This state-of-the-art, user-friendly guide is for program managers and planners conducting a maternal and child health and nutrition assessments to investigate intra-household roles and influence. The guide introduces a holistic, or systemic, framework that can assist program staff to more effectively identify key priority groups for interventions. After learning about the development and key concepts and the methodology, one is taken step-by-step through the assessment process, complete with case examples, sample tools, and diagrams.