We supported the Micronutrient Initiative (MI) to implement a nutrition programme. With funding support from the Canadian International Development Agency (CIDA), we delivered large scale iron and folic acid supplementation to pregnant women. Additionally, we provided zinc lo-ORS medication to support the treatment and prevention of diarrhea in under-five children. We reached over 18 million people in five northern states of Nigeria, including Zamfara, Katsina, Jigawa, Kano and Yobe states. We used a health system approach by working with and through government health systems, community groups, and the private sector to revise relevant policies, strengthen service delivery and mobilize communities to ensure sustainability.