Conclusion
In a crisis situation, resource constrained humanitarian actors are
faced with the dilemma of providing good care for fewer or less for
many,19 and evidence is warranted to assist in this
decision-making.10 While the decision by humanitarian
actors to limit or increase the number of beneficiaries served rely on
multiple factors beyond quality of care, quality of care is typically
raised as a key concern. This study argues that changes in quality of
care may not be as obvious as assumed when facing these dilemmas. We
recommend health actors to closely monitor changes in quality of care
indicators when implementing changes in resources, and to explore
minimal provider-to-labouring-woman ratios and optimal organizational
structures to provide safe and respectful care during birth for as many
women in need as possible.