The cost of service, availability of medication and supplies, and waiting time were the most important attributes influencing maternal health service preferences for most of the classes of all services, while privacy and distance to the health facility were frequently the least important. Maternal health services should address the specific needs of women, such as subsidising costs, ensuring sustainable medication supply, and optimising service efficiency to enhance maternal healthcare uptake and outcomes in resource-limited settings, including Ethiopia and similar contexts. The findings will provide policymakers with valuable insights and inform future research on maternal health services in other contexts, including the Afar and Somali regions, where nomadic lifestyles are common, and data are sparse.