The Sagar Health Project is a five-year health project implemented by World Vision (WV) India with funding from Takeda Pharmaceutical Company Limited and cost-sharing from WV Hong Kong. The project began in October 2016 and finished in September 2021. The project goal is to contribute to improved health status of mothers, pregnant women and children under five years old in Khurai Block, Sagar District, Madya Pradesh State, India. The targeted project reach is a population of 189,199 (population of Sagar District in Census 2011), with 99,732 males, 89,467 females, and approximately 19,463 children under five years old. The final evaluation was conducted in February to March 2021. The evaluation adopted a mixed-methods design of qualitative and quantitative methods. Quantitative data collection included a household questionnaire, adapted from the WV Caregiver Survey, with a total sample of 656 caregivers of children 0 to 59 months old from 30 clusters. The qualitative component consisted of 12 Key Informant Interviews and 12 Focus Group Discussions (FGD), conducted in two villages, and 1 FGD with the Sagar Health project team and explored five themes (relevance, effectiveness, impact, sustainability and gender roles).