Background rnSexual and Reproductive Health problems that the young people are facing are not localized to onerngeographic location or one part of the world. Worldwide, 15 million adolescents experiencernpregnancy each year. Since most of these pregnancies are unwanted, young women tend to haverninduced abortions, whether legal or not. Moreover, half of new HIV infections are observed in thern15-24 age groups. On top of this, studies about STI in adolescents show that the incidence is rnincreasing. Today, each year, one in 20 adolescents suffers from an STI other than HIV (1).rnObjectives and methodsrnA cross sectional institution based study was conducted to assess the reproductive health needsrnof high school students in Hossana Town. 422 study subjects were identified by using multi stagernsampling method. Data was collected using structured questionnaire, entered and analyzed usingrnEPI info and SPSS statistical program respectively.rnResultsrnAbout 35.8%, of the respondents had experienced penetrative sexual intercourse and 59.5% ofrnthe respondents reported that their first sexual intercourse had been unplanned. About 16.9% ofrnthe respondents have more than one sexual partner. Among sexually active students, 45.7 % hadrnused condom during their first sexual intercourse as a means of preventing pregnancy and/orrnSTIs including HIV/AIDS. Majority (70.4%) of sexually active female respondents have everrnbeen pregnant out of which 52.9% of them had induced abortion.rnConclusion rnIn spite of the students need to get SRH services, the school clinics are not providing theirrnservices adequately. The health service delivery system should consider the special needs ofrnyouth and work out comprehensive and effective policies and strategies to provide young peoplernwith the services appropriate to their needs.