Background: Globally Sustainable Development Goal adapted to achieve at least basic sanitation facilities but still in Sub Sharan Africa including Ethiopia has very low achievement. In urban setting of Ethiopia only a limited households have basic sanitation facilities and still its status is not clearly known. Therefore assessment of basic sanitation facilities and associated factors is acritical issue. Objective: To assess basic sanitation facilities and associated factors in Bahir Dar, Gondar and Desse city administration Amhara region Ethiopia 2019. Methodology: Community based cross - sectional study with both quantitative and qualitative method was conducted from March 2019 to January 2020. Multi stage sampling tequnique followed by systematic random sampling technique was carried out. The data was collected using structured questioner and observational check list and finally the data entered using EPI-data software version 3.1 and exported to SPSS version 20 for analysis. For qualitative study Focused group discussion and key informant interview was conducted with tape recording and minute book taking and analyze thematically to supplement the quantitative finding. Result: A total of 1022 study subject included in this study with response rate of 100 %. The mean age of the households with standard deviation were 38(±14.5) years. Out of the total study subject 282(27.6 %) households with 95 % C I (24.6 – 30.3) had basic sanitation facilities and the rest 276(27 %) had limited sanitation facilities. Based on qualitative study the main reason for not to have basic sanitation facilities was lack of money, lack of space, rented households shared sanitation facilities and low awareness on the benefit of basic sanitation facilities. Based on Stastical analysis male headed households (AOR= 1.49, 95 % CI, 1.08, 2. 06), private house owner ship (AOR= 2.85, 95 %, CI, 1.63, 4.99) and high income family (AOR= 2.74, 95 % CI, 1.72, 3.40) were positively associated with access to basic sanitation facilities. But family size between 1 – 4 family member (AOR= 0.53, 95 % CI, 0.34, 0.82) and 5 – 8 family member (AOR = 0.38, 95 % CI, 0.25, 0.56) were less likely to had basic sanitation facilities. Conclusion and Recommendation: the status of basic sanitation facilities in Bahir Dar, Gonder and Desse city administration were 27.6 % with 95 % C I (24.6 – 30.3). Therefore the Government and other responsible body should encourage urban community to have private house, increase household income level and encourage people to go to marriage and collaborated with the community to achieve basic sanitation facilities for all.