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Tilahun Yemanu*
Background: Early initiations to antenatal care and delivered at health facilities with skilled health professionals are relevant components to reduce maternal and neonatal mortality as well as provides an opportunity to identify the potential risk of pregnancy and time management. This study aims to assess the magnitude of timely antenatal care booking and associated factors among pregnant women attending public health facilities in Gondar city on the first visit. Method: A cross-sectional study was conducted from public health facilities in Gondar city. A stratified random sampling method was used to select health centers and systematic random sampling was used during the selection of study units. Data were collected by face to face interviews administer the questionnaire. The collected data were entered into EPI info-7. Later on, exported to SPSS-20 for analysis. The proportion was used to estimate the magnitude of timely ANC booking. Bi-variable and multivariable analyses were done to perceive factors associated with timely ANC booking. Results: The proportion of timely booking on ANC at the first visit is (75.3%, 95% CI, 71 -79.3). Factors that are significantly associated on timely antenatal care booking in the multivariable logistic analysis are; being an urban resident((AOR=2.20, 95% CI, 1.10-4.78 ), richest wealth quintile (AOR=3.17, 95% CI, 1.32-7.63), having good knowledge on the importance of ANC (AOR=1.85,95% CI, 1.14-3.02), Perceived time of booking before 16 weeks (AOR=3.92,95% CI,1.40 11.12), and having a medical problem in current pregnancy (AOR=5.09, 95% CI, 1.26-22.32). Conclusion: In this study, a large proportion, three-fourth of pregnant women had a timely ANC booking. Health worker should work on improving public perception and increasing the knowledge of pregnant women may help to increase timely booking on ANC.