g
h
ea
lth
ca
r
e
m
o
r
e
ac
ce
s
s
ib
le
f
o
r
u
n
d
e
r
s
er
v
ed
p
o
p
u
latio
n
s
[
3
7
].
I
n
d
i
ca
to
r
s
s
u
ch
as
e
x
c
lu
s
iv
e
b
r
e
astf
ee
d
i
n
g
,
T
B
t
r
ea
tm
en
t
ad
h
e
r
e
n
c
e,
h
y
p
er
te
n
s
i
o
n
m
a
n
a
g
e
m
e
n
t
,
an
d
s
m
o
k
i
n
g
p
r
e
v
a
le
n
c
e
r
e
m
a
in
l
o
w
d
u
e
to
i
n
t
er
r
e
lat
e
d
f
a
ct
o
r
s
.
F
ir
s
tl
y
,
c
u
lt
u
r
al
a
n
d
ec
o
n
o
m
i
c
b
ar
r
ie
r
s
s
i
g
n
if
ica
n
t
ly
im
p
e
d
e
e
x
cl
u
s
i
v
e
b
r
ea
s
t
f
ee
d
i
n
g
p
r
ac
t
ic
es.
R
ese
ar
ch
s
h
o
w
s
th
at
lo
we
r
m
at
er
n
al
ed
u
ca
t
io
n
co
r
r
el
ates
wi
th
r
e
d
u
ce
d
b
r
ea
s
tf
ee
d
i
n
g
r
ates
,
a
n
d
c
u
lt
u
r
al
n
o
r
m
s
o
f
te
n
f
a
v
o
r
f
o
r
m
u
l
a
f
ee
d
i
n
g
a
m
o
n
g
m
o
t
h
e
r
s
[
3
8
]
.
F
u
r
t
h
e
r
m
o
r
e
,
p
h
y
s
i
ca
l
co
m
p
li
ca
t
io
n
s
,
in
cl
u
d
in
g
m
a
te
r
n
al
il
ln
ess
,
h
a
v
e
b
ee
n
n
o
t
e
d
as
co
m
m
o
n
o
b
s
t
ac
l
es
[
3
8
]
.
R
eg
ar
d
in
g
T
B
tr
ea
tm
en
t
ad
h
er
en
ce
,
s
u
b
s
tan
tial
d
r
o
p
-
o
u
t
r
ates
ar
e
attr
ib
u
ted
to
a
lack
o
f
f
am
il
y
s
u
p
p
o
r
t
an
d
m
is
u
n
d
e
r
s
tan
d
i
n
g
s
ab
o
u
t
tr
ea
tm
e
n
t
p
r
o
to
c
o
ls
,
em
p
h
asizin
g
th
e
n
ee
d
f
o
r
c
o
m
p
r
eh
en
s
iv
e
ed
u
ca
tio
n
al
an
d
lo
g
is
tical
s
u
p
p
o
r
t.
Ho
wev
e
r
,
th
e
r
ef
er
e
n
ce
s
p
r
o
v
i
d
ed
[
39
]
d
o
n
o
t
s
u
p
p
o
r
t
th
e
claim
s
b
ein
g
m
ad
e
r
e
g
ar
d
in
g
T
B
tr
ea
t
m
en
t a
d
h
er
en
ce
.
T
h
u
s
,
th
e
y
h
a
v
e
b
e
en
r
em
o
v
ed
.
Fo
r
h
y
p
er
ten
s
io
n
m
an
ag
em
en
t,
n
o
n
-
co
m
p
lian
ce
s
tem
s
lar
g
ely
f
r
o
m
ec
o
n
o
m
ic
p
r
ess
u
r
es
an
d
in
s
u
f
f
icien
t
u
n
d
er
s
tan
d
in
g
o
f
th
e
illn
ess
,
ca
llin
g
f
o
r
tar
g
eted
ed
u
ca
tio
n
al
in
itiativ
es
an
d
s
u
p
p
o
r
t
s
y
s
tem
s
th
at
ad
d
r
ess
th
ese
s
o
cio
ec
o
n
o
m
ic
f
ac
to
r
s
[
4
0
]
.
Sm
o
k
in
g
r
ates,
p
ar
ticu
lar
ly
h
ig
h
with
in
f
am
ilies
,
ar
e
d
r
iv
en
b
y
en
tr
e
n
ch
ed
s
o
cial
n
o
r
m
s
an
d
lim
it
ed
p
u
b
lic
ed
u
ca
tio
n
r
eg
ar
d
in
g
th
e
h
ea
lth
r
is
k
s
ass
o
ciate
d
with
to
b
ac
co
u
s
e.
I
n
t
er
v
en
tio
n
s
m
u
s
t
f
o
cu
s
o
n
ea
r
ly
ed
u
ca
tio
n
ab
o
u
t
s
m
o
k
in
g
d
a
n
g
er
s
,
r
eg
u
lato
r
y
m
ea
s
u
r
es,
an
d
co
m
m
u
n
ity
-
b
ased
ce
s
s
atio
n
p
r
o
g
r
am
s
to
ef
f
ec
tiv
ely
r
ed
u
ce
s
m
o
k
in
g
p
r
e
v
alen
ce
.
T
h
e
r
e
f
e
r
en
ce
u
s
ed
f
o
r
th
is
p
o
i
n
t
[
4
0
]
s
u
p
p
o
r
ts
th
e
n
ee
d
f
o
r
h
ea
lth
e
d
u
ca
tio
n
p
r
o
g
r
a
m
s
aim
ed
at
r
ed
u
ci
n
g
s
m
o
k
in
g
p
r
ev
alen
ce
.
T
h
e
co
m
p
ar
is
o
n
o
f
th
e
Hea
lt
h
y
I
n
d
o
n
esia
Pro
g
r
am
r
esu
lts
r
ev
ea
ls
b
o
th
alig
n
m
en
t
an
d
d
iv
er
g
en
ce
with
p
r
ev
io
u
s
r
esear
ch
f
in
d
i
n
g
s
,
p
ar
ticu
lar
l
y
r
eg
a
r
d
in
g
c
o
m
m
u
n
ity
h
ea
lth
in
d
icato
r
s
.
T
h
e
r
ep
o
r
ted
8
5
%
tr
ain
in
g
r
ate
am
o
n
g
PIS
-
PK
s
t
af
f
is
co
n
s
is
ten
t
with
s
tu
d
ies
il
lu
s
tr
atin
g
th
e
im
p
o
r
tan
ce
o
f
s
taf
f
p
r
ep
ar
atio
n
f
o
r
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
A
n
a
lysi
s
o
f th
e
imp
leme
n
ta
tio
n
o
f th
e
h
ea
lth
y
I
n
d
o
n
esia
p
r
o
g
r
a
m
p
o
licy
w
ith
a
…
(
A
b
d
u
l
Ha
r
is
)
239
p
r
o
g
r
a
m
e
f
f
ec
tiv
en
ess
,
alth
o
u
g
h
e
x
ac
t
f
i
g
u
r
es
m
a
y
v
ar
y
ac
r
o
s
s
s
tu
d
ies
[
4
1
]
.
R
eg
ar
d
i
n
g
f
a
m
ily
v
is
it
co
v
er
ag
e,
th
e
7
2
%
ac
h
iev
ed
f
alls
s
h
o
r
t
o
f
th
e
n
atio
n
al
tar
g
et
o
f
8
0
%.
Similar
g
ap
s
h
av
e
b
ee
n
e
m
p
h
asized
b
y
o
th
er
s
tu
d
ies th
at
h
ig
h
lig
h
t th
e
im
p
o
r
tan
ce
o
f
c
o
m
m
u
n
ity
en
g
ag
em
en
t in
p
r
o
g
r
am
s
u
cc
ess
[
4
2
].
T
h
e
Hea
lth
y
I
n
d
o
n
esia
Pro
g
r
am
(
HI
P)
s
ig
n
if
ies
a
cr
itica
l
in
ter
v
en
tio
n
aim
ed
at
im
p
r
o
v
in
g
p
u
b
lic
h
ea
lth
th
r
o
u
g
h
a
f
am
ily
-
ce
n
t
r
ic
ap
p
r
o
ac
h
.
Ho
wev
er
,
th
e
p
r
o
g
r
a
m
'
s
f
in
d
in
g
s
u
n
d
er
s
co
r
e
th
e
n
ec
ess
ity
f
o
r
n
atio
n
al
p
o
licy
r
ef
in
em
e
n
t,
p
a
r
ticu
lar
ly
in
ar
ea
s
wh
er
e
im
p
l
em
en
tatio
n
g
a
p
s
p
er
s
is
t.
T
h
e
s
ig
n
if
ican
t
s
h
o
r
tf
alls
in
k
ey
in
d
icato
r
s
,
s
u
ch
as
h
y
p
er
ten
s
io
n
an
d
T
B
tr
ea
tm
en
t
ad
h
er
en
ce
,
illu
m
in
ate
th
e
u
r
g
e
n
t
n
ee
d
f
o
r
p
o
licies
th
at
b
o
ls
ter
h
ea
lth
ca
r
e
a
cc
ess
an
d
p
r
o
m
o
te
ad
h
er
en
ce
to
m
ed
ical
g
u
id
elin
es.
