Dalit Women Awareness Regarding Injustice

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Title: Dalit Women Awareness Regarding Injustice
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Community Health Learning Programme
March 2010 to November 2010

REPORT

Ms.Shivamma

Intern, Community Health Cell

Mentor
Mr.E.Premdas
Coordi nator
Community Health Cell Bangalore
0

Community Health Learning Programme and My Personal Growth
1.

Acknowledgement

I am grateful to Mr. E. Premadas and Dr. Bhagyalakshmi for identifying me as a potential
candidate and introducing me to this learning programme. My sincere thanks to the
members of the Selection Committee for having selected me for the Community Health
Learning Programme in Community Health Cell.

I would also like to thank Maria, Pushpa, Ruth Prahlad, James, Mangala, and Joyce of
Community Health Cell who extended utmost cooperation, even amidst their busy schedule.
Thanks also to Swamy who helped me in finding the appropriate book and materials for
studying and to my fellow-students.

2.0

Background

The main reason for my joining the Fellowship is my exposure to and participation in the
training conducted by Janaarogya Aandolana - Karnataka (Peoples’ Health Movement Karnataka) and the facilitation in this process by the Community Health Cell. Prior to getting
to know about Janaarogya Aandolana, I was a mere disciplined student. As part of my
student life, I happened to visit an organisation called Sakhi. I was merely a part of the
background, but my participation in a training programme conducted by Sakhi introduced
me to Janaarogya Aandolana - Karnataka.

During the first phase of training, the extent to which I understood the functioning of JAAK
was a mere speck. A year after the training, I had an opportunity to be a part of the annual
meeting / training programme of JAAK, once more. During that time, I got to know more
about the functioning and objectives of JAAK. I understood that the aims, objectives and
activities of JAAK have a social orientation, vis-a-vis the health system. Till then, my
understanding of health was merely as a service; only after getting to know JAAK, did I
realize that health was a right.

My attention was drawn to the fact that JAAK does not concentrate merely on primary health
centres and health systems, but its area of focus also includes food, nutrition, women and
such other rights as well. Health is not concerned merely to hospitals, medicines and
doctors, but encompasses all aspects of daily life. Food, drinking water, sanitation facilities
are basic and essential services. Since the public system that needs to provide these
services is not functioning efficiently and is in fact corrupt, the public faces a lot of hardships.
This is more pronounced in lower strata of society, and more so with women and children
who face grave and pitiable conditions. My attention was drawn towards all these issues by
JAAK.

3

In this situation, I was assigned the task of collecting basic information through a survey
format on the existing condition of the primary health centres and also to identify and record
cases of health denials. This was needed to conduct a public hearing/Janata Nyayalaya in
Hospet taluk to tackle the various problems faced by the community. This activity opened
my eyes to the status of the health system and its disarray, as well as the manner in which
personnel appointed to provide services to people conduct themselves and the corruption,
attitude they have towards those who they are supposed to serve. To satiate my thirst to
know more about the health system, I joined the Fellowship programme. This helped me to
know about the services that need to be available to people through the health system, the
parameters that the community needs to hold with regards to their expectations from the
system, problems faced by people who are part of the system, strategy needed to solve the
problems, the techniques that might be used to set right the wrongs in the system,
understanding the scope of the concept of health and to get to know more about the gaps in
linking the communities with the health system.

Dr. Bhagyalakshmi of “Sakhi" (Hospet) evoked a feeling of hope in me that the fellowship
programme might help me gain clarity on these concepts and thus I joined the programme.

3.0 Learning objectives
1. Understanding health as a right
2.

Understanding the N.R.H.M. programme

3.

Understanding the role of ASHA workers as women

4.

Learning the functioning of anganawadi workers

5.

Women and mental health

4.0 Learnings
4.1 Personal Growth and Skills: I have learnt so much from the learning programme. Earlier, I
was a mere student, who, through disciplined learning gained knowledge about some
things. However, this learning programme oriented me towards being committed to the
community and working for them. Some of the areas of my growth through experience are
the following:

•

The art of Interacting and negotiating with the health officials.

•

Gaining confidence of speaking in public about any core topic on women and health

•

Using the Right to Information Act 2005

•

Capacity to independently conduct field level workshops

4

•

Skills in interacting with the community

•

Skills to study a specific subject as well as getting to know people

4.2

Insights about

the community: The CHLP gave me opportunity to spend

sufficient time with the community, especially at Jagrutha Mahila Sanghatan (JMS)
and enabled me to have a inside view of the community and the happenings there.
Some of the new insights gathered are as follows:
•

Awareness regarding injustice meted out to the community, especially the Dalit Women

•

Understanding of the exploitative aspect of the system, which has taken away the rights
of the people

•

Understanding regarding the food and health-related problems faced by the people.

