Background: Antenatal care contributes to good pregnancy outcomes and benefits of antenatal care depend on timing and quality of care provided. Antenatal care is important for the prevention of maternal and fetal mortality and morbidity. Maternal complications contribute to more than half of the deaths among women annually. Objective: To establish contextual factors influencing the utilization of antenatal care services up to four visits among pregnant women in Enzaro Health Centre, South Maragoli ward, Ideleri sub-location, Vihiga Sub-county, Vihiga County, Kenya.Design: A descriptive cross-sectional study. Setting: Enzaro Health Centre, South Maragoli ward, Ideleri sub-location, Vihiga Sub-county, Vihiga County, Kenya. Subjects/Participants: All mothers with children under one year within our mother-child welfare clinic. Results: The study established that long waiting hours that leads to delay in service delivery influences utilization of antenatal services greatly followed by geographical terrain and poverty among antenatal mothers explaining why there was delay in service delivery.