Persalinan di fasilitas kesehatan menekan risiko kematian ibu. Kebijakan Kementerian Kesehatan, persalinan harus ditolong tenaga kesehatan di fasilitas kesehatan. Sehingga perlu diketahui faktor-faktor yang berhubungan dengan keputusan memilih tempat persalinan. Disain penelitian potong lintang menggunakan pendekatan kuantitatif. Pengumpulan data dengan mewawancarai responden saat kunjungan rumah menggunakan kuesioner. Populasi ibu hamil di Kabupaten Fakfak. Sampel ibu hamil di wilayah Puskesmas terpilih. Uji statistik analisis univariat, bivariat dan multivariat. Hasil penelitian ada hubungan signifikan antara pendidikan, pengetahuan, status ekonomi dan persepsi dengan pengambilan keputusan memilih tempat persalinan. Faktor paling berpengaruh adalah pendidikan dan persepsi. Disarankan meningkatkan pemanfaatan fasilitas kesehatan sebagai tempat persalinan. Kata Kunci : pemanfaatan fasilitas kesehatan, pemilihan tempat persalinan, persalinan di fasilitas kesehatan Delivery at a health facility. Ministry of Health policy, delivery should be assisted by health personnel in health facilities. It is necessary to factor factors related to the decision to choose where to go. Cross sectional design using a quantitative approach. Data collection by interviewing respondents while visiting the home using questionnaires. Population of pregnant women in Fakfak District. Samples of pregnant women in the selected puskesmas area. Statistical test of univariate, bivariate and multivariate analysis. The results of the study there is a significant relationship between education, knowledge, economic status and perception with the decision of choosing the birthplace. The most moderate factors are education and perception. It is recommended to improve health facilities as a place of birth. Keywords: utilization of health facility; Selection of delivery; Delivery at a health facility