"This report presents the findings from the evaluation of the ASTUTE media campaign. Three cross-sectional surveys were conducted before, during, and at the end of the campaign, with questions targeted to female caregivers and male heads of households when they were available. The impact of the campaign is estimated by looking at change in key indicators over time (an uncontrolled before-and-after analysis) as well as the association of indicators with reported campaign exposure (cross-sectional analysis at endline). Primary and secondary outcomes were pre-specified for each of the message themes prior to analysis. Over 21,000 men and women with children under two were surveyed across the three timepoints, and the majority of participants reported exposure to the campaign. At endline, 60% of female caregivers and 70% of men had heard or seen spots on the radio or TV. While exposure was even higher among regular radio listeners, the campaign still reached over 40% of individuals who did not report listening regularly. This high level of campaign exposure translated to large impacts across several of the programme themes. The strongest, most consistent evidence for impact was observed for engagement in early childhood development-related activities (for both men and women), for outcomes relating to maternal health and nutrition (including antenatal care attendance) and for WASH indicators. Exclusive breastfeeding indicators also improved over the time period of the campaign, and by the end of the campaign the prevalence of positive outcomes for the majority of breastfeeding indicators had reached a high level (>90%) such that the campaign may have had limited ability to achieve further improvements. Complementary feeding indicators also improved over the time span of the campaign. However the proportions of children receiving the target minimum meal frequency and minimum acceptable diet by the end of the campaign remained low with limited evidence that exposure to the campaign had had a substantial impact on these indicators." (Executive summary)