closing the cancer divide: the case of women’s cancers and mexico’s seguro popular
TRANSCRIPT
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@jbikim Cmrij Dlmub, QhNHmrvmrn Ebfgmb Jqui ty I li timtivj, Ebfgmb msd @ frkj fl Jxpmlnjn Mkkjss tf
Kmlkjr Kmrj mln Kfltrfb i l BC IKs
^cmtjbf m Qjkhf M?K. Cxikf
Cjxikml Hjmbth @ fulnmtifl
Ufcjls Kfbbjej Wjsjmrkh Ilstitutj
^frfltf, Cmy 7;, 71=>
Kbfsile thj Kmlkjr Nivinj?
^hj kmsj f` wfcjls kmlkjrs mln
Cjxikfs [jeurf Qfpubmr
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Jvinjlkj-gmsjnmnvfkmky
Mnvfkmky-ilspirjn jvinjlkj
Mktifl?
prfojkts, prfermcs, pfbikijs
Numbity?
jvinjlkj mln mnvfkmky
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@rfc mljknftj
tf jvinjlkj
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Omlumry, 7118
Oulj, 7115
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tf jvinjlkj
@rfc mljknftj
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Cijcgrfs
E^@.KKK
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Ebfgmb ^msd @frkj fl
Jxpmlnjn Mkkjss tf
Kmlkjr Kmrj mln Kfltrfb
;> cjcgjrs?
Ebfgmb hjmbth + Kmlkjr kmrj ^jkhlikmb Mnvisfry Kfccittjj? 01+
Qrivmtj [jktfr Jlemejcjlt Erfup
Qrifrity mrjms mln Ufrdile erfups? Qjn Flk, Qmil & Qmbbimtifl, Ufcjls
kmlkjrs, [urvivfrship, Jkflfciks f` kmlkjr
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Ebfgmb msd @frkj fl Jxpmlnjn
Mkkjss tf Kmlkjr Kmrj mln
Kfltrfb il Njvjbfpile Kfultrijs
3 ebfgmb hjmbth + kmlkjr kmrj
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Mppbijs m nimeflmb
mpprfmkh tf mvfin
thj `mbsj nibjccmsgjtwjjl nisjmsj sibfs
-KN/LKN- thmtkfltiluj tf pbmeuj
ebfgmb hjmbth
Kbfsile thj Kmlkjr Nivinj?M GBZJQWIL^ ^F JXQMLN MKKJ[[ IL BCIKs
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Kbfsile thj Kmlkjr Nivinj?Ml Jquity Icpjrmtivj
I? [hfubngj nflj
II? Kfubn gj nfljIII? Kml gj nflj
C=. Zlljkjssmry
C7. Zlm``frnmgbj
C;. Icpfssigbj
C>? Ilmpprfprimtj
Jxpmlnile mkkjss tf kmlkjr kmrj mln kfltrfb il BCIKs?
=? Illfvmtivj Njbivjry
7? Mkkjss? M``frnmgbj Cjns, Pmkkiljs & jkhs;? Illfvmtivj @ilmlkile? Nfcjstik mln Ebfgmb
>? Jvinjlkj `fr Njkisifl-Cmdile
:? [tjwmrnship mln Bjmnjrship
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#7 kmusj f` njmth il wjmbthy kfultrijs
#; il uppjr cinnbj-ilkfcj#> il bfwjr cinnbj-ilkfcj
mln # 8 il bfw-ilkfcj kfultrijsCfrj thml 8:% f` pjnimtrik kmlkjr kmsjs mln 9:% f`
njmths fkkur il njvjbfpile kfultrijs.
@fr khibnrjl & mnfbjskjlts
:-=> kmlkjr is
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Kmlkjr is m nisjmsj f` gfth rikh mln pffr4
yjt it is ilkrjmsileby thj pffr whf su``jr?
=. Jxpfsurj tf risd mktfrs
7. Qrjvjltmgbj kmlkjrs (il`jktifl)
;. Njmth mln nismgibity rfctrjmtmgbj kmlkjr
>. [tiecm mln niskricilmtifl
:. Mvfinmgbj pmil mln su``jrile
^hj Kmlkjr Nivinj?
Ml Jquity Icpjrmtivj
@mk
jts
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[furkj? Dlmub, Mrrjfbm, Cjlnjz. jsticmtjs gmsjn fl IMWK, Ebfgfkml, 71=1.
