This report presents key findings from a new body of research that describes the sexual and reproductive health needs of Malawi's youth. The information was gathered from young Malawians themselves through focus group discussions, in-depth interviews and a nationally representative survey on sex, relationships, marriage, HIV/AIDS and pregnancy among young women and men aged 12-19. This report discusses in detail some of the challenges in and opportunities for improving the sexual and reproductive health of adolescents in Malawi. Chapter 2 places HIV/AIDS and unintended pregnancy in context by providing an overview of the sexual behavior and relationships of young people in Malawi. Chapters 3 and 4 focus on young people's preferred sources of information and levels of knowledge about HIV/AIDS and unintended pregnancy. The potential of the formal health care sector to meet young people's sexual and reproductive health needs is the focus of Chapter 5, and Chapter 6 discusses the particular needs of specific groups of young people.