Impact of Pre-pregnancy Micronutrient Supplementation on Maternal and Child Outcomes

Inclusion Criteria: * 18-35 years old * Currently married * Currently living in one of the 10 communes and intends to live in the areas for 24 months following recruitment * Plans to have children in the next year * Agrees to participate with informed consent Exclusion Criteria: * Currently pregnant * Delivered in the previous six months * Regularly consumed IFA or MM supplements in the past 2 months * Severe anemia (Hb \< 7 g/L) * History of high risk pregnancy including abruptio placenta, placenta previa, gestational diabetes, pregnancy induced hypertension, coagulation disorders, thrombocytopenia or chronic vascular, renal or systemic disease and drug use * Chronic hematological diseases, hereditary defects of red cells or hemoglobin