 This study found that providing preconception nutrition education with regular follow-ups can improve knowledge and adherence to the iron folic acid supplement IFAS, intake among women in Ethiopia. This intervention is short, simple, cost-effective and has the potential for adaptation development to a large-scale implementation in the existing healthcare system in Ethiopia to prevent neural tube defects and adverse birth outcomes among women who plan to get pregnant. This article was authored by Anteneh Bahanei and Tefra Bailatu.