Ethiopia achieved promising progress in health sector after developing HSDP and healthrnextension program. However, implementing some selected components of Reproductive Healthrnprogram, specifically FP, ANC, delivery and postnatal care; and immunization, that are givenrnemphasis in the RH strategies for the year 2006 to 2015, assumed to be challenging in denselyrnpopulated rural kebele. Hence, this study was conducted with the main objective of assessing thernchallenges that impeded the implementation of RH and related programs. Across sectionalrncommunity- based research design backed by qualitative in-depth interviews and FGDs werernused. In addition, both descriptive and exploratory method was set from May 12 to July 10, 2014rnat Mokonisa kebele(in Wonago wereda, Gedeo zone of SNNPR, Ethiopia).The study populationrnconsisted of all married women in reproductive age registered in the kebele administration officernin the list of conventional households. To this end, 360 women samples were included in thernstudy, pre test questionnaire was administered. The collected data were entered and analyzed byrnSPSS 16.0.The qualitative data was also analyzed through non- tactical bases in their thematicrnareas. The result of the study showed that RH services in general were under- utilized in thernstudy area attributed to socio economy barriers and inadequate resources in health facilities;rnweak information channel, negligence to adolescents RH, practices of early marriage. As arnresult, special attention needs to be given to the most densely populated kebele, the study area,rnby mobilizing relevant stakeholders and deploying adequate resources so as to surmount thernchallenges and bring sustainable demographic transition that can enhance socio-economicrnchange in the study area