Fu
r
th
er
m
o
r
e,
t
h
e
c
u
ltu
r
al
r
esis
tan
ce
r
eg
ar
d
in
g
p
r
ac
tices
lik
e
ex
clu
s
iv
e
b
r
ea
s
tf
ee
d
in
g
ca
lls
f
o
r
tar
g
eted
ed
u
ca
tio
n
c
am
p
aig
n
s
th
at
alig
n
with
lo
ca
l n
o
r
m
s
,
em
p
h
asizin
g
th
e
r
o
le
o
f
co
m
m
u
n
ity
lea
d
er
s
an
d
h
ea
lth
wo
r
k
e
r
s
.
4.
CO
NCLU
SI
O
N
T
h
e
im
p
lem
en
tatio
n
o
f
t
h
e
H
ea
lth
y
I
n
d
o
n
esia
Pro
g
r
am
at
t
h
e
T
am
b
o
r
a
C
o
m
m
u
n
ity
Hea
lth
C
en
ter
d
em
o
n
s
tr
ates
b
o
th
ac
h
iev
em
e
n
ts
an
d
ch
allen
g
es.
No
tab
l
y
,
8
5
%
o
f
th
e
wo
r
k
f
o
r
ce
is
tr
ain
ed
,
y
et
a
s
h
o
r
ta
g
e
o
f
f
ield
s
u
r
v
ey
o
r
s
an
d
lo
w
co
m
m
u
n
ity
en
g
ag
em
e
n
t
h
in
d
e
r
o
v
er
all
ef
f
ec
tiv
en
ess
.
Fam
ily
v
is
it
co
v
er
ag
e
a
v
er
ag
es
7
2
%,
f
allin
g
s
h
o
r
t
o
f
t
h
e
n
atio
n
al
tar
g
et
o
f
8
0
%,
in
d
icatin
g
a
cr
itical
n
ee
d
f
o
r
im
p
r
o
v
ed
s
t
r
ateg
ies
to
in
v
o
lv
e
th
e
co
m
m
u
n
ity
.
Hea
lth
in
d
icato
r
s
r
ev
ea
l
p
o
s
itiv
e
o
u
tco
m
es
in
m
ater
n
al
ca
r
e
an
d
s
an
itatio
n
,
s
u
r
p
ass
in
g
n
atio
n
al
ex
p
ec
tatio
n
s
;
h
o
wev
e
r
,
s
ig
n
if
ican
t
g
ap
s
p
e
r
s
is
t
in
m
an
ag
in
g
ch
r
o
n
ic
d
is
ea
s
es
lik
e
h
y
p
e
r
ten
s
io
n
a
n
d
tu
b
er
cu
lo
s
is
,
ex
ac
er
b
ated
b
y
h
ig
h
s
m
o
k
in
g
r
ates.
T
o
e
n
h
an
ce
p
r
o
g
r
a
m
ef
f
icac
y
,
tar
g
eted
in
ter
v
e
n
tio
n
s
f
o
cu
s
in
g
o
n
e
d
u
ca
tio
n
,
co
m
m
u
n
ity
em
p
o
wer
m
e
n
t,
an
d
p
o
licy
ad
v
o
ca
cy
ar
e
ess
en
tial.
R
ec
o
m
m
en
d
ed
im
m
ed
iate
ac
tio
n
s
in
clu
d
e
s
t
r
en
g
th
en
i
n
g
e
d
u
ca
tio
n
al
in
iti
ativ
es
o
n
e
x
clu
s
iv
e
b
r
ea
s
tf
ee
d
in
g
a
n
d
c
h
r
o
n
ic
d
is
ea
s
e
m
an
ag
em
en
t
wh
ile
ad
d
r
ess
in
g
cu
ltu
r
al,
ec
o
n
o
m
ic,
an
d
ed
u
ca
tio
n
al
b
ar
r
ier
s
.
C
o
n
tin
u
o
u
s
m
o
n
it
o
r
in
g
an
d
th
e
ad
a
p
tatio
n
o
f
s
tr
ateg
ies
will
b
e
v
ital
in
ac
h
iev
i
n
g
th
e
Hea
lth
y
I
n
d
o
n
esia
Pro
g
r
am
'
s
g
o
als
an
d
im
p
r
o
v
in
g
co
m
m
u
n
ity
h
ea
lth
o
u
tco
m
es.
F
UNDING
I
NF
O
R
M
A
T
I
O
N
Au
th
o
r
s
s
tate
th
an
k
s
to
Min
is
tr
y
o
f
h
ea
lth
f
o
r
t
h
e
f
u
n
d
in
g
g
i
v
en
(
Fu
n
d
in
g
Nu
m
b
er
:
HK.
1
2
/Po
ltek
k
es
Ma
tar
am
/2
0
2
5
/
1
9
8
2
2
)
.
AUTHO
R
CO
NT
RI
B
UT
I
O
NS ST
A
T
E
M
E
N
T
T
h
is
jo
u
r
n
al
u
s
es
th
e
C
o
n
tr
ib
u
to
r
R
o
les
T
ax
o
n
o
m
y
(
C
R
ed
iT)
to
r
ec
o
g
n
ize
in
d
iv
id
u
al
au
th
o
r
co
n
tr
ib
u
tio
n
s
,
r
ed
u
ce
au
th
o
r
s
h
ip
d
is
p
u
tes,
an
d
f
ac
ilit
ate
co
llab
o
r
atio
n
.
Na
m
e
o
f
Aut
ho
r
C
M
So
Va
Fo
I
R
D
O
E
Vi
Su
P
Fu
Ab
d
u
l H
ar
is
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
M.
R
izk
i A
d
ity
a
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
✓
C
:
C
o
n
c
e
p
t
u
a
l
i
z
a
t
i
o
n
M
:
M
e
t
h
o
d
o
l
o
g
y
So
:
So
f
t
w
a
r
e
Va
:
Va
l
i
d
a
t
i
o
n
Fo
:
Fo
r
mal
a
n
a
l
y
s
i
s
I
:
I
n
v
e
s
t
i
g
a
t
i
o
n
R
:
R
e
so
u
r
c
e
s
D
:
D
a
t
a
C
u
r
a
t
i
o
n
O
:
W
r
i
t
i
n
g
-
O
r
i
g
i
n
a
l
D
r
a
f
t
E
:
W
r
i
t
i
n
g
-
R
e
v
i
e
w
&
E
d
i
t
i
n
g
Vi
:
Vi
su
a
l
i
z
a
t
i
o
n
Su
:
Su
p
e
r
v
i
s
i
o
n
P
:
P
r
o
j
e
c
t
a
d
mi
n
i
st
r
a
t
i
o
n
Fu
:
Fu
n
d
i
n
g
a
c
q
u
i
si
t
i
o
n
CO
NF
L
I
C
T
O
F
I
N
T
E
R
E
S
T
ST
A
T
E
M
E
NT
Au
th
o
r
s
s
tate
n
o
co
n
f
lict o
f
in
t
er
est.
E
T
H
I
CAL AP
P
RO
V
AL
T
h
is
r
esear
ch
h
as
r
ec
eiv
ed
eth
ical
ap
p
r
o
v
al
f
r
o
m
th
e
Ma
ta
r
am
Min
is
tr
y
o
f
Hea
lth
Po
l
y
tech
n
ic
with
th
e
n
u
m
b
er
:
I
R
B
.
1
1
.
4
3
6
7
/EC/2
0
2
5
.
DATA AV
AI
L
AB
I
L
I
T
Y
T
h
e
d
ata
th
at
s
u
p
p
o
r
t
th
e
f
i
n
d
in
g
s
o
f
th
is
s
tu
d
y
ar
e
a
v
ailab
le
f
r
o
m
th
e
c
o
r
r
esp
o
n
d
in
g
au
t
h
o
r
,
[
AH]
,
u
p
o
n
r
ea
s
o
n
ab
le
r
eq
u
est
.
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.
15
,
No
.
1
,
M
ar
ch
20
26
:
2
3
2
-
241
240
RE
F
E
R
E
NC
E
S
[
1
]
M
.
A
r
mi
y
a
d
i
,
A
.
N
.
A
i
z
u
d
d
i
n
,
R
.
I
b
r
a
h
i
m
,
N
.
H
.
H
a
ssa
n
,
a
n
d
I
.
S
a
p
u
t
r
a
,
“
C
h
a
l
l
e
n
g
e
s
i
n
i
m
p
l
e
m
e
n
t
i
n
g
t
h
e
H
e
a
l
t
h
y
I
n
d
o
n
e
si
a
P
r
o
g
r
a
m
w
i
t
h
f
a
m
i
l
y
a
p
p
r
o
a
c
h
b
y
I
n
d
o
n
e
s
i
a
’
s
p
u
b
l
i
c
h
e
a
l
t
h
c
e
n
t
e
r
,
”
B
a
l
i
Me
d
i
c
a
l
J
o
u
r
n
a
l
,
v
o
l
.
