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.