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the local comprehensive health-care systems with the highest rates were estel? (77 per cent), le?n (74.8 per cent) and carazo (74.2 per cent), while those with the lowest rates were the north atlantic autonomous region (45.9 per cent) and jinotega (55 per cent).
ومن جهة أخرى، هناك أجهزة محلية انخفضت فيها نسبة الاستخدام بدرجة كبيرة مثل رآن (45.9 في المائة) وخينو تيغا (55 في المائة).