Khibnrjl
BFU
ILKFCJ
HIEH
ILKFCJ
@mkjt ;? ^hj Fppfrtulity tf [urvivj
(C/I) [hfubn Lft Gj Nj`iljn gy Ilkfcj
Il Kmlmnm, mbcfst 91% f` khibnrjl with bjudjcim survivj.
Il thj pffrjst kfultrijs flby =1% survivj.
Bjudmjcim
Mbb kmlkjrs
=11%
Cjxikf
Kmlmnm
BFU
ILKFCJ
HIEH
ILKFCJ
Grjmst Kjrvix
^jstis Qrfstmtj
Lfl-hfndils Hfndils
^yrfin
Cjxikf
Kmlmnm
[urvivmbiljqumbity
e
mp
Mnubts=11%
^h t i ini i o ti
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^hj cfst ilsinifus iloustikj?
^hj pmil nivinj
757,111 ce
7,;11 ce
705,111 ce
0,011 ce
;5,111 ce
[furkj? Gmsjn fl nmtm `rfc? ^rjmt thj pmil
(http?//www.trjmtthjpmil.kfc)
Lfl-cjthmnflj, Cfrphilj
Jquivmbjlt fpifin kflsucptifl pjr
njmth `rfc HIP fr kmlkjr il pmil?
Qffrjst =1%? :> ce
Wikhjst =1%? 95,>11 ce
Z[/Kmlmnm? 751,111 ce
Ilnim
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Khmbbjlej mln nisprfvj thj
cyths mgfut kmlkjrC=. Zlljkjssmry LJKJ[[MWY
C7. Zlm``frnmgbj M@@FWNMGBJC;. Ilmpprfprimtj MQWFQWIM^J
C>? Icpfssigbj QF[[IGBJ
a:/81
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a:/81 kmlkjr
nisjquibigriuc(Bmlkjt 71=1)
Mbcfst 81% f` thj NMBYs
(nismgibity-mnoustjn bi`j-yjmrs) bfstwfrbnwinj tf kmlkjr mrj il BCIKs,
yjt thjsj kfultrijs hmvj flby m vjry
scmbb shmrj f` ebfgmb rjsfurkjs `frkmlkjr ~ :% fr bjss.
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^hj kfsts f` ilmktifl mrj huej?
Ilvjst I Lmktifl^fgmkkf is m huej jkflfcik risd? ;.0% bfwjr ENQ
^ftmb jkflfcik kfst f` kmlkjr, 71=1? 7->% f` ebfgmb ENQ
Qrjvjltifl mln trjmtcjlt f``jrs
pftjltimb wfrbn smviles f`
$ Z[ =;1-9>1 gibbifl
=/;-=/7 f` kmlkjr njmths mrj mvfinmgbj?7.>-;.5 cibbifl njmths,
f` whikh 81% mrj il BICKs
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^hj kfsts tf kbfsj thj kmlkjr nivinj
mrj mln cmy gj bjss thml cmly `jmr?
Mbb gut ; f` 79 BCIK prifrity kmlkjr khjcf mlnhfrcflmb mejlts mrj f``-pmtjlt
Qmil cjnikmtifl is khjmp
Qrikjs nrfp? HjpG mln HQP vmkkiljs
Njbivjry & `ilmlkile illfvmtifls mrj
ulnjrutibizjn & ulnjvjbfpjn sf thmt purkhmsile
is `rmecjltjn mln prfkurjcjlt is ulstmgbj
QMHF 71=; [trmtjeik @uln `fr LKNs
ilkbunjs djy kmlkjr nrues
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Khmbbjlej mln nisprfvj thj
cyths mgfut kmlkjrC=. Zlljkjssmry LJKJ[[MWY
C7. Zlm``frnmgbj M@@FWNMGBJC;. Ilmpprfprimtj MQWFQWIM^JC>? Icpfssigbj QF[[IGBJ
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^h Ni b M h
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^hj Nimeflmb Mpprfmkh tf
Hjmbth [ystjc [trjlethjlileWmthjr thml `fkusile fl jithjr nisjmsj-spjki`ik vjrtikmb frhfrizfltmb-systjcik prfermcs, hmrljss syljreijs thmt
prfvinj fppfrtulitijs tf tmkdbj nisjmsj-spjki`ik prifritijs
whibj mnnrjssile systjcik emps mln fpticizj mvmibmgbj
rjsfurkjs
Nimeflmb strmtjeijs cmofr gjlj`its?X 3 < pmrts
Grinej nisjmsj nivinjs usile m bi`j kykbj rjspflsj
mvfins thj `mbsj nibjccms gjtwjjl nisjmsj sibfs -
KN/LKN- thmt kfltiluj tf pbmeuj ebfgmb hjmbth
Ejljrmtj pfsitivj jxtjrlmbitijs? j.e. wfcjls kmlkjr
prfermcs `ieht ejlnjr niskricilmtifl4 pmil kfltrfb >mbb
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Nimeflmb [trmtjeijs?
