Background: Premarital counseling (PMC) is vital element in health sector strategies for helping
couples to learn skills about better understanding of marriage, improving social relationship as well
as health of both couples and their coming children, educating university students about premarital
issues is a key event needed for reducing the high health hazards in the society. Aim: evaluate the
effectiveness of counselling-based program on females' knowledge and attitude regarding
reproductive health. Methods: a quasi-experimental (pre-posttest,) design was used. The study was
conducted at technical institute of nursing of Ain shams University. A purposive sample of 245
female students were included in the study. Data were collected through two tools. A structured
interviewing questionnaire is divided into two parts to include sociodemographic data, students'
knowledge regarding premarital counselling and reproductive health, And Female students' attitude
regarding PMC Likert scale Results: It revealed 60% of them age ranged from 16 to 17 years
reveals that 73.5% of female student have positive attitude regarding their premarital care post
program implementation. While 41.2% of female student have negative attitude regarding their
premarital care pre-program implementation Conclusion: there was a highly statistically significant
improvement in knowledge scores as well as positive attitude scores among female students
regarding premarital counselling after implementing counselling-based program, also the current
study revealed statistical significance difference between total score of knowledge and total score of
attitudes with positive correlation between the post intervention. The study recommended
Premarital counseling should be added into the nursing curriculum to prepare students for marriage