Health care services in developing countries are reported to suffer from low quality. A descriptiverncross-sectional study was conducted lO assess the quality of reproductive health care, with empbasisrnon the structural as aspects in two administrative zones in south central Ethiopia. Of the 79 healthrninstitut ions in tile study area, 74 were visited for a response rate of 94 %. Data were collected usingrna queStionnaire adopted from the WHO Safe Motherhood Need Assessmem and dl~ WHO trainingrnmodules for EPI and STDs. Multip le stlu"tural defi ciencies were identitied in all components ofrnreproductive healtl1 care. Absolute minimum equipmelll for maternity and ll-e:onatal care were foundrnto be complete and adequate in 20(27 %) and 3(4.1 %) of the institu tions, respectively. Consumablernsnpplies were available adequately in 13( 17.6%), sterili zer in 13(17.6%). essemi al drugs in 16rn(2 1.6 %), ergometrine injection in 49 (66.2 %). and alcohol in 22 (29.7 %) of the institutions. In thernEPI sec tion, steam sterilizer was available in 45(60.8 %), and adequate vaccines in 57 (77 .0%) ohherninstitut ions. Only 1(1.4%) health institution had a complete mix of comraceptives. Impr,rtatltrnlaboratory tes ts(syphilis test, hemoglobinometer, urine analys is) were available fully in on1)' onern(1.4%) health institution. Only 9(11. 1 %) health it15tito tions had adequate IEC materials ,on aLirnreproductive health components. More dIan hal f [44(59.4 % ) 1 of dIe health insti tutions had no waterrnsource in their compound . Only 8( I 0.8 %) were found to Itave a te lephone or two-way radio. A thi rd,rn25(33.8%), of the health institutions had no means of transport It is concluded liar the .5tructurairnsetting for reproductive health servi;:.:es is very poor iu the maj ority of the health i:asti i.i.HioIlS.rnRecommendations include that besides cOllsuucting new beaJdl institutions, !'tl"Ong emphasis .sbouldrnbe given 011 revitalizing tbe ex isting health ilL')titutioilS by ronecting structural defidencies I,ri rl!oulrndelay .