Across the MENA region, cultural and religious discourses still play a major role in holding back sexual rights for young people, especially women. This report describes the political context in the region, the status of feminist movements and each country’s position on international obligations, covenants, treaties and consensus documents. It also highlights health expenditure issues and analyses health policies and budgets in the countries in this study. The report also tackles countries’ commitments to achieving global standards in maternal health, abortion, population policies, and contraception and reproductive cancers, in addition to other issues related to young people sexuality in terms of comprehensive sexuality education and access to services.