Background: Every minute, at least one woman dies from pregnancy-related causes: 99% ofrnthese are in developing countries. The majority of these deaths occur in sub-Saharan Africa, andrnis avoidable by using standard interventions and health care which all pregnant women and theirrnnewborns need.rnObjective: The main objective of this study is to assess factors affecting safe delivery carernservice utilization in Bena Tsemay Wereda.rnMethods: A cross sectional community based study which was supplemented by qualitativernmethod was conducted in Bena Tsemay Wereda from August, 2009 to June, 2010. A multistagernsampling technique was used to select 426 women who had childbearing experience in the pastrnfive years prior to the study. To collect the quantitative data, well structured, pre-testedrnquestionnaire was administered by data collectors. To supplement the quantitative informationrnFGD and key informant interviews were conducted. Bivariate analysis of chi-square statisticsrnand binary logistic regression is used to show the association of different variables with therndependent variable. Moreover, a multivariate analysis was implemented to identify factors thatrnaffect the utilization of safe delivery care utilization.rnResult: From the total of 426 mothers, 386 (90.6%) delivered their last child at home and onlyrn40 (9.4%) at health institution. Among the home delivery the distribution of birth attendants wasrn25.4% TBA, 36.5% relatives and 22.8% their neighbours. Most of the respondentsâ€™ reasons forrnhome delivery; 114 (29.2%), were reported that the HI was too far and there was norntransportation and the other 93 (24.1%) due to their wish to deliver by nearby relatives. On thernother hand, 52.5% of the respondents who deliver at HI were informed to deliver at HI. Inrnmultivariate analysis knowledge on DS, attitude towards institutional delivery, FP utilization,rneducational status of the mother, radio availability, walking distance of the HF, problem facedrnrelated to pregnancy or child birth and sex of health professional were found to be factorsrnaffecting safe delivery care utilization.rnConclusion and Recommendation: The utilization of safe delivery care service was very low inrnthe woreda. Most of the important factors influencing the utilization of safe delivery carernservices were socio economic, health service related factors and factors related to the mothersrn rn rnlike attitude and knowledge on DS. So improving education for both groups especially girls,rnbeyond the primary school, needs to be strongly encouraged. Health care providers shouldrnprovide information on risks of pregnancy, benefits of giving birth at health facilities, dangerrnsigns during pregnancy and labor to mothers, family members and the community consistent tornthe focused ANC service provision.