Globally there are over 1.8 billion young people and almost 90 percent of them, live in low and middle-income countries [1]. Most of these young people start to explore sexual activities between the ages of 15 to 24 years. Furthermore, nearly all young people become sexually active by their 20 th birthday worldwide and 75 percent of young women in sub-Saharan Africa, report engaging in sex by the time they are 20 years old [2]. Studies have shown that those who engage in early sexual