Domestic violence against women (DV) is a widely prevalent public health issue that affects all social classes but most significantly low socioeconomic strata in the world. WHO 2013 reports, the prevalence of DV is 30% in the world, 37.7% in South East Asia, and 30-35% in Pakistan. Electronic media reported a 67% prevalence of DV against women in the remote district of Chitral, Pakistan [24]. Help-seeking in DV has important relations with effective handling; preventing and eradicating the issue because it enhances womens autonomy, increases access to support services and visibility of the issue. The qualitative exploratory case study design was used taking DV survivors as a case and formal and informal help-seeking as the unit of analysis. Through purposive sampling, women were selected from the data registry of the legal and humanitarian institutions. The non-help seekers were identified through social networks by snowball sampling. Data were analyzed through thematic and content analysis by manual coding and through Nvivo software. This was the first study of its kind in the context of Chitral that has explored that contextual dynamics are the influence of joint family, normalcy of DV after marriage, transmission of social norms, gender inequalities, drug addiction, and lack of awareness about womans right. reason of not help-seeking Stigmatization, female powerlessness, dependency on others, fear of worsening the situation, fear of losing children custody and safeguarding family honor and hassles of formal procedures.The parental family found to be most trusted, accessible and frequently sought informal support system followed by community-based organizations like Jirga and arbitration board. Based on the findings of the study we recommend the relevant organizations integrate DV screening, management, and referral facilities in the existing structure of their service provision. The study has implications for the local administrators and policy personnel to strengthen services.