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Doing it without skilled labor is even harder.
I grew up seeing women give birth in their homes without skilled assistance.
"Without skilled labor, productivity cannot be improved," said Anton Gunawan, head of economic analysis at Citibank in Jakarta.
Today, only half of pregnant women in developing regions receive the recommended minimum of four antenatal visits, and a quarter of babies worldwide are delivered without skilled care.
Only when women are aware of the dangers of giving birth without skilled care, and know their rights to health services, can they press for change.
You get maximum inputs of oil-based fertilisers and pesticides with minimum labour – which leads us to monoculture, because complexity is impossible without skilled husbandry.
That begins when a patient is admitted as an inpatient to a hospital or a nursing home for skilled care and ends after 60 days without skilled care.
Meanwhile, factories are left without skilled machinists, and hotels are desperate to hire bilingual professional chefs, bartenders and waiters fluent in the ways of international fine dining.
Most businessmen, however, are not puzzled at all; without skilled workers, it is hard for a business to grow, especially in the manufacturing and technology sectors.
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A machine is of no use without a skilled operator and without raw materials for it to work on.
Currently in rural areas, births without a skilled birth attendant and without access to life-saving drugs are the commonest practice for millions of mothers in the poorest countries where mortality rates are highest.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com