Pharmaceutical system assessments are useful to diagnose problems and plan interventions in rnorder to enhance performance of a logistic system. This study was conducted to assess the rnpharmaceutical logistic system focusing on Maternal Health Medicines (MHMs) in Oromia, rnAmhara and SNNP regions of Ethiopia. The study employed cross sectional study design and rnused both qualitative and quantitative data collection tools to collect the required information. rnAdopted versions of Logistics System Assessment Tool (LSAT) and the Logistics Indicators rnAssessment Tool (LIAT) were used to collect data. Key informant interview, document review rnand structured observation were used as data collection tools. Data was collected from November rn6 to December 5 2013. The quantitative data was analyzed using Microsoft excel rnspreadsheet and the qualitative data was analyzed thematically. The MHMs were managed by rnrevolving rug fund scheme and the assessment result of the logistic management information rnsystem showed that logistic data reports which provide information to decision makers at various rnlevels were not used consistently. Guidelines and procedures were available for inventory control rnmechanisms which were being implemented mostly to program medicines integrated in to the rnIntegrated Pharmaceuticals Logistics System (IPLS) which did not include the selected MHMs. rnUtilization of inventory control cards, which are the basics of proper inventory control rnprocedures were low at the visited rural health centers. There was shortage of vehicles to transport and distribute medicines at each level of the system. There are guidelines for storage rnand handling of all medicines at all levels of the supply system. However, at central and regional rnstores, there was inadequate storage capacity at the time of data collection. To solve this rnproblem, new warehouses were being built both at central and hubs of Pharmaceuticals Fund and rnSupply Agency (PFSA). Supervisory visits were conducted at the visited health facilities rnalthough not on regular basis. Integrating MHMs fully in to the IPLS could improve quality of rnlogistic records and reports. Stakeholders of pharmaceutical supply chain management should rnparticularly work on integrating supervision activities and strengthening the capacity of regional, rnzonal and woreda health offices logistic officers in order to build their capacity.