The maternity continuum of care is the continuity of maternal healthcare services that a woman uses, including ANC 4+, SBA, and PNC, within 48 hours of delivery. It is one of the essential strategies for reducing maternal and newborn mortality. This study aimed to assess the factors associated with completing a continuum of maternal healthcare services among mothers who gave birth in the past five years. 

A community-based cross-sectional study was conducted among 565 randomly selected mothers who gave birth five years before examining the North Gondar zone’s primary healthcare project implementation districts Amhara National Regional State, Ethiopia. Bivariable and multivariable logistic regression analyses were computed. In the multivariable logistic regression analysis, AOR with 95% CI and a  value of less than 0.05 was used to identify the associated factors with completing the continuum of maternal healthcare services.

The study concluded that completing the continuum of maternal healthcare services was relatively low, indicating that women were not getting the likely health benefit from the current health services. Therefore, interventions should focus on increasing women’s awareness, improving the availability of services at nearby health facilities, and improving service delivery by considering women’s preferences and needs to increase their satisfaction are essential to increasing maternal healthcare services.