The baseline study provides historical points of reference to inform MADANI program planning, target setting, monitoring and evaluating change during and after program implementation as well as impact assessment. Both qualitative and quantitative data collection methods were used, including a survey, key informant interviews (KII) and review of local government budgets. The survey targeted citizen and government representatives in each district, resulting in a total of 1,913 informants for the targeted 32 districts. Key informant interviews were carried out with a total of 236 local government officials and frontline service providers.