With India’s adolescent and youth population on the rise, the country’s government has sought to address this group’s unique challenges. India’s Ministry of Health & Family Welfare created the Rashtriya Kishor Swasthya Karyakram (RKSK) program to respond to the critical need for adolescent reproductive and sexual health services. Focusing on young first-time parents, the program employed several strategies to strengthen the health system to respond to adolescent health needs. This required a trusted resource within the health system who could approach this cohort. Community frontline health workers emerged as the natural choice.