Adolescent School Girls Research Articles

Determinants of menstrual hygiene among adolescent school girls in a rural area of Patna, Bihar, India: A cross-sectional study.

Adolescence is a transitional phase marked by the onset of menarche. Most adolescent girls have incomplete or inaccurate information about menstrual physiology and hygiene. There are several misconceptions and taboos linked with it, resulting in adverse health outcomes. However, numerous factors associated with menstrual hygiene are modifiable. If these are adequately identified and addressed, it can empower young girls to lead healthy life in a positive environment. (1) To assess the knowledge and practices regarding menstrual hygiene among adolescent school girls. (2) To determine the association of menstrual hygiene practices with sociodemographic and related factors. A descriptive cross-sectional study was conducted in rural Patna, Bihar, in which 300 eligible adolescent school-going menstruating girls (13-17 years) were recruited from four schools. They were interviewed using a predesigned questionnaire, and relevant information on sociodemographic profiles and menorrhoeal characteristics was obtained. Median scores were calculated for the knowledge and practices domain. Multiple logistic regression was used to determine the associated factors of menstrual hygiene practice. The mean age of girls was 14 ± 1.07 years, while the mean age of menarche was 12.37 ± 0.92 years. More than half (59.3%) were found to possess good knowledge (scores 7 and above) regarding menstruation and its physiology. Half (50.3%) of the girls had good menstrual hygiene practices (scores 9 and above). Multiple logistic regression model revealed that adolescent girls studying in government schools (AOR = 0.05, CI = 0.02-0.12) and those living in nuclear families (AOR = 0.05, CI = 0.02-0.12) were likely to be significantly associated with poor menstrual hygiene practices. Menstrual hygiene is still far from satisfactory; hence, it should be a vital aspect of the school health educational curriculum. There is an imperative need to design acceptable awareness/advocacy programs for adolescent girls in the future.

How Familiar are our Adolescent School Girls about Menstrual Hygiene – A Cross Sectional Study in Coastal South India

How Familiar are our Adolescent School Girls about Menstrual Hygiene – A Cross Sectional Study in Coastal South India

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Experiences of gender-based violence among adolescent schoolgirls in India

This study examines the experience of violence among adolescent schoolgirls from selected institutions in the Hazaribag district of Jharkhand, India. It maps the nature and extent of such incidents and examines how such violence affects a person's physical, emotional, and psychological health from a sociological perspective, considering factors such as how differently it affects students from different social groups, who the perpetrators are inside and outside the school, and the extent of such violence against students in private, public, or other types of schools. This descriptive and explanatory research used a mixed-methods approach to collect quantitative and qualitative data. Questionnaires, interview schedules, and informal focus group discussions were the main methods of data collection. The narrative method and SPSS software were used to analyze the qualitative and quantitative data, respectively. The study finds that female students are particularly vulnerable to school violence because of the gender factor involved, which cannot be isolated from gender-based violence. It also reveals sociological aspects, such as the means of transportation used by students, which are clearly related to their economic position, social category, etc., which play a very important role in such experiences of violence. The research contributes to the development of a gender-sensitive and violence-free educational atmosphere in which social justice education is more likely to be found.

Knowledge regarding of Iron Deficiency Anemia among Adolescent Girls of Chitwan

Growth spurts and menarche in adolescent Girls increase iron requirements. Iron deficiency anemia, one of the common nutritional deficiency condition of adolescent girls, is related to poor dietary intake and lack of iron supplementation puts them into the high risk group. The objective of this study is to find out the “Knowledge regarding Iron Deficiency Anemia among Adolescent girls. Descriptive cross-sectional study design was used for the study. Among the 5 government school of this Municipality, three were selected by simple random method and among those schools probability proportional sampling was used for the selection of the adolescent girls of the schools. Data were collected from 156 adolescent school girls through self-administered structured questionnaire developed by researcher and analysis was done using SPSS version 20. Descriptive and inferential statistics was used for the analysis. This study revealed that more than half (53.2%) of the adolescents girls had low knowledge regarding iron deficiency anemia and remaining had just moderate knowledge. There was significant association between age (p=0.03), education (p= 0.001) and father’s occupation (p=0.004) with level of knowledge on iron deficiency anemia. The study concludes that adolescent girls have low knowledge regarding iron deficiency anemia, so school administration need to plan and organize anemia preventive campaign and provide information, education and communication (IEC) materials and screening services related to anemia.

