This report presents the midterm findings from an impact evaluation of the Millennium Villages Project (MVP) in northern Ghana. The MVP has been designed to demonstrate how an integrated approach to community-led development can translate the international Millennium Development Goals (MDGs) into results. The project in northern Ghana is one of several instigated over the past 10 years, and is set to reach nearly half a million people across 10 countries in Africa. Central to the MVP approach is the synergistic value of integrated community-based investments, focused on scientifically proven interventions, delivered simultaneously rather than as one-off investments. The premise is that a critical platform of basic needs must be reached before economic development can really take off. The project in northern Ghana has been running in three districts since May 2012, investing over £11 million on health, education, agriculture and infrastructure interventions in 35 communities, and reaching around 30,000 people