Background: Since corona virus first detected in China more than 75 million individuals are infected and kill around 1.7 million globally. When the epidemic reach to its worst stage, there might be shortage of available work force and resource and this might lead to halting provision of essential health services. Moreover, individuals might hesitate to consume the available maternal and child health service for different reasons.  Such problems might increase child and maternal mortality and other maternal and child health problems during the pandemic.

Objective: to assess Intention, barriers and opportunities to use reproductive maternal and child health services during corona virus pandemic in East Gojjam zone, North West Ethiopia, 2020.

Method: a community based cross sectional supplemented with qualitative study was conducted in East Gojjam Zone. Quantitative data were collected from 845 women and we collected qualitative data from 21 health care providers and officials. Collected data were entered to Epidata version 3.1 and transferred to STATA 14 for analysis. Variables with p<0.05 used to determine statistically significant association on multivariate mixed effect linear regression analysis and strength of association was determined by β with its 95% CI. Thematic analysis approach was used to analyze qualitative data.

Result: More than one in three women had lower intention level to use antenatal care, skilled birth attendant, child vaccination and contraceptive services. Lower perceived risk for not using those services was emerged as predictor of lower intention level to use contraceptive service, SBA, EPI and ANC service. Current experience of service use was also identified as positive predictor of higher intention level to use contraceptive, antenatal care and RMCH service. Moreover higher intention to use skilled birth attendance service, EPI service and RMCH services among mobile phone owners than non-users. Women who got health information about COVID-19 from health professionals were more likely to have higher intention level to use RMCH services and ANC service. Intention to use SBA and RMCH service was increased as women’s attitude about COIVD-19 improved.

Moreover, existing community health program and integration of COVID-19 surveillance were emerged as opportunities to provide RMCH services and reduce effect of the pandemic. On the other hand, state of emergency, unprepared health system and unfavorable attitude about COVID-19 and isolation centers were barriers on providing RMCH service and ensure maternal and child wellbeing. Effect of the pandemic was magnified in three dimensions of RMCH service provision and consumption. It weaken health-behavior, weaken the health system and distort outreach programs and supervisory activities.

Recommendation: government need to take maternal and child health services as essential health service even during the worst stage of the pandemic and they should not be interrupted. Moreover, the community health program need to be strengthen and information dissemination about COVID-19 and RMCH need to be performed in enhanced way using different channels.