Three Day National Level Seminar on Advocacy

NUR CENTER FOR RESEARCH AND POLICY

THREE DAY NATIONAL LEVEL SEMINAR ON ADVOCACY A Joint Collaborative Project of the Fatima Memorial Hospital and the Association of People Living with HIV Dr. Shabnum Sarfraz Chief Operating Officer, Nur Center for Research and Policy February, 2013

THREE DAY SEMINAR ON ADVOCACY

Contents Contents ...................................................................................................................... 2 Introduction ................................................................................................................. 3 Objective of training................................................................................................... 3 To prepare 40-50 representatives from National and provincial Social Welfare Department and Ministry of Religious Affairs and build their Advocacy skills ...................................... 3 Scope ....................................................................................................................... 3 Facilitator’s Profile...................................................................................................... 3 Training Methodology................................................................................................. 4 Agenda ........................................................................................................................ 6 Seminar evaluation .................................................................................................... 7 Feedback .................................................................................................................. 7 Facilitator’s Feedback:............................................................................................. 7 Participants’ Feedback: ........................................................................................... 7 Annex 1- Registration Sheet .......................................................................... A Annex 2- Facilitator Evaluation Form .............................................................. B Annex 3- Training Evaluation Form................................................................. C Annex 4- Participants Evaluation of the Facilitators .......................................... D Annex 5- Pictures from the Workshop............................................................. G Annex 5- Pictures from the Workshop............................................................. H Annex 5- Pictures from the Workshop.............................................................. I

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THREE DAY SEMINAR ON ADVOCACY

Introduction The three-day national level advocacy seminar was a project of Global Fund Round 9 organized by the Association of People Living with HIV. The technical assistance for the project was provided by the Nur Center for Research and Policy, the technical arm of the Fatima Memorial Hospital. Both Fatima Memorial Hospital and the Association of People Living with HIV are both sub recipients of the Global Fund Round 9 and the present workshop was a joint collaborative project of both the SRs for which they worked closely together.

Objective of training To prepare 40-50 representatives from National and provincial Social Welfare Department and Ministry of Religious Affairs and build their Advocacy skills

Scope The aim of the training was to orient the representatives from different positions on need of advocacy, advocacy in the context of PLHIVs and learning to use advocacy tools. The topics covered in this workshop included: 1.

2.

3.

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5.

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Understanding the Basics of Advocacy The basic facts about HIV and AIDS The Global and Local Picture on HIV and AIDS Advocacy Capacity in the organization Networking and Collaborations Development of an Advocacy Plan

Participant Profile The workshop was designed for representatives from national and provincial levels, with close liaisons with policy makers at different levels and having influence in their departments and circles.

The profile include representatives from other NGOs, Ministry of Health, Department of Narcotics Control, Human Rights, Ministry of Religious Affairs etc from all the provinces.

Facilitator’s Profile Keeping in view the need of the content, the seminar was designed to be interactive as opposed to a monologue so that participants participate fully in the activities and learn about advocacy, present their ideas and thoughts, in order to achieve optimal shared learning..

The module on basics of HIV and AIDS, the local and global context was led by Prof. Dr. Aman Ullah Khan, Dean Faculty Fatima Memorial Hospital Medical and Dental College, Supervisor for FCPS Community Medicine and Senior Technical Advisor to Nur Center for Research and Policy. He is a senior academician in public health with numerous publications and trainings to his credit.

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THREE DAY SEMINAR ON ADVOCACY

The activities on advocacy capacity building were taken up by Dr Amina Khan. Dr. Khan is a public health professional with an MBBS and and MPH from HSA. She is currently working as an independent consultant and technical advisor to Nur Center for Research and Policy for various activities in Islamabad. She has vast experience of public health exposure in the United Kingdom and has been a regular part of various seminars, sessions and workshops on advocacy and public health.

The modules on Networking and Linkages, and advocacy for different professionals were taken up by Talha Mahmud. Talha is the Senior Project Manager at Fatima Memorial Hospital, working as one of the lead trainers at Nur Foundation. Talha is an MBA from LSE with extensive in-country experience in trainings on leadership development, in education, social and corporate sector. He has done a leadership development for social sector module from LUMS-REDC Hewlett & Packard Foundation.

