BUKU PBDOMAN U-IAYA PENINGKATAN MUTU PELAYANAN RUMAH SAKIT (KoNsEp DAsAR DAN pnrnrirpl
D
E?A RrEtlt EN KESEHAI+I DIRE Kro RAr rEN DERAT, l_EpuB
DTREKToRAT RUMAH
sexrr 1994
LrK
isliiiNinTNDONESTA ue m o
Giiii,i.iiln lffiiro
I(ATA PENGANTAR
Memasukiperaksanaan perita Vryang merupakan awar pembansunan Janska (pJpT il), satah satu prakondisi yang harus la.jlns dip6nuhi meningkatkan mutu pe, layanan, termasuk rnril oi Rumah Sakit agar pengetotaan Rumah Sakit menja;ilil efektif dan efisien. Buku pedoman ini. disusun agar ada kesamaan pengertian tentang mutu, konsep g.1ryd;; prji.ii uo"r" peningkatan Mutu Petayanan. Ruah glki' Oiri"iL""ilhap_tahap imptementasi Quat*y Assurance, teknik o"n i*plrJrt"si Gugus Kendari Mutu serta langkah-langkah proses pJr"""n"n masalah, yang dapat otpergunakan oleh prmpinan di" p"r"L"na rumah sakit Jebagai acuan darani meraksanatan upav! p.e'Jngkatan Mutu perdyanan Rurnah Sakit disesuaikan o"n kondisi yang ada. Kami menyadari bahwa "itl.", masih aO" t urngan-kekurangan pada buku o*om":,,1.;:]:lil;;;liy" "t dan kritik suna penyempurnaan buku ! ini sangat kami harapkan. ""r"n
T;;;i"d"a
;"il;
o;t;;;.".
d"6;
Jakarta, 12April 1994 DIREKTORAT
Kepala
o. so"m"ri"
PEI.AYANAN Ii{EDIK Khusus & Swasta
atliiluna
c3 ct1 (tl
/(i
H
Ehci ET', o,* o6rtZ
sc {I 1; ; tr cLs Oha.
rE .;;rf.e:a 11
?
A
$
F-; !8"'lr
;5
r5:eifl r8n :s ?:+; J E g*'v :cu
i E*:EE fr 5 i*sg-r 3 a 5$F.;3 =i gsi;€ € 65i eB n5 ': g bD
.: "i el J'-
cv (? (r,
@co@co0)
c')
t;
* g g z
cl: (l':
g;
oi o-i
llJ 0-
c: r!: (!! ,y,
0
sri ci o: o: roi >':
tr
f,
lI.
C':
gF gE CE
o(6 LA
o
l I
4,
o
,.4
(0
t G
ocr
5 f F
ci
o
utE
C, :'
=
;
G
5
F ni
n bL ,:ic= (6-3 E E=
ul\
-e
=\ z4 z
gcE L9-
g;-P -(!(6
d E'E <:tro
Eg
d) -cl >\
E -or= c E-c 6
.=t E
H rF 5 E uJ A
EJ
G
{tE ul o .l4
-
(5
5
*i.6jtor o .-c(6co-
ztu .?
E,
) F
Av-
E--*E:i F€ TT ;i (6 ;=6(! =-c
:Jl--=tr r(ooh* 6 >=
EqbE r!(trjr= ^ut-
E
xq HF Ef
(f\
Fat
E> 6S
(/)<
ai dl
:cO)
gE
_5
UJ
(L
E
?z
(t
C' '(!rtr ct(E YY o TU
z
(!
P: FE
u,
5 o :t 5 E J g g
o.: z (!c0) f:(u .v : (,t (6 :) -g .n@
o
.
(L:
f,l -: ai
vtr,
E
o
@
*
rf N
o o t L t
o o
UJ
o :) F :)
: o
F
zi zl LU:
q
qF
(!
>V &(/)
trr
cf< CDr
ft3 sa e3
E
(u
fit
(U
(It
JC
(/,
E
(u(! ag,
o q
tr
.o o,
?q' ::E g(d
o-
o g $
)
..i E
z
o.:
o
q)
C
E
Sl oi
I
5 g (!
