User fees are in place in most Sub-Saharan African countries since the 80s and have been extended to maternal healthcare services. However, the effects of these type out-of-pocket payments in contexts where poverty deeply affects womens purchasing power are not yet clear. This book asks for the purpose of user fees for maternal care in low resource settings and is based on a literature review. Conclusions: User fees can be harmful in a context were women are very poor and where healthcare services, like maternal care, have suboptimal levels of consumption. Therefore, when asking for what are...