Trial of Community-based Patient Navigation

Inclusion Criteria: * A pregnant woman or individual (inclusive of all gender identities) who is Black and English-speaking (by self-report), * ≥18 years of age who is capable of consenting for oneself and who presents for prenatal care with a singleton pregnancy ≤ 20 weeks gestation (confirmed by medical record), * covered by Medicaid * for whom the AHC-Health Related Social Needs Tool (administered as part of standard clinical care for prenatal patients) identifies ≥1 unmet social needs * expectation to receive prenatal care and deliver at Grady and be available through 12-months postpartum to assure opportunity for exposure to the intervention, process, and outcome measure ascertainment. Exclusion Criteria: * The intent to transfer care to a health system outside of metro Atlanta * incarceration, which would interfere with intervention provision and outcome ascertainment * adults unable to give consent * individuals who are not yet adults * prisoners * cognitively impaired individuals with impaired decision-making capacity * individuals who are not able to clearly understand and speak English (as the PPP-PN intervention is only available in English at this time)