Mvomero district is among the six districts in Morogoro region. This study was carried out to investigate the role of quality obstetric care services on reducing maternal mortality that affect the performance of health facilities which can reduce maternal mortality in rural areas. The research has show that there has been improvement in accessibility of communication network in quality obstetric care services in the district level, such as to reduce maternal mortality. However, establishment of quality obstetric care services has continued to be done slowly, that lack maintenance of health facilities for better performance. Tools for data collection involved combination of questionnaires for interviewing and checklists, which was used to gather data from key informant interview. Purposive sampling method was used to select two health cascades and health facilities within Mgeta and Melela wards in Mvomero district, Morogoro region Tanzania, in order to identify the role of obstetric care services. The quantitative data were analyzed by using the SPSS computer software. The research findings revealed that the role of quality of obstetric care services in health facilities were not well established and implemented in both health cascades. The study recommends that, special initiative should be done to bring changes on reducing maternal mortality, such as availability of essential investigations, equipments and medicines must be provided, constantly and should be dispensed by skilled health staff who can manage both normal and complicated deliveries that will rescue pregnant women as well as newborn babies. The study calls for more enforcement in providing quality of obstetric care services in maternal health care dynamics especially in rural areas where majority of people in Tanzania reside.