Background: The most efficient and cost-effective forms of birth control are long-acting reversible contraceptives (LARC). In spite of their effectiveness, less than 15% of women globally who are of reproductive age use LARC. In Kenya, just 18% of women who are of reproductive age are using LARC method. The frequency in Meru County (11.2%) is much lower than it is nationwide. The objective of the study was to establish health-facility factors influencing the uptake of LARC among Women of Reproductive age (WRA) receiving care at the Meru Teaching and Referral Hospital. Methods: Analytical cross-sectional survey research design was used in the study. Women of Reproductive Age receiving family planning services at Meru Teaching and Referral Hospital in Meru County were the study's target population. Ten key informants were chosen through purposive sampling, and 170 women who were of reproductive age were chosen by systematic random sampling. In order to get quantitative data for this study, the researcher utilized a semi-structured questionnaire and a key informant guide was used to gather qualitative data. The Embu Teaching and Referral Hospital served as the pretesting site for the research tools. The presentation of qualitative data involved the thematic organization and narration. Chi-square tests were utilized to examine the relationship, at a 95% confidence interval, between the uptake of LARC and variables linked to social culture, health facility-related characteristics, and knowledge level. The strength and connection of the factors that were discovered to be significant were tested using regression analysis. Results: The majority of the mothers (51.2%) were in the 20–29 age range, with a small percentage (n=5, 2.9%) being older than 40; the married women were more (n=106, 62.4%) and half of the mothers had secondary level of education (n=85, 50%) unlike that of the partner that was found to be mostly tertiary level of education (n=102, 60%). A larger proporti