International Journal of Health Sciences & Research (www.ijhsr.org) 145 Vol.9; Issue: 1; January 2019 International Journal of Health Sciences and Research www.ijhsr.org ISSN: 2249-9571 Original Research Article Gynecological Morbidity and Utilization of Health Services among Women of Reproductive Age Group Mamata Bharati 1 , Samjhana Kumari Poudel 2 , Gayatri Rai 3 , Biplabi Sapkota 4 1 Associate Professor, Nepalese Army Institute of Health Sciences, College of Nursing, Kathmandu, Nepal. 2 Assistant Professor, Nepalese Army Institute of Health Sciences, College of Nursing, Kathmandu, Nepal. 3 Nursing Dean, Karnali Academy of Health Science, Jumla, 4 ICU Nurse, TU. IOM, Manmohan Cardiothoracic Vascular & Transplant Center Maharajgunj, Kathmandu. Corresponding Author: Mamata Bharati ABSTRACT Introduction: Gynecological morbidity constitutes the leading cause of ill health among the women of reproductive age group worldwide. In developing countries gynecological morbidity greatly affects the quality of life of women and these problems were ignored by woman herself and family. Therefore the objective of this study was to find out the gynaecological morbidity and utilization of health services among women of reproductive age group. Methodology: Descriptive explorative research study was conducted among 150 women of reproductive age residing in the rural community of Jumla district. Samples were selected through purposive sampling technique. Data was collected by interview method. Descriptive as well as inferential statistics (Chi-squire) were used to analyze the data. Result: Findings of the study revealed that majority (70.0%) of the respondents experienced gynecological problem. Among them 72.4% experienced back pain and 66.7% experienced lower abdominal pain. More than half (51.4%) of the respondents sought treatment for their gynecological problems and 66.7% respondents went to hospital for treatment. Nearly half (48.6%) of the respondents had not sought treatment for their gynecological problems due to lack of felt need, lack of money and lack of time etc. Ethnicity, educational status as well as level of education were significantly associated (p ≤ 0.05) with gynecological morbidity. Conclusion: It is concluded that women of reproductive age group experience gynecological problems and only half of them seek treatment for their gynecological problems. About half of them do not seek treatment due to lack of felt need for treatment, and other reasons. Key words: Gynecological Morbidity, Reproductive Age, Health Services Utilization INTRODUCTION Gynecological morbidity includes any condition, disease or dysfunction of the reproductive system which is not related to pregnancy, abortion or childbirth but it may be related to sexual behavior. (1) Reproductive tract morbidities are one of the commonest reported disorders in women of child bearing age group. These are seen as a silent epidemic and are among the leading public health problems contributing significantly to the gynaecological morbidity in India and other developing countries of the world. (2) The commonest reproductive tract infection among women is vaginal discharge. It is found to be very common in South Asian women. (2) Gynaecological diseases cover a range of conditions with a wide spectrum of lethality and chronicity and a substantial impact on women’s quality of life. (3) Gynecological problems are not perceived as a serious