This paper describes a two-phase study with the aim to determine factors associated with delay in accessing maternity care by labouring women in three districts of Tanzania. Three hundred and sixty-nine women and 167 midwives were surveyed between July and September 2014. The three phases of delay were explored: 1) delay in decision to seek care, 2) delay in reaching a health care facility, 3) delay in receiving adequate care at the facility. In this study, labouring women were more challenged by the third delay—receiving adequate care at the facility. Poor quality maternity care was reported by 74% of mothers and 88% of midwives. A wait time of more than 3 hours was noted by 61% of mothers and 52% of midwives. Inadequate supplies were experienced by 54% of mothers and 90% of midwives; 60% of midwives reported to have inadequate competencies while all midwives reported that unskilled …