•

Understood the situation of people who are not in a position to question the denial of
rights to them.

•

Realised that people suffer from lack of right guidance /leadership

•

Realisation that with proper facilitation it is possible to make people empowered to
question the system and help people realize their potential to get their entitlements.

•

Understanding regarding the problems faced by Asha workers as women in the
community and as health workers in the health system.

4.3 Getting to know Health Rights through experience

Public hearings I public dialogue / helped me get the understanding and objectives of
“health rights”. Prior to conducting the Janata Nyayalaya/ Public hearings on health,
conducting a survey of primary health centres, awareness regarding services available at
primary health centres, usage of untied fund, availability of medicines and the staff
structure etc were not known to me. Participation in the process of public hearing helped in
the understanding of health as a right and to know whether the existing primary health
centres are providing health service as a right.
After the Public Hearings, when I followed up by visiting the primary health centres, a few
changes were visible.
For example, the primary health centres of Balaganur and
Raghalaparvi in the taluks of Sindhanur and Hirekotnikal PHC in Sindhanur taluka (Raichur
dist) are now clean. People are getting proper services and facilities. The medical officers
have been able to get good work done by the ASHA workers and have been supportive. All
these issues were presented in the presence of concerned officials at the public hearing in
Raichur. The involvement in this process sharpened my thinking on health rights and
health system. If health system has to be improved and health services are to be rendered
as a right, everyone in the community needs to know that health is the right of all; for this,
5

the community needs to come forward. Community needs to take lead in improving the
system by questioning the irregularity and unaccountability. But, if no one questions the
system, it deteriorates.
My first hand experience of meeting the people denied of health services and suffering from
the negligence of the health staff, brought about an awareness in me regarding the
suffering that people undergo. Later on, with a view to providing relief to such people,
complete information was collected regarding such incidences and placed before the
concerned officials. I also understood the manner in which information to be got through
Right to Information (RTI) in order to understand the services available in PHCs,
availability of medicines, staff availability, etc.

5. Collective Learning Sessions at Community Health Cell
5.1

Orientation and group learning

During the orientation programme, like a mother packs food for a long journey ahead, the
orientation programme packed in the appropriate guidance for a community health journey.
The orientation was conducted in three phases and the information of each phase was
complementary to the next. In this manner, the awareness gained during the orientation
inspired to plunge into my field of work.

During the first phase of orientation at the Community Health Learning programme, the
major learnings are as follows:
•

Need / importance of language in community communication

•

Various aspects/dynamics of community

•

Learning methodologies

•

The meaning and practice of adult learning as a methodology

•

Importance of self-awareness and self-reflection as part of learning

•

Concept of health

•

Health services, public health services

•

Primary health care

•

Essential medicines

•

Effects of globalization and its effect on health

•

Safety measures to be adapted during emergency situations

Some of the processes which triggered these reflections are,
•

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de

saccbaroadries daarudri dwaa®rridocb ^rariri&ririE^.

E^dcbbaacba riri dsd^ desariaririridsbj rioadjaoricb, riEdaaaa© Esgriaod esdbaeri^ deo^rid
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28

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doiraQdbErari

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asarija

ajarocliaerij

esodaaeod-

^tuarta^

dsadsroO

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aqa

eseradd

dab

esodaaeod

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duda

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d&d&raodcb. abadri dtfaE'ddod duad^ oJbarbv3cbd esaaad ddoarad a^radda^ dbda naatbd

t?oq^)

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29

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dezra dsejd^d^dj} <bed>du oiradcS ridjarodE- ajduaddritd ^odajodej.

7.3

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d Wrvlddj.
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30

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dodud t?o^j dvri^ea dead deod ddr&deddo.

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5adra rioeaarieses.
&ed caa>as db&dcdbdb esdE"^cuaf\ oaaisecdbojad, FGaaiaaasdcuad Edasodaddcibex) eadtzro

ea^d^dcdbdbj araddeo desEzrocb gcdbdjriddSj ddd eaddes adbddoiroOnad.

8.4

dEzbaesae^d^O saabrrides JMS d Esad

JMSd db&t?cdbdb ddbasaaqd^d saodbrridescdbua dEzb^ agaera^dodbdbj Ei>de>nad.

