The situational analysis is intended to provide a high-level analysis of the current state of access to SRHR services by young persons with disabilities across the ESA region. The analysis is structured in two parts: The first part describes the existing literature surrounding the major topics in this situational analysis – young people with disabilities, access to sexual and reproductive healthcare and rights and the intersectionality of these, and the key stakeholders or development partners in the region with a focus on SRHR and young persons with disabilities. The second part analyses young persons with disabilities’ access to SRHR services based on a framework derived from the World Health Organisation’s (WHO) six pillars of a well-functioning healthcare system. An additional pillar representing the legal and policy framework response has been added. Therefore, the seven pillars of analysis include: legal and policy framework; leadership and governance structures; funding; workforce; knowledge management, products, technology and commodities; and service delivery and programmes.