A cross-sectional questionnaire survey was conducted among randomly selected pupils, aged 12 and above, attending 18 primary schools PS and five secondary schools SS in four communities of Mwanza Region in Tanzania. The goals were to assess the level of knowledge adolescents have about sexual and reproductive health SRH , to assess the magnitude of SRH problems and to help design appropriate interventions. Median age of respondents was 15 years range years and 14 years range years for PS boys and girls, respectively, and 19 years range years and 17 years range years for SS boys and girls. Almost half of PS girls have had sex with adults, including teachers and relatives. Fourteen per cent of PS girls had already been pregnant, and over half of these pregnancies ended in illegally induced abortions.

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