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Introduction: Out of home adolescents are at risk of sexual risk behaviors and loss relevant sexuality education opportunities because of separation and stressful events. It is important that before finding any solutions, their sexual health condition to be surveyed. Method: Present study has performed by rapid assessment based on qualitative research method. In some cases, we have used quantitative data. Statistic sample was adolescents in residential care homes (15-18 years) and key informants in residential care in Tehran. Findings: Adolescents sexual health challenges are serious. Some threats of adolescents’ sexual health consist involvement in premature and high risk sexual experiences, bullying, peer sexual harassment and sexual negative attitudes. The findings of current research indicated that the adolescents had serious limitations to access sexual relevant resources and information, so that friends and pornography films were most important resources to access sexual information. Discussion: adolescents in residential care homes have more needs for receiving sexuality education services. They have misconception in the field of sexual subjects. Even in best condition, it is difficult to discuss with adolescents about sexuality themes. Therefore it is necessary for process facilitating and adolescents’ sexual health improvement that formulates definite, explicit and applied sexuality education.

Keywords: : Rapid Assessment, Residential Care of Adolescents, Sexual Health, Sexuality Education

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