INTRODUCTION:
Globally, there is an increasing urgency to address the issue of teen pregnancy and support the health and development of adolescent girls. Despite these efforts, the rate of teen pregnancies remains concerning, with many girls facing significant sexual and reproductive health challenges. Teen mothers often encounter various social and economic hardships, including stigma, instability in housing, and pressure to leave school, often due to societal and parental expectations. Additionally, many adolescent mothers may be pushed into early marriages, which can lead to poverty, limited educational opportunities, domestic violence, and mental health issues like depression.

METHODS:
This study, approved by the University of Rwanda’s Institutional Review Board, employed an exploratory and descriptive qualitative design to explore the perspectives of international experts on preventing adolescent pregnancies in low- and middle-income countries (LMICs). Conducted through video interviews with 18 experts from diverse regions, the research emphasized the importance of participant anonymity and informed consent. Data was collected in French or English, transcribed, and analyzed using thematic analysis to identify patterns. Rigor was ensured through credibility, reflexivity, and ongoing engagement with the data.

RESULTS:
The findings support a multisectoral approach to addressing teen pregnancy through collaboration among stakeholders. Key strategies include engaging local leaders to foster community trust, ensuring cultural sensitivity to connect with residents, and developing robust policies through cooperation between government, NGOs, and health providers. These initiatives aim to create a supportive environment for adolescent girls by addressing the root causes of teen pregnancy and promoting cultural relevance in program delivery.

CONCLUSIONS:
A multisectoral approach that engages local leaders and fosters collaboration among stakeholders is essential for addressing teen pregnancy in LMICs. By understanding cultural contexts and implementing supportive policies, countries can continue to significantly curb the prevalence of adolescent pregnancies and enhance the well-being of teenage girls.