Although iron and folic acid supplementation (IFAS) is a well-known and effective intervention for anemia in pregnant women, its access and uptake were affected by stock-outs and inadequate health education of both health care workers and pregnant women. n An intervention combined enhanced quality improvement (QI) activities with an implementation science approach that resulted in a significant increase in the probability of pregnant women receiving IFAS and health education on IFAS during antenatal care (ANC).nThe approach improved stakeholder engagement at all levels and helped health workers understand the importance of IFAS, which motivated them to deliver related health education messages and adhere to national IFAS protocols.