I
,= ,J (0
E
5 J
t g E $ g c (t .g tr (U 6 .ocOt o o tr.
J (L t
<
o 3 :,
.V
g)
E.E
sb
o
o"6 : fo
c o E
E
.:y o OJ
C'
O)
3cD 5 .= trc (E E 5(g '6 u, c o -v o
E6 o€
o&
E
i5
c\l (t t
5 :t
Et ro
5
g
(It
o
O-I JJ t:
Ei (U! (U: .Yl
9': e,i o! o.! g:
(It:
(I,
Qy
f= rri
J
c
(d (o
J
o,
".9 c
o
o
(u
(! CL
.l.
(d
v,
or ot
IU
z
iggggffi*ru
:)
ggf;iBF;i;EEF
t!?
f;E zlu
O,g =
v 5 u,
.tr, o <
F
J d
Nt\('!
TFNNl{) FFFF
I
ut
(It
E
2
G
f
l
G'
z
(E
(!
F
o a t :t
g o z
E
zUJ
o
o-
(U
J o) .g
(!
C
G'
(6
6.
ca0
(E
5
o t, co e G6(:! o
E :t a E9 t^6 (l) .ui :t CI (AA v, -
ai
!t(E
J
g
o e
o o(!
I
IIJ
0-
(it
tl
d
c:) E
CN
oz L
az & o- 5
t
= F
(!
J (6 J
c
(,
o a c=
c g tlt G J(o J(lt
3 € c f =CL =g 6 tql o('l o 6g) q) c o, 'or g
G
C'
c(u
(r,
o xo 6 6 Ec6 c o. ig o .((t th
CL
-o
.3
g
."!.
ot
€c q<
.:<
E c
v
(t,
ct
o
ci
EEsiEsg
2 ir, 0-
a !(!
= o.
{tt
fit
!l
0-
z .{z z tr, Y
5 UJ
L 5
t
co
cci
Co
co
EgSEE€E
G'
cct
J
3
cct
(E
5
t
c
o
I
.!
@ E q)
c
o o
th CD
9)
CD
o c
EEE iFEE
t 6 o
c F € o (6
'B Y
ol'(?)
ei r't
at
0-
:)
BsaggggE
3
zuJ
c OJ
C rn ii r! 6
o.
5.9 ,o
-:,
@c coJ
Fgf E $3
g$
;i $ffjffffi$
FIfiii: iE;;fEfE i;s 5s;
ffg * *#ruffffiffifruf ffffgg$s r$E gg-
gg ggFggFgggfg
*gs$ff
$#F#EFf s$E
E3 *rFr$ssE€esug$EEF$ E;ggfgEFf $EF $f5
gff
gffruffi ffiffffffgff,gff c6Egg;EE
i
6iirii'E,€trHiHi:€
ggEE.eEf EEg E Eg$[EgEeAgg[EE EgFE*saB EiH;E eE:? sE:EgE
AZ EEgEEE EEEEgBEA -EEEE€Eii EEiEE EEEE
-
ag ? il
s
gg*tg
*I*Hi
EE
BigBBg
s;
gtifilga IIggE
gEggaEggEEEEEEiEig
EEtigiagE gt€ g*€ s
aes€ :Eg
ggEa
i
I AoJ
f..
:F$HE
$$Eg#
ggagF F$gEF E b
(, ct
LgEt F€E** ;f; F E€' E
$gFgs c (6E (/,
ctJ (U t! {EorEo
(u
>\
$ tgg$
; F.EE
B e : tsg EE--+ gtl€ s EEg EA
IEgEBtE
Fgc t eEs
;€; E:Efi :bE fiEiE to>t! ox:'
c<.=.9 : o,o.-
sE! E E as lUst:i
X
..Efit
a€B EEE s 5* s
'5-E-sE
:BE
9E 5E eo9' ECo.Z cu:6 ==6:E EEga E.EH.€ :58 E t'qE E
SEES.FE'f
6. e
.
.
.
C OC
E
E=8. .8eS
."
o
I-!
