Over the last previous years, especially for developed countries, it is not as such a very crucial issue rather concerns the developing countries. Skilled attendant for every pregnant woman during childbirth is the most critical intervention for improving maternal and child health.A lifetime risk of maternal death in developing countries is forty times higher than that of the developed world. In Ethiopia, maternal and infant mortality and morbidity levels are among the highest in the world. This book, therefore, provides to assess utilization of skilled birth attendant at delivery.This work is done through a community based cross-sectional quantitative study method was conducted among women residing in Yirgacheffe town and systematic random sampling technique was used.The study finding revealed that utilization of SDA was around sixty percent, still there is a gap between users and providers and those are interrelated to each other. Therefore maternal mortality rate in our country is still not yet enough and also this issue is also the issue of world especially for developing countries and This book should be especially useful to professionals in health and related professionals.