This is a Midterm Performance Evaluation of the Health Policy Plus (HP+) Project. The purpose of the evaluation is to provide an independent assessment of HP+ progress toward achieving project goals and objectives. Evaluation questions focus on: a) the extent to which HP+ technical approaches have enabled achievement of project objectives and met indicators; b) the current level of satisfaction of USAID and other partners with project progress to date; and c) emerging trends and needs in health policy that might be addressed in this or future projects. Methods included review of background documents, review of a midterm self-assessment and other information provided by Palladium based on questions posed by the team, detailed interviews with knowledgeable informants, and an online e-survey. Findings and conclusions were that HP+ progress in achieving program results in its four main technical areas (policy, advocacy, health financing, and accountability/governance) is on track; demand for HP+ in health financing has increased rapidly, indicative both of growing need for this assistance and satisfaction with work completed so far; on the whole, stakeholders say they are very satisfied with results being achieved; there remain some challenges and areas for improvement going forward; and there are a number of important emerging policy needs that could be addressed in this or future projects.