Despite the efficacy of double-fortified salt (DFS) in improving hemoglobin, ferritin, anemia, and iron deficiency anemia, there has been limited experience with its production and distribution at scale within programs. Across the world, program managers, researchers, and salt production companies have jointly attempted to introduce DFS in various settings and circumstances. However, many of these experiences were/are limited in scope and reach, and most have failed to launch a large-scale DFS program after exploratory discussions. India is the only country that has reported large-scale DFS implementation experience.