Bangladesh has made notable progress in improving maternal and child health outcomes over the past two decades. However; maternal undernutrition remains a significant public health challenge; contributing to adverse pregnancy outcomes and perpetuating intergenerational cycles of malnutrition. Approximately one in three women of reproductive age are underweight; and deficiencies in essential micronutrients; such as iron; zinc; folate; and vitamin A; remain widespread. These deficiencies increase the risk of low birth weight; preterm delivery; and maternal complications; limiting progress toward national and global nutrition targets.Despite high coverage of antenatal care (ANC); the quality and comprehensiveness of maternal nutrition services remain limited. Nutrition counseling; weight monitoring; and supplementation are inconsistently delivered; and operational challenges constrain integration of evidence-based nutrition interventions into primary health care.Evidence from global implementation shows that multiple micronutrient supplementation (MMS) during pregnancy improves maternal nutritional status and birth outcomes more effectively than single-nutrient supplementation. Recognizing this evidence; the Government of Bangladesh (GoB) has committed to scaling MMS as a key component of its maternal health and nutrition strategy.The Health; Nutrition and Population Sector Development Program (HNPSDP); supported by the World Bank; seeks to strengthen Bangladesh’s health system and accelerate progress toward Universal Health Coverage (UHC). One of its strategic innovations is the integration and scale-up of MMS for pregnant women; positioning Bangladesh as a pioneer among low- and middle-income countries to mainstream MMS through a government-led program.Successful implementation will require addressing challenges related to policy alignment; institutional readiness; supply chain preparedness; capacity building; and community awareness. This technical assistance will therefore support the GoB in identifying and addressing these bottlenecks to ensure a sustainable and effective scale-up of MMS.