A facility-based cross-sectional study was conducted between June 2019 to December 2020 on eligible consenting 423 pregnant women of GA < 17 weeks in health institutions from five randomly selected Woredas, namely Debre Markos, Dejen, Machakel, Hulet Ej Enese, and Awabel that are present in East Gojjam Zone, Amhara Regional State, Ethiopia. The sample size was determined using single…