Translation of "dia" into English

Dagdaiset ni ospital kanian dia lad abung aasikasoen iray mansasakit tan ditan met la ra ompapatey.

Access to hospitals was limited, and most people were cared for by their families and died at home.

Balet anto ta iraya’y natutukoy dia a bengatlan sasakaban odino agnipaliwawa?

But what are the gaps referred to here?