Much focus on the implementation and design of delivery systems to achieve the MDGs has been provided by the Millennium Villages Project (MVP). The MVP is hosted by 10 low-income sub-Saharan African countries and is broadly supported by UN agencies and championed by the Secretary General to provide leadership on scalable methods to accelerate progress to the MDGs. In the context of an integrated, cost-accounted and measured environment, the MVP’s focus on the operational design and implementation of CHW subsystems will continue to provide insights and evidence to support investment into national systems. This report is not conceived as an operational plan for any one country. The purpose of this report is to provide the.