In Ethiopia, of maternal mortality and morbidity levels are among the highest in the world, in which 673 maternal deaths occur per 100,000 live births. Hence, it became important to conduct my study in Awash Fentale Woreda owing to the insufficient research papers depicting factors influencing institutional delivery in the woreda. Case control study using quantitative and qualitative methods . The sample size was determined using EPI-INFO version 6, hence, a total of 165 study subjects have been selected for the study, out of which 133 of them were controls and 32 of them were cases. The quantitative data was being cleaned and analyzed using statistical soft wares such as SPSS computer programs and the qualitative data was recorded and analyzed. The Multivariate analysis showed that age category of women 15-19 and 20-34 are significantly associated with place of delivery with (Adjusted OR=0.062, 95%CI=0.007-0.575) and (Adjusted OR=0.050, 95%CI=0.007-0.338) respectively.So I hope this book will provide high lights on maternal health of Ethiopian mothers.