The general chaos caused by armed conflict disrupts education and health services, impedes income generating activities and breaks down traditional social roles that previously provided protection. Adolescents are left to face traumatic life events and overwhelming new responsibilities with little support or assistance. This social turmoil and lack of protection places adolescents, especially girls, at an increased risk of suffering gender-based violence, including rape and exchanging sex for goods and services, and of engaging in premature sexual activity. Recognizing this dire situation, Philip, Henry and Barbara Pillsbury approached the Women’s Refugee Commission with the proposal to establish a fund to help meet adolescent reproductive health needs.