According to a study on trends in maternal health in Ethiopia 2012, Women who did not deliver in health facilities were asked the reasons for not doing so. The Ethiopian Demographic and Health Survey (EDHS) 2011 data revealed that the two outstanding reasons were "not necessary" and "not customary", as reported by 61.4% and 29.6%, of them respectively. These were followed by place too far/lack of transportation (14.4%). Other reasons were reported by a tiny portion of the women. Only very few (2.1%) blamed service cost as a reason for not delivering in health facilities. Notably, the reporting of these reasons follow similar pattern both in the urban and rural areas. Strikingly, about two-third of the urban women who did not deliver in health facilities said it was not necessary and 17% said it was not customary.