Inclusion Criteria:

Across all aims participants must be

1. Pregnant

2. Presenting at the Chitungwiza Central Hospital ANC

3. Aged 15+

4. Willing to provide informed consent or assent

5. Have HIV negative status

6. At risk for HIV acquisition (defined as having a male partner of unknown HIV status, suspicions of partner infidelity, reporting multiple partners, or history of STI and/or recent condomless sexual activity)

7. Score >5 on the Shona Symptom Questionnaire

   For the RCT, eligible participants must also be willing to

8. Initiate PrEP prior to randomization

9. Bring their pregnancy partner (if they are safe doing so).

Exclusion Criteria:

1. Inability to provide informed consent/assent and/or complete procedures in Shona or English
2. Current interfering untreated or unstable mental health condition that precludes functional involvement in the study (e.g., active psychosis, untreated bipolar disorder)