The O3 PLUS Project seeks to ensure that young people in higher and tertiary education institutions (HTEIs) realize positive health, education, and gender equality outcomes through sustained reductions in new HIV infections, unintended pregnancy and sexual and gender-based violence. A health facility assessment was therefore commissioned by UNESCO to provide comprehensive information on the status of health service delivery for young people in these HTEIs and make recommendations for informed decision making and investments. It covers infrastructural issues; institutional arrangements; registration of health centres; service provision; and functionality and human resource capacity. This helped towards identification of opportunities and gaps in these areas to guide appropriate recommendations.