According to Sydney Spangler, why did midwives at the rural Tanzania medical dispensary "improvise" the rule that all women had to provide their own birthing supplies? a. The national Medical Stores Department was inefficient in supplying necessary supplies for patients, even though it was supposed to do so. b. They wanted to lower the number of patients seeking care. c. The midwives were not concerned about the transmission of infectious diseases. d. The midwives had not received proper biomedical training.

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