Background: Cervical cancer is the easiest gynecologic cancer to prevent with regular screeningrntests and follow-up. It is also highly curable when detected and treated early. For this quality rnscreening service that can address the demands of clients will be of paramount importance for allrnwomen particularly those with age greater than 30 years are at risk for cervical. rnObjective: To assess service quality and client satisfaction towards cervical cancer screening, inrnAddis Ababa Ethiopia, 2020. rnMethods: Descriptive cross-sectional study was conducted using both quantitative and qualitativernmethod, to assess quality of cervical cancer screening and client satisfaction. A facility based rndescriptive cross-sectional study design was used to assess service quality and client satisfactionrntowards cervical cancer screening. Data was collected by using a questionnaire developed basedrnon Avedis Donabedian model that provides a framework for evaluating quality of health care andrnexamining client satisfaction. The data collection instruments was coded and checked before entry. rnHealth facilities were stratified on the basis of their geographical location, after which a simplernrandom sampling technique was used. The sample size was determined manually for each specificrnobjective using a single population proportion formula, the total sample size was 421 forrnquantitative study. Purposive sampling technique was used for a qualitative study and data werernultimately collected from 9 (nine) independent health facilities (Health care providers). rnResult: From 260 (62%) participant who were satisfied of cervical cancer screening service, 204rn(39.23%) were between age group of 30-49 years, 38 (7.31%) age of ≤29, and the rest 18 (3.46%) rnwere ≥ 50 years old. Regarding the level of support from direct care giver 284 (67.5) ofrnparticipants were very satisfied. Concerning the collaboration level of entire workers in the healthrncare institution 252 (59.9) were very satisfied. In the majority of health facilities, the quality ofrncervical cancer screening services has been low. rnConclusions: The present study found that more than half or 62% of cervical cancer screeningrnrecipients were satisfied with the overall service delivery. There is a good improvement in thernsatisfaction rate of the recipient of the service, but overall satisfaction of the cervical cancerrnscreening service was lowest. This study shows that the quality of service at the cervical cancer screening center was low. The reasons for poor quality of service were lack of motivation on thernpart of health personnel, lack of effective follow-up and transparency on the part of therngovernment, lack of willingness on the part of management to provide opportunities and motivaternstaff, lack of consistent quality assessment measures. This low standard has an impact on the usernof the service.