The project report highlights the importance of preconception care (PCC) for health and longevity. The Government of Maharashtra, UNICEF, and Bharathy Vidyapeeth Medical College, Pune, rolled out the first-ever pre-conception Health Promotion program, named as ‘Healthy Parent, Healthy Child Initiative’, for women planning pregnancies in Peth and Sinnar blocks of Nashik district in 2018. The evidence-based planning and partnership have demonstrated evidence that there was a statistically significant improvement in the weight and BMI of women planning their pregnancies which also probably contributed to reduce anaemia.The government of Maharashtra has scaled up the program in four aspirational districts and tribal districts. The document covers the methods and material used for assessment of the implementation of a package of preconception interventions to measure its effect on pregnancy outcomes.