Health is a basic human right that is vital to sustainable development, but this right appears to elude the majority of women, according to a 2003 World Bank Report. This is because as was reported by the United Nations Fund for Population Activities (UNFPA), “every minute, another woman dies in childbirth. In Nigeria, one in 13 women face a lifetime risk of maternal death while another estimated 2 million women are faced with other pregnancy-related diseases such as Fistula. Nigeria is only 2 percent of world’s population but accounts for over 10 percent of the world’s maternal deaths. This dismal situation informed a 1987 International Conference in Nairobi, Kenya, where nations all over the world made a commitment to reduce maternal mortality by taking measures to improve the health of mothers through the “Safe Motherhood Initiative”. In spite of this, the problem did not abate. This led to the United Nations to include a 75 percent reduction in maternal mortality as one of its Millennium Development Goals (DMGs). In order to give support and supplement the efforts of governments in Nigeria, especially in the north, where maternal deaths were 1,549 per 100,000 as against that of 165 per 100,000 deaths in the southwest. Consequently, the Rotary International embarked on a maternal health project, which took place during 1995-2000 with a pilot Project in two Local Government Areas, and later scaled up to cover six States from year 2000 to 2007 (child spacing, Family health, and HIV/AIDS education). This study aimed to know the objectives of the Rotary Project, its strategies and outcomes. The two hypotheses were to test whether the Project contributes significantly to improvement of maternal health care service delivery; and whether the management structure of the Project contributed to its success. Data were gathered from both primary and secondary sources, which include interviews, questionnaires, Project documents and reports. Data from the six Project sites, namely, Adamawa, Jigawa, Kaduna, Kano, Katsina and Plateau States, were tested and they confirmed that the Project had contributed significantly to maternal health care service delivery in the states, and that the way the Project was organized and managed also contributed to its overall success. Findings revealed that strong advocacy and sensitization as well as involvement of Project host communities in the implementation of Project can further enhance its success and sustainability. Some of the weaknesses of the Project include the fact that Rotary allocated personnel, funds and other materials equally to the Project States, apart from Kano State, without giving due cognizance to the disparities in physical terrain, size and other peculiarities of each state. This affected the Project staff, especially the Liaison Field Workers (LFWs), such that they had to put in extra efforts in order to enhance the positive outcomes of the Project. Recommendations include, among others, that future projects should consider the peculiarities of each state while planning a project. Future research should also consider investigation into areas of finance and personnel management of Non-Governmental Organizations (NGOs) such as the Rotary International 3-H Project.