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Background: Contraceptive use including short acting, long acting and permanent methods positively influence the socio-economic development of a nation by allowing families to space and limit their family size to their economic capacity. Demand for Long acting and permanent methods (LAPM) of contraception as determined by utilization and unmet need for LAPMs provide reliable information for providers.Objective: To assess factors associated with utilization level of long acting contraceptive methods and associated factors among married women of reproductive age in Jigjiga town, Somali region, Eastern Ethiopia Feb.2016. Methods:A community based cross sectional study supplemented with qualitative inquiry was conducted among randomly selected married women of reproductive age in Jijiga town from Feb to March 2014. A structured and pretested, interview administered questionnaire was used to collect data which was entered to computer by using EpiData version 3.1 and exported to SPSS version 16.0. Bivariate and multivariate logistic regression was employed to determine independent predictors of long acting and permanent contraceptive utilization level and associated factors. Conclusion:The overall prevalence of long acting and permanent contraceptive method was low. Knowledge of contraceptive and occupation of women have significant association with use of long acting and permanent contraceptive. Extensive health information should be provided for both husband and women.