Background: Pregnant women's anemia is one of the most common public health issues in developing countries, including Ethiopia. According to a WHO report from 2014, anemia affects approximately 56 million pregnant women worldwide. Methods: A facility-based unmatched case-control study was used on 343 pregnant women. Data was gathered using a pre-tested structured interviewer-administered questionnaire. The strength of the association was measured using adjusted odds ratios with a 95% confidence interval, and statistical significance was declared using a P-value < 0.05. Results: Consumption of tea immediately after meal (AOR: 6.523, 95 % CI :1.314-32.377), prolonged menstrual bleeding >8 days (AOR:7.052 95 % CI:(2.107-23.608), undernutrition AOR: 0.277 95% CI :(083,920) and maternal age 20-30 years (AOR: 6.279 95 % CI :1.190-33.147) were determinants of Anemia.