The module on Advocacy personal commitments and legal context was taken up by Dr. Shabnum Sarfraz, Chief Operating Officer, Nur Foundation and Lead Trainer for Nur. Dr. Sarfraz is a senior health management professional holding an MBA from the Surrey University (UK) with a degree in medicine from Pakistan. She has over 20 years of in-country and international experience in strategic planning & management, resource mobilization, project designing, monitoring and evaluation, hospital administration, marketing, human resource development in the health & social sector. She has conducted various workshops on LFA, M&E and Gender. She has also completed the Social Enterprise Management Programme from LUMS-McGill and is currently doing a Health Economics Module from London School of Hygiene. Dr Sarfraz has worked extensively for the Global Fund on Pakistan and represented Pakistan on national and international forums on HIV AIDS. She is overseeing the implementation of the sub recipient grant to the Fatima Memorial Hospital, an SR to the Global Fund Round 9. She is also one of the country representatives of the International Planned Parenthood Federation (IPPF).

Training Methodology Design and delivery of the training was via powerpoint presentations with aim of strengthening civil society and foster institutional capacity building on care and support for PLHIV. The training followed the following protocol: a. Participants were registered as they come in and seated. b. At 9:15 am, registration was closed and there was recitation of Holy Quran, followed by a short welcome speech by the keynote speaker. c. Moderator introduced the participants to the main objective of the training, the stakeholders, set the ground rules and the expected outcome of the trainings. d. This was followed by the first session on introduction to the workshop. e. The senior trainer began with the objectives of the workshop, followed by various sessions on different topics.

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f.

The sessions were also accompanied by activities to improve the understanding of participants. At the end of training, evaluations were collected and after that the participants were asked to share their experiences with the rest of the group.

g. The workshop ended on 3rd day with certificate distribution and a group photograph, followed by message dedication. h. The training methodology included: i.

Illustrated lectures, visual aids in addition to verbal explanation

ii.

Discussion/ Brainstorming to share views and problems using reasoning power, to get all possible ideas from the group members

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iii.

Group work, to interact with each other and learn together

iv.

Self study, to gain deeper insight and more profound knowledge

v.

Elaborate Group Presentations and Selection of Winner Advocate Team

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THREE DAY SEMINAR ON ADVOCACY

Agenda

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Seminar evaluation

Seminar Feedback 16 14 12 10 8 Strongly agree

6

Agree

4

Disagree 2

Strongly disagree

0 The seminar The The The content The material The activities The video met my knowledge objectives for was distributed were was expectations acquired and each topic organized was easy to educative and educative and shared in this were and easy to follow and useful useful seminar is indentified follow useful useful for my and followed present professional role

Seminar evaluation forms were filled and collected from the participants at the end of the 3rd day.

This was done in order to gain better insight about the different aspects of the workshop. All participants showed satisfaction with the achievements of the program objectives stating that the training met their expectations. They also believed that the acquired knowledge would help them in their professional fields in future. The objectives of the each session were clearly explained and stated to the participants with the content being easy to follow. However they did suggest adding more field base work along with theory. The participants showed satisfactions with the trainer and stated that they had full command of the subject. The group activities were appreciated as well by the participants.

Feedback Facilitator’s Feedback: The facilitators believed that the participants were eager to share the knowledge. Their backgrounds were relevant to the scope of the program and hence not only were the participants better informed but also stood at gaining the most out of this workshop.

Participants’ Feedback: The participants insisted on provision of reading material before the beginning of the workshop.

Budgetary allowance for provision of support material needs to be made.

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THREE DAY ADVOCACY SEMINAR ANNEXURE

Annex 1- Registration Sheet

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Annex 2- Facilitator Evaluation Form

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Annex 3- Seminar Evaluation Form SEMINAR EVALUATION FORM Please check against the box which states the extent of your agreement to the following statements about this seminar:

STRONGLY AGREED

AGREE DISAGREE

STRONGLY DISAGREE

1. The seminar met my expectations.

2. The knowledge acquired is practical for my present professional role 3. The seminar objectives for each topic were identified and followed.

