This midterm review synthesizes evaluation findings from the design phase of A360 and the first few quarters of implementation (Aug 2016 – Sep 2018), drawing together insights from an ongoing process evaluation, a cost-effectiveness analysis, and the baseline findings from an outcome evaluation. Although the review does not determine the effectiveness of the solutions and therefore A360 as a whole, it finds that the value of the A360 approach is starting to emerge, while also highlighting a number of challenges and trade-offs that the consortium continues to navigate. The MTE’s takeaways are useful for evaluators of HCD and adaptive programs (see page 10), and for donors and future ASRH implementers (see page 49).