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Background: Globally, child marriage (CM) is defined as marriage before the age of 18 years which applies to both boys and girls (1).However in India, as per ‘Prohibition of Child Marriage Act 2006’, a marriage is legally considered as CM when girl is less than 18 years old or boy is less than21 years old.(2) In 2007, United Nations Children’s Fund (UNICEF) reported that a girl under the age of15 is five times more likely to die during pregnancy and childbirth than a woman in her 20s(3) Most importantly, early marriage bereaves young girls of their childhood by overburdening them with domestic responsibility, motherhood, and sexual relations rather than allowing them to play with friends, go to school, and dream about a career (4) Aims and objectives: Our aim is to assess women’s knowledge and attitude towards child marriage practice who married before 18 years. To know the association between the child marriages and their consequences Methods:A community based cross sectional study was conducted among women residing in urban slums of Nandyal. Anin-depth interview wasconducted with 30 pre-identified married women of reproductive age (15–49 years). The criteria for selection of participants was those woman who married before the age of 18 years (child marriage) and married for at least 5 years and had at least one child birth. Reasons for setting the said selection criteria were to make sure that the interviewee had a prenatal and postnatal experience that they have spent a considerable time in marital union. Results: Among 30 participants the mean age of child marriage is 14 years. Mean age at first child birth is 15years. Majority (86.7%) were stopped education after marriage. According to Modified Kuppuswamy class 63.3% were belong to upper lower class &13.3%lower class. Almost (56.7%) unaware of appropriate age for marriage. Majority (73.3%) are unaware of negative consequences of child marriage. Most of the marriages are consanguineous (40%). Majority (60%) are home deliveries and pre term deliveries (46%). Majority (73.3%) are opposing child marriage and 26.7% are supporting child marriage and having future intention. Satisfied with their married life 60% and 40% participants are having conflicts Conclusions: Raising the level of awareness about negative outcomes of child marriage by intensifying the Health education (IEC) activities. In this modern society the child marriages are following because of the customs and traditions followed in the community. Home deliveries are more which utmost leads to danger to

Knowledge Attitude and Practices (KAP) towards child marriage among married women residing in Nandyal - A Qualitative study