1n developing countries a large number of women are dying due to factors related tornpregnancy and child birth. Implementing and assuring utilization of maternal health carernservices is potentially one of the most effective health interventions for preventing maternalrnmorbidity and mortality. However, in Ethiopia the utilization of antenatal and delivery care isrnlow.rnA cross-sectional study were conductedfi"om January 20 to Februmy 20,2012 in Holeta town,rnWest Shewa Zone of Oromia Region to assess the determinants of maternal health carernutilization among women of child bearing age and have given birth in the past three yearsrnprior to the survey.rnStructured questionnaire and focus group discussions were used for data collection. Data wererncollected fi"om randomly selected four Kebeles and a total of 419 respondents were included inrnthe study. The data were entered, cleaned, edited, and analyzed using SPSS window versionrn17. Descriptive, bivariate and multivariate logistic regression analyses were conducted andrnodds ratios were calculated using two logistic regression models (ANC and DC) to controlrncO'1founders. Statistical tests were done at a level of significance of p < 0.05.rnThe study revealed that about 87.1 % of the women had at least one antenatal visit during theirrnlast pregnancy. More than half of the ANC attendants made their first visit during their secondrnand third trimester of pregnancy. Among ANC users 34% had less than four ANC contacls.rnThere was a significant association (P