Anemia is a major public health problem especially for pregnant women in developing countries. During pregnancy anemia is an important contributor to maternal mortality. The main aim of the present study was to assess the prevalence of anemia and associated risk factors among pregnant women receiving antenatal care at Hetosa district health centers, Arsi zone, Ethiopia. To assess the magnitude of anemia and associated factors among pregnant women attending Antenatal service in Hetosa district health centers, Ethiopia from 2018.