36

ca. a5w*es grad ssadoddes JMS Fdsddb de aesies gradodbrdb, dddBod ad Edaddb, grad ataa
Edbdda, sjaebsa^brd Edbddb, &eri es&srad^ ^adrarivrrad Sdradod EdoaJdcrad sbdyri esgra

&draE3ac»bdb. gear!
dadbacb 350 Edbdt?ri adradda, sLraaduafbd. ecocide ddri^cwod &ddb
co
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d

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deod ddsadd arao saaordd oiiaeadceood dsacdb djad-3d.

as. 2OO9dw dodadd ddasadvabw arir^dcrad adBri AID dsacdbaod 60
Sew®riddb,
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A.a.dreeo® adjarro JMS

d aodo ^rariesad djcraacrad db&sra doEd daodd rbdccbea 3

dlrarid dradd a.d.dreecs® aaordeo aaricdjdbj ddoabdb. de doddu 14 ajd da&va ddd^Bcb
de dLraera® aaordex) dd Fsadddd^e daadejacsadb. a^ocdd djcbd gra&> d^ddccbea db&t?cdbdb

dbood aadeaa d^dd a>d)“®
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dddb go. eaddaa dd d)dbdd deddbadcb caodb dbaeOd&reudb.
d. eaciraerig adobarlari doeaodddo^ asracbaerb esodaaeead aacdbE^dbridea ^rarid&dodjdd

dbrao^ dosaeaddb aiddea sad^cdbdb.oeaa dradco eJdbdcrad.

g. nadb doaiaosaridead NREGA aacdbrddbriA dSairofb ajadoirarbdod draed&raodnad.
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cOdr&dbdo^ dbadcrod.
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poosdea JMS da&^cdba N.R.H.M aacdbrddbaaD aboaa ddbd&d daddcb. daadoo 3

adrid aaea a^jaeoa^d.

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deocjrldsbj e±>^

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esdcdbes aadbd eraddeocJrido. dwrida, VHSC riddb^ rbcb^dbd dod esdoa^ddcb. 3 adrid
esdQcdbo so dariddb^ ddr Eiraadcb. qddea rgabd aedd. ^oira oiraead. doiraB, docdd

dodEBat?® a^drad.du®, dddu6, ooauaE^d, &dearadd aa.ridesd wddeodriddx EiJB&eesd.
MEdirida dBoirad aacdbr XJdF&dde gcba^dd^ E±>3b dudridj d^oadddraoadbE^dnibj csartra

37

■gocSe

gcb^ddij rbcb^dddb.

sacdbe,

dBccbari

qdirido

&dE-&dbdod

Followup

daaadcb. dodd asad^Sod esdjaeri^ dec^ri^es S>e6d itPocfFj. sPayaocdb. dBri street, daoacdb
&racl<3.

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grid

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eacbaeri^

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srodead^

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esdBri

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esaadbsbaori^dbj

ssdd

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ddSfaBcdjaritSad.

rrodb doaaoari^esdbd NREGA sacdbe^ab dadd^srori saBri adeo dab d&dnad. s>odd
®wd adcb uudja^eridd^dd ded ded uuadbriwri dead dbaerb^dcb. qddbj ddoiodiGlsariobbe
cre^eccb

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do ri rib^ ddj^^jaodcb add dbd^ riood) d^Jri^db^ adE*Qdbc^)dd dbuau^

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do^ritte

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n dbaa^ocbdo,
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duarodb ab&wa ^daracdb

do^ri^dbj sraid^jaoari. de dodriari

arojOAd doaocd^ri’} aSdd&aaejaoadb. dodd SC/ST-Corporation dbsb Bridge Foundation

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a^db^ddb. gddbj esB^ esddo dosduriccbod db&dcdbBnariodbe ddb^de esd aodb ^o^

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ci esdaoadbdjdb ^dab.
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2OO5du esaead dsb ddb^ dsl^ aoa siraeaa^odjaodri 2 sacua&risJes daadddbj dbaa
d^oJbdbj drfddcb.

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ad

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dde)

de

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38

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JMS d dbta&od

goddddrba deoErocb daaecraud^ea gaarid&d dado

sade

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1.

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ci
v
me

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es

esdde

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dead

ddeacradd

da&dai>8rf

Acbdat^

aeda^ddb.

gdOonari JMS d da&dccbdeacLra deO es auadea cra^ea ddddcb. esdd esri e/uadea oiaadaa
•gdeaea. e^jaeeaddb dodudcdadd daee3 dSaard^ draa db^dbj Sda aadda daadcdaad daud
draedda esdd dead dodd doaaeadcbdOocaaO iuaodadd daed epdae. aiaa dbadeaaaaada.

2.

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wcaaddea
stradeaa i>da,
daadad dadaOoda daed enanatJ
nadadea
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cn
d
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3 aid a3ed

ded aadodo dodadda easa^aaad daaddda. ssarrah qddbj acLraed.d “da&^cdad daed easa^aaad
dd^dd ^adartaaeeadod ^dcdaoded" edoaa daaedrfoiraoari easa^aaadddrbddOri cadd^odadjj

dedcoad dado EjJjdadd ddd^d ddddda^ djadeaaoaado.
3.

