1) The document summarizes a project in Northern Nigeria aimed at improving maternal and child health outcomes through strengthening the health system and increasing immunization rates. 2) The project, called PRRINN-MNCH, was funded by the UK and Norway and worked with state governments to establish human resources units, cost essential health services, and boost community engagement to increase service utilization. 3) Early results showed immunization rates doubled and increased four-fold where community engagement occurred, though starting from a low base. Maternal and child health also saw discernible progress, but the author notes reconciling global goals with local interests and engaging all levels of society were still a work in progress.