evidence: Planning status of the pregnancy, birth order, having a phone number, and enrollment in health insurance schemes were found to be significantly associated with the early initiation of ANC visits. On the other hand, Community-level poverty, the household wealth index, women’s educational status, early initiation ANC visits, being autonomous in decision-making, and having a mobile phone were identified as significant predictors of adequate ANC service uptake. [...] The odds of receiving adequate ANC visits were higher among those women living in low community poverty levels and households with the richest wealth quintile as compared to their counterparts. Studies conducted in Bangladesh [28], Nepal [58], Nigeria [59], and Pakistan [23], supported this finding. This might be due to women in better socioeconomic status having more ability to pay for both direct and indirect health care costs. Economic factors may influence women’s health-seeking behavior in many ways in the SSA region, where 40% of the population lives below the US$1.90-per-day poverty line in 2018, accounting for two-thirds of the global extremely poor population [60, 61]. Thus, governments should be involved in planning and implementing packages that improve the economic status of society, particularly women, in order to improve the adequacy of ANC and other maternal and child health services.