... countries in the training of midwives and the regulations govern-ing the procedures they are permitted to perform. In 2004 the WHO, the International Confederation of Midwives, and the International ... sectors. The strategy therefore minimizes the role and, in practice, the legitimacy of the state. Yet, paradoxically, the overall weakening of the state has left it unable to perform the regulatory, ... in the first place). Indeed, that failure and the chaos and inequity that result tend to have exactly the opposite effect: they further delegitimize the state in the eyes of both the people who...