1
4
,
n
o
.
1
,
p
p
.
1
3
8
5
–
1
3
9
1
,
A
p
r
.
2
0
2
5
,
d
o
i
:
1
0
.
1
5
5
6
2
/
b
m
j
.
v
1
4
i
1
.
5
3
0
8
.
[
2
]
N
.
M
u
t
ma
i
n
a
,
S
.
S
u
h
a
d
i
,
a
n
d
S
.
R
.
K
a
r
i
mu
n
a
,
“
I
mp
l
e
m
e
n
t
a
t
i
o
n
o
f
t
h
e
h
e
a
l
t
h
y
I
n
d
o
n
e
si
a
p
r
o
g
r
a
m
w
i
t
h
a
f
a
m
i
l
y
a
p
p
r
o
a
c
h
(
P
I
S
-
P
K
)
a
t
t
h
e
K
a
n
d
a
i
C
o
mm
u
n
i
t
y
H
e
a
l
t
h
C
e
n
t
e
r
i
n
2
0
2
2
(
i
n
I
n
d
o
n
e
si
a
n
:
I
m
p
l
e
m
e
n
t
a
s
i
p
r
o
g
r
a
m
I
n
d
o
n
e
s
i
a
se
h
a
t
d
e
n
g
a
n
p
e
n
d
e
k
a
t
a
n
k
e
l
u
a
rg
a
(
PI
S
-
P
K
)
d
i
p
u
sk
e
sm
a
s
K
a
n
d
a
i
t
a
h
u
n
2
0
2
2
)
,”
J
u
rn
a
l
Ad
m
i
n
i
st
r
a
s
i
K
e
b
i
j
a
k
a
n
K
e
se
h
a
t
a
n
U
n
i
v
e
rs
i
t
a
s
H
a
l
u
O
l
e
o
,
v
o
l
.
3
,
n
o
.
4
,
F
e
b
.
2
0
2
3
,
d
o
i
:
1
0
.
3
7
8
8
7
/
j
a
k
k
.
v
3
i
4
.
3
2
1
2
4
.
[
3
]
N
.
A
.
W
u
l
a
n
d
a
r
i
,
W
.
A
.
R
o
m
a
d
h
o
n
,
a
n
d
A
.
H
.
A
b
i
d
d
i
n
,
“
F
a
mi
l
y
n
u
r
si
n
g
c
a
r
e
u
si
n
g
t
h
e
P
I
S
-
P
K
a
p
p
r
o
a
c
h
(
H
e
a
l
t
h
y
I
n
d
o
n
e
s
i
a
p
r
o
g
r
a
m
-
f
a
m
i
l
y
a
p
p
r
o
a
c
h
)
a
s
a
n
e
f
f
o
r
t
t
o
i
n
c
r
e
a
se
t
h
e
h
e
a
l
t
h
y
f
a
m
i
l
y
i
n
d
e
x
,
”
J
o
u
rn
a
l
o
f
C
o
m
m
u
n
i
t
y
S
e
rv
i
c
e
f
o
r
H
e
a
l
t
h
,
v
o
l
.
5
,
n
o
.
1
,
p
p
.
0
0
6
–
0
1
1
,
M
a
y
2
0
2
4
,
d
o
i
:
1
0
.
2
6
6
9
9
/
j
c
sh
.
v
5
i
1
.
1
1
4
7
.
[
4
]
D
.
A
r
l
i
,
A
.
P
e
k
e
r
t
i
,
I
.
S
i
a
p
u
t
r
a
,
S
.
B
o
g
o
m
o
l
o
v
a
,
a
n
d
S
.
R
u
n
d
l
e
‐
Th
i
e
l
e
,
“
I
n
v
e
s
t
i
g
a
t
i
n
g
t
h
e
e
f
f
e
c
t
s
o
f
f
o
o
d
i
n
sec
u
r
i
t
y
,
s
e
l
f
‐
e
f
f
i
c
a
c
y
,
a
n
d
l
o
c
u
s
o
f
c
o
n
t
r
o
l
o
n
o
b
e
si
t
y
i
n
a
n
e
merg
i
n
g
mar
k
e
t
s,”
J
o
u
rn
a
l
o
f
Ph
i
l
a
n
t
h
r
o
p
y
a
n
d
M
a
rke
t
i
n
g
,
v
o
l
.
2
9
,
n
o
.
3
,
A
u
g
.
2
0
2
4
,
d
o
i
:
1
0
.
1
0
0
2
/
n
v
sm
.
1
8
7
2
.
[
5
]
I
.
I
smu
n
a
n
d
a
r
,
F
.
H
a
f
i
d
,
T.
T
a
q
w
i
n
,
Z.
Za
i
n
u
l
,
J.
Ju
n
a
i
d
i
,
a
n
d
N
.
N
a
sr
u
l
,
“
Th
e
H
e
a
l
t
h
y
I
n
d
o
n
e
s
i
a
p
r
o
g
r
a
m
a
n
d
f
a
mi
l
y
r
o
l
e
i
n
d
e
a
l
i
n
g
w
i
t
h
C
o
v
i
d
-
1
9
i
n
I
n
d
o
n
e
si
a
,
”
P
o
l
t
e
k
i
t
a
:
J
u
r
n
a
l
I
l
m
u
K
e
se
h
a
t
a
n
,
v
o
l
.
1
5
,
n
o
.
3
,
p
p
.
2
7
–
3
6
,
N
o
v
.
2
0
2
1
,
d
o
i
:
1
0
.
3
3
8
6
0
/
j
i
k
.
v
1
5
i
3
.
6
8
4
.
[
6
]
A
.
N
u
r
i
y
a
n
t
o
a
n
d
L
.
R
a
h
a
y
u
w
a
t
i
,
“
F
a
mi
l
y
n
u
r
s
i
n
g
a
s
a
n
i
mp
r
o
v
e
me
n
t
st
r
a
t
e
g
y
o
f
f
a
m
i
l
y
h
e
a
l
t
h
i
n
d
e
x
i
n
I
n
d
o
n
e
s
i
a
:
a
l
i
t
e
r
a
t
u
r
e
r
e
v
i
e
w
,
”
Asi
a
n
C
o
m
m
u
n
i
t
y
H
e
a
l
t
h
N
u
rsi
n
g
Re
se
a
r
c
h
,
p
.
7
,
O
c
t
.
2
0
1
9
,
d
o
i
:
1
0
.
2
9
2
5
3
/
a
c
h
n
r
.
2
0
1
9
.
1
7
2
1
.
[
7
]
B
.
A
j
i
,
S
.
M
a
sf
i
a
h
,
D
.
A
n
a
n
d
a
r
i
,
A
.
D
.
I
n
t
i
a
s
a
r
i
,
a
n
d
D
.
A
.
W
i
d
y
a
s
t
a
r
i
,
“
E
n
a
b
l
e
r
s
a
n
d
b
a
r
r
i
e
r
s
o
f
h
e
a
l
t
h
c
a
r
e
s
e
r
v
i
c
e
s
f
o
r
c
o
mm
u
n
i
t
y
-
d
w
e
l
l
i
n
g
e
l
d
e
r
l
y
i
n
r
u
r
a
l
I
n
d
o
n
e
si
a
:
a
q
u
a
l
i
t
a
t
i
v
e
e
v
i
d
e
n
c
e
sy
n
t
h
e
si
s
,
”
P
o
r
t
u
g
u
e
se
J
o
u
rn
a
l
o
f
P
u
b
l
i
c
H
e
a
l
t
h
,
v
o
l
.
4
1
,
n
o
.
1
,
p
p
.
6
5
–
7
9
,
2
0
2
3
,
d
o
i
:
1
0
.
1
1
5
9
/
0
0
0
5
3
0
0
4
7
.
[
8
]
T.
S
u
sa
n
t
o
,
S
.
H
e
r
n
a
w
a
t
i
,
R
.
A
.
Y
u
n
a
n
t
o
,
I
.
R
a
h
maw
a
t
i
,
N
.
A
.
La
r
a
s
A
t
i
,
a
n
d
W
.
F
a
u
z
i
a
h
,
“
F
a
mi
l
y
se
l
f
-
man
a
g
e
men
t
p
r
o
g
r
a
m
f
o
r
h
y
p
e
r
t
e
n
si
o
n
ma
n
a
g
e
m
e
n
t
a
n
d
s
o
d
i
u
m
c
o
n
s
u
mp
t
i
o
n
a
d
h
e
r
e
n
c
e
:
a
p
a
r
a
l
l
e
l
r
a
n
d
o
m
i
z
e
d
c
o
n
t
r
o
l
t
r
i
a
l
a
mo
n
g
f
a
m
i
l
y
c
a
r
e
g
i
v
e
r
s
a
n
d
p
e
o
p
l
e
w
i
t
h
h
y
p
e
r
t
e
n
si
o
n
,
”
J
o
u
r
n
a
l
o
f
Re
se
a
r
c
h
i
n
H
e
a
l
t
h
S
c
i
e
n
c
e
s
,
v
o
l
.