Impact of Health Education Intervention on Nutritional Status Among Adolescent Girls in Government Secondary Schools Maiduguri: A Randomised Control Trial

Background: The study aimed to evaluate the impact of a health education intervention on nutritional status among adolescent girls in government secondary schools in Maiduguri Metropolitan Council. Methods: The study was a randomized control trial among 417 adolescent girls aged 10-19 years old. Data were collected from October 2019 to March 2020 using KoBo collect toolbox. Chi-square and Fisher exact were used to compare baseline differences between the intervention and control group, a generalized estimating equation was used to evaluate the impact of health education intervention. Results: There was no significant difference in nutritional status (body mass index for age percentile and mid-upper arm circumference) between the intervention and control group at baseline. There was a statistically significant difference at three and six-months post-intervention for body mass index for age percentile p = 0.005; p < 0.001, while the mid-upper arm circumference was statistically significant at three months post-intervention p < 0.001, but not statistically significant at six months post-intervention. Conclusion: It is clear that health education intervention has an important role in improving the nutritional status of adolescents.

Head lice infestation and the role of some cognitive-behavioral factors in its spread and prevention among adolescent girls: A cross-sectional study in Northwest Iran.

Head lice is a public health problem of worldwide distribution, particularly among school children and girls. Head lice infestation (HLI) can lead to negative social and psychological outcomes such as distress and anxiety in children and their families. Hence, the present study aimed to investigate the role of cognitive-behavioral factors in its spread and prevention among adolescent girls. The cross-sectional study was conducted among 276 school-aged adolescent girls from September 2022 to January 2023 in Herris, a city located in Northwest Iran. A multistage cluster random sample was used to recruit adolescent girls in secondary schools. Two schools were randomly selected from five secondary schools. Then, students in each school were randomly selected from a school list. Data were collected using a valid and reliable questionnaire. The high protective behaviors were significantly associated with the number of family members (ß = 0.158; p value = 0.012). An additional 21.8% of the variation in preventive behaviors was explained by cognitive factors as predictor variables (p value > 0.05). Perceived collective family efficacy, perceived barriers, perceived self-efficacy, and response efficacy were predictors of head lice preventive behaviors, respectively. Among all variables, perceived collective family efficacy was the strongest predictor. The findings of current research support the determinants of the cognitive-behavioral factors in the spread and prevention of HLI. It is better to involve these factors in school-based educational programs by policymakers and healthcare providers.

Human papillomavirus vaccine uptake and associated factors among adolescent girls in high schools of Nekemte city, Western Ethiopia, 2020

BackgroundCervical cancer is the leading cause of cancer death in adult women in the developing world including Ethiopia. To combat cervical cancer, the World Health Organization (WHO) recommends that girls aged 9–14 years have to take the human papillomavirus vaccine. However, there is a lack of information regarding the uptake of human papillomavirus vaccine in the study area. Therefore, this study aimed to assess the Human Papilloma Virus vaccine uptake and associated factors among adolescent girls in high schools of Nekemte City, Western Ethiopia, 2020.MethodsA cross-sectional study design was employed among adolescent girls attending grade 9 and age 15 enrolled at schools in Nekemte City from July 15–30, 2020. Six hundred twenty-six (626) randomly selected adolescent girls were interviewed. The data were entered into Epi Info 7 and analyzed by SPSS 25. Multivariable analysis was computed and a P-value < 0.05 was taken as a cut-off point to declare the statistically significant association.ResultThe uptake of the HPV vaccine was 61.2%, 95%CI (57.2%, 65%). The Place where adolescents grow up (AOR = 3.46, 95%CI [1.95,6.15]), having a mobile phone(AOR = 1.71, 95%CI [1.05, 2.79]), ever heard about HPV (AOR = 5.69, 95%CI [1.33, 24.27]), ever heard about HPV vaccine(AOR = 1.917, 95%CI [1.002, 3.667]), Ever had sexual intercourse (AOR = 3.04, 95% [1.49,6.20]) and Perceived risk of towards HPV(AOR = 4.63 [2.49, 8.63]) has shown statistically significant association with Uptake of the HPV vaccine.ConclusionNearly two-thirds of the study participants had taken at least one dose of the HPV vaccine. It is better if health information on HPV is disseminated considering the available technology like mobile phones and reaching rural girls.

