Assefa (Ph.D), AbebeHanna, Alemayehu2020-01-272023-11-042020-01-272023-11-042019-06http://etd.aau.edu.et/handle/123456789/20519The objective of this study is to assess and understand the psychosocial impact of the teen pregnancy. The study was conducted in Mahatma Gandhi Memorial hospital which is located in Addis Ababa, Kirkos sub city, it has long term experience in managing gynecological and obstetrics issues known for its service. Estimated saturation size of 30 respondents whose age range is 13 to 19 were selected for the inquiry using convenience sampling technique. Cross-sectional, descriptive survey design was used making the study predominantly qualitative in nature with some quantitative data to substantiate the discussions and findings of the study. The analysis was done according to the already established thematic areas for the qualitative section. For the quantitative section frequency, mean and percentage were calculated. The thematic areas are psychological impact, social impact and emotional impact. Based on the data collected from the participants additional categories were created and analyzed. Finding of the study indicates that they experience different kind of impact in different many ways. Hence the biggest impact they experience is found to be more related with how the pregnancy happened and how it was managed. Those who managed the pregnancy without the awareness of their family via abortion and continue school thinks as they are fine excepts for some indicators but those who had their first sex forcefully, who were obliged to give birth and quit school reflect the damage they have to deal with and its effect. Feeling of sadness, irritability, disturbed sleep pattern, lack of concentration and hopelessness are among the major effects experienced in the psychological thematic area. As most of the participants parents/families didn’t know about the situation the teenagers reveals as they are closer with their friends and those who disclose their pregnancy have loosen connection with their parents/family. Key words: adolescent, teen pregnancy, psychosocial impacten-USAdolescent, teen pregnancy, psychosocial impactThesis