2
4
,
n
o
.
4
,
p
.
e
0
0
6
2
8
,
S
e
p
.
2
0
2
4
,
d
o
i
:
1
0
.
3
4
1
7
2
/
j
r
h
s
.
2
0
2
4
.
1
6
3
.
[
9
]
K
.
K
i
e
l
m
a
n
n
e
t
a
l
.
,
“
‘
W
e
h
a
d
t
o
ma
n
a
g
e
w
h
a
t
w
e
h
a
d
o
n
h
a
n
d
,
i
n
w
h
a
t
e
v
e
r
w
a
y
w
e
c
o
u
l
d
’
:
a
d
a
p
t
i
v
e
r
e
sp
o
n
ses
i
n
p
o
l
i
c
y
f
o
r
d
e
c
e
n
t
r
a
l
i
z
e
d
d
r
u
g
-
r
e
si
s
t
a
n
t
t
u
b
e
r
c
u
l
o
si
s
c
a
r
e
i
n
S
o
u
t
h
A
f
r
i
c
a
,
”
H
e
a
l
t
h
P
o
l
i
c
y
a
n
d
Pl
a
n
n
i
n
g
,
v
o
l
.
3
6
,
n
o
.
3
,
p
p
.
2
4
9
–
2
5
9
,
A
p
r
.
2
0
2
1
,
d
o
i
:
1
0
.
1
0
9
3
/
h
e
a
p
o
l
/
c
z
a
a
1
4
7
.
[
1
0
]
M
.
B
i
sr
i
,
“
I
mp
l
e
m
e
n
t
a
t
i
o
n
o
f
t
h
e
h
e
a
l
t
h
y
I
n
d
o
n
e
si
a
p
r
o
g
r
a
m
w
i
t
h
a
f
a
mi
l
y
a
p
p
r
o
a
c
h
(
P
I
S
-
P
K
)
a
t
c
o
m
mu
n
i
t
y
h
e
a
l
t
h
c
e
n
t
e
r
s
i
n
B
i
n
t
a
n
d
i
st
r
i
c
t
,
K
e
p
u
l
a
u
a
n
R
i
a
u
P
r
o
v
i
n
c
e
,
”
I
n
t
e
r
n
a
t
i
o
n
a
l
J
o
u
r
n
a
l
o
f
S
o
c
i
a
l
S
c
i
e
n
c
e
,
v
o
l
.
2
,
n
o
.
6
,
p
p
.
2
4
2
3
–
2
4
2
8
,
A
p
r
.
2
0
2
3
,
d
o
i
:
1
0
.
5
3
6
2
5
/
i
j
s
s.
v
2
i
6
.
5
4
2
7
.
[
1
1
]
Y
.
B
.
P
r
a
s
e
t
y
o
,
S
.
W
.
R
a
ma
d
a
n
,
S
.
S
.
I
.
W
a
r
d
o
j
o
,
Y
.
S
.
D
e
w
i
,
a
n
d
T
.
H
u
r
i
a
h
,
“
U
n
d
e
r
st
a
n
d
i
n
g
e
n
a
b
l
e
r
s
a
n
d
b
a
r
r
i
e
r
s
i
n
I
n
d
o
n
e
s
i
a
’
s
n
o
n
c
o
mm
u
n
i
c
a
b
l
e
d
i
se
a
se
p
r
o
g
r
a
m:
A
q
u
a
l
i
t
a
t
i
v
e
s
t
u
d
y
f
r
o
m
n
u
r
ses’
p
e
r
sp
e
c
t
i
v
e
s,”
I
n
t
e
r
n
a
t
i
o
n
a
l
J
o
u
r
n
a
l
o
f
N
o
n
c
o
m
m
u
n
i
c
a
b
l
e
D
i
sea
ses
,
v
o
l
.
9
,
n
o
.
4
,
p
p
.
1
6
6
–
1
7
5
,
O
c
t
.
2
0
2
4
,
d
o
i
:
1
0
.
4
1
0
3
/
j
n
c
d
.
j
n
c
d
_
7
8
_
2
4
.
[
1
2
]
R
.
B
.
W
i
c
a
k
so
n
o
,
A
.
M
u
h
a
i
m
i
n
,
D
.
L.
W
i
l
l
e
ms,
a
n
d
J.
P
o
l
s
,
“
U
t
i
l
i
z
i
n
g
i
n
t
r
i
c
a
t
e
c
a
r
e
n
e
t
w
o
r
k
s
:
A
n
e
t
h
n
o
g
r
a
p
h
y
o
f
p
a
t
i
e
n
t
s
a
n
d
f
a
mi
l
i
e
s
n
a
v
i
g
a
t
i
n
g
p
a
l
l
i
a
t
i
v
e
c
a
r
e
i
n
a
r
e
s
o
u
r
c
e
-
l
i
mi
t
e
d
s
e
t
t
i
n
g
,
”
P
a
l
l
i
a
t
i
v
e
Me
d
i
c
i
n
e
,
v
o
l
.
3
9
,
n
o
.
1
,
p
p
.
1
3
9
–
1
5
0
,
Ja
n
.
2
0
2
5
,
d
o
i
:
1
0
.
1
1
7
7
/
0
2
6
9
2
1
6
3
2
4
1
2
8
7
6
4
0
.
[
1
3
]
C
.
A
.
A
g
u
s
t
i
n
,
J.
F
e
b
r
u
h
a
r
t
a
n
t
y
,
a
n
d
S
.
B
a
r
d
o
s
o
n
o
,
“
E
x
c
l
u
s
i
v
e
b
r
e
a
s
t
f
e
e
d
i
n
g
p
r
a
c
t
i
c
e
a
n
d
s
o
u
r
c
e
s
o
f
s
u
p
p
o
r
t
d
u
r
i
n
g
C
O
V
I
D
-
1
9
p
a
n
d
e
mi
c
i
n
I
n
d
o
n
e
s
i
a
,
”
I
n
d
o
n
e
si
a
n
J
o
u
r
n
a
l
o
f
H
u
m
a
n
N
u
t
ri
t
i
o
n
,
v
o
l
.
8
,
n
o
.
2
,
p
p
.
1
9
5
–
2
0
8
,
N
o
v
.
2
0
2
1
,
d
o
i
:
1
0
.
2
1
7
7
6
/
u
b
.
i
j
h
n
.
2
0
2
1
.
0
0
8
.
0
2
.
1
0
.
[
1
4
]
G
.
G
.
S
i
b
b
a
l
d
,
A
.
A
n
a
n
t
a
,
T.
D
a
r
t
a
n
t
o
,
a
n
d
D
.
W
i
d
y
a
w
a
t
i
,
“
M
e
n
t
a
l
h
e
a
l
t
h
a
n
d
s
o
c
i
a
l
e
x
c
l
u
si
o
n
i
n
I
n
d
o
n
e
s
i
a
:
A
p
u
b
l
i
c
h
e
a
l
t
h
p
e
r
s
p
e
c
t
i
v
e
,
”
J
o
u
r
n
a
l
o
f
P
u
b
l
i
c
H
e
a
l
t
h
R
e
se
a
rc
h
,
v
o
l
.
1
4
,
n
o
.
4
,
O
c
t
.
2
0
2
5
,
d
o
i
:
1
0
.
1
1
7
7
/
2
2
7
9
9
0
3
6
2
5
1
3
8
0
7
8
2
.
[
1
5
]
M
.
D
.
A
n
g
g
r
a
e
n
i
,
B
.
P
u
n
t
h
mat
h
a
r
i
t
h
,
a
n
d
W
.
P
e
t
p
i
c
h
e
t
c
h
i
a
n
,
“
A
c
a
u
sa
l
m
o
d
e
l
o
f
b
r
e
a
st
f
e
e
d
i
n
g
d
u
r
a
t
i
o
n
a
m
o
n
g
w
o
r
k
i
n
g
m
u
sl
i
m
mo
t
h
e
r
s
i
n
S
e
m
a
r
a
n
g
C
i
t
y
,
C
e
n
t
r
a
l
J
a
v
a
P
r
o
v
i
n
c
e
,
I
n
d
o
n
e
s
i
a
,
”
W
a
l
a
i
l
a
k
J
o
u
rn
a
l
o
f
S
c
i
e
n
c
e
a
n
d
T
e
c
h
n
o
l
o
g
y
(
WJ
S
T
)
,
v
o
l
.
1
7
,
n
o
.
9
,
p
p
.
1
0
1
0
–
1
0
2
3
,
S
e
p
.
2
0
2
0
,
d
o
i
:
1
0
.
4
8
0
4
8
/
w
j
st
.
2
0
2
0
.
5
4
0
6
.
[
1
6
]
K
.