Principals’ strategies for the effective management and implementation of HIV intervention programmes for adolescent girls in secondary schools

The goal of this study was to understand the approaches that principals use for HIV prevention in schools and, on that basis, to offer strategies that can be effectively implemented to improve HIV intervention programmes for adolescent girls in South African secondary schools. The research was conducted in four districts in the Gauteng province: Johannesburg, Ekurhuleni, Tshwane and Sedibeng. A non-experimental qualitative, explorative, phenomenological design was used to better understand the problem. Individual interviews were conducted with participants who were purposively chosen from secondary schools in these areas. According to the findings, strengthening the delivery systems for HIV intervention programmes for adolescent girls may be the key to combating the escalation of new HIV infections among these girls. This qualitative study produced participant-reported empirical data, giving researchers a new perspective on the education leadership matters that contribute to addressing the ineffective management and execution of HIV programmes for adolescent girls.

Menstrual cups and cash transfer to reduce sexual and reproductive harm and school dropout in adolescent schoolgirls in western Kenya: a cluster randomised controlled trial

High rates of sexual and reproductive health (SRH) harms and interrupted schooling are global challenges for adolescent girls, requiring effective interventions. We assessed the impact of menstrual cups (MCs) or cash transfers conditioned on school attendance (CCTs), or both, on SRH and schooling outcomes in western Kenya. In this cluster-randomised Cups or Cash for Girls (CCG) trial, adolescent girls in Forms two and three at 96secondary schools in Siaya County (western Kenya) were randomised to receive either CCT, MC, combined CCT and MC, or control (1:1:1:1) for an average of 30 months. The CCT intervention comprised 1500KES (US$15 in 2016) via a cash card each school trimester. All four treatment groups received puberty and hygiene training. Assenting girls with parent or guardian consent who were post-menarche, not pregnant, area residents, not boarding, and had no disabilities precluding participation were eligible. Socio-behavioural risk factors and incidence of HIV and herpes simplex virus type 2 (HSV-2) were measured annually. School retainment and adverse events were monitored throughout. The primary outcome comprised a composite of incident HIV, HSV-2 and/or all-cause school dropout by school exit examination. The primary analysis was by intention-to-treat (ITT) using generalised linear mixed models, controlling for a priori selected baseline covariates. The trial is registered with ClinicalTrials.gov, NCT03051789. Between February 28, 2017 and June 30, 2021, 4137 girls (median age 17.1 [interquartile range (IQR): 16.3-18.0]) were enrolled and followed annually until completion of secondary school (median 2.5 years [IQR: 2.4-2.7]); 4106 (99.3%) contributed to the ITT analysis. No differences in the primary composite outcome between intervention and control groups were seen (MC: 18.2%, CCT: 22.1%, combined: 22.1%, control: 19.6%; adjusted risk ratio [aRR]: 0.97, 95% confidence interval 0.76-1.24; 1.14, 0.90-1.45; and 1.13, 0.90-1.43, respectively). Incident HSV-2 occurred in 8.6%, 13.3%, 14.8%, and 12% of the MC, CCT, combined and control groups, respectively (MC: RR: 0.67, 0.47-0.95, p=0.027; aRR: 0.71, 0.50-1.01, p=0.057; CCT: aRR: 1.02, 0.73-1.41, p=0.92; combined aRR: 1.16, 0.85-2.58, p=0.36). Incident HIV was low (MC: 1.2%, CCT: 1.5%, combined: 1.0%, and control: 1.4%; aRR: 0.88, 0.38-2.05, p=0.77, aRR: 1.16, 0.51-2.62, p=0.72, aRR: 0.80, 0.33-1.94, p=0.62, respectively). No intervention decreased school dropout (MC: 11.2%, CCT: 12.4%, combined: 10.9%, control: 10.5%; aRR: 1.16, 0.86-1.57; 1.23, 0.91-1.65; and 1.06, 0.78-1.44, respectively). No related serious adverse events were seen. MCs, CCTs, or both, did not protect schoolgirls against a composite of deleterious harms. MCs appear protective against HSV-2. Studies of longer follow-up duration with objective measures of health impact are needed in this population. Department of Health and Social Care, the Foreign, Commonwealth & Development Office, the Medical Research Council and Wellcome.

The association between social support with compliance of IFA supplement intake among adolescent girls in Sidoarjo, Indonesia.

