The purpose of this needs assessment is to establish the level to which the SRP rights and needs of the population of Kiribati have been met and to assess what needs have not been met. This report provides an overview of the existing available sexual and reproductive health services in Kiribati, identifies the gaps, issues and challenges that exist and provides recommendations to improve rights based sexual and reproductive health services in Kiribati. The SRHR Needs Assessment included a comprehensive literature review and in-country qualitative and quantitative data collection. Consultations were guided by UNFPA’s SRHR Needs Assessment Tools for SRHR, and HIV (Appendix 2), and collected information on partnerships, policy, SRH service delivery and its key enabling factors, family planning, mother and newborn health, prevention and management of sexually transmitted infections (STIs) and HIV and gender based violence management.