The Maternal and Child Health Integrated Program (MCHIP) was the USAID global flagship maternal and child health program implemented by a consortium of US-Based NGOs. TMG conducted an end-of-project evaluation of the MCHIP-AA. It informed decision-making and guiding the design and implementation of the new MNCH activity being designed by USAID; informed the design and implementation of future PMI-supported malaria community case management (MCCM) activities that are currently part of the MCHIP AA community approach; highlighted areas where village health workers (VHWs) need additional training or support to deliver quality community health services; and helped to identify successful community health service delivery and quality improvement approaches. The evaluation methodology used a combination of quantitative and qualitative techniques, including: a focused document review; VHW knowledge survey; a practical skills assessment; separate focus group discussions with VHWs, their clients and health center committee members; and key informant interviews in Harare and Manicaland province. Secondary data was examined using the national Health management Information System (HMIS), the community HMIS, and VHW registers and program reports.