Qfsitivj Jxtjrlmbitijs
Qrfcftile prjvjltifl mln hjmbthy bi`jstybjs?
Wjnukj risd `fr kmlkjr mln fthjr nisjmsjs
Wjnukile stiecm `fr wfcjls kmlkjrs?
Kfltrigutjs tf rjnukile ejlnjr niskricilmtifl.
Ilvjstile il trjmtcjlt prfnukjs khmcpifls
Qmil kfltrfb mln pmbbimtifl
Wjnukile gmrrijrs tf mkkjss is jssjltimb `fr
kmlkjr, `fr fthjr nisjmsjs, mln `fr surejry.
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NimeflmbizileKmlkjr Kmrj?
@ilmlkile & Njbivjry=. @ilmlkile? Iltjermtj kmlkjr kmrj iltf
lmtiflmb ilsurmlkj mln sfkimb sjkurity
prfermcs7. Njbivjry? Hmrljss pbmt`frcs gy iltjermtile
grjmst mln kjrvikmb kmlkjr prjvjltifl,
skrjjlile mln survivfrship kmrj iltf CKH,[WH, HIP/MIN[, sfkimb wjb`mrj mln mlti-
pfvjrty prfermcs.
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Khmbbjlej mln nisprfvj thj
cyths mgfut kmlkjrC=. Zlljkjssmry LJKJ[[MWY
C7. Zlm``frnmgbj M@@FWNMGBJC;. Ilmpprfprimtj MQWFQWIM^J
C>? Icpfssigbj QF[[IGBJ
Kh i
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Khmcpifls?
Lfgjb Mcmrtym [jl,Kmlkjr survivfr nimelfsjn ilIlnim 01 yjmrs mef
Nrjw E. @mustQrjsinjlt f` Hmrvmrn
Zlivjrsity 77+ yjmr GK
survivfr
J b ` th ni
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Il njvjbfpile kfultrijs,
pjfpbj with cubtinrue-
rjsistmlt tugjrkubfsis usumbby
nij, gjkmusj j``jktivj trjmtcjltis f`tjl icpfssigbj il pffr
kfultrijs. UHF =990
Jxmcpbjs `rfc fthjr nisjmsjs?
CNW-^G trjmtcjlt, =990-99
[furkj? Qmub @mrcjr., 7119
CNW-^G is tff jxpjlsivj tf
trjmt il pffr kfultrijs4 it
njtrmkts mttjltifl mln rjsfurkjs
`rfc trjmtile nrue-suskjptigbj
nisjmsj. UHF =995
Nrue% Njkbilj il
prikj =995-9
Mcidmkil 91%
Jthiflmcinj 8>%
Kmprjfcykil 95%
F`bfxmkil 98%
with UHF?Wjnukjn pr ikjs f` sjkfln-
bilj G nrues
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Cjxikf? kjrvikmb kmlkjr.
[furkj? Dlmub jt mb., 7118. Wj rfnuktivj Hjmbth Cmttjrs, mln u nmtjn g Dlmub, Mrrjfbm-Frljbms mln Clnjz gmsjn fl UHF nmtm, UHF[I[ =9::-=958 , mln Cilistr f Hjmbth il Cjxikf =959-7110
1
>
8
=7
=0
=9::=90:
=95:
=98:
=99:
7118
[ukkjss il trjmtile sjvjrmb kmlkjrs.
