Rural Health Extension Teams (RHETs) are community-based health services in Ethiopia designed to improve access to healthcare for rural populations. A qualitative study using semi-structured interviews, focus group discussions, and document analysis among mothers and community leaders from selected villages. RHETs increased awareness about reproductive health services by 70% among women compared to baseline levels, though access varied significantly based on village characteristics. Community engagement with RHETs was more effective in areas with strong local leadership and resources, suggesting tailored approaches for future interventions. Develop culturally sensitive training programmes for RHET members and invest in infrastructure support in underserved communities to enhance maternal health outcomes. Rural Health Extension Teams, Maternal Health Access, Community Engagement, Northern Ethiopia