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Submitted by Shanta on

Jose, thanks for your comment. You're right that incentives, values and orders affect service delivery. The question is: which of these can you change in order to improve outcomes? We have traditionally thought that incentives are the easiest to change. But sometimes changing incentives without changes in culture and order has little impact. So perhaps we should start thinking about ways in which culture could be changed, as the experience with role models, soap operas and the like suggest. Shanta