The modern contraceptive prevalence rate (mCPR) increased steadily from 34.2% in 2000 to 45.3% in 2005 and 56.3% in 2011, but declined to 50% by 2016. The decomposition analysis suggests that the recent decline in mCPR occurred predominantly due to differences in the composition of the womenfemale population between the year 2011 and 2016 in terms of their age, education and spousal living arrangements. These differences might be caused by recent migration, possible data anomaly or a combination of the two. The same analysis also revealed the lack of significant changes in coefficients effects, i.e. in women’s receptivity to contraception, during the same period to cause the decline in mCPR. Indeed, this was corroborated by the stratified trends analyses that divulged recent stalling of CPRmCPR for women in different categories of women’s age, number of children ever born, education and religion. With an unmet need of 9%, the demand for family planning estimated at 65% for any method and 59% for modern method mean that a further increase of mCPR in Addis Ababa is plausible. There has been a substantial shift to use of long termlong-term method, especially, Norplant/ImplantNorplant/implants and IUDIUDs between 2011 and 2016. Notably, over 85% of the methods reported in 2016 comprised of four methods, namely, Injectablesinjectables, Norplant/ImplantNorplant/implants, IUDIUDs and pills.