Background: Anemia is a severe nutritional issue affecting people worldwide, including in Indonesia. One of the government's initiatives to alleviate anemia afflicting adolescent Indonesian girls is iron and folic acid supplementation (IFAS). However, this program has shown to be ineffective, which may be due to poor compliance of IFAS. Aim: This study aimed to identify the association of social support (sources of information and reminders) with compliance of IFA supplement intake among adolescent girls in Sidoarjo, Indonesia. Methods: This research was an observational analytic study with the cross-sectional method in three schools in Sidoarjo, Indonesia. A total of 202 high school adolescent girls were randomly selected. Bivariate statistics with the Spearman rank test determined associations and the strength of associations at a significant threshold of p < 0.05. Results: IFA compliance was low (11.4%). However, there was a significant association between the number of sources of information (r = 0.175, p = 0.013) and the number of reminders (r = 0.158; p = 0.025) with compliance of high school adolescent girls to consume IFA supplements regularly in Sidoarjo, Indonesia. Meanwhile, age did not significantly affect compliance of regular IFA supplement consumption. Conclusions: The compliance level was positively related to the number of sources of information and the number of reminders for taking IFA supplements among high school adolescent girls. Involvement from social environments such as teachers, parents, and health workers as a source of information and reminders can help improve high school adolescent girls' compliance.

Effectiveness of the breast self-examination demonstration in improving knowledge, attitudes, and behavior of adolescent girls in senior high school in Samarinda

Effectiveness of the breast self-examination demonstration in improving knowledge, attitudes, and behavior of adolescent girls in senior high school in Samarinda

A Study to Assess the Knowledge and Attitude regarding Human Papilloma Virus (HPV) Vaccine in the Prevention of Cervix Cancer among Adolescent girls of selected Schools, District Ludhiana, Punjab

A study was conducted to assess the knowledge and attitude regarding Human Papilloma Virus (HPV) vaccine in the prevention of cervix cancer among adolescent girls of selected schools, District Ludhiana, Punjab. An Quantitative research research approach and non-experimental research design was used on 200 adolescent girls in Government school of Mansoran and Sarabha, Ludhiana, Punjab. Data was collected by using self-structured questionnaire to assess the knowledge and attitude regarding Human Papilloma Virus (HPV) vaccine in the prevention of cervix cancer among adolescent girls. The result shows that adolescent girls have below average knowledge and neutral attitude towards HPV vaccine.

Perception about human papillomavirus vaccination among middle adolescent school girls in Addis Ababa, Ethiopia 2023: qualitative study

BackgroundHuman papillomavirus vaccine uptake among school girls in Ethiopia was still low and uptake was majorly related to perception regarding the vaccine. This study explored school girls’ perceptions of Human papillomavirus vaccination in Addis Ababa, Ethiopia.ObjectivesThe main aim of this study was to explore the perception of secondary school girls towards Human Papilloma Virus vaccine in Addis Ababa, Ethiopia 2023.MethodsA qualitative research using focused group discussions were used to explore middle adolescent school girls’ perceptions of Human papillomavirus in Addis Ababa Ethiopia from March 2023-April 2023. A focus group discussion guide was employed with potential probes to achieve study objectives. A convenience sampling technique was performed to select study participants. The collected data were transcribed and translated into English and thematic analysis was done by using Atlas-Ti software version 7.5.16.ResultTwo dominant themes emerged from the study; perceived benefits and potential barriers to Human papillomavirus vaccine uptake. Poor awareness, lack of family support, perception of poor vaccine quality, fear of side effects, misconceptions, and myths are potential barriers to the Human papillomavirus vaccine. Some students perceive the vaccine as important in the prevention of cervical cancer, others are not sure about the importance of the vaccine and many students think that the vaccine can cause infertility and other beliefs it can cause diseases.ConclusionThe perceived benefits of the Human papillomavirus vaccine was; it prevents cervical cancer enhance acceptability and can be an important motivation for Human papillomavirus vaccination among students. The main barriers to vaccine uptake and acceptance were; lack of awareness, misconceptions, and myths, lack of credible information sources of vaccines, perception of poor vaccine quality, Poor family support, and cultural and religious perspectives. We recommend the development of strong collaborations that work on identified challenges.

Knowledge and Practices of Menstrual Hygiene among Adolescent Schoolgirls in Jordanian Badia Region: Field Study

