In Ivory Coast, where the median age is 19, young people’s access to sexual and reproductive health services is limited. This particularly affects young girls who are exposed to early and/or unwanted pregnancies (fertility rate of 124% for 15-19 year olds and 193% for 20-24 year olds), an over-representation of maternal mortality and morbidity, as well as gender-based violence (including female genital mutilation which affects more than a third of the adult female population and 11% of girls under 14). Women are also twice as affected as men by the HIV epidemic in Ivory Coast and the majority of new infections are among young girls.