This guide is centered on a results framework and serves as a tool for USAID Bureaus, Missions and development partners across government, the private sector and civil society to assess their specific needs and strategic opportunities, to design, implement, monitor and evaluate, and adjust large-scale food fortification programming for countries based on their local context. The programming guide is comprehensive and will support users in fulfilling the Agency’s vision for sustainable, large-scale food fortification that will contribute to improving access to adequate, affordable diets across countries.