*s€ E F
Joe€
€ o'
d5 tte
s= 65
tr E
t **
F o)
#5 Oi,
.E
;H 6E
Fg F F F
:P F; g5 EE s o. .o =E g.SEg Eg 3.F 'a=€u gF
€tsE
5E EE EE e,H
I gr{
lgsHg q i-.2
E E
c(E ::'t!cntt(!e, E XQ o
E E
Fr f
o
E6
(' ;Fgs :t iJ (I' .o oc oeoi (! .rt
I
(!
'6
tr l!
o F
o a J6
gfig$FgF'-frig$sfg o fFg J
o)
.n.v
t,
t-
$Eg
ir
5; flH re r.3 8;g
a 5 o 5 ri(,'-tt
q,
r
g1
'9JE
=fgg
G
E a .E
4Eh
.g
1 7.-.'6 9.Y :
b cL
1f'$' s
t F8 8.
tY
D
E
fr
l*$$,
(U
i.Eg g e. dtg--
Z v EllJ
ij"i=E
ii
o.E cl .x O.= ^oF
trFRg F:
FE
o. o
rdro
E:T ::9fl
5E EG BE
J 5
;iL..i>'-(5\JO
lls
g sFgF EEoS ' !t
;f $9" v -i O.E 5(!=E
E;g g Y
ts -J -.UFCI
fitriatr
g !t c
s
5 J
gE5: E €;5F o
E
'.r =g'E-
H:{*5 H$
il
$
q
P5$ g $
F-
oi
si
HEGE
€i gE
:
i
*st
F
gfg
EgsSAEe 5e E E EE eFE E s Es 33 tr c'
6qt
gEs
E'F,Es
isi**Fs*sgs ;ffs E:
!$*a
u,
e
E *F, guf=*rgrg;g
:Es
jffi $ffffgffgFru
d
;
*sH c'i ,r,
EEf; iAgs EgE eeEE
gEggEegII FEgEEEPg€ gEEgEEEEF
g
:::;;:;; f
EFEgEEiggE C?
€*sg; l:F F.s
F
gg$frEt
="'gg,Egfg;E$g*,
sEgg
Fgl
e
E€
FE 5g EE 'r5 g.:
5#
G3 >rCL O-
E.s
$g
5$gFggg ss .;€gF$g i
Z?" ,.cEE
-g;
53
9rc
8.5 toY
,E*
T6
i--:
Eq
oro-e
cJ
lE
}E
H
(E-L
gg
!t E
(!
o. e E (! tcl q
:g
IY zx (U'
ii
I
c o e
.E(ut3 dtr ]tc
c-E .!iPD(t' xo !ru : t\:C' ' !o:fo) lot,A O'r
ol
#*; tE8 5€d: og
'3 :0g
(u
8o'' [.9l)I
;6
# ia Eg 6
GI 55E E
o EF 34E a gio G ile trG E o=-Y
J'= Ctr.= 'so .So E c.= o
CD
E
g
:s
G'
U'
(u rEo Eqa B c.
!,
*E
.9
trc E :o
(lt.
3? . c(U EE
.g oc o ;o ee co)
o).o
tt
=9
€'= (u.= i-e.E 9F
6goi g(6
{I' C {it JJo)
J-
q,aot
f
v, r.= c ro) o,.e
:o.a $r
ol ''l(!:tt E(
Ei
'E o)s'r i= ri l5 Ei i.o EJ ig1 l5 ?( o .t.,i th iE E' iE .Yl fit! i)r (E6 athi
E )C
I
E
o) fit. s!oi(6c ha_si U'T
gI tT .EHE€ * €i .5i ffgg F;Es s s ) x E t E'c':Et EE8 5E-5F Eca tr gf$l$* riEF :E; =E:; i-g -c a!
3 sG (E o.g o59
!r!
