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and imperfect synchronization of SMS reminders to clinic visits. Integrated HIV/MCH messaging did not improve HIV outcomes but was associated with improved initiation of postpartum contraception. In programs where most women are virally suppressed, targeted SMS informed by VL data may improve effectiveness. Rigorous evaluation remains important to optimize mobile health (mHealth) interventions. ClinicalTrials.gov number NCT02400671. ClinicalTrials.gov number NCT02400671.Michel Goldman and Cédric Hermans discuss thrombotic mechanisms in