BackgroundrnMost Ethiopian women lack the reproductive and social self-determination needed to exercise theirrnreproductive rights is in turn, perpetuates their low reproductive health and social status. Currentrncontraceptive prevalence rate is low as 29% clearly demonstrate the disadvantaged position of womenrnwithin Ethiopian society. Assessment of family planning would broaden our understanding of healthrnneed, weakness in the service delivery system and many of the possible solutions available to tacklernthem.rnObjectivesrnThe main objective of this study is to investigate determinant factors towards contraceptive methodsrnpreference and shift among current users in East Shoa, Oromia. rn Methodology rnA cross-sectional facility based quantitative and qualitative study was conducted to assessrncontraceptive methods preference and shift among current users of women of child bearing age fromrnMarch to April 12013 among 422 women from all 6 health centers in Boset district. Clients whornvisited for family planning health facilities during the dates of data collection were interviewed. Datarnwere collected using structured and pretested questionnaire and supplemented by Focus GrouprnDiscussion guide. Quantitative data were entered and cleared using Epi Info, then exported to SPSSrnversion 16 for analysis. Focus Group Discussions were recorded using tape recorder and notes werernalso taken by principal investigator and note taker.rn ResultrnThe most currently preferred and widely used contraceptive method was injectabel 351(84.2%) andrnfollowed by implanon 47 (11.3%). oral contraceptive pill preference was very low 19 (4.6%). Somernthe major reasons for prefer injectables were, convenient to use, fear of spouse save time and forrnconfidentiality purpose were the leading points. Contraceptive method shift was appeared to be highrnamong women of age 25-34 account 108 (46.8%). The method shift trends have showed that as agernincreases, the method shift practices also increased. Majority of women 168 (75.7%) shifted torninjectables for reasons such as confidentiality issue, provider advice and fear of spouse were humanrnelement part and fear of side effect was health wise reason. Multivariate analysis result, age 15-24yearrn(AOR:2.71,95%CI,1.38,5.32), and marital status (AOR 4.19,95%CI,1.40,12.55) were foundrnstatistically associated with contraceptive method shift. Bivariate analysis result also revealed that 158rn(44.9%) women of age 25-34 years preferred injectable.rn Conclusion and recommendation rnContraceptive methods preference of the women was concentrated to only one method which isrninjectables, where as the safe and long acting methods were neglected. On the other hand,rncontraceptive method shift also one of the problem observed, because still women were shifted torninjectables method which can affect their health through itâ€™s potential side effect. rnDiscussion about contraception use among couple found to be very low and majority of spouses werernnot approved contraception use. This may be due to lack of information on contraception use. rnWomenâ€™s right largely interfered on contraceptive preference and use. In this case, men were played arngreat role particularly on womenâ€™s contraceptive choice and use. Therefore, family planning programsrnshould not focus only on women, but should also address men. Information, Education andrnCommunication program for promoting family planning methods should be strengthened.