G
h
o
l
i
p
o
u
r
e
t
a
l
.
,
“
B
a
r
r
i
e
r
s
t
o
c
o
mm
u
n
i
t
y
p
a
r
t
i
c
i
p
a
t
i
o
n
i
n
p
r
i
mary
h
e
a
l
t
h
c
a
r
e
o
f
d
i
st
r
i
c
t
h
e
a
l
t
h
:
a
q
u
a
l
i
t
a
t
i
v
e
s
t
u
d
y
,
”
B
MC
Pri
m
a
r
y
C
a
r
e
,
v
o
l
.
2
4
,
n
o
.
1
,
p
.
1
1
7
,
M
a
y
2
0
2
3
,
d
o
i
:
1
0
.
1
1
8
6
/
s
1
2
8
7
5
-
0
2
3
-
0
2
0
6
2
-
0.
[
1
7
]
H
.
M
a
h
mo
o
d
i
,
A
.
M
.
B
o
l
b
a
n
a
b
a
d
,
A
.
S
h
a
g
h
a
g
h
i
,
M
.
Zo
k
a
i
e
,
R
.
G
.
G
h
e
s
h
l
a
g
h
,
a
n
d
A
.
A
f
k
h
a
m
z
a
d
e
h
,
“
B
a
r
r
i
e
r
s
t
o
i
m
p
l
e
me
n
t
i
n
g
h
e
a
l
t
h
p
r
o
g
r
a
ms
b
a
s
e
d
o
n
c
o
mm
u
n
i
t
y
p
a
r
t
i
c
i
p
a
t
i
o
n
:
t
h
e
Q
met
h
o
d
d
e
r
i
v
e
d
p
e
r
s
p
e
c
t
i
v
e
s
o
f
h
e
a
l
t
h
c
a
r
e
p
r
o
f
e
ss
i
o
n
a
l
,
”
BM
C
P
u
b
l
i
c
H
e
a
l
t
h
,
v
o
l
.
2
3
,
n
o
.
1
,
p
p
.
1
–
1
2
,
2
0
2
3
,
d
o
i
:
1
0
.
1
1
8
6
/
s1
2
8
8
9
-
0
2
3
-
1
6
9
6
1
-
5.
[
1
8
]
K
.
M
e
h
t
a
,
S
.
L
o
p
r
e
st
i
,
a
n
d
J.
Th
o
m
a
s,
“
A
d
d
r
e
ssi
n
g
n
u
t
r
i
t
i
o
n
a
n
d
s
o
c
i
a
l
c
o
n
n
e
c
t
i
o
n
t
h
r
o
u
g
h
c
o
mm
u
n
i
t
y
g
a
r
d
e
n
i
n
g
:
A
S
o
u
t
h
A
u
st
r
a
l
i
a
n
st
u
d
y
,
”
H
e
a
l
t
h
Pr
o
m
o
t
i
o
n
J
o
u
rn
a
l
o
f
Au
s
t
r
a
l
i
a
,
v
o
l
.
3
0
,
n
o
.
S
1
,
p
p
.
5
–
8
,
D
e
c
.
2
0
1
9
,
d
o
i
:
1
0
.
1
0
0
2
/
h
p
j
a
.
2
3
5
.
[
1
9
]
M
.
C
o
n
l
i
n
,
D
.
M
c
L
a
r
e
n
,
E
.
S
p
e
l
t
e
n
,
a
n
d
S
.
M
a
c
D
e
r
mo
t
t
,
“
C
u
l
t
i
v
a
t
i
n
g
p
a
r
t
i
c
i
p
a
t
o
r
y
a
p
p
r
o
a
c
h
e
s
i
n
h
e
a
l
t
h
p
r
o
mo
t
i
o
n
p
l
a
n
n
i
n
g
,
d
e
l
i
v
e
r
y
,
a
n
d
e
v
a
l
u
a
t
i
o
n
:
A
c
a
se
s
t
u
d
y
o
f
a
n
a
c
a
d
e
m
i
c
‐
h
e
a
l
t
h
s
e
r
v
i
c
e
p
a
r
t
n
e
r
sh
i
p
i
n
r
u
r
a
l
V
i
c
t
o
r
i
a
,
”
H
e
a
l
t
h
Pr
o
m
o
t
i
o
n
J
o
u
rn
a
l
o
f
Au
st
ra
l
i
a
,
v
o
l
.
3
5
,
n
o
.
3
,
p
p
.
8
0
4
–
8
1
2
,
Ju
l
.
2
0
2
4
,
d
o
i
:
1
0
.
1
0
0
2
/
h
p
j
a
.
8
1
8
.
[
2
0
]
S
.
Y
a
d
a
v
,
S
.
A
h
ma
d
,
P
.
Lo
h
a
n
i
,
A
.
G
a
h
l
o
t
,
a
n
d
M
.
K
u
mar,
“
E
x
p
l
o
r
i
n
g
b
r
e
a
st
f
e
e
d
i
n
g
p
r
a
c
t
i
c
e
s
a
n
d
i
n
f
l
u
e
n
c
i
n
g
f
a
c
t
o
r
s
a
m
o
n
g
t
h
e
K
O
L
t
r
i
b
e
i
n
u
t
t
a
r
p
r
a
d
e
s
h
:
a
mi
x
e
d
-
met
h
o
d
s
s
t
u
d
y
,
”
I
n
d
i
a
n
J
o
u
r
n
a
l
o
f
C
o
m
m
u
n
i
t
y
H
e
a
l
t
h
,
v
o
l
.
3
6
,
n
o
.
4
,
p
p
.
5
3
8
–
5
4
8
,
A
u
g
.
2
0
2
4
,
d
o
i
:
1
0
.
4
7
2
0
3
/
I
JC
H
.
2
0
2
4
.
v
3
6
i
0
4
.
0
0
7
.
[
2
1
]
N
.
D
.
P
.
R
a
d
e
n
,
E.
P
.
P
a
d
e
n
g
,
a
n
d
D
.
O
.
La
p
u
t
,
“
W
o
r
k
i
n
g
m
o
t
h
e
r
’
s
b
r
e
a
st
f
e
e
d
i
n
g
e
x
p
e
r
i
e
n
c
e
:
a
p
h
e
n
o
me
n
o
l
o
g
y
q
u
a
l
i
t
a
t
i
v
e
a
p
p
r
o
a
c
h
,”
Ag
r
i
H
e
a
l
t
h
:
J
o
u
r
n
a
l
o
f
Ag
ri
-
f
o
o
d
,
N
u
t
ri
t
i
o
n
a
n
d
Pu
b
l
i
c
H
e
a
l
t
h
,
v
o
l
.
4
,
n
o
.
2
,
p
.
1
2
1
,
A
u
g
.
2
0
2
3
,
d
o
i
:
1
0
.
2
0
9
6
1
/
a
g
r
i
h
e
a
l
t
h
.
v
4
i
2
.
7
2
5
2
5
.
[
2
2
]
T.
P
.
M
b
u
a
,
O
.
U
.
A
r
i
k
p
o
,
a
n
d
O
.
O
.
T,
“
K
n
o
w
l
e
d
g
e
o
f
c
o
n
t
r
a
c
e
p
t
i
v
e
u
sa
g
e
a
n
d
c
u
l
t
u
r
a
l
i
n
f
l
u
e
n
c
e
o
n
a
d
o
p
t
i
o
n
o
f
f
a
mi
l
y
p
l
a
n
n
i
n
g
i
n
f
o
r
mat
i
o
n
i
n
c
r
o
ss r
i
v
e
r
st
a
t
e
,
”
Re
c
e
n
t
T
r
e
n
d
s
in
G
y
n
e
c
o
l
o
g
y
& O
b
s
t
e
t
r
i
c
s
,
v
o
l
.
1
,
n
o
.
1
,
2
0
2
3
,
d
o
i
:
1
0
.
5
2
1
0
6
/
2
9
9
7
-
0
2
0
2
.
1
0
0
2
.
[
2
3
]
D
.
A
.
C
i
p
t
a
e
t
a
l
.
,
“
C
u
l
t
u
r
a
l
l
y
se
n
s
i
t
i
v
e
p
a
t
i
e
n
t
-
c
e
n
t
e
r
e
d
h
e
a
l
t
h
c
a
r
e
:
a
f
o
c
u
s
o
n
h
e
a
l
t
h
b
e
h
a
v
i
o
r
m
o
d
i
f
i
c
a
t
i
o
n
i
n
l
o
w
a
n
d
mi
d
d
l
e
-
i
n
c
o
m
e
n
a
t
i
o
n
s
—
i
n
si
g
h
t
s
f
r
o
m I
n
d
o
n
e
si
a
,
”
Fro
n
t
i
e
r
s i
n
Me
d
i
c
i
n
e
,
v
o
l
.
1
1
,
A
p
r
.
2
0
2
4
,
d
o
i
:
1
0
.
3
3
8
9
/
f
me
d
.
2
0
2
4
.
1
3
5
3
0
3
7
.
