Background: Post-abortion contraception is the initiation and use of post abortion contraceptive methods immediately after an abortion. It is a critical approach for preventing unwanted pregnancy, alleviating its complications, and avoiding repeated abortions by promoting immediate post-abortion contraceptives provision.

Objective: To assess the level of post-abortion contraceptives uptake and its associated factors among clients visiting abortion care services in public hospitals in West Shewa Zone, Oromia regional State, Ethiopia.

Methods: Institutional based cross-sectional study was conducted in public hospitals in the West Shewa zone from March1, 2021 to May 30, 2021, among 227 proportionally allocated clients based on the proportion of e client served in the previous three months of the study period. Data was collected through face-to-face interview using semi-structured and pre-tested questionnaire from women who received the abortion services.

Bivariable and multivariable logistic regression was used to assess the association of independent variables with post abortion contraceptive uptake. Findings with p-value of 0.05 at 95% CI were considered as statistically significant.

Results: The overall post-abortion contraception uptake among abortion service clients in public hospitals was 164 (74%) while about 42% of them used long-term contraceptive methods. Post abortion contraceptive uptake was significantly associated with media exposure to post-abortion family planning information [AOR: 3.4 (95% CI: 1.03, 11.27)] and counseling on post abortion family planning [AOR: 20 (95% CI: 5.02-83.64)].

Conclusion and Recommendations: Level of post-abortion contraceptive method uptake in West Shewa was low as compared to the national target. Greater attention should be given on providing post abortion contraceptive counseling to increase the post abortion contraceptive uptake.

Key words: Post abortion contraceptive uptake, public hospitals, West Shewa Zone, Oromia Regional state, Ethiopia.