Objective: The objective of this study was to identify the determinants of contraceptive use among women met to the service of Gyneaco-obstetrics of the General Hospital of Referral Bagira. Materials and methods: A cross-sectional study was conducted in general hospital of referral Bagira from March to April 2013. A total of 162 women aged between 20-45 years participated in this study. Occasional sampling was used. The tool of data compilation was a questionnaire of investigation. Results: Among these women, 60.5% used a contraceptive method during the period of study. Among users, pills and condoms were the most methods used. The religious beliefs and the side-effect fear constituted major barriers to the contraceptive practice. Determinants of the contraceptive practice were the woman's favorable attitude facing the contraception, the husband's implication in the contraceptive use, the conjugal dialogue on family planning and the desire besides to have child (p <0,05). Conclusion: This study recommends the intensification of sittings of sensitization of the population and the better advice offer that would bring to better contraceptive method acceptability in that hospital.