transformation T|R|A|N|S|F|ER|M|A|SH|AX|N T|R|AE|N|SH|F|ER|M|E + I|SH|AX|N T|R|A|N|SH|F|ER|M|A|SH|AX|N T|R|AE|N|S|P|ER|M|E + I|SH|AX|N T|R|A|N|S|P|ER|M|A|SH|AX|N T|R|AE|N|SH|P|ER|M|E + I|SH|AX|N T|R|A|N|SH|P|ER|M|A|SH|AX|N T|R|AE|N|S|F|I R|M|E + I|SH|AX|N T|R|A|N|S|F|I R|M|A|SH|AX|N T|R|AE|N|SH|F|I R|M|E + I|SH|AX|N T|R|A|N|SH|F|I R|M|A|SH|AX|N T|R|AE|N|S|P|I R|M|E + I|SH|AX|N T|R|A|N|S|P|I R|M|A|SH|AX|N T|R|AE|N|SH|P|I R|M|E + I|SH|AX|N T|R|A|N|SH|P|I R|M|A|SH|AX|N T|R|AE|N|S|F|ER|M|E + I|S|AX|N T|R|A|N|S|F|ER|M|A|S|AX|N T|R|AE|N|SH|F|ER|M|E + I|S|AX|N T|R|A|N|SH|F|ER|M|A|S|AX|N T|R|AE|N|S|P|ER|M|E + I|S|AX|N T|R|A|N|S|P|ER|M|A|S|AX|N T|R|AE|N|SH|P|ER|M|E + I|S|AX|N T|R|A|N|SH|P|ER|M|A|S|AX|N T|R|AE|N|S|F|I R|M|E + I|S|AX|N T|R|A|N|S|F|I R|M|A|S|AX|N T|R|AE|N|SH|F|I R|M|E + I|S|AX|N T|R|A|N|SH|F|I R|M|A|S|AX|N T|R|AE|N|S|P|I R|M|E + I|S|AX|N T|R|A|N|S|P|I R|M|A|S|AX|N T|R|AE|N|SH|P|I R|M|E + I|S|AX|N T|R|A|N|SH|P|I R|M|A|S|AX|N Health HH|I|L|TH HH|EH|L|T HH|I|L|T reforms R|AX|P|AO|R|M|Z R|AX|F|U|R|M|Z R|AX|P|U|R|M|Z R|AX|F|AO|R|M|S R|AX|P|AO|R|M|S R|AX|F|U|R|M|S R|AX|P|U|R|M|S occurring AX|K|I R|IH|NG AX|K|ER|I|NG AX|K|I R|I|NG within W|I|DH|I|N W|IH|D|IH|N W|I|D|I|N the D|AX context K|U|N|T|EH|K|S|T K|AA|N|T|I|K|S|T K|U|N|T|I|K|S|T K|AA|N|T|EH|K|SH|T K|U|N|T|EH|K|SH|T K|AA|N|T|I|K|SH|T K|U|N|T|I|K|SH|T of O|V AH|B O|B broader B|R|U|D|ER B|R|AO|JH|ER B|R|U|JH|ER B|R|AO|D|I R B|R|U|D|I R B|R|AO|JH|I R B|R|U|JH|I R social SH|O|SH|AX|L S|U|SH|AX|L SH|U|SH|AX|L S|O|S|AX|L SH|O|S|AX|L S|U|S|AX|L SH|U|S|AX|L __________