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This study explores the supply and demand side barriers impacting on access to and utilization of adolescent-friendly health services (AFHS) by adolescent boys and girls aged 10-19 years across diverse socio-cultural and geographical settings in Nepal. This is a qualitative study conducted in 12 districts of the country. It was carried out under the leadership of the Family Health Division with technical and financial support of UNFPA, the United Nations Population Fund. An international consultant supported by UNICEF provided technical inputs while producing this report.