Prescription drug misuse is defined as the use of prescription medication in a manner other than prescribed, including using it without a prescription, in higher doses, for longer durations, or for non-medical purposes such as to experience euphoria [12]. The study was conducted in Mogadishu, Somalia, between January and April 2024. Mogadishu was selected as the primary study site due to its high prevalence of adolescent prescription drug misuse, as reported by municipal health authorities.