In 2014 the MacArthur Foundation commissioned the Public Health Institute to conduct a process evaluation of projects the Foundation has funded to expand access to community-based distribution of misoprostol in Nigeria. The purpose of the evaluation was to gain a deeper understanding of how these projects were implemented, where they were successful, and where they still face obstacles to scale up. A team of experts conducted a desk review of literature and grantee reports, interviewed global experts and local key stakeholders (see Appendix A), and visited the project sites. The interviews and observations were complemented with focus groups of key stakeholders, including women who had used misoprostol, men who had been involved in supporting community-based access, and nurses and community health extension workers who had helped deliver the services. The evaluation was carried out between June and November 2014.