This thesis examines factors affecting adoption of family planning practices among refugee women in the Tongo refugee camp in Ethiopia. Chapter 1 introduces the topic, noting family planning rates vary from 5.1-47.7% across refugee camps in the region. It also discusses environmental impacts of the growing refugee population in camps. Chapter 2 reviews literature on conceptual frameworks for factors influencing family planning adoption. Chapter 3 describes the explanatory cross-sectional research methodology, including sampling married women in Tongo camp. Data collection involved questionnaires, interviews, and document analysis. Chapter 4 presents results from descriptive analysis of socioeconomic and health center factors, as well as proximate determinants. Inferential analysis used chi-square