Adolescent pregnancy remains a major global public health concern with well-documented risks to both young mothers and their infants. In low- and middle-income countries, adolescents (15–19 years) experience an estimated 21 million pregnancies annually, about half of which are unintended, resulting in roughly 12 million births^[1]. Adolescent mothers face substantially higher risks of obstetric complications, notably eclampsia and infections, than women in their early twenties^[1]. Their infants are likewise more vulnerable: babies born to adolescent mothers have significantly higher rates of low birth weight, preterm delivery, congenital anomalies and neonatal mortality^[2]. These elevated risks are compounded by underlying social determinants. In South Asia, where adolescent pregnancy prevalence is among the world’s highest^[2], contributing factors include poverty, limited female education, lack of reproductive health knowledge and entrenched norms of early marriage^[2,3]. These factors underscore that preventing adolescent pregnancy and its adverse outcomes is critical to achieving global maternal and child health goals.