The H4+ (now "H6") partnership is a joint effort for capitalizing on the core competencies of UNFPA, UNICEF, WHO, UNAIDS, UNWomen, and the World Bank in maternal, newborn, and child health. The Joint Programme Canada and Sweden (hereafter "H4+ JPCS") provided funding to the H4+ partners in ten high burden African countries to accelerate progress to meet the Millennium Development Goals 4 and 5. H4+JPCS aims to strengthen, integrate, and scale up reproductive, maternal, newborn, and child health service along the continuum of care. The evaluation of this joint programme supports learning and accountability among key stakeholders at global, regional, national and sub-national levels. It has been carried out to: (i) inform similar initiatives to deliver a comprehensive package of RMNCAH services and (ii) review the partnership mandate in the post-2015 context. The report recommendations were co-authored by the evaluation team together with the reference group composed of technicians from all partner agencies.