Adithi/Plan conducted a 5-year evaluation of its Early Childhood Care and Development (ECCD) program in 42 hamlets across 6 blocks in north Bihar. The evaluation found that the program successfully built skills and knowledge in the community to support best ECCD practices at home and in Balwadis (preschools). However, constraints included poor infrastructure and a need for better supervision and collaboration with other organizations. The evaluation proposed that Adithi/Plan phase out direct Balwadi implementation and instead focus on monitoring, training, and community mobilization while collaborating with the Integrated Child Development Services and other stakeholders to sustain ECCD initiatives long-term.