evidence: Antenatal visits alone do not promise high quality ANC. According to a recent study conducted in 91 low- and middle-income countries, one out of every three women who seek ANC do not obtain at least three antenatal services, such as blood pressure measures and blood tests [19]. There is little study on quality ANC, and the majority of ANC studies have focused on receiving recommended ANC visits [20,21,22]. A study conducted in Rwanda evaluated only the determinants of delayed ANC visits [23] and a recent study focused on investigating only on the perceived barriers to utilizing health care [18]. None of the studies assessed the impact of woman’s household decision making in the uptake, content and quality of ANC. Woman’s household decision making has been found to positively impact the uptake of ANC in SSA and LMICs [24,25,26,27]. [...] Timely first ANC visit of the women was 9364(51.73%) whereas only 7751(42.85%) had adequate ANC visits. Women who received services components of ANC were 3621(23.75%) and only 1494(8.88%) achieved the high-quality ANC. A greater number of women 16,526(92.26%) had their ANC at a health center. [...] Antenatal Care - RDHS: