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This symposium was delivered on October 19, 2023 at the Micronutrient Forum 6th Global Conference. ------ In 2020, the World Health Organization supported the transition from long-standing iron and folic acid (IFA) supplementation to multiple micronutrient supplements (MMS), based on evidence that MMS is more effective and cost effective than IFA for pregnant women. This session explored how to deliver MMS at scale – a question that demands responsive implementation research on MMS to close the ‘know-do gap’. Co-moderators Dr. Shabina Raza, Country Director for Pakistan and Jennifer Busch-Hallen, Practice Area Director, Maternal and Neonatal Health and Nutrition presented a video case study on replacing routine antenatal IFA with MMS and concluded the symposium with a reflection, questions and answer session. Other presentations included: Charting a course for success: Navigating the winding roads of bringing MMS to scale with commitment care and strategy – Dr. Khawaja Masuood Ahmed, National Coordinator for the Nutrition and National Fortification Alliance in the Ministry of National Health Services Regulations and Coordination Rigorous implementation research on maternal nutrition and MMS: Driven by critical voices from Pakistan and Nigeria – Sarah Rowe, Technical Advisor, Maternal and Newborn Health and Nutrition The application of outcome, process and cost-effectiveness evaluations in MMS implementation research – Dr. Chowdhury Jalal, Senior Technical Advisor, Evaluation and Strategic Research Enabling country level introduction and scale up of MMS through increased commitment, investment and coordination – Zeina Sifri, Senior Program Officer, MNCH, Bill & Melinda Gates Foundation Avoiding the same mistakes: Learning from program experience and adopting e-tools for greater success – Jennifer Busch-Hallen, Practice Area Director, Maternal and Neonatal Health and Nutrition ------ Learn more about Nutrition International at the Micronutrient Forum: https://www.nutritionintl.org/mnf2023/