[
2
4
]
N
.
K
.
P
u
t
r
i
a
n
d
A
.
D
.
La
k
s
o
n
o
,
“
P
r
e
d
i
c
t
o
r
s
o
f
c
h
i
l
d
b
i
r
t
h
ser
v
i
c
e
s
i
n
I
n
d
o
n
e
s
i
a
,
”
I
n
t
e
r
n
a
t
i
o
n
a
l
J
o
u
rn
a
l
o
f
P
u
b
l
i
c
H
e
a
l
t
h
S
c
i
e
n
c
e
(
I
J
PH
S
)
,
v
o
l
.
1
1
,
n
o
.
2
,
p
.
5
6
6
,
J
u
n
.
2
0
2
2
,
d
o
i
:
1
0
.
1
1
5
9
1
/
i
j
p
h
s.
v
1
1
i
2
.
2
1
3
2
4
.
[
2
5
]
G
.
A
.
Te
s
e
ma
a
n
d
Z
.
T
.
Te
ss
e
ma
,
“
P
o
o
l
e
d
p
r
e
v
a
l
e
n
c
e
a
n
d
a
sso
c
i
a
t
e
d
f
a
c
t
o
r
s
o
f
h
e
a
l
t
h
f
a
c
i
l
i
t
y
d
e
l
i
v
e
r
y
i
n
E
a
s
t
A
f
r
i
c
a
:
M
i
x
e
d
-
e
f
f
e
c
t
l
o
g
i
st
i
c
r
e
g
r
e
ssi
o
n
a
n
a
l
y
si
s
,
”
P
L
O
S
O
N
E
,
v
o
l
.
1
6
,
n
o
.
4
,
p
.
e
0
2
5
0
4
4
7
,
A
p
r
.
2
0
2
1
,
d
o
i
:
1
0
.
1
3
7
1
/
j
o
u
r
n
a
l
.
p
o
n
e
.
0
2
5
0
4
4
7
.
[
2
6
]
K
.
T
h
a
p
a
e
t
a
l
.
,
“
F
a
c
t
o
r
s
a
f
f
e
c
t
i
n
g
t
h
e
b
e
h
a
v
i
o
r
o
u
t
c
o
m
e
s
o
n
p
o
s
t
-
p
a
r
t
u
m
i
n
t
r
a
u
t
e
r
i
n
e
c
o
n
t
r
a
c
e
p
t
i
v
e
d
e
v
i
c
e
u
p
t
a
k
e
a
n
d
c
o
n
t
i
n
u
a
t
i
o
n
i
n
N
e
p
a
l
:
a
q
u
a
l
i
t
a
t
i
v
e
s
t
u
d
y
,
”
B
M
C
P
r
e
g
n
a
n
c
y
a
n
d
C
h
i
l
d
b
i
r
t
h
,
v
o
l
.
1
9
,
n
o
.
1
,
D
e
c
.
2
0
1
9
,
d
o
i
:
1
0
.
1
1
8
6
/
s
1
2
8
8
4
-
0
1
9
-
2
3
1
0
-
y.
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
A
n
a
lysi
s
o
f th
e
imp
leme
n
ta
tio
n
o
f th
e
h
ea
lth
y
I
n
d
o
n
esia
p
r
o
g
r
a
m
p
o
licy
w
ith
a
…
(
A
b
d
u
l
Ha
r
is
)
241
[
2
7
]
R
.
S
u
k
i
r
ma
n
,
T.
Y
.
M
.
W
a
h
y
o
n
o
,
a
n
d
S
.
S
h
i
v
a
l
l
i
,
“
D
e
t
e
r
mi
n
a
n
t
s
o
f
h
e
a
l
t
h
c
a
r
e
f
a
c
i
l
i
t
y
u
t
i
l
i
z
a
t
i
o
n
f
o
r
c
h
i
l
d
b
i
r
t
h
i
n
K
u
a
n
t
a
n
S
i
n
g
i
n
g
i
r
e
g
e
n
c
y
,
R
i
a
u
P
r
o
v
i
n
c
e
,
I
n
d
o
n
e
s
i
a
2
0
1
7
,
”
B
MC
P
u
b
l
i
c
H
e
a
l
t
h
,
v
o
l
.
2
0
,
n
o
.
1
,
p
.
9
3
3
,
d
o
i
:
1
0
.
1
1
8
6
/
s
1
2
8
8
9
-
0
2
0
-
0
9
0
3
5
-
3.
[
2
8
]
S
.
S
a
h
a
d
e
w
a
,
K
.
D
w
i
p
a
,
G
.
A
.
Y
o
g
a
,
a
n
d
M
.
D
.
P
e
r
t
i
w
i
,
“
C
o
r
r
e
l
a
t
i
o
n
b
e
t
w
e
e
n
k
n
o
w
l
e
d
g
e
a
n
d
t
h
e
a
d
h
e
r
e
n
c
e
t
o
t
a
k
e
a
n
t
i
h
y
p
e
r
t
e
n
si
v
e
me
d
i
c
a
t
i
o
n
f
o
r
e
l
d
e
r
l
y
h
y
p
e
r
t
e
n
si
v
e
p
a
t
i
e
n
t
s
i
n
k
r
i
a
n
p
u
b
l
i
c
h
e
a
l
t
h
c
e
n
t
e
r
S
i
d
o
a
r
j
o
R
e
g
e
n
c
y
,
”
B
e
rk
a
l
a
K
e
d
o
k
t
e
ra
n
,
v
o
l
.
1
5
,
n
o
.
2
,
p
.
1
0
3
,
S
e
p
.
2
0
1
9
,
d
o
i
:
1
0
.
2
0
5
2
7
/
j
b
k
.
v
1
5
i
2
.
7
1
4
0
.
[
2
9
]
E.
M
u
t
u
a
,
B
.
O
.
A
g
i
n
a
,
a
n
d
I
.
M
w
a
n
z
o
,
“
P
r
e
v
a
l
e
n
c
e
a
n
d
c
o
r
r
e
l
a
t
e
s
o
f
m
e
d
i
c
a
t
i
o
n
n
o
n
-
a
d
h
e
r
e
n
c
e
a
mo
n
g
h
y
p
e
r
t
e
n
s
i
v
e
p
a
t
i
e
n
t
s
o
n
f
o
l
l
o
w
-
u
p
i
n
c
e
n
t
r
a
l
K
e
n
y
a
,
”
I
n
t
e
r
n
a
t
i
o
n
a
l
J
o
u
r
n
a
l
o
f
T
ra
n
sl
a
t
i
o
n
a
l
M
e
d
i
c
a
l
Re
s
e
a
r
c
h
a
n
d
P
u
b
l
i
c
H
e
a
l
t
h
,
v
o
l
.
7
,
n
o
.
1
,
p
p
.
1
–
1
1
,
A
p
r
.
2
0
2
3
,
d
o
i
:
1
0
.
2
1
1
0
6
/
i
j
t
mr
p
h
.
4
4
1
.
[
3
0
]
A
.
M
.
K
r
a
n
z
a
n
d
A
.
W
.
D
i
c
k
,
“
L
o
w
r
a
t
e
s
o
f
p
e
d
i
a
t
r
i
c
d
e
n
t
a
l
c
o
v
e
r
a
g
e
f
o
r
f
a
mi
l
i
e
s
p
u
r
c
h
a
si
n
g
mar
k
e
t
p
l
a
c
e
i
n
s
u
r
a
n
c
e
p
l
a
n
s,”
J
o
u
rn
a
l
o
f
Pu
b
l
i
c
H
e
a
l
t
h
D
e
n
t
i
s
t
ry
,
v
o
l
.
7
9
,
n
o
.
4
,
p
p
.
2
7
5
–
2
7
8
,
D
e
c
.
2
0
1
9
,
d
o
i
:
1
0
.
1
1
1
1
/
j
p
h
d
.
1
2
3
3
2
.
[
3
1
]
A
.
S
h
a
r
m
a
,
A
.
K
u
m
a
r
,
S
.
K
.
M
o
h
a
n
t
y
,
a
n
d
A
.
M
o
z
u
m
d
a
r
,
“
C
o
m
p
a
r
a
t
i
v
e
a
n
a
l
y
s
i
s
o
f
c
o
n
t
r
a
c
e
p
t
i
v
e
u
s
e
i
n
P
u
n
j
a
b
a
n
d
M
a
n
i
p
u
r
:
e
x
p
l
o
r
i
n
g
b
e
y
o
n
d
w
o
m
e
n
’
s
e
d
u
c
a
t
i
o
n
a
n
d
e
m
p
o
w
e
r
m
e
n
t
,
”
B
M
C
P
u
b
l
i
c
H
e
a
l
t
h
,
v
o
l
.
2
2
,
n
o
.
1
,
p
p
.
7
8
1
–
7
9
1
,
D
e
c
.
2
0
2
2
,
d
o
i
:
1
0
.
1
1
8
6
/
s
1
2
8
8
9
-
0
2
2
-
1
3
1
4
7
-
3.