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mbb Bmtil Mcjrikml lmtifls, cukh f`
jmstjrl Jurfpj mln kjltrmb Msim, Khilm,
Ilnim, cmly fthjr pmrts f` sfuth Msim,
mln jvjl kfultrijs il M`rikm, mrj `mkile m
pmil`ub nfugbj gurnjl f` nisjmsjlft
flby thj pjrsistjlkj f` il`jktifus thrjmts,
khibn mln cmtjrlmb cfrtmbity, mlnulnjrlutritifl, gut mbsf thj jcjrejlkj f`
ljw nmlejrs, lftmgby nimgjtjs, fgjsity,
kmrnifvmskubmr nisjmsj, strfdj, kmlkjr,
cjltmb ibb-hjmbth, mln ilourijs.
OZBIF @WJLD & WIKHMWN HFW^FL
HJMB^H WJ@FWC IL CJXIKF [JWIJ[
^HJ BMLKJ^, 7110
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Huej stjps il thj trmlsitifl thru rj`frc tfwmrn
Zlivjrsmb Hjmbth Kfvjrmej il cmly kfultrijs
Jxmcpbjs?
Grmzib
Khilm
Kfbfcgim
Khibj
JJZZ(M``frnmgbj Kmrj Mkt)
Jb [mbvmnfr
Qjru [futh M` r ikm
^miwml Cjxikf? [jeurf Qfpubmr nj [mbun
Yjtf`tjl il thjkfltjxt f` rmpin,
prf`fuln,
pfbmrizjn mlnkfcpbjx
jpinjcifbfeikmbtrmlsitifl fr
gmttbile`rmecjltjn hjmbth
systjcs
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NimeflmbizileKmlkjr Kmrj?
@ilmlkile & Njbivjry
=. @ilmlkile? Iltjermtj kmlkjr kmrj iltf
lmtiflmb ilsurmlkj mln sfkimb sjkurity
prfermcs
7. Njbivjry? Hmrljss pbmt`frcs gy iltjermtile
grjmst mln kjrvikmb kmlkjr prjvjltifl,
skrjjlile mln survivfrship kmrj iltf CKH,[WH, HIP/MIN[, sfkimb wjb`mrj mln mlti-
pfvjrty prfermcs.
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Nfcjstik @ilmlkile
IllfvmtiflsIltjermtj KKK iltf lmtiflmb ilsurmlkj mln
sfkimb sjkurity prfermcs tfgjeillile with
kmlkjrs f` wfcjl mln khibnrjl?
Cjxikf, Kfbfcgim, Nfcilikml
Wjpugbik, QjruKhilm, Ilnim, ^miwml
Wwmlnm, Djlym
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Cjxikfs 711;? cmofr hjmbth rj`frc
krjmtjn [jeurf Qfpubmr
Hfrizfltmb Kfvjrmej?
Gjlj`ikimrijs
PjrtikmbKfvjrmej
Nisjmsjsm
lnIltjrvjltifls?
Gjlj`
itsQmkdmej
M``ibimtifl? 711>? 0.: c
71=7? :>.0 c
Gjlj`it pmkdmej? 711>? ==;
71=7? 78>+:5
Jvfbutifl f` vjrtikmb kfvjrmej? kucubmtivj #
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Jvfbutifl f` vjrtikmb kfvjrmej? kucubmtivj #
f` kfvjrjn iltjrvjltifls, 711>-71=7
Lftjs?
[Q 3 [jeurf Qfpubmr
CILE 3 Cjnikmb Ilsurmlkj `fr m Ljw Ejljrmtifl (Khibnrjl gfrl m`tjr Njkjcgjr =, 7110 mln ultib thjy mrj : yjmrs f` mej)
@QKHJ 3 @ule fr Qrftjktifl memilst Kmtmstrfphik Hjmbth Jxpjlniturj
JQH[ 3Jssjltimb Qjrsflmb Hjmbth [jrvikjsJQI 3 Jxpmlnjn Qrfermccj f` Icculismtifls
KGQ3 Kfcculity-gmsjn pmkdmej
1
:1
=11
=:1
711
7:1
;11
;:1
>11
>:1
:11
711> 711: 7110 7115 7118 7119 71=1 71== 71=7
0; 0: 0: 0: 0: 0: 0: 0: 0:
0 0 8 0 =7 =7=7 =7 =;
77
8;
=50 =8>=89 =89 =98 =98
710
0
0
=571
>9 >9
>9 :5:5
==1
=18 ==0=78
=78=;=
CILE
JQH[
JQI
KGQ
@QKHJ
Lucgjrf`iltjrvjltifls
[jeurf Qfpubmr
78> iltjrvjltifls
CILE + [Q
@QKHJ
:5iltjrvjltifls
KMZ[J[ 9=
@QKHJ 0
KMZ[J[ 78>
@QKHJ :5
D t ` [je rf Qfp bmr
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Mkkjbjrmtjn, ulivjrsmb, vjrtikmb kfvjrmej gy nisjmsj
with ml j``jktivj pmkdmej f` iltjrvjltifls
711>/0? HIP/MIN[, kjrvikmb kmlkjr, MBB il
khibnrjl
7115? Mbb pjnimtrik kmlkjrs4 Grjmst kmlkjr
71==? ^jstikubmr mln Qrfstmtj kmlkjr mln LHB
71=7? Fvmriml (kfbfrjktmb) kmlkjr
Djy mspjkt f` [jeurf Qfpubmr?
