摘要:Majority of the maternal deaths that occur especially in developingCountries are avoidable or preventable. Knowledge and practice of women towards institutional delivery affects mothers and children’s health. This study aimed to assess utilization of institutional delivery in the last 12 months in Birbir town, Mirab Abaya woreda.A community based cross-sectional study was conducted the study from April -June, 2013. Data was collected from 152 women of age 15-49 that experienced delivery and pregnancy in the last 12 months using simple random sampling technique through interviewer administered questionnaire. From total of 152 study subjects that were selected, 148(97.3) gave response. 54% institutional delivery was observed in the study area though 87.9% of the mothers attended ANC services during their last pregnancy. Increased health education to enable mother to use the service is recommended