This Book is assessed and explored factors that affect the use of women on community-based reproductive health programs and its sustainability in rural part of West Gojjam, so that information was generated that could help policy makers and programs managers to design appropriate reproductive health services at the community level and awarded the women towards reproductive health programs. The study was conducted in four peasant associations of the zone taking successful and weak/failed program areas. Both quantitative and qualitative approaches were employed for data collection.