 The study found that only 30.5% of pregnant women initiated their first NC visit within the recommended time frame. Factors such as being a primigravida, having a planned pregnancy, knowing about NC services, partner's occupation, and receiving advice from health professionals were associated with early initiation of ANC. Therefore, it is important to provide continuous public health education on the importance of early initiation of NC at public health facilities. This article was authored by Akinau Edesa, Naksa Deeda, and Elia Steffri.