Approximately 580,000 women die each year worldwide from pregnancy related causes, 99% of them in developing countries and more than 50% in Sub-Saharan Africa with most deaths concentrated around the time of delivery (WHO, 2016). Most of these delivery time deaths would have reduced if antenatal services were readily available and fully utilized by all expectant mothers. The study was set to explore the association between demographic factors and utilization of fourth antenatal care visit in Borabu Sub County, Nyamira County, Kenya. The study targeted mothers aged 15 years to 45 years who had delivered in the preceding 1 year and were residents of Borabu Sub County at the time of pregnancy and delivery. Sample size was determined by use of a formula provided by Krjcie and Morgan. Structured Questionnaires were pre-tested before the commencement of the study. Data was collected by the research assistants over a period of three weeks. All questionnaires were be edited, and responses coded before data was entered into the computer using the Statistical Program for Social Scientists (SPSS). Data was analyzed using IBM-SPSS version 20, focusing on the Pearson product-moment correlation and the logistic regression model to observe any significant relationship between independent variables and dependent variable. The findings show that, Age, Highest level of education and gestation of pregnancy have a significant association with attaining the Fourth Antenatal Care Clinic Visit. On the other hand, marital status does not have a significant association with attaining four Antenatal Care Clinic Visit. Based on these findings, it was recommended that counties and sub counties to conduct health education programmes to create awareness and importance of completing ANC clinic visits. Also Counties to give priorities to CHVs training in order to extend the scope of ANC services.