I
c'
o€ (Lu,
trt":
e
s
€h
q
fEg
tr
,t
J
(I'nIU
CGG
6EgEt(!
t+
fU
EE Ecl .g;9.s J'= cJ .g .g c (U(! o g oF o orcE E9CC qt
E.*
Ja! '. ZF .o(U= E\
E
Fg$s;$r$
oi
o)
UEEE(l'o, .=o (! -E EE g o!5 .YH9 Eoo) :'c'orEG CDE
.a.gocc
fit FEEg
6o
G.v
E grP 5EF.: >EE E ,t: Ft
E:H-EFgFEggg$i gq: B P
E
E-i $ t. :t*rE
ct
E B:s
$
(o
.i;
:gJ.c
ggggFgiggggggggi
=o9(tr E C tro =J c o)\(! -=(!C6 H 8 EE Lc)B
ggE
3itrF ggffffi :;* c
EEF.H5
CJT'EJ J bJ (U Q'g E Od) -
c\j c{ ri
a cY o cD 5
6'j
FFE:.3 c;itrYo e6'E FF
E &ts eg rit
Ai
\j
$EFEg. Ei
gE,g€ $ c j
gggssgcl J
crj F;d;;$$P
c'j
\d
#E
,;gHgsF$#g
#fFggfccs$ FFFFFF$gEE N.N
(,)
cj
SefE
i
F
ro(o (,)(')
*i
c'j
s
€gF
C O
Eboa tatr(c(g
F'€EgE,€g$gFuE*g'rr
..
uo gEe$
gg
c c-
(!
H
(g
tu-cl (E
c.(/)(6lY
gFg#g gg*
J
g EE fr
--Fe
o
F E FF ;
gc
iEigF$ 9is. segs;Frs e-#FF
'=
E,.9
3-g+;
F
s
(!-' vgL
r.;
z tr,
o.
J=
FigiiigE s E* scg fsg 9;* $flF
* fiE s
FE
!o
EgEFigiFgF'iiEgg .cs
gig;Fggggg
ru
tr o
t,$;$|$E; 5rg
gg.E
a
$$i$
s 5
F$FiEEggEEi
H;s,iatv
ri
s
E n z-; € s-EE:E.g * E€
cg F
H
; Et
EEEtEEgetEEi E5;
€el;el EtgE$F *Ei ".. :EEEigagiiEii SE=
E$igE;
EEigEgB
'EgaggEF?5Ef;FE
LCE(,)a6CCC
Efi$EH*gE
I
$
o o Y
E EAg
fit
E
sg
Eea;
liE
;acs3Egg
9$p".F
I E Fg: 3E*
EEFE $i Fs
s iH HEgf
Ir
Eg
F-
I EEe
e il#.E rA: E--:E
gfiit :'a* (F cr;tr F
EIFggEgE
3;;tg$;E
l Ht s
E;E # 9'a€ 4 Elu(qh - cLo)
o
o,
'6 (o
d .9 c (u
(!
'to o
c : o (U o :1 c (u a c o -g o '6 c(E o J o) (u E o) €o v,ol .E o c o :t o, f
a
o
'FErEEEs
tg Iti
[s
E
2 a5 sPE gFfi;*q
E
H gFi s €I ;t E 7 s-e EFE E ts S
,oE
*€ HsE €ssE
Hfi
6* o.e
CL
J
(It
o E-
-cl G 0l (o
= = ol
3
c(t, c (0
5a ([ Eg 6'ogg oc. ECE ootrln
(0
c o : (! J a. .E o (lt (tt
5 E e .. o.
= o(ll(U(E g.EggEEE o=F FEsP.e gl () >>.
a, (! C'
Ersn*; .s s e
ba
E:'a'EE
gl
'6,
E
Eg
Yn
'F
Eg ;;E .. e F= 8* 8.H 5 :E
o-
r
i E* gE -8 $ E i;Fii Eg e= E
(t
gigiigsgggggiE qt '. .,
.
d dj
rFr
E5
8.
Ol! et!
6b ic (I'tu cUt =c oro
Eq.
s,i
lr
*E :u'ctfi H9E :EE:*9,^i;!
H;.9=
T€
;ii"
FEfE
E8'sS
s*'e
g
.cdcH
. *..€8
E E
EE :E
t.?n* E EUF*_ g=-Ed
-,.E:
E
&
i
.E
' g$ iFsF $
E3
EiFa
! N N
sgEF 8958.
sE *q.$
gi:E $
c cDc !f; €F8 >\:f Xu, E=
.eo-E
5.e 3 .Eb}
CJ
gE:
3e o,Y
FE{
trE Es trE x,?