Background: Hygiene throughout the menstrual cycle is a significant public health concern, yet it is not recognized or appropriately addressed in many parts of Jordan. Purpose: The study aims to assess the level of knowledge and practices of menstrual hygiene among adolescent schoolgirls in the Jordanian Badia region. Methods: A descriptive cross-sectional study was conducted from February to March 2022. Data was collected from a convenience sample of 550 girls aged 12 to 18 years from six schools for girls in the Badia region using a questionnaire that assessed knowledge and practices of the menstrual cycle. Descriptive statistics (mean, standard deviation, frequency, percentage) and multivariable logistic regression analysis were used to determine the predictors of the https://jjnr.just.edu.jo/jjnr/ Menstrual Hygiene - 2 - level of knowledge and practices of the menstrual cycle. Results: The mean age of the participants was 15.5 years. About 65% of the adolescent schoolgirls have adequate level of knowledge. Regarding practices, around 58% of the adolescent schoolgirls have a poor level. The highest score was for” Schoolgirls should have a discussion with their mothers about menstruation and what to do during their periods”, while the lowest score was for “If she has to, she will have to change the pads at school”. In multivariable analysis; age &gt;16 [OR = 2.10, 95% C.I (1.91–2.23)], mothers’ highest level of education [OR = 2.32, 95% C.I (2.25–2.39)], and family income [OR = 1.71, 95% C.I (1.58–1.83)] were the predictors of safe knowledge and practices of the menstrual cycle. Besides, age &gt;16 [OR = 2.21, 95% C.I (2.11–2.33)], mothers’ highest level of education [OR = 2.89, 95% C.I (2.69–2.92)], and family income [OR = 2.01, 95% C.I (1.90–2.15)] were the predictors of practices of the menstrual cycle. Conclusion: Overall, the adolescent schoolgirls are reasonably knowledgeable of menstrual hygiene. On the other hand, the girls' overall level of practices was poor. So, menstrual hygiene knowledge and practices need to be improved by educating girls about menstruation and menstrual hygiene before menarche in order to protect them against Reproductive Tract Infections (RTIs). Implications for Nursing: There is a need to teach girls about the importance of personal hygiene to have confidence in themselves. Keywords: Knowledge, Practices, Menstrual hygiene, Adolescents, Schoolgirls.

Assessment of Adolescent Girls' Menstrual Hygiene Knowledge and Practice in Ede South Local Government Secondary Schools, Ede, Osun State

The onset of menstruation denotes a landmark event in the pubertal development of the adolescent girl. Adolescent girls should have adequate knowledge of menstrual hygiene before menarche. Lack of adequate knowledge and good menstrual hygiene practices can have far-reaching consequences for a girl's well-being, dignity, reproductive health, and sexual health. Hygiene-related practices during menstruation are of considerable importance. This study assessed the knowledge and Practice of menstrual hygiene among adolescent girls in Ede South local government secondary schools, Ede, Osun State. This study adopted a descriptive cross-sectional study design. The study population was adolescent girls between the ages of 10 and 19 who have attained menarche, using multi-stage sampling as the sampling technique. A structured questionnaire comprising three sections was used to elicit information from the respondents. The data were analysed using Statistical Package for Social Sciences (SPSS) version 20. The result showed that the majority (62.6%) of the respondents were between 16 and 18 years old and had attained menarche at 13. Most respondents had heard about menstruation before menarche (85.0%), and mothers (79.1%) were the primary source of information. Most (89.70%) respondents had good knowledge of menstrual hygiene. Also, most (53.0%) respondents had good menstrual hygiene practices. In the test for the hypothesis, there is a significant association between sociodemographic characteristics such as tribe, class, age at menarche, and the Practice of menstrual hygiene. There is also a significant relationship between knowledge and Practice of menstrual hygiene (p = 0.017). This study concluded that the majority of the respondents had good knowledge as well as good practice regarding menstrual hygiene. Keywords: Menstrual Hygiene, Adolescents, Knowledge, Practice

S14-5 Girls Active and Change4Life Sports Club - two effective programmes to increase physical activity in schools and colleges

Abstract Purpose Girls Active aims to tackle declining participation in physical activity of girls aged 10 to 18 and its associated implications on health, wellbeing and education. Change4Life Sports Clubs are designed to address inactivity in 7 to 11 year olds and improve healthy lifestyle behaviours with exercise, food and hydration. Both projects aim to reduce physical inactivity of those children suffering the greatest challenges to achieving the recommended daily physical activity level of an average of 60 minutes of moderate to vigorous physical activity every day. Project description Both programmes were developed from evidence reviews and principles that work to engage, inspire and motivate targeted groups of children to be active. They were both developed by the children’s charity Youth Sport Trust, who have used sport and play to improve the lives of children and young people since 1995. They were co-designed with children and implemented through a national network of 450 School Games Organisers. Youth Sports Trust’s ‘content, delivery, structure’ model was used. For Girls Active we used the Active Lives Children Data from Sport England and Change4Life Sports Clubs were aligned to the Department of Health’s National Child Measurement Programme data to target where the programmes were most needed and to ensure that the right groups of children and young people were included in the interventions. Both programmes have been externally evaluated through academic partners using pre and post survey data, case studies and control elements and achieved high quality evidence scores. Both programmes have been scaled through a variety of funding streams including London 2012 Olympic Legacy, Sport England Lottery, Corporate Social Responsibility budgets and local public health funding. Girls Active has been adopted in Wales, Scotland and Northern Ireland. Conclusions We will share the evidence-based principles that have made these two approaches highly effective in addressing inactivity in primary school aged children and adolescent girls that can be applied in multiple contexts and will share resources and content that can be accessed following the session.

