Inclusion Criteria:  Adolescent girl aged 10 - 19 years at the time of enrollment Lives within the selected study communities in Montserrado or Margibi counties Caregiver/adolescent consents to participate in the study  Exclusion Criteria:  Currently pregnant Active malaria infection as defined by positive rapid diagnostic test (RDT) Severe acute malnutrition at the time of enrollment Known malignancy Known sickle cell disease