Background In urban Ethiopia, there are substantial gaps in maternal health service utilization rates. In urban areas of Ethiopia: Only 50% of pregnant women received the recommended four or more antenatal care (ANC) visits. Only 51% of pregnant women delivered with a skilled birth attendant (SBA). Understanding inequities in service use, and socio-demographic factors related to these inequities will help guide urban health program efforts. Methods Using data from the 2011 Ethiopian Demographic and Health Survey, we investigated associations between women’s use of maternal health services and socio-demographic factors. Findings There are substantial inequities in maternal health service utilization use in urban Ethiopia. The most prominent socio-demographic factors tied to service usage rates are wealth and education.* Determinants of Maternal Health Service Utilization in Urban Ethiopia Zelalem Geletu, MSc, John Snow, Inc. Marc Cunningham, MPH, John Snow, Inc. Sophia Magalona, MPH, John Snow, Inc. Interpretation Inequalities in wealth and education affect maternal health service utilization in urban Ethiopia. To improve maternal health outcomes, programs should focus on the poor and less-educated segments of urban populations. Acknowledgements This study and poster were made possible by the generous support of the American people through the United States Agency for International Development (USAID), through the Maternal and Child Health Integrated Program. This analysis was conducted in part to inform the USAID Urban Health Extension Program in Ethiopia. The authors’ views do not necessarily reflect the views of the United States Agency for International Development or the United States Government. John Snow, Inc. Promong & Improving Health