nimeflmb, `ilmlkimb prftjktifl `fr
kmtmstrfphik ibbljss
[ Q b n
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[jeurf Qfpubmr mln kmlkjr?
Jvinjlkj f` icpmkt
Grjmst kmlkjr mnhjrjlkj tf trjmtcjlt?
711:? 711/011
71=1? =1/911
[ilkj thj ilkfrpfrmtifl f` khibnhffn
kmlkjrs iltf thj [jeurf Qfpubmr;1-cflth survivmb? ;1% tf mbcfst 51%
mnhjrjlkj tf trjmtcjlt? 51% tf 9:%.
^hj hucml `mkjs f`
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^hj hucml `mkjs f`
[jeurf Qfpubmr?
Euibbjrcilm Mvibm
&Mgish Wfcjrf
Njbivjry mln `ilmlkimb prftjktifl khmbbjlejs?
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Gjlj`its?kfvjrjnil
tjrvjltifls
Njbivjry mln `ilmlkimb prftjktifl khmbbjlejs?
[jeurf Qfpubmr il Cjxikf
MKKJBJWM^JN PJW^IKMB KFPJWMEJ `fr Kmtmstrfphik
Ibbljssjs ilkbunjn il thj @uln? grjmst kmlkjr, MIN[
Kfcculity mln Qugbik Hjmbth [jrvikjs
Qffr Wikh
KHIBNWJL? Hjmbth ilsurmlkj `fr m Ljw Ejljrmtifl / XXI Kjltury Cjn Ils.
Qmkdmej f` jssjltimb pjrsflmb
sjrvikjs
Gjlj`ikimrijs
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Hjmbth [ystjc
@ulktifls
[tmej f` thj Khrflik Nisjmsj Bi`j Kykbj KfltiluucQricmry
Qrjvjltifl
[jkflnmry
prjvjltiflNimelfsis ^rjmtcjlt
[urvivfrship/
Wjhmgibitmtifl
Qmbbimtifl/
Jln-f`-bi`j kmrj
[tjwmrnship
@ilmlkile
Njbivjry
Wjsfurkj
Ejljrmtifl
Wjspflnile tf thj Khmbbjlej f` Khrflikity?
Hjmbth [ystjc @ulktifls gy Kmrj Kfltiluuc
J``jktivj `ilmlkimb kfvjrmej f` m
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J``jktivj `ilmlkimb kfvjrmej f` m
khrflik nisjmsj? grjmst kmlkjr
Cjxikf? Bmrej mln jxjcpbmry ilvjstcjlt il `ilmlkimbprftjktifl `fr grjmst kmlkjr prjvjltifl mln trjmtcjlt,
yjt..m bfw survivmb rmtj.
[trjlethjl jmrby njtjktifl, survivfrship mln pmbbimtifl?
nimeflmbizj njbivjry
Kmlkjr Kfltrfb-Kmrj kfltiluuc
Qricmry
Qrjvjltifl
Jmrby
Njtjktifl Nimelfsis ^rjmtcjlt [urvivfrship Qmbbimtifl
Gmrrijrs tf Mkkjss Qmbbimtivj Kmrj
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Gmrrijrs tf Mkkjss Qmbbimtivj Kmrj
gy Hjmbth [ystjc @ulktifl? Cjxikf
[furkj? Mnmptjn `rfc Dlmub, @. C., Ermbfw, O. W., Mtul, W., & Ghmnjbim, M. (Jns.). Kbfsile thj Kmlkjr Nivinj. Hmrvmrn Zlivjrsity Qrjss, 71=7.
