This report addresses folate deficiency as a public health issue in Australia, focusing on its impact, affected populations, and the actions taken to mitigate it. It examines the consequences of folate deficiency, including neural tube defects (NTDs), and presents statistical evidence of the problem's extent and associated disease burden. The report details the current strategies employed in Australia, such as mandatory folic acid fortification, supplementation programs, and educational initiatives, while also evaluating their effectiveness, particularly among Indigenous populations and adolescents. Furthermore, it explores recommended strategies, including cost-effectiveness considerations for supplementation and targeted educational programs for women. The report references relevant studies and reports to support its findings and provides a comprehensive overview of the issue and potential solutions.