This study highlights the challenges that adolescents face in accessing reproductive health services and being able to make informed reproductive health choices, including how to avoid unintended pregnancies. The study provides insights to inform policy and to plan interventions on adolescent sexual and reproductive health through collaborative efforts across sectors. It is UNFPA's hope that this study will stimulate a dialogue and action on what is needed to prevent unintended pregnancies, especially among adolescents and young people in the Maldives.