Adolescent pregnancy remains a pressing concern for girls in the Southeast Asia region, hampering their ability to pursue their dreams and aspirations. This report brings attention to the specific contexts, dynamics and influences that contribute to adolescent pregnancy in Indonesia. The qualitative study identifies patterns driving adolescent pregnancy commonly found among adolescent girls, including those determined by their relationship or marital status, the extent of the girls’ autonomy in decision making and whether the context of sex leading to the pregnancy was consensual. Through the report, girls have expressed their concerns and recommendations to decision-makers to recognize the implications of adolescent pregnancy for girls like them. The report also underscores the importance of adolescent-responsive health services, comprehensive sexuality education, supportive relationships, and enabling environments that empower girls to make informed decisions about their sexual and reproductive health and lives.