Dissertation (MSc Midwifery)Family planning can avert nearly one-third of maternal deaths and 10% of child mortality when couples space their pregnancies more than two years apart. In Kagera Region the use of modern Postpartum Family Planning is uncommon. However, it is not known how much the facility preparedness and clients ‘readiness influence the uptake of Long-term Acting Reversible Postpartum Family Planning [LAR PPFP]. To assess facility preparedness and clients, readiness on LAR PPFP services uptake among postpartum women in Kagera Region of Tanzania. A Cross-sectional study with quantitative approach was applied to obtain information from 343 pre-discharged postpartum women and 32 health facilities. A structured interviewer-administered questionnaire and observational method were used for data collection. Data were analysed using SPSS version 20. Percentages and mean were used to explain descriptive data, 95% CI was used to determine the associations between variables. All studied health facilities had more than 50% conducive infrastructure for LAR PPFP services provision, also commodities were available to all facilities by more than 75%. Postpartum implant insertion services were done by 100% of the facilities and Postpartum Intra-Uterine Device insertion is just provided by 34.4% of the health facilities. 87.5% of the study respondents were not ready for the services uptake in Kagera Region. Despite that,47%, 50.4% and 53.9%were aware had adequate knowledge and positive attitude respectively on PPFP services. Factors associated with increased Odds of clients readiness for service uptake include, the presence of barriers touse PPFP services (AOR=9.693; P<0.001). Primpara (AOR=2.654; P=0.037), No information about PPFP services(AOR=0.569; P=0.024) were statistically significant associated with LAR PPFP Services Use. This study affirmed the availability of conducive infrastructure and supplies for LAR PPFP services provision in Kagera Region. Though uptake stood at 12.5%.