This study was a rapid assessment of adolescent health service provision in selected districts of Busia and Pallisa, both are currently undertaking the Investment Case for Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCAH) Sharpened Plan for Uganda 2016/17-2019/20 under the Results Based Financing (RBF) framework. However, Busia district has just been enrolled on the RBF in FY 2019/20 while Pallisa started rollout of RBF in FY 2018/19. Uganda currently has a youthful population with 55% under 18 years of age (UBO, 2016). Teenage pregnancy rate increased to 25% in 2016 down from 24.5% in 2011 (UDHS, 2016). This largely affects the adolescent age group of 15-19 years. As a commitment to reduce the high teenage pregnancy rate, ministry of health in its Health Sector Development Plan (HSDP) set a target to reduce it to 14% by 2020. In Busia, 28% of institutional deliveries at health facilities are adolescents between the ages of 10 -19 years while in Paliisa, adolescents account for 31% of health facility institutional deliveries.