This report presents the results of the UNFPA ESARO Regional Programme 2018–2021 Evaluation (RPE). The evaluation (i) assesses the relevance, effectiveness, efficiency and sustainability of the UNFPA ESARO support and progress made towards expected outputs and outcomes; (ii) examines the level of stakeholder engagement and consultations based on the Regional Interventions Action Plan (RIAP); (iii) gauges the effectiveness of UNFPA ESARO institutional arrangements, operations and management structure; (iv) measures the role of ESARO in the coordination mechanisms of the UN system at regional level with a view to enhancing UN collective contributions to national development results; and (v) draws lessons and forward-looking options on strategic and actionable recommendations for the next programme cycle.