This study aims to examine the effect of local government proliferation on maternal mortality in Indonesia. Despite the large body of literature on the determinants of local government proliferation, little is known about the consequences of district proliferation on public health services and outcomes. Drawing on in-depth interviews with local government officials, health providers, and non-state actors as well as observations of health care provision in four districts in Indonesia, this study reveals that the lack of local state capacity in the newly created districts contributes to higher rates of maternal mortality in the new districts compared to those of old districts. Not only does the lack of state capacity increase the dependency of local government on central government resources, it also discourages the development of local initiatives and policies to reduce maternal mortality. K E Y W O R D S local government proliferation, maternal mortality, Indonesia, sub-national capacity ¿La proliferación del gobierno local reduce la mortalidad materna? Evidencia de Indonesia Este artículo tiene como objetivo examinar el efecto de la proliferación del gobierno local sobre la mortalidad materna en Indonesia. A pesar de la gran cantidad de literatura HALIMATUSA'DIYAH