<p>Immediate Postpartum Family Planning (PPFP) is the initiation of Family Planning (FP) methods within 48 hours after delivery; It focuses on preventing unintended births and short inter-birth intervals. This is a main public health concern, as 20 % of obstetrical deaths are related to short inter-birth intervals. Therefore, this study aimed to assess the prevalence of immediate postpartum family planning use and associated factors among postpartum women in Nyabihu district.</p>