Background
There is dearth of information on contraceptive use among women in reproductive age in Ghana over time. This study sought to examine the trends in contraceptive practices among women in reproductive age in a health facility in Ghana in terms of acceptor rates, age at first reporting and couple-years of protection.

Methods
The contraceptive data of women were extracted from the registry of a health facility for a three-year period from 2011 to 2013. Graphs and tables were used to present the trends in the use of various contraceptive methods for the study period.

Results
Depot Medroxyprogesterone Acetate (Depo-Provera) was the most accepted contraceptive method as well as the most protective method against unwanted pregnancies for the three-year period. However, male condom, estradiol valerate/norethindrone enanthate (Norigynon) and pills were the lowest among all the contraceptives used by women for the study period in terms of acceptance, while intra-uterine device had the lowest couple-years of protection.

Conclusions
Some contraceptive methods have been consistently under-utilised by women in the catchment area and needed to be promoted to improve upon the contraceptive use rate.