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Corruption risks in maternal and perinatal health

Informal payments and unnecessary procedures drive mothers away from safe labour.

Corruption in maternal and perinatal health negatively affects the health of mother and child in different ways. Corruption can divert much needed funds from obstetric healthcare specifically, driving down the quality of the services provided. Informal payments can deter low-income pregnant mothers from giving birth in institutional facilities, imperiling their lives and their unborn children. Such practices can also damage the trust relationship between patient and doctor. Unnecessary procedures, particularly caesarean sections, can be driven by profit or to facilitate and speed up births in an understaffed environment. More research should be done on the drivers of the different corruption risks to understand how to mitigate them.

29 September 2023
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Corruption risks in maternal and perinatal health

Main points

  • Informal payments are the most common type of corruption risk in the sector. These may be health workers seeking personal financial gain, but it can also be a way to finance medicine and supplies in underfunded systems.
  • Corruption in maternal and perinatal health can deter women from going to institutional facilities to give birth, with great risk to their lives and their unborn child.
  • Unnecessary procedures, particularly caesarean sections, have increased greatly in the past decades, but the exact drivers behind this increase have to be better researched.

Cite this publication


Camacho, G. (2023) Corruption risks in maternal and perinatal health. Informal payments and unnecessary procedures drive mothers away from safe labour. Bergen: U4 Anti-Corruption Resource Centre, Chr. Michelsen Institute (U4 Helpdesk Answer 2023:31)

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Gabriela Camacho

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All views in this text are the author(s)’, and may differ from the U4 partner agencies’ policies.

This work is licenced under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International licence (CC BY-NC-ND 4.0)

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