This chapter draws on qualitative research nested within the Gender and Adolescence: Global Evidence (GAGE) longitudinal study undertaken in 2017, 2018, 2019 and 2022. Researchers conducted individual and group interviews with a purposefully selected sample of adolescent girls and boys, their caregivers, and key informants living in Fedis district of East Hararghe zone, a highly marginalised area of the Oromia regional state of Ethiopia (see Table 21.1 for an overview of key socioeconomic characteristics, and Table 21.2 for details of the sample). The interviews were carried out in Afaan Oromo and transcribed and translated into English then coded using a detailed thematic codebook using the qualitative software MAXQDA.