This report is designed to: (1) synthesize information presented at a forum on adolescent fertility in Sub-Saharan Africa and to review the major research findings; (2) provide highlights of some notable program efforts reaching adolescents in Sub-Saharan Africa; and (3) offer a series of recommendations for future action. Five key cultural and social factors that affect adolescent fertility in Sub-Saharan Africa were identified: (1) rapid rural-to-urban migration; (2) increasing educational attainment for women and rising ages in marriages; (3) breakdown of traditional value systems; (4) the continuing influence and adaptation of certain traditional factors; and (5) the spread of HIV/AIDS. High rates of adolescent pregnancy in Africa are related to two factors: (1) high rates of sexual activity among teens, both married and unmarried; and (2) extremely low use of contraception. One of the strongest programmatic responses to these issues has been the implementation of Family Life Education (FLE) curricula in African schools. Additional programs are identified and discussed. Ten specific recommendations are made, including conducting operations research to identify successful programs and expanding AIDS prevention for youth. Lists of co-sponsoring organizations and participants at the International Forum on Adolescent Fertility are included. (DB)