Maternal health of any nation is a strong indication of the well being of that nation. This study is aimed to document policies and programs that are directed towards addressing maternal health issues in Kano state of Nigeria. Relevant data was obtained from the state hospital management board, NDHS 2008, and national population council Kano state office. Since the introduction of free maternity services in 2001, antenatal attendance from 28 hospitals increased from 303,649 in 2001 to 705,468 in 2006. Deliveries increased from 29,704 in 2001 to 42,127 in 2006. In one hospital, caesarean section rate increased from 2.82% in 2000 to 8.12% in 2005. Major challenges are inadequate human resource for health, inadequate funding, out of stock syndrome, inadequate infrastructure and poor staff remuneration. Governments intending to remove user fee for maternity care must plan and link this action to broaden improvements within the health system. (Afr. J. Reprod. Health 2010; 14[2]: 31-36).Key words: Maternal mortality, Programs, Policies, Maternal health, Kano state