Adolescent pregnancy is one of the most prominent reproductive health issues in Perú, particularly in rural regions, and it is often heavily influenced by social factors. Duke student researchers worked in collaboration with VIDAWASI— a local children’s health center— to investigate the social determinants of adolescent pregnancy in the Sacred Valley of Cusco, Perú. They partnered with local clinics, women's homes, and schools to recruit participants aged 12-19: a case group of 30 girls with a history of pregnancy, and a control group of 30 girls without history of pregnancy. Participants completed a survey and written interview on social determinants of health including demographics, education, resource access, home life, health history, and their personal perspective on reproductive healthcare. Final results will be distributed to partnering clinics and local health leaders to inform potential future intervention projects and better understand the factors that may be connected to the Sacred Valley’s high adolescent pregnancy rates.