Tehran University of Medical Sciences Nursing Practice Today 2383-1154 7 4 2020 07 22 275 285 Abenet Gurara Department of Nursing, Arsi University, Assella, Ethiopia Admasu Gizaw School of Nursing and Midwifery, Institute of Health, Jimma University, Jimma, Ethiopia Awoke Ayalew Adama General Hospital and Medical College, Adama, Ethiopia Aliye Adem Department of Nursing, Arsi University, Assella, Ethiopia 2019 12 07 2020 06 15 Background & Aim: Reproductive health services utilization is an important component of health services in preventing adolescents’ sexual and reproductive hedgies & take corrective measures. The main purpose of this study is to determine reproductive health services utilization status and associated factors among adolescents at public schools in Adama town Ethiopia. Methods & Materials: Institution based cross-sectional study design was used with a total sample size of 367 adolescents in the schools. The sample size was proportionally allocated to grade nine, ten, eleven, and twelfth. The study subjects were selected by simple random sampling. A Standard pre-tested self-administered questionnaire was used to collect data after getting informed consent from the study participants. Data were entered and analysed using SPSS version 20 software. Descriptive statistics and Logistic regression were done to describe and identify factors associated with reproductive health services utilization. A P-value of less than 0.05 was considered to declare a level of significance. Results: The magnitude of reproductive health service utilization in this was 122(34%). Discussion with a sexual partner and peer, student’s educational status, sex, knowledge about the availability of reproductive health service were among the factors associated with the use and non-use of RH service. Conclusion: Utilization of Reproductive Health services among adolescents in the study area was low. Therefore, interventions such as advancing adolescents’ knowledge, encouraging open discussion forum, strengthening of youth centers, and school reproductive health clubs are important. https://npt.tums.ac.ir/index.php/npt/article/view/869 https://npt.tums.ac.ir/index.php/npt/article/download/869/458