Enhancement of Health-related Quality of Life among School-going Adolescent Girls with Improvement in Menstrual Hygiene Knowledge and Practices

Background and Aim: In India, among adolescent girls, the problem associated with menstrual hygiene management (MHM) has a deep impact on health-related quality of life (HRQoL). Improvement in knowledge and menstrual hygiene practices may lead to enhancement in HRQoL. Therefore, the aim of the study was to enhance the HRQoL of adolescent school girls by improvement in menstrual hygiene knowledge and practices. Materials and Methods: The present study was an interventional, cross-sectional, questionnaire study conducted among adolescent school-going girls. The study was conducted among randomly selected five government secondary schools in Ajmer city and was conducted among adolescent girls of 7th–10th Class with the age group of 14–16 years. A total of 538 adolescent girls were surveyed in the pretest, and 503 was the sample size in the posttest with an attrition of 6.5%. Moreover, after the pretest, a workshop was conducted to educate adolescent girls about MHM. Results: A majority of the study participants (328 [61%]) had poor HRQoL after the pretest, which was improved to 195 (39%) of the study participants with good HRQoL after 3 months of the workshop during the posttest. The mean general health scores ([15.35 ± 0.38]) after 3 months of the workshop were significantly (P = 0.01*) higher among the study participants compared to the pretest scores ([10.93 ± 1.63]). Conclusion: From the above results, it has been concluded that there has been a significant improvement in knowledge, practice, and HRQoL among adolescent school-going girls of age 14–16 years when assessed after 3 months of the workshop on MHM.

Mapping the Expertise and Understanding of Menarche, Menstrual Hygiene, and Menstrual Health among Adolescent Ladies in Low- and Center-Profit Nations

Mapping the Expertise and Understanding of Menarche, Menstrual Hygiene, and Menstrual Health among Adolescent Ladies in Low- and Center-Profit Nations

Factors Associated with Modern Contraceptive Use Among Out of School Adolescent Girls in Majengo and Njoro Wards of Moshi Municipality, Tanzania.

Low uptake of modern contraceptives among adolescents remains a serious public health concern with over 20 million adolescents in need of modern contraceptives are not using any. In Tanzania where the adolescent fertility rate is 112 per 1000, only 15.2% of adolescents are using modern contraceptives. Contraceptive use stands out to be one of the key interventions to reduce the burden of adolescent pregnancy which is high in the country at 22%. There is little information on factors associated with modern contraceptive use among out of school adolescents, who are at an increased risk of adolescent pregnancies. To determine the prevalence and factors associated with modern contraceptive use among out of school adolescent girls in Moshi municipality, Kilimanjaro region. This was a population based cross-sectional study, conducted in Moshi municipality in Kilimanjaro region 2 wards; Majengo and Njoro. The wards were randomly selected out of the 21 wards in the region. Household survey was conducted in the wards and adolescents aged 10 to 19 years who were out of school and consented and or assented to participate in the study were recruited. Data was collected using Kobo Collect TM on an Android device. Data was analysed using SPSS version 20. To determine the factors associated with modern contraceptive use, crude and adjusted analysis using logistic regression analysis was done. A total of 298 out-of-school adolescents were enrolled, with a median age of 19 (IQR 17-19) years. The prevalence of ever use of modern contraceptives among 154 sexually active adolescents was 51%, and 35% were current users of the methods. Two of common methods ever used were; injectables (27.3%) and male condoms (3.2%) respectively. Factors independently associated with ever use of modern contraceptives were; being married or cohabiting (aOR: 5.7) and having 2 or more sexual partners in the past 12 months (aOR: 5.9). Ever and current use of modern contraceptives among out-of-school adolescents were reported at 51% and 35% respectively. Respondent's marital status and number of sexual partners was associated with ever use of modern methods. Strengthening of adolescent-friendly SRH services outside facility setting is needed given very few are currently using a modern method. Further, through inter-sectoral collaboration interventions to keep adolescent girls at school should be strengthened.