:9E
tg
?E $E
(E
e
E E
9-L
E.g EEE E f EE E 5
sg
IigggFgigg
)
fi
'8(! sr.3
EE >F
.E
OEE FP* o-P lv-J
g€
ut3 clg 4o
-PE-,
JZ
F
t
E C (U o).:: o t0 >aF E c 6 H F P 3E
q;E
E9E gs
i6nX ;f; g} qE F:I 5 6 s.3 '+F c FE eFg 5 af I gi iEg:E=€EiEg *bol EEEggEEFSF
E J .'.tt
-Y -
o-= tr gE 6 orE= .d EsO
;'-;f; F6 PFI go
giig€gE=ggEg $$i g q.'=
j ;
c\j
ttFF
c'j
f;iF
(6
[g€ gn
rtt
I
iP
N
tr
egEiEgE* aaa?cEEF $FFEEgE€E €Ege-tEEigEe gEES$gESEF$gg d{
o. :E
5
d
c)
z g o,
J=
tr
t
G
!,
tr-;
O,F EJ
e=
JI
taI
*E .g s $a * E $ k;ic$r
_q.
o
!.
z UJ
Y
ru
D
,cgt.
c.
g,
(' t, o
\r!
E E
O)
o
F
q.
u =,
a.
o-
rb
z UJ
c
J
E
z= Y
z Y
r! F
z "4g U' tr, UJ
o.
Ed SPF
€H EE5 oE==e
P
€ Pg F E
e.
c (! I
r9t (E
5!
o
H
EE$!3s .E F: F S
E
a#g€E
FPo'=f.E E g€ g g g FN
(r)trO
€5
J E
o .t)
a.
ES
€
gad*,
c
.9
ntc (J(u CE
'o
e-E
o co) o
o.
gg gat
g E s: ii E
F E E
a
* _g
gEfi E g :g g€e 5 Ee E o6 @ o) q)
.E
EJ oct
=O s$ E(Jt €E !r6 o o.a.*
CD€
f*9 egFggg
CG
e €6 2 i-Y
€! Gs
s a
(!
E (t
E$ oc
i.E
E .E
EE E ; E9
C'
obi
E
G
(6
!|;
EE oF oE
tc
(!
'e
(t)
'Se 'kg
*r 5a E frE $F CrnS=(u TE eia
.EE EPF
j
G)
$:P Eod u,
iJo.
(!
5e gFg ;E e_9 ET tDct
rE
o G o tb,
o
'F,;c
B
rD
o,
c
E,
a
.o
{nl
J
et
'Eo
c
E
o= ot=
iiF::gctsroec x 5C' U)y -v.f JJ ct vt aa F0) ai .=
t(c Ot a. ea
r gtr
s! Ir(
Efle P€ x
.E .60 h €E ct.s E.c, U-d oJ oo .=
gEFH€E
d -c E € E,g
o =9 zo e g $E F g E g 5
T$ olt cc itG
-J!
..Y'I
5:;gasiEs dil'
J
rJO o ! L
.E
3;Egflilai EE fr €E
(E
(! .13
t
-g
c
a/,
vt
(l
1'
$FggFgg$ggi
rf.lf)(o
si
FN
c
d,
c (!
*3
r-
OF(\I
IT(E'O'FF
5 F .i,. o t 95
o;15 I E eu E E ; E ci H' E {g
-,,;
E b
E E s Ei ; ; F ;-rf;; ::
e E
(tt
:-'
$
F
efleE:[ug
ct
Jgt
r0O
8s cD(E
EE >?
;q,
FF cn .!i
oo
Cg
]g
.o=
ra
$sggggsffgiFg$ 6< (o - $i <"i +
cri >E
ri
l'-
cd
oi
(o
N
rn
o o
o
I
Et
d{
(t)
C'
FE
Y o
0-
i o
4
<
o UJ
ct)
f(!
SE
g (, z
E$
qe .Jq
=
s$, g* Z-J
aZ FI EZ
I
5
'o {t ,tfr .g a. o< a<
F \t
SJ€ €r-c r,
r-Y 2 p ..
O)
ct<
cD
a
.ca oct := O) oa o-
.t
E
C' L
(l)
o
!
