Adolescent mothers and their children are a vast and growing population that must be prioritised if we are to achieve HIV targets and the SDGs. An integrated, approach, combining biomedical, social and economic support, is essential to enable them to survive and thrive. The involvement of communities, families, children and adolescents themselves is also critical. This challenges all of us to change how we operate as donors, governments, policy makers, researchers, activists and service providers. This includes, for example, forging new funding partnerships and coordination structures between sectors, and between communities and institutional service providers as well as prioritising support to children and adolescent overall. This session examines the role of donors and partners in fostering an integrated, community-based approach, and proposes an advocacy agenda for us to take forward together.