Background: Emergency contraception refers to type of contraception that is used as anrnemergency procedure to prevent unintended pregnancy following an unprotected act of sexualrnintercourse. Every year, unintended pregnancies lead to at least 20 million unsafe abortions,rnresulting in the death of some 70,000 women. There is low utilization of emergencyrncontraception, while awareness is relatively high.rnObjective: To assess Knowledge, Attitude and Practice on emergency contraception andrnfactors influencing knowledge, attitude and practice.rnMethods: A cross-sectional survey was conducted to collect data from February to March 2009.rnThere were a total of 1091 Eligible female students (age 18 & above) in the three schools ofrnMaichew town. Six hundred twenty three of them were sampled for the study. Self administeredrnquestionnaire was used to collect data.rnResult: About 15.7 % of respondents are sexually active. Forty eight percent of them were facedrnforced sex and unwanted pregnancy was 38.1% for those who practiced sex. From 623rnrespondents 285 (45.8%) have knowledge about emergency contraception; Correct timing ofrnemergency contraception was reported only by 85 (13.6%) and 18 (2.8%) of them had ever usedrnemergency contraception. Health professionals were main source of information 228 (80.0%)rnand About 178 (62.4%) of the respondents had favorable attitude towards the use of emergencyrncontraception.rnConclusion: There is high rate of unintended (forced) sex; low knowledge, attitude andrnutilization of emergency contraceptives among Secondary, Preparatory and TVET school femalernstudents and no favorable access to the service. Hence there is a need for collaborated effort tornimprove knowledge, Attitude and utilization of contraceptive methods including emergencyrncontraception to prevent female students from life threatening behaviors and strengthening thernschools reproductive health clubs by the school & the woreda health office jointly.