This community based household study was designed to collect baseline data on reproductive health Lushoto division of Lushoto District, selected as a pilot area for a community Based Distribution program. The study focused on main reproductive health indicators (fertility, fertility regulation, maternal health and on knowledge about sexually transmitted diseases). The study design originates from the MoH-GTZ project on reproductive health in Kenya where rapid assessment tool was adapted according to the needs of the field of reproductive health. 478 randomly selected women in reproductive age (15-49) from 6 villages were interviewed with a questionnaire. The main findings are: In Lushoto division the contraceptive prevalence is 29%. 77% of the study population know at least one modern method of family planning. Regarding provision of services 79% of women preferred women of their or any age 18% did not mind at all who offers the service. 86% of the women could at least name one STDs. Asked what they currently do not prevent themselves or their partner from being at risk for STDs 60% answered “nothing”. The percentage of institutional deliveries (in Health Centre, Dispensary or Hospital) was 22% however 98 % of the women had received antenatal care including tetanus vaccination. The survey revealed that 47% of the women had initiated to live with a male partner before attaining 19 years of age. The final conclusion is that there is a considerable unmet need for family planning services in Lushoto division. Out of those who do not want a pregnancy in the following years only 33% prevent pregnancy 30% with modern methods.