
Ensuring skill delivery attendant at each child birth is the most critical intervention in reducing maternal and neonatal mortality and Morbidity. In Ethiopia, the proportion of births attended by skilled personnel in health facilities is very low. Identifying the level and risk factors is essential for reducing maternal and neonatal mortality and morbidity. Due to this reason this study were conducted to identifying proportion and factors influencing institutional delivery among women who gave birth in the last one year in Gimbi town. Methods: The study used community based cross-sectional study design. Data for this study was collected using structured questioner from all women who gave birth in the last one year prior to this study and conducted from December-January 2016. Results: A total of 776 women who gave birth in the last one year of Gimbi town were included in this study in which 635(81.8%) of them gave birth in health facilities. women’s age, maternal education, ANC visit, Number of children currently exist, women’s attitude towards institutional delivery pregnancy plan and partner’s education were associated with utilization of institutional delivery in bivariate analysis. Enhancing women’s education to improve their decision making power, need to be the focus area of intervention so that they recognize the vitality of health care service.