The contraceptive prevalence rate (CPR) for modern methods in the Tigray region has shown a notable improvement from 2005 to 2019, highlighting the success of family planning interventions over the years. According to EDHS data, CPR increased from 16.2% in 2005 to 36.3% in 2019, indicating more than a twofold rise and suggesting improved access to and utilization of modern contraceptive methods among women. However, the latest estimate from Tsadik M et al. (2025) shows a slight decline to 34.3% in 2024, signaling a potential disruption in progress. This decline may be linked to recent conflict-related challenges in the region, which could have impacted health service delivery, including reproductive health services. The drop calls for urgent attention to restore and strengthen family planning programs in Tigray, ensuring continuity of care and maintaining the gains achieved.