Through the delivery of high-impact interventions, MCHIP substantially reduced maternal, neonatal and child mortality in 30 countries, contributing to Millennium Development Goals 4 and 5. Few programs have effectively integrated a full range of high-impact MNCH interventions at scale. However, MCHIP presented a vehicle in which the whole is greater than the sum of individual parts, enabling the Program to respond to the need for a more integrated approach to services while taking into account epidemiology, health system capacity, efficacy, coverage, cost, cultural acceptability and other factors. As a global leader in MNCH with expertise in grassroots PVO/NGO implementation, the Program helped countries identify and focus on those interventions that will make a difference in saving lives. MCHIP integrated programming in maternal, newborn, and child health, immunization, family planning, and malaria. Cross-cutting technical areas included water, sanitation, hygiene, HIV (PMTCT and pediatric AIDS), urban health, and health systems strengthening.