We interviewed 294 respondents and the mean age was 28.5±5.9 years.  Delivery under skilled birth personnel was found in 124 (42.2%). Determinants for utilization of skilled birth attendance services were Religion (adjusted Odds Ratio (aOR)= 3.70; 95% C.I 2.0 – 6.8); distance to the nearest health facility (aOR= 4.8; 95% C.I 1.99 – 12.02; p&amp;lt;0.001); Monthly income (aOR= 2.8; 95% C.I 1.28-6.27; p&amp;lt;0.01); and accompanied by the husband to the clinic (aOR= 9.4; 95% C.I 1.69-53.0). Respondents understood the significance of using skilled delivery services, although parity, birth order, insecurity, bad roads, and past experiences affected where the women went to give birth.