The overall satisfaction of antenatal care services in this study was found to be low. First ANC visit‚ lack of advice on nutrition‚ lack of advice on birth preparedness‚ farness of the health center to mother's home‚ provision of iron and Charge for service were independently associated with mothers satisfaction of antenatal care. As well lack of skilled health personal ¬ under taking recommended laboratory tests were revealed. The study strongly suggests strengthening antenatal care follow up‚ advice on nutrition and birth preparedness‚ provision of iron and free of charge services at static and outreach level by different responsible bodies and filling the gap of skilled health personal‚ performing recommended laboratory tests to assure that services provided are more clients directed.