:g =G .!! D3
co
E(Ev
5'69 )r6 Jq e 6 o- cJ C ;L-b $O
:: (6 =o
E:6E
f g
t^:'c Y I
(5 J
2 F E E Ets O .e, : FE e.: E g &K O E (!= q(E-cll or=E
u)r9; (g ct= =E
F t t'j H E E9 JFrv qd-!
\VL
=(E(t) o: (l)
= (,) = t F
=.i5 tt
d, a vUJ
E ct
H
5s$
(*uiH
iF
2p ? s FO -r
o-
B B fi '(f=E d)o s x ,g <{
FFF$FF
tU
EFE (:) 2L) uJd tr0crJ
c
G
E (lt
g$gfgggggg
c0
.-L
G'
.3E
o)
€s
V
€E
o o
EC' (Dc
'E
*A
RE v(6
E
- i.:
gBgg,gEFEES
€ &$ or: cl!
U)
o,
VL
F
iI6,l3; s s: ;xv
e
ct
=(t) zc, ab tcD
F9
g
6E r5
,l
F
ie i;
.E5
(It
AJ
=
ogs
g
(')
c (! .o
u)
r ee F ?
U)
€t
bE
.Y
ZD
3 q,
ooF
(, (, z <
c E
(!
,G'
Es
e b
q'J_J (!.E
5
ol
F-G
9;x
J
C6
Src
\-e.C
o-
z!€
z o
U)
o 5 eg a ocE (I'C EE H -u,
(E
o)
G1
OJ
-o E
c q) Y
:<
=G
=.6 \o. A, E c(! fil 5' oY ts(D X(6 Y E= 7Oo;sg3 OIU oct trJ 6.Q ttl 6r! ;o. tu.r g EE > 0-r > o-E o-6.sv, c $i ri I
5T
TE
(62
Ei5
6
!
'rg
Y tuO (oc '(o
6 O=
J(L
d
o)=
E E
@t=
]E d sED oo
U)
o'
(0
5 EE
E J
c;
o o
CL
(/)
= n;F Z
o c
c
oE
c
(g
tr
tr <* g
(!
d c o E 'd o, o
(I}
ro
ltJ .: q
(')
o t/J o o
= X
E.
(It
t= rl o.
5g
o6 J
(E
-3=
ct
E
D c o
=A J
(U
o. o)
(l)
o
'=9-Y glb s0.
Q-v
:ia EE: **E 2 e E 5 F 'F€g E6 q-O=-0) Egsr! trEl.nerY
(0- > --
s)c
(!
ss*iFr o ! E'E
Ei 5-COrnOc F
s
g.€
Ei
'ri
tc;
fF'igggisEgg @ AJ
o o
.c o Y
C'
o)
c
(u
o
L
.o'o)
o
.2
o
c
'oo
:E
(L
(!
c. ct
(!
o,
!
3
o
I
c o
5 f
5
:(E. :.(! (,, I :o ) t'6 He, Er ,6 E: rir 5€ (fr0 .ou@ o0t! Ei4ro <=
trJ tl, J
TD
<:
z o.$.o
-og
t9E
CD
U'Ao zz F (E
5H i (,;
sr
3 :8 2 Eg
-L
0
96
3^* Hsg ; 1i< f, oY + g=F 6.
q.-(U
Etr lrj E ,-r o= z.E .-'6 pE 6ul E fi$ a ErfE E ao-q) .-J olu oi a. l.U
TIJ
uI
H
= =d -Aj
(0
o
o-
S.-'
P o p
g t<( (D
t5
UJ
"69
J
g
3q
.2 J-'
zc
o o
ru) SP
(E
&
6S
CI
o)
.o
o
}'5 o a.. < E <6
'6
?i ts
o
J
JE FS' f,(! D+
E6
Yg tr6 8.. {E R !4'.. E's oF rs HE A s 6* EFP ct(u E;- .
gg g"Ss €; s Ef; EJ d.s EE gP =O
t3
= a).V
tlJ
(!
