INTRODUCTION: Teenage pregnancy is a public health issue in sub-Saharan Africa, including Tanzania. While studies have been conducted on teenage pregnancy in Tanzania, very few have focused on the prevalence, risk factors, effects, and appropriate potential strategies to address the issue.

AIM: This study examined the prevalence, risk factors, effects, and appropriate potential strategies to address the issue of teenage pregnancy in Tanzania.

METHODS: Relevant data on adolescents aged 15 to 19 years were extracted from the 2015-2016 Tanzania Demographic and Health Survey. Quantitative data was analyzed using the Statistical Analysis System (SAS) version 9.4.

RESULTS:The prevalence of teenage pregnancy in Tanzania was 26%, with the greatest incidence observed in Tabora (10.4%), Mwanza (8.6%), and Mbeya (8.2%). The risk factors that were found to be statistically significant in all three regions (p

DISCUSSION: Addressing teenage pregnancy in Tanzania requires a multifaceted approach that considers the social and economic factors that contribute to it. By implementing evidence-based interventions that empower teenagers through education programs, policy reforms, and support services for teenagers and their families, we can work towards reducing the incidence of teenage pregnancy in selected regions of Tanzania.