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This study, assessment of the utilization of the antenatal care services in Kianjai Location, Meru County Kenya aimed at determining the proportion of pregnant women in this particular study area who initiates antenatal care visits in their first trimester of pregnancy, the proportion of the expectant mothers whom makes the recommended four antenatal care visits as well as determining the factors that influences the utilization of antenatal care services in Kianjai Location Meru County, Kenya.