Objective: To find the anemic status of out-of-school adolescent girls, their utilization and compliance of Weekly Iron and Folic Acid Supplementation programme.

Methods: A cross-sectional study was carried out among ninety-six school dropout adolescent girls in five villages in Khordha district. A snow-ball sampling was used to screen the school dropout adolescent girls and a consecutive sampling technique was used to recruit subjects in the study. Anemic status was checked with True Hb Hemometer. A self- constructed structured questionnaire was used to assess the utilization status, compliance and non-compliance to WIFS programme.

Results: Majority of the subjects were found suffering from mild to moderate anemia. Nearly half of the subjects were utilizing the WIFS programme but only 47% were compliant. Unavailability of Iron tablets was observed to be major cause of non-compliance. It was also found that adolescents who were compliance to IFA tablets were having better anemia status (p<0.05).

Conclusion: Achievement of the implemented programme should be assessed through periodic meetings and feedback with health workers. Unavailability of IFA tablets was the major cause of non-compliance. There is need of proper health education to communicate benefits of implemented health programmes.