4. The content was organized and easy to follow.

5. The handouts and readings were given to me before the sessions began.

6. The material distributed was easy to follow and useful 7. The presentations were easy to follow 8. The activities were educative and useful 9. The video was educative and useful 10. The duration of the seminar was enough for the content covered

C

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Annex 4- Participants Evaluation of the Facilitators

PROF. DR. AMANULLAH KHAN

Prof. AmanUllah Khan 12 10 8 Very satisfied

6

Somewhat satisfied 4

Neither satisfied nor dissatisfied

2

Somewhat dissatisfied Very dissatisfied

0 Facilitator’s Facilitator was understanding of well-prepared concepts was and answered to thorough the questions raised by participants appropriately

Facilitator made Facilitator has Facilitator has an use of the good interactive style, handouts given to presentation involving the participant to skill/style, participants in the explain things in a knowledge and discussion better way command over the subject

DR. AMINA KHAN

Dr. Amina Khan 12 10 8 6

Very satisfied Somewhat satisfied

4

Neither satisfied nor dissatisfied 2

Somewhat dissatisfied

0

Very dissatisfied Facilitator’s Facilitator was understanding well-prepared of concepts and answered was thorough to the questions raised by participants appropriately

D

Facilitator made use of the handouts given to the participant to explain things in a better way

Facilitator has good presentation skill/style, knowledge and command over the subject

Facilitator has an interactive style, involving participants in the discussion

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THREE DAY ADVOCACY SEMINAR ANNEXURE

TALHA MAHMUD

Talha Mahmud 12 10 8 6

Very satisfied

4

Somewhat satisfied

2

Neither satisfied nor dissatisfied

0

Somewhat dissatisfied Facilitator’s Facilitator was understanding well-prepared of concepts was and answered thorough to the questions raised by participants appropriately

Facilitator made use of the handouts given to the participant to explain things in a better way

Facilitator has good presentation skill/style, knowledge and command over the subject

Facilitator has an interactive style, involving participants in the discussion

Very dissatisfied

DR. SHABNUM SARFRAZ

Dr. Shabnum Sarfraz 12 10 8 Very satisfied

6 4

Somewhat satisfied

2 0 Facilitator’s Facilitator was understanding well-prepared of concepts was and answered thorough to the questions raised by participants appropriately

E

Facilitator made use of the handouts given to the participant to explain things in a better way

Facilitator has good presentation skill/style, knowledge and command over the subject

Facilitator has an interactive style, involving participants in the discussion

Neither satisfied nor dissatisfied

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THREE DAY ADVOCACY SEMINAR ANNEXURE

DR.ROOMI AZIZ

Dr. Roomi Aziz 12 10 8 6

Very satisfied

4

Somewhat satisfied Neither satisfied nor dissatisfied

2

Somewhat dissatisfied

0 Facilitator’s Facilitator was understanding well-prepared of concepts was and answered thorough to the questions raised by participants appropriately

F

Facilitator made use of the handouts given to the participant to explain things in a better way

Facilitator has good presentation skill/style, knowledge and command over the subject

Facilitator has an interactive style, involving participants in the discussion

Very dissatisfied

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THREE DAY ADVOCACY SEMINAR ANNEXURE

Annex 5- Pictures from the Workshop

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THREE DAY ADVOCACY SEMINAR ANNEXURE

Annex 5- Pictures from the Workshop

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Annex 5- Pictures from the Workshop

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ADVOCACY- The Seminar 25th-27th February, 2013 Margalla Hotel, Islamabad

Agenda Basics of HIV and AIDS

HIV and AIDSThe Global and Local Context Developing a basic understanding of Advocacy

Basics of Advocacy

Need of linkages and networking

Fostering Linkages

Role of various players and developing advocacy plans

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BASICS OF HIV AND AIDS- GLOBAL AND LOCAL PICTURE

Advocacy and role of various players

Facts & Figures • Recognized in early 1980s • By 2007, the world has 48.7 million

patients

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15.4 M Women 30.8 M Adults

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GLOBAL PICTURE • In 2007, the new cases identified in the year were 2.5 million • In 2007, 2.1 million subjects died of AIDS • In 2011, 15 million PLHA were on ART

LOCAL PICTURE • • • • • • • • •

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Estimated cases in 2009 were 98000 Total registered cases in 17 ART centres is 5256 4049 Males, 1018 Females and 189 Children In 2011, there were 40-45 new cases starting on ART per month.

