Background: Pregnancy and child birth complications are the leading causes of death and disabilityrnamong women of reproductive age in developing countries including Somaliland, where maternalrnmortality ratio is one of the highest in the world. According to the world health organization, having arnskilled birth attendant at every delivery can lead to marked reductions in maternal mortality. InrnSomaliland, most births take place at home, being not attended by a skilled birth attendant. The utilizationrnof maternal health services is a complex phenomenon and it is influenced by several factors.rnObjectives: This study assessed the magnitude of Utilization skilled birth attendee services amongrnmothers who gave birth in the last one year in Hargeisa, Somaliland.rnMethods: Community-based cross-sectional study was conducted from February to May 2014. A multistagernsampling technique was used to select 435 mothers. A structured, pre-tested, and interviewadministeredrnquestionnaire was used to collect data on the magnitude of Utilization of Skilled birthrnattendance was employed to collect the data. Data were entered and analyzed by SPSS version 22. Binaryrnlogistic regression model was used to identify associated factors. Odds ratio with 95% CI with p value ofrn44% was computed to assess the strength and significant level of the associationrnResults: A total of 434 mothers were included in the analysis. Only 44% of births were attended byrnSBAs. In multivariate analysis, Women education ( AOR=4.4, 95% CI 2.017,9.958), ANC visit duringrnthe last pregnancy (AOR=2.2 95%CI 0.964,5.476), experience of health problem (AOR=3.2 95% CIrn2.097,4.899), and favorable attitude towards danger signs of pregnancy, child birth and deliveryrn(AOR=12.6, 95%CI 5.043,31.900) were most significant determinants of SBA use by mother. Age ofrnrespondents and distance to nearest health facility had also a significant effect on skilled birth attendantrnutilization with (AOR= 5, 95%CI 0.734, 44.977) and (AOR= 4.6, 95%CI 1.23, 17.74) respectively.rnConclusion and recommendation: Utilization of skilled delivery attendance services was still low with arnhigh number of deliveries being attended by unqualified persons at home. Age of respondents, distancernand knowledge of danger signs of pregnancy are the determinants of use of skilled birth attendance inrnHargeisa Somaliland. Promotion of universal ANC follow-up and encouragement of mothers regardingrnthe need for SBAs during childbirth is of paramount importance. Increase the awareness of mothers aboutrnthe benefits of institutional delivery and SBAs is very fundamental.