?;
o)
o
'€
e#s o3 4J.F
:=
E
H
g
'E'
$
z
5g 5
t|!.1
OY Oc >(s <(o zu)
tcD
10
et zu)
{E
5E
Y
gtr' J-A
z < z tU
Os
.oc
o be OJ
a (t
zt-
(o
a
fF Er
(5
o) dt
E (u
o
z
G
o-
tr)
L
.g
o
x
g9
(E
c
ru.
a.
lo@
(o
(t
E5 .'f
J-
=ft tu P e
o-
= 5i
u),
z
rS
C) UJ
lua =6
f
:gi :gE E
u =,
o.. "@
.tu .o .tcv,
o-
0.
=
;6; q, g
I
'
o
gi
d
GI
I
35
,9
;n 6E
o.3
6i
HE
€(U
Eg E'
eE E
E
.=E
-
Y
c,'
z
;3 gggggiggggggg Isgrrregsa'ggE ;* dt 3*g s* "r;;E ds '=i @
'c
zo r!e
c5 E5 EFg HF.F$EeF
UJ
$l
rf
u?
o d)
ltr a
E O
-u, =
€dg
co
o-F =
o c d
=g 56 z
c a E
s; E On taY
gE
tr $ (!
c.Po c >.€
ggg$Fg.
-
3a C,)O s< -?o
gE
Ee$
3s
l!3 -F (5)
8
g
E
=F.E
I g;I
o b .z o .=o u, o o
.\I
Bdt
q)
q. qt
J
qt
,',
G.
i
s u E uc $ Eg$ !s'
tr,
*o, IE
o.
c (!.
c,j
ci
E
s'.r o) (t' r- oo F 3 -q-Li
: O)
c
o
.\
co. { E6t
E .5.x EF .\ F-5 fr ;E
F sts vd
{OlG
*o)G
s
qt *O)
a
c
J( 5
-tg
c"j
e
$ q)
H 9E *b..x(Etr'
8.E'a:
ijs {: ;
5
6It Otc \ sG o
sg!ce;
E3 Cfii :9; (l)S. (l)
dd
A
n[.€ gi' € Et E-v 6 ,9 e
a.
v,
(I'
PE oc E6
r: tE'E u, =
v,
)'
q(U $> .E TU
3E e EF i>Lae
\ .t(
c
tg> oc ccl
i
G (It
JCe
':ci
FIo
L
xJ
(U(I' --
d a-s .s.s ;6'a.9lJ 6O c.E uro, H (I'o ;::l,r nt c s.E-'E E
E
a
$€Ea s5sE
E ==
a. (!
o.
(u
o.
b9
-Y.= OE
rg #E 9Qc Por
0)
o'
.i
U
E
3
t*
!!
d€ o.E
-'.E E; E.g
I
$ o>
.g
= lu
a.
F.c 6.9
Eattr c
f;eq E
q)
Eb iE.>
L
,o
&
69
o, .=
z
(rt
J
\)c I
o .u
J
D
:
afit E
:l ot,,
e ot Il I (UI
I
o,D (Ui
.o E
I
(ll
o
(0
.x.
:
$I E c .O) c Eo $ (')
a E
a (!
t5
o) (u
€ (!
I g)
o(o c E( (U (0 _l l= o
fc E c
E
G
o-
o.o c qF (u a 0) t- t: o (= L
€
tdd.ci a *Ot
c o J
c
s
N
z
g= Y.
IL
s
=' 53
o
3
o
, = -
(f, (9
itr*3 t6;= g
? gs$
.!.
o UJ u =t o,
F Y
zOF
tr9 o.?
ltr =ul -)O
F5
E
3ec
J
.?
3 F
E ;
dFF EKI 6Es
3fi 3 Fegtrct EgE sH3 o b
fs
gE9
urF:: JCD0
F
=6€?s 6PsSd=
5 ? H 5; .'ri
N
c)
*c.
E3 c'-
16 oQ (!E E9' 0-
uo ';
E 6
,=g(5
Ea= e. (It
u, .=
!t 'EO Oa 'EE ct
xE
? E rr Eg '6 EE c.9
g l; P (!
