Out-of-school adolescents in rural areas often lack access to comprehensive reproductive health knowledge, which can impact their attitudes and behaviors towards sexual health. It is important to understand the factors influencing their knowledge, attitude, and behavior in order to develop targeted interventions to promote healthy practices. It is crucial to address the knowledge, attitudes, and behaviors related to reproductive health among out-of-school adolescents in rural areas. Major risk factors in adolescence include premature entry into sexual relationships, multiple partners, high-risk sexual behaviour and lack of basic health information and service. The book is organized into eight chapters. Chapter one deals Introduction. Review literature discussed in second chapter. Chapter three deal with Methodology. Chapter four consist Background Characteristics of respondents. Knowledge on Sexual and Reproductive Health Concerns is discussed in fifth chapter. Chapter six deal with Attitude on Sexual and Reproductive Health Concerns. Behaviour on Sexual and Reproductive Health Concerns is discussed in seventh chapter. Summary and Policy Implications are discussed in eight chapter.