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Government encouragement of institutional deliveries is based on the idea that poor people choose to deliver at home either out of ignorance or an inability to make the right decisions or due to cultural norms and the exercise of (male) power, argued Jishnu Das, lead economist, World Bank, in a 2014 blog. An alternate starting point is that people were not using institutions to begin with precisely because quality was low, and that increasing quality would also bring more people in. Devanik Saha is with the University of Sussex.

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