This study aims to describe how the quality of maternal health services and maternity in a remote area in Solok (West Sumatra). This study used a qualitative approach to data collection techniques through indepth interviews and observation. The results showed that the quality of maternal health services and maternity at the study site was relatively less, and is visible from the low utilization of maternal health services and maternity, which one of them caused by the limitations of the health conditions of limited resources and health services, limited health infrastructure, and the presence of obstacles in the implementation of the labor insurance program (Jampersal). The findings can be proposed as suggestions for improvement include: increase in monitoring and periodic evaluation and guidance to health care institutions, increasing the quantity and quality of health personnel, increasing the availability of services and infrastructure health condition. Suggestions for overcoming barriers Jampersal is the need for the allocation of funds for health and socialization Jampersal, providing operational vehicles (motorcycles) for midwives and improving road infrastructure.