Clinical Research Directory

Inclusion Criteria: * \<20 weeks gestation as determined by maternal report of last menstrual period * Intending to breastfeed and provide age-appropriate complementary feeding * Intend to continue services at the health center where they enrolled until their infant is at least 10 months old Exclusion Criteria: * Women who participated in the formative phase of the HMHBT project * Women with an existing medical condition that merits precautions for a high-risk pregnancy and may affect study outcomes independently of the intervention. These include for example, uncontrolled or advanced diabetes, advanced kidney disease (stage 3 or higher); thyroid disease, autoimmune disorders such as lupus, moderate to severe rheumatoid arthritis, organ transplant; blood clotting or bleeding disorders, multiple sclerosis. * Women with a history of previous preterm delivery (\<32w) or very low birth weight babies (\<1.5kg) * Known history of serious obstetric complications that place the mother at increased risk for subsequent adverse events or complications. These include for example multiple miscarriages or stillbirths (\>2); eclampsia, hemorrhage, placenta previa, placental abruption, uterine rupture * Women experiencing pregnancy loss, and neonatal or infant mortality will be excluded from further follow-up. Women who give birth to multiples will be retained but their data will be analyzed separately