Background: Utilization of maternity services by pregnant women reduces mortality rates. Indeed, women are encouraged to utilize maternity services as early as possible during pregnancy, delivery and pueperium because evidence shows that utilization of these services improves outcomes for women and their babies. This study sought to determine the factors affecting utilization of maternity services by pregnant women in Namulonge health center III, Wakiso district between January 2016 and July 2016. Methods: The study used a cross sectional design, utilizing quantitative data collection methods. 196 participants were enrolled in the study. A self-administered questionnaire was used to collect data and the study population consisted of women. (18-49 years). Simple random sampling method was used to select the study participants, statistical package for social sciences version (SPSS) 20.0 was used for data analysis Results: Bivariate analysis revealed that age P<0.001, as average monthly income P<0.026, availability of health workers P<0.007, attending maternity clinics P<0.040, affordability P<0.024, distance P<0.016, attendance of ANC clinics P<0.006, time taken to receive service P<0.021, attendance of PNC clinics P<0.022, desired place of delivery P<0.037, friendly health services P<0.008 and attitude of health workers P<0.037 were significantly associated with utilization of maternity services at the facility (P<0.05). Multivariate binary logistics regression revealed that the associated factors predicted 100% (Nagelkerke R-square=1.000) of the changes in utilization of maternity services among the respondents. Conclusion and recommendations: As health facilities are reimbursed by the government for the costs of maternity services, Additional factors including age groups, average monthly income, availability of health workers, attendance of maternity clinics, affordability of maternal services, distance to health centers, attendance of ANC clinics, time taken to receive health services, attendance of PNC, desired place of delivery, friendly health services, attitude of health workers should be addressed by policy makers by increasing on the human resources for health and equipments used at the facilities. This will reduce on the waiting time and encourage mothers and their husbands to seek more maternal health services. Awareness of maternity benefit of utilizing health care maternity services Non-utilization or under utilization of the schemes is either due to lack of awareness or poor accessibility.

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