Of 2011 (above 6000 cases) 27.2 % were IDUs, 5.2% HSWs, 1.6% MSMs and 0.6% FSWs. In 2011, only 39% IDUs (having 2-3 injections/day) used new syringes Only 16% of persons having sex by payment were using condoms 2491 persons were on ART in 2011 Antiretroviral therapy

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STIGMA ASSOCIATED WITH HIV/AIDS • Spouses of at-risk persons • Imprisoned population; Internally displaced persons • Adolescents in high risk situations like orphanages • Nosocomial Infections • IDPs

High Risk Groups in Pakistan Copyright 2013- Intellectual Property of Nur Center for Research and Policy

BASICS OF ADVOCACY

Reasons behind Stigma and Discrimination: • Misconceptions about HIV/AIDS. • Lack of clarity of the difference between PLHIV and AIDS patient.

• Lack of awareness.

• The religious and cultural conservatism of the Pakistani society.

‫ﺗﻔﺮﯾﻖ ﮐﯽ وﺟﻮﮨﺎت‬

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“ Never doubt that a small group of thoughtful, committed citizens can change the world.

Indeed, it is the only thing that ever has.”

Margaret Mead

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• • • • • • • •

Advocacy/ advocates means what?

What are the benefits of Advocacy

Problem solver Community mobilizing Enabling environment Seeking cooperation for achieving common goals Informing others Adopts Rights-Based Approach Awareness Equity and inclusion of community and stakeholders

• Advocacy is a means of seeking change in: – governance, – attitudes, – power, – social relations and – institutional functions.

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ADVOCACY CAPACITY ASSESSMENT

ACTIVITY SHEET

DEVELOPING AN ADVOCACY STRATEGY

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What do we need to make a strategy for ADVOCACY? • “ A journey of a thousand miles begins with a single step.”

– Lao-tzu

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• • • • • • • • • • • • • • • •

Who is the message for?

What do they need to hear?

Whose voice to be conveyed?

When do you want to convey What needs to be conveyed How to convey?

Who will convey?

Who should convey?

For how long will it be conveyed?

Where to convey?

Why to convey?< purpose What mode and method to use to convey?

How to be sure that it has been conveyed?

What do we have?

What do we need?

How to go about it?

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Persuasive advocacy messages • Advocacy messages will have two basic components: 1. an appeal to what is right, and 2. an appeal to the audience’s self-interest

TOOLS

ANSWERING SOME OF THESE QUESTIONS Copyright 2013- Intellectual Property of Nur Center for Research and Policy

• Developing an understanding what will motivate and move each target audience • Developing evidence-based messages that are directed towards each of them Copyright 2013- Intellectual Property of Nur Center for Research and Policy

Why cultivating relationships are important in HIV Sector

Fostering Partnerships Dr. Shabnum Sarfraz

Chief Operating Officer | Nur Center for Research and Policy | Fatima Memorial System, Shadman, Lahore, Pakistan | Off: +(92-42) 37503694 | Fax: +(92-42) 37503692 | Mob: +(92-302) 8433275 Email: shabnum.sarfraz@nurfoundation.org | Website: www.nurfoundation.org

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CONTEXT CONTEXT • Recent years have experienced rapid growth in networked groups of PLHIV who: – provide support, – engage in advocacy, treatment and care and – raise the profile of HIV in the public domain.

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• AIDS is a crisis of extraordinary scale • Needs to be treated both: – as an immediate emergency and – as a long term development issue

• The overwhelming burden of the epidemic is borne by developing countries with limited resources for universal access

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For effective HIV-specific responses • The complexities of HIV/AIDS exceed the capability of any single sector.

• Mobilization and collaboration at community, national and international levels is must • Multi-sectoral partnerships for greater coherence, coordination and consistency between sectors

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What role do PLHIV Networks play?