[
3
2
]
C
.
K
e
e
l
e
r
,
Y
.
W
a
n
g
,
W
.
M
a
x
,
T
.
Y
a
o
,
D
.
G
u
,
a
n
d
H
.
-
Y
.
S
u
n
g
,
“
T
h
e
a
sso
c
i
a
t
i
o
n
o
f
C
a
l
i
f
o
r
n
i
a
’
s
p
r
o
p
o
s
i
t
i
o
n
5
6
t
o
b
a
c
c
o
t
a
x
i
n
c
r
e
a
s
e
w
i
t
h
sm
o
k
i
n
g
b
e
h
a
v
i
o
r
a
c
r
o
ss
r
a
c
i
a
l
a
n
d
e
t
h
n
i
c
g
r
o
u
p
s
a
n
d
b
y
i
n
c
o
m
e
,”
N
i
c
o
t
i
n
e
&
T
o
b
a
c
c
o
Re
se
a
rc
h
,
v
o
l
.
2
3
,
n
o
.
1
2
,
p
p
.
2
0
9
1
–
2
1
0
1
,
N
o
v
.
2
0
2
1
,
d
o
i
:
1
0
.
1
0
9
3
/
n
t
r
/
n
t
a
b
1
3
0
.
[
3
3
]
M
.
G
u
e
t
a
l
.
,
“
En
v
i
r
o
n
me
n
t
a
n
d
s
o
c
i
a
l
s
u
p
p
o
r
t
f
o
r
sm
o
k
i
n
g
c
e
ssa
t
i
o
n
a
m
o
n
g
c
o
m
mu
n
i
t
y
smo
k
e
r
s
i
n
B
e
i
j
i
n
g
,
C
h
i
n
a
,
”
T
o
b
a
c
c
o
I
n
d
u
c
e
d
D
i
se
a
s
e
s
,
v
o
l
.
2
1
,
n
o
.
1
1
N
o
v
e
mb
e
r
,
p
p
.
1
–
1
0
,
N
o
v
.
2
0
2
3
,
d
o
i
:
1
0
.
1
8
3
3
2
/
t
i
d
/
1
7
2
2
1
6
.
[
3
4
]
S
.
Y
.
K
i
m,
M
.
Ja
n
g
,
S
.
Y
o
o
,
J.
Je
K
a
r
l
,
J.
Y
.
C
h
u
n
g
,
a
n
d
S
.
C
h
o
,
“
S
c
h
o
o
l
-
b
a
se
d
t
o
b
a
c
c
o
c
o
n
t
r
o
l
a
n
d
sm
o
k
i
n
g
i
n
a
d
o
l
e
s
c
e
n
t
s
:
e
v
i
d
e
n
c
e
f
r
o
m
mu
l
t
i
l
e
v
e
l
a
n
a
l
y
ses
,
”
I
n
t
e
rn
a
t
i
o
n
a
l
J
o
u
rn
a
l
o
f
E
n
v
i
ro
n
m
e
n
t
a
l
R
e
se
a
rc
h
a
n
d
P
u
b
l
i
c
H
e
a
l
t
h
,
v
o
l
.
1
7
,
n
o
.
1
0
,
p
.
3
4
2
2
,
M
a
y
2
0
2
0
,
d
o
i
:
1
0
.
3
3
9
0
/
i
j
e
r
p
h
1
7
1
0
3
4
2
2
.
[
3
5
]
M
.
N
o
r
r
i
s
e
t
a
l
.
,
“
A
r
e
v
i
e
w
o
f
n
a
t
i
o
n
a
l
p
u
b
l
i
c
h
e
a
l
t
h
s
t
r
a
t
e
g
i
e
s
i
n
se
l
e
c
t
e
d
c
o
u
n
t
r
i
e
s
,
”
Fr
o
n
t
i
e
rs
i
n
P
u
b
l
i
c
H
e
a
l
t
h
,
v
o
l
.
1
3
,
M
a
r
.
2
0
2
5
,
d
o
i
:
1
0
.
3
3
8
9
/
f
p
u
b
h
.
2
0
2
5
.
1
3
9
1
7
9
5
.
[
3
6
]
K
.
Li
m
e
t
a
l
.
,
“
M
a
l
a
y
s
i
a
n
a
d
o
l
e
sc
e
n
t
s’
e
x
p
o
su
r
e
t
o
s
e
c
o
n
d
h
a
n
d
sm
o
k
e
i
n
t
h
e
c
a
r
o
f
t
h
e
i
r
p
a
r
e
n
t
s
/
g
u
a
r
d
i
a
n
s
:
A
n
a
t
i
o
n
w
i
d
e
c
r
o
ss
-
sec
t
i
o
n
a
l
s
c
h
o
o
l
-
b
a
s
e
d
st
u
d
y
,
”
T
o
b
a
c
c
o
I
n
d
u
c
e
d
D
i
se
a
s
e
s
,
v
o
l
.
1
8
,
n
o
.
Ju
n
e
,
p
p
.
1
–
1
1
,
Ju
n
.
2
0
2
0
,
d
o
i
:
1
0
.
1
8
3
3
2
/
t
i
d
/
1
2
2
5
8
6
.
[
3
7
]
G
.
M
c
C
a
r
t
n
e
y
,
F
.
P
o
p
h
a
m,
R
.
M
c
M
a
st
e
r
,
a
n
d
A
.
C
u
m
b
e
r
s,
“
D
e
f
i
n
i
n
g
h
e
a
l
t
h
a
n
d
h
e
a
l
t
h
i
n
e
q
u
a
l
i
t
i
e
s,
”
P
u
b
l
i
c
H
e
a
l
t
h
,
v
o
l
.
1
7
2
,
p
p
.
2
2
–
3
0
,
J
u
l
.
2
0
1
9
,
d
o
i
:
1
0
.
1
0
1
6
/
j
.
p
u
h
e
.
2
0
1
9
.
0
3
.
0
2
3
.
[
3
8
]
S
.
R
.
Q
u
e
b
u
,
D
.
M
u
r
r
a
y
,
a
n
d
U
.
B
.
O
k
a
f
o
r
,
“
B
a
r
r
i
e
r
s
t
o
e
x
c
l
u
si
v
e
b
r
e
a
s
t
f
e
e
d
i
n
g
f
o
r
m
o
t
h
e
r
s
i
n
t
sw
e
l
o
p
e
l
e
m
u
n
i
c
i
p
a
l
i
t
y
,
f
r
e
e
st
a
t
e
p
r
o
v
i
n
c
e
,
S
o
u
t
h
A
f
r
i
c
a
:
a
q
u
a
l
i
t
a
t
i
v
e
s
t
u
d
y
,
”
C
h
i
l
d
r
e
n
,
v
o
l
.
1
0
,
n
o
.
8
,
p
.
1
3
8
0
,
A
u
g
.
2
0
2
3
,
d
o
i
:
1
0
.
3
3
9
0
/
c
h
i
l
d
r
e
n
1
0
0
8
1
3
8
0
.
[
3
9
]
M
.
A
.
H
u
a
ma
n
e
t
a
l
.
,
“
T
u
b
e
r
c
u
l
o
si
s
a
n
d
r
i
s
k
o
f
a
c
u
t
e
m
y
o
c
a
r
d
i
a
l
i
n
f
a
r
c
t
i
o
n
:
a
p
r
o
p
e
n
s
i
t
y
s
c
o
r
e
-
ma
t
c
h
e
d
a
n
a
l
y
s
i
s
,
”
Ep
i
d
e
m
i
o
l
o
g
y
a
n
d
I
n
f
e
c
t
i
o
n
,
v
o
l
.
1
4
5
,
n
o
.
7
,
p
p
.
1
3
6
3
–
1
3
6
7
,
M
a
y
2
0
1
7
,
d
o
i
:
1
0
.
1
0
1
7
/
S
0
9
5
0
2
6
8
8
1
7
0
0
0
2
7
9
.
[
4
0
]
M
.
R
u
st
a
m,
R
.
M
a
h
k
o
t
a
,
a
n
d
N
.
K
o
d
i
m,
“
E
x
c
l
u
s
i
v
e
b
r
e
a
s
t
f
e
e
d
i
n
g
a
n
d
d
e
c
r
e
a
se
o
f
u
p
p
e
r
r
e
s
p
i
r
a
t
o
r
y
i
n
f
e
c
t
i
o
n
i
n
c
i
d
e
n
c
e
a
m
o
n
g
i
n
f
a
n
t
s
a
g
e
d
6
-
1
2
mo
n
t
h
s
i
n
k
a
mp
a
r
d
i
s
t
r
i
c
t
,
R
i
a
u
P
r
o
v
i
n
c
e
,
”
K
e
sm
a
s:
N
a
t
i
o
n
a
l
P
u
b
l
i
c
H
e
a
l
t
h
J
o
u
r
n
a
l
,
v
o
l
.
1
3
,
n
o
.
3
,
F
e
b
.
