S Lassi, Z.Castleton, P.Najmi, H.Hayat, S.Dhanwani, A.Meherali, S.Memon, Z.2025-10-292025-10-292025Reproductive Health, 2025; 22(1):127-1-127-81742-47551742-4755https://hdl.handle.net/2440/148056Published online 11 July 2025Background: Adolescents make up to 23% of Pakistan’s population, yet they face significant barriers to accessing sexual and reproductive health (SRH) knowledge and services. These challenges stem from systemic and individual factors, including cultural norms and low health literacy. This project aims to directly involve adolescents and key stakeholders in the co-development of a culturally relevant SRH toolkit to improve access to accurate information. By actively engaging adolescents, the project seeks to enhance their knowledge, participation, and decision-making in SRH care, supporting their healthy development. Methods: This project will co-design an SRH toolkit for young people aged 12–19 years from semi-urban communities in Pakistan, in collaboration with adolescents and other key stakeholders using three research components. First, a Priority Setting Partnership (PSP) involving surveys and workshops will identify priority SRH topics. Second, a Participatory Action Research (PAR) approach using focus groups and interviews with adolescents, with youth champions facilitating peer education sessions to help shape the toolkit content. Finally, an acceptability assessment will be conducted through workshops and surveys with stakeholders and young people to ensure the toolkit aligns with their needs and preferences. Expected outcome: The project will produce a user-friendly SRH toolkit tailored to the needs of adolescents in semi-urban Pakistan, covering key topics such as contraception, safe abortion, gender-based violence, and more. The toolkit will be developed collaboratively in English, Urdu, and Sindhi, and made accessible both online and in print. All materials will be reviewed by participants before finalization. Project findings will be disseminated through stakeholder workshops, community meetings, reports, peer-reviewed publications, conferences, media engagement, and policy briefs. Conclusion: Effective SRH initiatives require purposeful youth engagement, guided by their expressed needs. By centering adolescent voices in the co-creation of a SRH toolkit, this project promotes accessibility, agency and informed decision-making - ultimately strengthening SRH knowledge in young people in Pakistanen© The Author(s) 2025. Open Access. This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/.Sexual and reproductive health; SRH toolkit; Pakistan; Adolescent; Young people; YouthHumansFocus GroupsHealth Knowledge, Attitudes, PracticeSex EducationAdolescentChildFamily Planning ServicesPakistanFemaleMaleYoung AdultReproductive HealthSexual HealthJournal article10.1186/s12978-025-02073-3745550Castleton, P. [0000-0003-4757-6042]