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With improved access to treatment for people living with HIV many are now able to live longer. As a result there is growing interest in overall quality of life issues. In many countries attention is increasingly being drawn to the unique and often neglected needs of different sub-groups including young people. This exploratory qualitative study sought to examine the sexual and reproductive health (SRH) needs and concerns and barriers to accessing related services for adolescents aged 10 – 19 years living with HIV in Zambia.