• Sensitizing communities on HIV and AIDS • Improving access of communities to HIV prevention • Improving access of PLHIV to treatment, care and support services • Promote advocacy, reduce stigma and maximise and support disclosure • Promotes shared resources and capacity between PLHIV groups • Diversifies the range of services available for PLHIV • Provide platforms for community roles and action against HIV by PLHIV Copyright 2013- Intellectual Property of Nur Center for Research and Policy

What is the most critical Role that NGOs are playing for PLHIV? Advocacy • both at national and international levels • for governments, UN agencies and others • to take concrete actions for PLHIV

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Tapping the wealth of NGO Sector • NGOs are vital in bringing to scale the range of responses needed to have an effect • NGOs – have a wealth of expertise and capacity that must be: – effectively tapped, – resourced and – coordinated

ROLE OF APLHIV

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Do u agree?

Why Network?

• PLHIV Organizations need to ensure that donors do not influence their priorities in ways that are inconsistent with their stated missions and goals.

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• Benefit from the collective strengths and skills offered by constituents

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A Comprehensive Approach • Networking promotes a holistic, horizontal approach, often negating the constant risk of vertical, restrictive mechanisms, which deny the full range of assistance.

• Networks which, being part of a broader coalition, allow for:

The Need of Networking • The problems and issues of PLHIV are too diverse and large for any individual or organizations to deal on their own.

– diversity of service delivery, – well-defined roles for individuals to participate in community-based support, mobilization and sensitization.

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Role of Stakeholders in Advocacy for HIV Community

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‘

When you are working to combat a disastrous and growing emergency, you should use every tool at your disposal. HIV/AIDS is the worst epidemic humanity has ever faced. It has spread further, faster and with more catastrophic long-term effects than any other disease. Its impact has become a devastating obstacle to development. Broadcast media have tremendous reach and influence, particularly with young people, who represent the future and who are the key to any successful fight against HIV/AIDS. We must seek to engage these powerful organizations as full partners in the fight to halt HIV/AIDS through awareness, prevention, and education.

Talha Mahmud

’

Kofi Annan United Nations Secretary General Copyright 2013- Intellectual Property of Nur Center for Research and Policy

Role of Religious Leaders • Religious leaders

– have a moral responsibility to educate people about the prevention of HIV/AIDS – are willing to but are unclear about their role and have incomplete knowledge of the disease – feel shy or lack the skills to talk about sensitive issues such as

WHO ARE THE STAKEHOLDERS Copyright 2013- Intellectual Property of Nur Center for Research and Policy

• • • • •

sexuality exploitation prostitution alcohol intravenous drug use

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Role of Government Departments • • • • • •

Integrated structures Availability of infrastructure REACH Risk assessment to be the main activity Information on STI’s and HIV AIDS Need of law and jurisdiction

Role of Healthcare Community • Keep the secrecy • Treat as a normal human being • Counsel the de-motivated

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Role of Media Talking about it Creating a supportive and enabling environment Challenging stigma and discrimination Promoting HIV/AIDS services Educating and entertaining Mainstreaming Putting HIV/AIDS on the news agenda and encouraging leaders to take action • Sharing resources, pooling material • Capacity building • • • • • • •

ADVOCACY- THE SEMINAR DAY 3

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‘

In every community, there is work to be done. In every nation, there are wounds to heal. In every heart, there is the power to do it.

’

SUCCESSFUL ADVOCACIES GLOBALLY

Marianne Williamson Copyright 2013- Intellectual Property of Nur Center for Research and Policy

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Internationally • UK's Anti-Slavery Campaign- 1830 – Mass Campaign – Print Media: Pamphlets – Seminars – Lobbying

Nationally • • • • • • •

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Campaign Mass movement Print Media Processions Lobbying Ideology What was this?

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Golden Rules • Speak out for those who are being exploited • Speak out for what they want and what is right • Advocacy is a project, treat it like one!

ADVOCACY IN A NUTSHELL Copyright 2013- Intellectual Property of Nur Center for Research and Policy

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1.

2.

3.

4.

Punctuality Catchy Message Participation of all Clarity in Message

SUCCESS SECRETS OF WINNING PRESENTATION Copyright 2013- Intellectual Property of Nur Center for Research and Policy

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Content Plan Recommendations Participation

YOU WILL BE GRADED ON

Presentation Style

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MARKING SYSTEM Copyright 2013- Intellectual Property of Nur Center for Research and Policy

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Questions?

Thank you

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