Concerned with the rising maternal mortality ratio among its women of repro-ductive age, the Nigerian government implemented several health policies, but without much success, due to several implementation challenges. This lack of success necessitated the formulation of the 2004 Revised National Health Policy, which aimed at the improvement of the Nigerian health system, reduction of ma-ternal mortality ratio by 66% at the end of 2015 etc. The study assessed the ef-fects of the implementation of the 2004 Revised National Health policy towards the reduction of maternal mortality ratio at the Katsina state General Hospital Nigeria, in relation to the effects of funding, effects of health infrastructure and personnel, effects of socio-economic factors in healthcare access, and role of ad-vocacy groups in healthcare delivery. The scope of the study consisted of 100 pregnant women and 2 health officials of General hospital Katsina. The study employed mixed research method, to reach the target population. The data for quantitative analysis was collected through questionnaires which were distribut-ed to pregnant women and analysed using Statistical package for social sciences (SPSS). While, data for qualitative analysis was collected using an in-depth in-terview with hospitals’ officials and analysed using narrations. The study found that maternal mortality ratio reduced marginally (i.e. 1 death per 59 deliveries) in the state, insufficient resources (both human and financial), insufficient health infrastructures, low access to healthcare facilities by pregnant women. The study recommends more funding and provision of health infrastructure and personnel, as well as more collaboration with both international and local Non-Governmental Organisations in the areas of sensitization of women and training of health personnel, as well as provision of health infrastructure.
Health Infrastructure, Maternal Mortality Ratio, 2004 Health Policy Implementation, Socio-economic Factors