Objective of the study:To estimate the incidence of puerperal fever and to determine the riskrnfactors predisposing to puerperal feverrnStudy design:facility based descriptive cross sectionalpostpartum surveillancernResults:33/394 (8.4%) women were diagnosed with puerperal fever with rates of 10.8%rnfollowing cesarean section and 4.1% following vaginal delivery. Independent risk factors forrnpuerperal fever included operative delivery (AOR = 5.8, 95% CI1.02 - 28.30), rupture ofrnmembrane greater than 12 hours (AOR = 4.4, 95% CI1.15- 16.72), anemia (AOR = 5.6, 95%rnCI1.6 - 19.6)and postterm delivery (AOR = 6.7, 95% CI1.34 – 33.29).rnConclusion and recommendation:Compared with previous studies, the incidence of puerperalrnfever was high. Efforts should be concentrated on preventing identified factors in the facility sornas to drastically reduce the rate of puerperal fever