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c)  Mortality characteristic:


                             Mortality Rates                           Leading causes of death


                  Crude death rate: ....................................



                  Infant Mortality rate: ..............................



                  Maternal Mortality: ................................







                     Most prevalent diseases:

                        .........................................................................................................................


                       ..........................................................................................................................

                       ...............................................................................................................



              Values and beliefs:


               a)  Values and beliefs related to health:
                  .....................................................................................................................................

                  ..................................................................................................................................

               b) Values and beliefs related to religion:
                  .....................................................................................................................................
                  .....................................................................................................................................


               c) Values and beliefs related to education:
              ...........................................................................................................................................
              ..........................................................................................................................................
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