Background: Ethiopia is the second populated country in sub-Saharan Africa with 82 million people; more than half of them are under the age of 25. Youth throughout the world are susceptible to health risks because they lack adequate knowledge, adventure, and lack of guidance about sexual and reproductive health and related concerns. Limited in being a youth-friendly, affordable, or confidential. Moreover, the environment within which sexual and reproductive health services are provided is often not sensitive to the special needs of this youth population. Little is known about the level of utilization to the standard and the predators that influence the utilization.