The study focused on assessing reproductive health and gender-based violence knowledge, attitudes and practices among adolescent girls and boys (ages 13-19) and youths (ages 20-24) in Palorinya Refugee Settlement and host communities in Obongi district, West Nile, Uganda. The assessment revealed that most participants were adolescent females under 15, with limited reproductive health knowledge, high early marriage and pregnancy rates, widespread misconceptions, low contraceptive use, and significant prevalence and underreporting of sexual and gender-based violence