Background: Ethiopia has implemented urban health extension programs at the communityrnlevel since 2009.The program was a pro-poor and cost-effective policy it aims to improve thernutilization of urban health extension program packages and empower healthcare-seekingrnbehaviors of the community mainly model households. Model households are householdsrnthat attend at least 75% of model training implement and use at least 75% of the packages. rnObjective: To compare the urban health extension packages utilization and health carernseeking behaviors of a model and non-model households in Bole sub-city, Addis Ababa.rn Methods: A community based comparative cross-sectional study design was conductedrnusing a quantitative method. To collect data simple random sampling method was used tornselect the first household from registration listed by the name of the model and non-modelrnfemale household heads and then a systematic random sampling method was applied untilrn594 sample sizes obtain. Data first entered into Epi info version 7.2.1.0, then exported intornSPSS version 23 computer software for data analysis. P-values less than 0.05 and a 95%rnconfidence interval was used to detect statistical significance and determine the associationrnbetween independent and dependant variables.rnResult: 228 (77.6%) model and 105(64.2%) non-model female household heads werernutilizing urban health extension packages. Model(AOR=3.135, 95% CI, 0.429-4.470),andrnnon-model female HH (AOR=1.088, 95% CI, 0.533-2.224) heads who understand packagesrnwere significantly associated with urban health extension packages utilization than those HHrnheads who did not understand the packages. 139(75.5%) model and 131(65.2%) non-modelrnfemale household heads had appropriate healthcare-seeking behavior.rnConclusion: Providing training, household visit, frequent non-model household visits, andrngiving more attention to disease prevention and control packages are very important for thernutilization of urban health extension packages. Accessibility and availability of governmentrnhealth centers in some woreda, providing training and health institution visits like Pharmacy,rnand drug shops are crucial to avoid inappropriate healthcare-seeking behaviors.