2
0
1
9
,
d
o
i
:
1
0
.
2
1
1
0
9
/
k
e
sm
a
s.
v
1
3
i
3
.
1
8
9
2
.
[
4
1
]
S
.
S
a
l
e
h
a
,
D
.
K
a
t
i
a
n
d
a
g
h
o
,
R
.
K
u
sh
a
r
t
a
n
t
i
,
H
.
K
a
r
l
i
n
a
,
I
.
I
r
maw
a
t
i
,
a
n
d
S
.
A
l
a
m
,
“
A
n
a
l
y
s
i
s
o
f
t
h
e
h
e
a
l
t
h
y
f
a
mi
l
y
i
n
d
e
x
:
Th
e
i
mp
a
c
t
o
f
i
m
p
l
e
me
n
t
i
n
g
t
h
e
h
e
a
l
t
h
y
I
n
d
o
n
e
si
a
p
r
o
g
r
a
m
w
i
t
h
f
a
m
i
l
y
a
p
p
r
o
a
c
h
,
”
Al
-
S
i
h
a
h
:
T
h
e
P
u
b
l
i
c
H
e
a
l
t
h
S
c
i
e
n
c
e
J
o
u
r
n
a
l
,
p
p
.
2
0
8
–
2
1
7
,
D
e
c
.
2
0
2
3
,
d
o
i
:
1
0
.
2
4
2
5
2
/
a
l
-
si
h
a
h
.
v
1
5
i
2
.
4
2
4
2
9
.
[
4
2
]
A
.
S
.
G
u
n
t
o
r
o
,
K
.
H
.
K
u
su
mo
,
A
.
K
o
maru
d
i
n
,
M
.
K
r
i
s
i
ma,
a
n
d
Y
.
P
r
a
se
t
y
a
,
“
V
i
l
l
a
g
e
g
o
v
e
r
n
me
n
t
s
t
r
a
t
e
g
i
e
s
t
o
a
c
h
i
e
v
e
u
n
i
v
e
r
sa
l
h
e
a
l
t
h
c
o
v
e
r
a
g
e
,
”
J
u
r
n
a
l
B
e
rk
a
l
a
K
e
s
e
h
a
t
a
n
,
v
o
l
.
1
1
,
n
o
.
1
,
p
.
2
2
,
M
a
y
2
0
2
5
,
d
o
i
:
1
0
.
2
0
5
2
7
/
j
b
k
.
v
1
1
i
1
.
2
1
6
6
2
.
B
I
O
G
RAP
H
I
E
S O
F
AUTH
O
RS
Abd
u
l
H
a
r
is
i
s
a
n
e
st
e
e
m
e
d
a
c
a
d
e
m
ic
a
ffi
li
a
t
e
d
w
it
h
th
e
Nu
r
sin
g
De
p
a
r
tm
e
n
t
a
t
P
o
lt
e
k
k
e
s
K
e
m
e
n
k
e
s
M
a
t
a
r
a
m
,
M
a
t
a
r
a
m
,
NT
B,
In
d
o
n
e
si
a
.
S
p
e
c
iali
z
in
g
in
n
u
rs
in
g
e
d
u
c
a
ti
o
n
a
n
d
h
e
a
l
th
c
a
r
e
p
r
a
c
t
ic
e
s,
h
e
h
a
s
c
o
n
t
rib
u
t
e
d
sig
n
if
ic
a
n
t
ly
to
th
e
fi
e
ld
th
ro
u
g
h
r
e
se
a
r
c
h
,
p
u
b
li
c
a
ti
o
n
s,
a
n
d
c
o
m
m
u
n
it
y
e
n
g
a
g
e
m
e
n
t.
His
a
c
a
d
e
m
i
c
p
u
r
s
u
it
s
a
r
e
a
i
m
e
d
a
t
e
n
h
a
n
c
in
g
n
u
rsin
g
c
o
m
p
e
ten
c
i
e
s
a
n
d
p
ro
m
o
ti
n
g
h
e
a
l
th
a
w
a
r
e
n
e
s
s
with
in
th
e
In
d
o
n
e
s
ian
p
o
p
u
la
c
e
.
W
it
h
a
c
o
m
m
i
tm
e
n
t
to
a
d
v
a
n
c
in
g
n
u
r
sin
g
st
a
n
d
a
rd
s,
he
a
c
ti
v
e
ly
c
o
ll
a
b
o
r
a
t
e
s
with
lo
c
a
l
h
e
a
lt
h
o
rg
a
n
i
z
a
ti
o
n
s
to
a
d
d
re
ss
p
u
b
li
c
h
e
a
lt
h
c
h
a
ll
e
n
g
e
s
a
n
d
imp
ro
v
e
p
a
ti
e
n
t
c
a
r
e
o
u
tco
m
e
s
in
th
e
re
g
io
n
.
His
wo
rk
e
x
e
m
p
li
f
ie
s
a
d
e
d
i
c
a
ti
o
n
to
b
o
th
th
e
a
c
a
d
e
m
i
c
a
n
d
p
r
a
c
ti
c
a
l
a
sp
e
c
t
s
o
f
n
u
rsin
g
,
u
n
d
e
rli
n
in
g
th
e
v
it
a
l
ro
l
e
o
f
e
d
u
c
a
ti
o
n
in
fo
st
e
rin
g
h
e
a
l
th
c
a
r
e
p
ro
f
e
s
sio
n
a
l
s.
H
e
c
a
n
b
e
c
o
n
tac
ted
a
t
e
m
a
il
:
a
b
d
u
l
h
a
risa
b
d
u
l8
9
8
9
@g
m
a
il
.
c
o
m
.
M.
Riz
k
i
Adi
ty
a
a
d
e
d
i
c
a
t
e
d
h
e
a
lt
h
c
a
r
e
p
ro
f
e
s
sio
n
a
l
a
s
so
c
i
a
t
e
d
with
S
o
n
d
o
s
i
a
Re
g
io
n
a
l
Ho
sp
it
a
l
in
Bi
m
a
,
N
T
B,
In
d
o
n
e
si
a
,
h
a
s
e
st
a
b
li
sh
e
d
h
i
m
s
e
l
f
a
s
a
p
ro
m
in
e
n
t
fig
u
r
e
in
th
e
h
e
a
lt
h
s
e
c
to
r.
Wi
th
a
b
a
c
k
g
r
o
u
n
d
in
m
e
d
i
c
in
e
a
n
d
a
c
o
m
m
it
m
e
n
t
to
c
o
m
m
u
n
it
y
h
e
a
lt
h
,
he
h
a
s
c
o
n
tr
ib
u
ted
sig
n
i
fi
c
a
n
tl
y
to
l
o
c
a
l
h
e
a
lt
h
c
a
r
e
in
i
ti
a
ti
v
e
s
a
n
d
p
a
ti
e
n
t
c
a
r
e
p
ro
g
r
a
m
s
.
Hi
s
wo
rk
e
m
p
h
a
si
z
e
s
th
e
in
t
e
g
r
a
ti
o
n
o
f
m
o
d
e
rn
m
e
d
i
c
a
l
p
r
a
c
ti
c
e
s
w
it
h
c
u
l
tu
ra
ll
y
s
e
n
s
it
iv
e
a
p
p
ro
a
c
h
e
s,
a
d
d
r
e
s
sin
g
th
e
u
n
iq
u
e
h
e
a
lt
h
c
h
a
ll
e
n
g
e
s
fa
c
e
d
b
y
th
e
p
o
p
u
l
a
ti
o
n
in
NTB.
A
s
a
n
a
d
v
o
c
a
t
e
fo
r
p
u
b
li
c
h
e
a
lt
h
e
d
u
c
a
ti
o
n
,
h
e
a
c
ti
v
e
ly
e
n
g
a
g
e
s
in
o
u
tr
e
a
c
h
p
ro
g
r
a
m
s
a
im
e
d
a
t
i
m
p
ro
v
in
g
h
e
a
lt
h
li
te
r
a
c
y
a
m
o
n
g
r
e
sid
e
n
ts
.
H
is
e
ffo
rt
s
r
e
f
le
c
t
a
d
e
e
p
c
o
m
m
it
m
e
n
t
to
e
n
h
a
n
c
in
g
h
e
a
l
th
c
a
r
e
a
c
c
e
s
sib
i
li
ty
a
n
d
q
u
a
l
it
y
in
h
is
r
e
g
io
n
,
m
a
k
in
g
h
im
a
n
in
f
lu
e
n
t
ia
l
l
e
a
d
e
r
in
th
e
p
u
rsu
it
o
f
b
e
tt
e
r
h
e
a
lt
h
o
u
t
c
o
m
e
s fo
r
th
e
c
o
m
m
u
n
i
ty
.
He
c
a
n
b
e
c
o
n
tac
ted
a
t
e
m
a
il
:
m
rizk
iad
it
y
a
8
8
@g
m
a
il
.
c
o
m
.
Evaluation Warning : The document was created with Spire.PDF for Python.