Each year, approximately 21 million adolescent pregnancies occur, of which half are unplanned (World Health Organisation, 2023). Adolescent motherhood hinders young mothers’ chances of continuing with school, and is associated with higher exposure to domestic violence, poor food security and exposure to HIV (Toska et al., 2022). Between 2017 and 2022, South Africa has seen an alarming increase in the rate of adolescent pregnancies (Baron et al., 2022). Currently, there is limited literature focused on how the school environment can create a protective environment and a platform for care and support for pregnant learners and adolescent mothers. This study sought to actively engage adolescent mothers and other young parents and young people in co-designing a school-based support package.