Research strongly indicates that the pre-natal period lays the foundation for the future cognitive, physical and social-emotional health of children. Investing in the pre-natal period can lead to a significant increase in children born free of preventable injuries such as Fetal Alcohol Syndrome (FAS), and to a significant decrease in low birth weight babies. The Initiative has potential impact on women and their families and builds on the efficacy of earlier health interventions, access to community-based services and skilled home-visiting support.