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The primary objective of this investigation was to explore the implementation of decentralization policies and theirimpact on the quality of maternal health services in Kihiihi Town Council and Nyanga Sub-county, Kanungu District.The study was guided by three specific objectives: (1) to ascertain the connection between political decentralization andthe quality of maternal health services in Kihiihi Town Council and Nyanga Sub-county, Kanungu District, (2) toexamine the relationship between financial decentralization and the quality of maternal health services in the sameareas, and (3) to evaluate the relationship between administrative decentralization and the quality of maternal healthservices in these regions. The research employed both descriptive cross-sectional and correlational designs and involveda sample of 235 respondents. Data were gathered using questionnaires and interview guides, and quantitative data wereanalyzed using statistical measures like frequencies, percentages, means, correlation, and regression. Qualitative datawere subjected to thematic analysis. The inferential analysis revealed that administrative decentralization exhibited aweak and statistically insignificant positive relationship with the quality of maternal health services. The studyrecommends that the Government of Uganda should implement decentralization policies in the health sector, grantinglocal governments the necessary authority and funding to manage and operate health facilities, thus enhancing thequality of maternal health services.