Background. Emergency obstetric and neonatal care (EmONC) is a cost-effective priority intervention to reduce maternal and neonatal morbidity and mortality in poorresource settings. In most sub-Saharan African countries, all signal functions perform below the appropriate United Nations standard. Objective. This study aims to assess the availability, utilization, and quality of basic emergency obstetric and newborn care services in Farta District, Ethiopia primary health care centers. Methods. A cross-sectional descriptive study was conducted in primary health care centers in Farta District, South Gondar zone, Ethiopia. Results. Out of ten rural health centers, 50% administered parenteral antibiotics, 50% administered parenteral anticonvulsants, 30% performed assisted vaginal delivery, 40% performed manual placenta removal, and 70% administered oxytocin for treatment of postpartum hemorrhage and 60% performed neonatal resuscitation with bag and mask. Conclusion. All of the health centers in the study area were not fully implementing the BEmONC signal functions.