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Tamil Nadu has been showing an increasing trend in institutional deliveries since early 1990's and has now achieved near 100%. Among the institutional deliveries, a change was observed since 2006, wherein primary health centers (PHCs) showed a four-fold increase in deliveries, while other public and private health facilities showed a decline, despite equal access to all categories of health facilities. What led to this increased utilization of PHCs for birthing care?

journal of family medicine and primary care

Increased utilization of primary health care centers for birthing care in Tamil Nadu, India: A visible impact of policies, initiatives, and innovations