Introduction: Reproductive health is a state of complete physical, mental and social well- being and not merely the absence of disease or infirmity, in all matters related to the reproductive system and to its functions and processes. It is a human right and life long process. A global reproductive health strategy was adopted by the World Health Assembly in May 2004, targets five core elements; improving ante-natal, natal, postnatal and newborn care; providing high quality services for family planning including fertility services; eliminating unsafe abortion; Combating sexually transmitted infections (STIs), including HIV, reproductive tract infections (RTIs), cancer cervix and gynecological morbidities; and promoting sexual health. Governments agreed to provide “universal access” to reproductive health by 2015 as part of a package for improvement of people’s health and well being but there are many obstacles faced in getting care from reproductive health programs.Aim of the work: Study factors contributing to poor reproductive health as lack of access to SRH is still a major public health concern especially in develop¬ing countries.Summary and conclusion: There are many obstacles faced in getting care from reproductive health programs such as; SRH policy and access to services which are heavily influenced, often negatively, by socio cultural and political factors; women’s relative lack of decision-making power; Poverty, cultural traditions and legal barriers restrict their access to financial resources; Lack of knowledge and information about SRH issues and also, structural factors associated with health system such as the way in which the service is provided, the quality of the service provision, inequality in health resources allocation especially within the rural regions and the extent to which the different sectors within the health system are linked with regard to resource sharing and service delivery.Key words: Sexual and reproductive health (SRH), STIs/ AIDS, Maternal and child health, unsafe Abortion, Family planning, Obstacles, FGM, Adolescent and sexual health.