The study explores the communication strategy employed in preventing teenagernpregnancy and reproductive health problems by CCF and Health Office in Boset Woreda. As thernresearcher observed during field work, there are teenage mothers with their babies in that arearnwhere he would be able to watch in different situations and sparked to do the research on therngap of communication of reproductive health issue to create awareness. The research discussesrnthe communication strategy that designed to prevent teenage pregnancy. The research wasrnframed by SBCC intervention approach and employed qualitative data collection methods.rnAccordingly, in-depth interviews, document analysis and observation were undertaken andrnexpert from health Office and NGO were involved in the interview, and 5 volunteer teenage girlsrnwere also interviewed. All the data were transcribed and analyzed based on SBBC theoreticalrnframework. The research analyzes how strategic communication is designed, how message isrndeveloped, what means of communication and channel is used and what enabling environmentrnwas created participating stakeholders, individual and community in process of strategicrnplanning and the challenge of health experts. The finding indicate that the communicationrnstructure is centralized and do not have bottom up communication structure approach.rnMoreover, during planning process and implementing stage, stakeholders are not participatingrnto work collaboratively. CCF and Health Office organizations use interpersonal communicationrnrather than mass communication or integrated mid-media so that the community could not bernable to get reach information. The researcher recommends that to be effective in designingrncommunication strategy, participation of stakeholders always involved in the research,rnplanning, implementation, and evaluation of health communication hence behavioral and socialrnchange are more likely to occur if people are part of the process and feel sense of ownership.rnMoreover, decentralization approach is more fruitful and using mass communication andrninterpersonal communication is recommended.