The project development objective (PDO) is to improve utilization and quality of primary health care services with a focus on reproductive, maternal, newborn, child, and adolescent health services. The Project will achieve this objective by: (a) improving access to and demand for quality primary healthcare (PHC) services; (b) strengthening institutional capacity in selected key areas to improve utilization and quality of PHC services; and (c) supporting cross-county and intergovernmental collaboration in the recently devolved Kenyan health system. The Project is placing a strong focus on results by allocating resources to each county based on their improved coverage and quality of essential PHC services that are directly linked to the PDO and other factors including equity. The Project’s support to strengthen the Meausurement and Evaluation system, will improve the quality of data for monitoring progress toward the achievement of PDO.