Retrospective cross-sectional study was conducted by sampling 339 pregnant women from year 2021 and 2022 according to proportionally allocated sample. Data was collected by reviewing ANC registration and record of maternal Sociodemographic, sero status and PMTCT history of randomly selected pregnant women using standardized checklist. The check list was coded and entered into EPI data statistical software and both binary and multiple logistic regression was done by SPSS windows version 26. 