This randomized clinical trial is an adolescent focused implementation science study directed at improved social support and prevention of both HIV/STI's and subsequent unplanned pregnancies. The study population is pregnant adolescents who are attending antenatal care in Kampala, Uganda The acceptability and effectiveness of two enhanced peer lead, reproductive health promotion interventions compared to routine health care will be studied. The study participants will be individually randomized to one of three arms.
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Inclusion Criteria: * Pregnant at ≥28 weeks of gestation * Agreeing to provide written informed consent to be screened for and take part in the study * Agreeing to provide adequate locator information with residence within 30 km * Agreeing to a home visit * Agreeing to come for follow up visits and to receive study follow up phone calls Exclusion Criteria: * Serious illness or social conditions that would prevent adherence to study requirements * High risk pregnancy or fetal death in utero (with the exception of risk defined only by maternal age)