We conducted community-based and health-facility-based cross-sectional study targeting women of reproductive age, women leaders, and healthcare workers in skilled delivery services in November – December 2021. We interviewed respondents using structured questionnaires. We collected socio-demographic and clinical information and summarized information using descriptive statistics. Logistic regression analysis was used to identify factors associated with the utilization of skilled birth attendance services. We summarized qualitative data into thematic areas. 