Authors may use the following wordings for this section. This work was carried out in collaboration between all authors. All the authors contributed substantially in the design of the study, planning the conduct of the study, supervision of data collection, data analysis, interpretation, literature searches, all the write ups, editing/critics as well as financial contribution.

Introduction: Teenage pregnancy is a common public health problem with global estimates of 16 million teenage births yearly. It is one of the major causes of maternal and neonatal mortality worldwide with the majority of the cases seen in the low and middle-income countries. Cameroon has recorded the highest fertility rate among teenagers in the entire Central African region as of 2017. Notably, there are limited data available on assessing the awareness and prevention of teenage pregnancies among secondary and high school students in Cameroon. Thus, this study aimed at assessing the prevalence and associated factors of teenage pregnancy among secondary and high school students in the Tiko Health District, South West Region, Cameroon. Methods: A cross-sectional descriptive study was conducted whereby data was collected using self-administered questionnaires from 250 systematically sampled participants from five teaching institutions in the Tiko Health District. Data was analysed using the EPI Info software, version 7.0. The study was carried out from the 15 th November 2018 to the 20 th of May 2019. Results: We had a total of 250 participants. The prevalence of teenage pregnancy was 5.20% (95% CI 3.34-9.1). A total of 47.20% (95%