Despite the reality of a high unmet need, Contraceptive prevalence in the countryrnis very low with only 15% of married women using any type of contraception.rnBesides to this, the knowledge and practice of family planning is limited to thernusage of short- term contraceptive methods. So the objective of this study is tornassess the status of long acting and permanent family planning servicesrnprovision. A cross-sectional descriptive study that involved exit interviews withrnclients, health care providers, observations on clients-provider interactions,rnassessment of the availability of necessary resources for provision of LAPMs,rnand service statistics review was conducted from April to June 2008 in six healthrnservice delivery points in Tigray regional state of Mekelle town. Four hundredrntwenty two FP clients and ten health care providers were interviewed whilernobservation on 481 client-health care provider interactions was conducted. Aboutrn269(92.4%) clients wanted their next birth after two to six years. currentlyrn392(92.9%) and 30(7.1%) of clients are using injectable and pill respectively. Ofrnthe total clients 312 (73.9%) and 99(23.5%) were using the method for spacingrnand limiting respectively. About 10(20.4%), 3 (6.1%), 2 (4%) and 1 (2%) of newrnclients were informed about implants, IUCD, and female and male sterilizationrnrespectively. about 183(87.6%) of the clients stated the provider let them ask thernquestions and among these 175(95.6%) the providers responded to theirrnquestions satisfactorily. Of the 10 health care providers interviewed six hadrnreceived training in counseling and providing implants with in the last five years.rnFour of the providers did not feel that they had knowledge and skills necessary torndo LAPM services. Four and five facilities reported running out of pills andrnimplants in last six months respectively. Several constraints in the provision ofrnLAPM service are identified and needs to be improving through training,rncoordination and maintaining adequate resources.