 The results of this study suggest that only 23.3% of postnatal women in Wolkite, Southeast Ethiopia utilized early postnatal care services within two weeks after childbirth. Factors such as wanted pregnancy, having more than four previous pregnancies, and having a spontaneous vertex delivery were found to be significantly associated with early postnatal care service usage. Community-based health promotion should be an important recommendation to increase early postnatal care service usage among postnatal women to improve the level of awareness of early postnatal check-up schedules done by healthcare providers. This article was authored by Shagorgis, Yergalom Yosef, Mabretu Demisi, and others.