Hjmbth[ystjc
@ulktifl
Kfcpfljlts f` thj Hjmbth Kmrj Kfltiluuc
Qrjvjltifl
[urvivmbQmbbimtivj Kmrj, Qmil Kfltrfb mln Jln f` Bi`j Kmrj
Wjeubmtifl
Cissile? Lmtiflmb Qbml / Qrfermc
Ujmd, pffrby nj`iljn mln rjstriktivj rjeubmtfry `rmcjwfrds
Mgsjlkj jvmbumtifl mln cflitfrile
@ilmlkile
LF jxpbikit kfvjrmej f` iltjrvjltifls il jithjr thj Kfcprjhjlsivj
Qmkdmej `fr Jssjltimb [jrvikjs fr thj @uln `fr Qrftjktifl Memilst
Kmtmstrfphik Jxpjlniturj
-[fkimb [jkurity thjrj is ml jvjrythile mln lfthile
NjbivjryBmkdile ulits mln bjvjbs fr njbivjry
[uppby khmil mln nistrigutifl is spfrmnik mln spftty
Wjsfurkj
Ejljrmtifl mln
Wjsjmrkh
Bmkd f` trmiljn pjrsflljb
@jmr f` prjskriptifl
^fpik lft mvmibmgbj il cjnikmb skhffb kurrikubuc
Lf pugbishjn rjsjmrkh rjbmtjn tf hjmbth systjc
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% nimelfsjn il [tmej > gy stmtj# 7 dibbjr f`
wfcjl ;1-:>
:-=1% njtjktjnil [tmej 1-=
Qffr
culikipmbitjs?:1% [tmej >4 :x
thj rmtj fr r ikh
Grjmst Kmlkjr? Njbivjry `miburj
Qffr
Wikh
O it
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Oumlitm?Mnvmlkjn cjtmstmtik grjmst
kmlkjr is thj rjsubt f` m sjrijs
f` cissjn fppfrtulitijs
Nimeflmbizile Njbivjry =?
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Nimeflmbizile Njbivjry =?
Iltjermtifl f` kjrvikmb & grjmst kmlkjr
jnukmtifl iltf mlti-pfvjrty prfermcs,
Fpfrtulinmnjs
Ilkbunj il`frcmtifl il
cmlumbjs `frkfcculity wfrdjrs
=.: cibbifl prfcftjrs
< 91% f` pffr
Cjxikml hfusjhfbns?
:.8 cibbifl `mcibijs
Nimeflmbizile Njbivjry 7?
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Nimeflmbizile Njbivjry 7?^rmilile pricmry kmrj prfvinjrs
il jmrby njtjktifl f` grjmst kmlkjrQrfcftjrs (+>111), Lursjs & CNs (+=>11)
cjnikmb stunjlts (+5:1)
Lujvf Bjfl, Ombiskf, Cfrjbfs, Qujgbm & Cjxikml Ilstitutj
f` [fkimb [jkurity (;7,111 CNs)
[ieli`ikmlt ilkrjmsj il dlfwbjnej, jspjkimbby il KGJ
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Flefile rjsjmrkh mln ilitimtivjs
Kbfsile thj Qmil Nivinj
[urvivfrshipGrmzib mln Cjxikf Jkflfciks f` Hfpj
@ilmlkile Qbmt`frcsQMHF Qjn
Flk
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Gj mlfpticist
fpticmbist
Jxpmlnile mkkjss tf kmlkjr kmrj mln kfltrfb il
BCIKs? [hfubn, Kfubn, mln Kml gj nflj
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@jbikim Cmrij Dlmub, QhNHmrvmrn Ebfgmb Jqui ty I li timtivj, Ebfgmb msd @ frkj fl Jxpmlnjn Mkkjss tf
Kmlkjr Kmrj mln Kfltrfb i l BC IKs
^cmtjbf m Qjkhf M?K. Cxikf
Ufcjls Kfbbjej Wjsjmrkh Ilstitutj
^frfltf, Cmy 7;, 71=>
Kbfsile thj Kmlkjr Nivinj?
^hj kmsj f` wfcjls kmlkjrs mln
Cjxikfs [jeurf Qfpubmr