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Background: worldwide there is an estimated 493,000 annual cases of cervical cancer and 273,500 annual deaths, women in developing countries account for about 85% of both its morbidity and mortality. To have early screening and early detection, having knowledge is important. Women with a better knowledge of cervical cancer were more likely to attend cervical cancer screenings. In Ethiopia practice of cervical cancer screening is below 1%. Objectives: The objective of this study was to assess the knowledge, Attitude and Practice on cervical cancer and screening among reproductive health service clients at health centers in Addis Ababa. Methodology: A facility based cross sectional study which contain quantitative and qualitative methods were conducted at 13 public health centers in Addis Ababa, from February to March2015. Totally 520 samples were taken For Quantitative study and a multi-stage sampling technique was employed to address the study subjects. Four focused group discussions were conducted among the clients in the qualitative part. Data was analyzed using descriptive statistics and logistic regression model was used to identify factors associated with the outcome variable and the result is presented using the OR with the corresponding 95% CI. The transcribed and translated qualitative data was coded using Open Code software. Then finally the codes were categorized and thematically described. Result: Over all knowledge of cervical cancer was 43.8% and knowledge of cervical cancer screening were 27% and 56% of participants had positive attitude towards cervical cancer screening. And over all practice of cervical cancer screening was 3.5%. Being knowledgeable of cervical cancer (AOR=5.0,95% CI;2.7-3.0) and source of information from health professionals (AOR= 1.8, 95% CI (1-3.2)) were found to be statistically significant towards knowledge of cervical cancer screening and Knowing someone diagnosed with cervical cancer (AOR= 2.1, 95 CI (1.2-3.4)) and being knowledgeable of cervical cancer (AOR=3, 95%CI (1.8-5.3)) were statistically significant predictors for positive attitude towards cervical cancer screening. women who know someone diagnosed with cervical cancer (AOR= 3.2, 95% CI; 1.0-10.0) and source of information from health professionals (AOR =3.5, 95%CI; 1.2-10.2) were the significant determinants of cervical cancer screening practice. Conclusion and Recommendation: More than half of the participants were not knowledgeable of cervical cancer and screening, however they had positive attitude. Cervical cancer screening practice was very low. Lack of knowledge, accessibility of services with affordable price and absence of gynecological signs were among common perceived barriers for not to undergo cervical cancer screening practices. Service should be available and accessible with reasonable price to the clients and health education and awareness creation regarding cervical cancer should be in place.