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EJ

saooa^dea
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dadori

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dadaPicdada,
aiaraaoaa&ddod
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doritiraOri
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de djaecroud dBraadbsroh aiddr! droea ®ad £dda.
5.

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adodad doaaodddod rgda doaraoaari eaeri asaft gjddt-3^ dddcaad.

6.

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djaSdd dBraadbErof) eseari daaeD dde3 daadddcJ acbd dd^Judcdadbj doadeaadd.
7.

dddAd ftcbdad esdjdd^oi) ddad dddcadoiida^ dddnad.

39

8.

&iae3deraad

cPaird^aod

aj^drarit^taasbaodb

Sasaodddbj

dbaddtJaiudjdBad

doddjacb dacb djag sawja^bri^w 2 do&tra ribodldt^dbj daJrtisbaodb c^ajed^^ja^nad dd

da&t?o±>d dja&>3dt?dbj dorj&a c^jaeesidd ddbd^ ddbdw ddcoaa aro^ddb^ d&dnrad.
9.

?i)ti>si8od

esriaadbcrad

aLraoddri^uddj^

db&??ccbed

dodudcdb

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es

adcdoriridbj dasra. db&i?cdbdocLra aoriwad qdex> dedo^dcb. d^cracb drodd dldadOd ddb^
aod^db* ^d^rdb^ddb.
1O.

rbaicra^do

dahenra

aasadiae

csodjaeuddo

doe era

duo^ddb^

detaccbad

esodbaeuddo ^rar!sd&<?) esdS doaaoddbj deddeb.
11.

ddwccbw aiodcr6 dbodo®. dw

National Alliance for Peoples Movement

ddd

oa*eo±>
dbtad
draecroudes
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m sparid&ddcb.
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adbd ddb^
13.

ddraadbaroO araod ddb®ri^ araddod desdd decrarbd ddnradod

a^crad.

rgdbdoaraoajcdb ara^edbesd ffaedbe^dori^o ddodbafb acbrbdod djaeSSjaodcrad.

(VHSC, PDS, NREGA. aiejadcdbd dboosaddirto )

14.

db&wa

dodrWea

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ad0d Sud Sjadddd sdbdba^eri d^edbd^ aedodo<3 esar aaaftderad.
15.

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yuaOd foBcdbdb 'BedoaE'ddddb gddbj carded odbddb adjaefijdddb. uuaOddcb des^d ^eOd

dbfb

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ddadeoaosj^b.

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&eri doaradb addes aaad db&t?cdbcb dbaecraurisM d^dudries a^arid&^ daoaouddd
gacdtrohcbdjddbj saraoeSed.

40

8.6

JMS st>&rfo±><±> adbO^d ddbd^rieb
d^ddodbea da&^cdbdb ade dbaQddba dao a^jcbdd ^orirfri a^rrorbsad. djcbd aa&

esdeddeacdae

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dodtadobada^

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dd

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dodudcdada^

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e/uacuadb

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dddae^jdba

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ddb^ dod^aiadbj daadccbo^dcb. de db&s?ccb0<d daae^d sradde ^HOdoo. godd dodd^do

c3a>adbj ^taad dbdraardtrad a>dO aaoddb. gdOonah caa>aa Soodb daad dodtadcdbafb a3t?db
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sjd^

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dbda

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add

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dad^si>

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dboajjd aaaridetia ooa ewdeddod do are da addea ddb&dridda* deddeb. d^ard da^deba

41

dd e/ua&d &Sccbcl dbaddb^

dodd db&s?cdb0ri ddbd^riddjj d^dddb. dbda riodoOOri

da ad dbadF5adid)dd daaao^ &eo±rovda^dcb. gdSod riododdb sbbjdoafb dod^obbddbj
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data
^d daaaa dbadcrod.
u aodb eaad^dcdb
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dead

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dboauacrodda.

esdd

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dodds'des aa^ad db&tJcdbcb aad^asy ddad^rWda^ codbddnad.

8.7

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<p

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dodaadcdo dbfo*?ccbcb dosrecb advdriddbj s'odnad. sadbdSdcaad. db&*?ccbcb godb ddb^
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sasd^dojbd varies caoandb ddd esdccb.
• e/cp
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9.0 3?®<^d^odb ari eac^oibd db<^j
9.1 B.M.I - Methodology

oaccbal/acb

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ad

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e;

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42

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gud

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gnaricb,

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Media: Shivamma CHLP 2010-6-FR55.pdf

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