 In Tanzania, there has been a significant increase in the number of women giving birth in facilities since 1991. However, this increase has not been evenly distributed across all socioeconomic groups. Poor women and those with higher parodies are less likely to give birth in a hospital setting than wealthier women and those with fewer children. This suggests that these groups are being left behind in terms of access to quality maternal health care. This article was authored by Manuel Estrano, Lenka Bonova, Thomas Van Den Acker and others.