Iron deficiency anaemia is highly prevalent in Kyrgyzstan. A previous attempt to supplement iron with tablets in Naryn oblast did not show the desired effect (UNICEF 2001). Iron fortification of wheat flour is being promoted presently but because of some obvious reasons linked to logistics and infrastructure it is difficult to reach the rural population with this strategy. Home fortification with Sprinkles is a new strategy of adding iron and other micronutrients to complementary food. They are packed in single serving sachets and are sprinkled over food right before feeding. A number of community-based studies have demonstrated that Sprinkles are effective in treating and preventing anaemia in young children. The use of Sprinkles has been found to be more acceptable and costeffective than iron tablets/syrup. The Kyrgyz-Swiss Health Reform Support Project (funded by Swiss Agency for Development and Cooperation and implemented by the Swiss Red Cross; since June 2006 the project is renamed Kyrgyz-Swiss-Swedish Health Project) initiated a pilot project to test the effectiveness of a weekly Sprinkles regimen in a programme conditions in Kyrgyzstan. The study design was developed together with the Sprinkles Global Health Initiative at SickKids Hospital, Toronto, Canada. The implementation was financially supported by UNICEF Kyrgyzstan and ADB Project JFPR 9052 "Sustainable Food Fortification in Central Asia and Mongolia", Kyrgyz Republic and WHO Health Policy Analysis Project.