Innogen · Research · Current projects
Ethics, Payments and Maternal Survival in Tanzania

Maureen Mackintosh

Funding: Wellcome Trust

January 1 2011 – March 31 2013

The maternal mortality rate in Tanzania is among the highest in the world, and poor access to competent emergency care is known to be a leading cause of maternal death. This project focussed on the interaction between payment practices in maternal care and the quality and ethics of the care provided. Maternal healthcare in Tanzania is formally free in the public sector; however, access often requires out-of-pocket payment. This project also sought to uncover the extent to which charging practices in maternal care in Tanzania have been seen by users and staff as ethical or unethical, as well as the extent to which charging has been both a cause and a consequence of other unethical practices, and what could be done about it.