96
i
og
s FgE
$ E.Ee: ;rsg 3
g
E9EE
iF
!!=rq'6
C'
cO OT' E
d
€F
fisr$ il :+b8. .2
c';
o-Y
q) E
5Ei \s * c6:l
5Ei g
E-g
E'E
E
EE X.=
e 6E v c .=.='=
g;Ei ; E g EtEg
.:r 6 E,6 0
E€ €€ * o8. s E E
.Ft FE;EE
f
E. SE= aE (.)
R.=.E.EH€
Sd-ci
]J
CE
UJ
c iitr c 5f J 'a qt
tt
JJ
(!(Il
'rc
1)
g3q $ E9 Hg PE FFe EgEEFFfE G Ei E: €;€
;
E
Igg FE
E'E'€EqsEsg$si
tG
TU
4
()!
eO
Eg tro 5E
$s
€
co
e
sy i(U .L
FEgEiFF; c '4, I :E * € F ; { s ig I E ; s-E I E f; e
6
.Y
(t
CI
JJ J T1. cr G T l!
E
;r!*fi q' 6.-.='9;9'a J
F *'E:386(
EH a(!
tcL E'6
CF. (! -o (l)==
o vt .J.
-o
JJ J p 11,7 d d -d
ooo(!(!N pp p
E
€E Oc
c.. 5 q) c.
o
pp
$
s E
s
c
G
.x (U
E c 6 E G' g,
e o
I
(E (E
c p(! c G *lq
$*
*a o h(' aE
tc o'E c'(!
E;E b
gE.E \i\J
6€ *$ g E E_
(!
$Fgiggggg$s gg giE $ s€ E E €f ti ai d d i
o
d"
Ot
{oo)
a
(! *Ot
G
a
c
!t-
f;o cDC
o)
Y rd
$
c
FgsgF;.EEggF
€a
tr
E
a.
:6
5 .l t! o g o
EF
J
(6f,
*
EE g
(!
E c (! is
P
3
Fg E,,F
E fi
5! $E; fl sfi
e: gEH I
E
E $ a'
!
E5 E6 7'a ,= (It
F
FE :T EB -AF gE 8.F q Ct ef
$ H g€ FF sI i'8. sE t;, E g t F qs*
iF F ltrE J
AE *P€ t o or
e.s
o
ruc 33 urc E E ag Y.5 c (Il o B. $ € o.9 Ja o (u= q.= oU' gE
tt o o(!
-.t
.14
=(ug) .J !c 3(l)
.E
(6i
I
E
e, i!
€ qE
-.v. o t(! L (! Yl,) g d$ I
ut
c (!
5 q 5
E x$ 6 E':E E 3
'a
O) '=J q (E .ae ?o
g 1... ior
26 krn
cL-'
o
O)
'e!
o 'z
F @ J V
$
RI
tr
c ;4 o'
o)
E
:E E *"9 g v 'a : Asf F (It trotr J # e"E 5 C'o
r<
(!
o o tu o o
.E
tr
I
F
J
E.Ee A (6la >g crt (J ca!€ (UF(U z
i,- 3 :Eb =* E f;tsE€ sb9
L-
q
E :o 'a (It : f
Eff* 6i-
F
P, E.igs :
iP rt€ls ES-9F
c c 'a
E';
o .Y o o E
d
$iEsg ES €€:,
sgsgi
ddd (! t
o'
c qe
(9
$
gg FFE
lru
tu
fr g$i s gg ;g€E
c)
ei ;ryigffgg
$$g $ra
ia,F'' gffg
;;;
ttts'Fggg rig i'ggf *Fff $'gF ,$g
s
s F i s fF i € g $E '1.!!F
L\c-c'F cc'3b=
gFF
$sF $ F I * ! E[ +8 IN F 5 E F* EFi' iit* EE ;*EA S; l Ec i5 EeEi q5
fiHF
3Fgg
ig
i
; -5E
gtu F$ ic Fgff pE:
Eii sqEfi
i ;€;ueg $$$ig-$ggg
gggegfgggsggggg E *Ff €;[q;gi t€**i $E
;
i
E ia# E g 3EE I
ii i;
SgcEF ..$FFE;
ffF sfugffig
gg, gf9
* ; uF,
gi*fF
:it
E#fi EF eEfr FE
ii igF
g*
i. ; $*g, F$E
crt
(v,
