Bodhi carried out both a baseline and endline evaluation of the Mwanzo Mwema programme (a four year programme by Girl Effect in partnership with GAVI, 2022-2026) in Tanzania and Ethiopia. The programme was designed to increase demand for the HPV vaccine among 9-14 year old girls and for routine immunisation (RI) among caregivers of girls aged 15-29 (including pregnant women) with a particular focus on hard to reach girls and young mothers. The evaluation looked at the intent and uptake of both the HPV and RI vaccines, collected baseline indicator performance data, answered Girl Effect's learning questions on attitudes, practices and efficiency and provided recommendations for future implementation. The evaluation was conducted between May 2023 and February 2024 in the Katavi, Tabora and Lindi regions. For the HPV intervention the study used two approaches. The first was an individual cohort study in which a single cohort of 629 participants aged 11-12 years were interviewed at baseline. The second approach was a cross sectional household study which involved interviewing 617 girls aged 13-14 years and 761 primary caregivers of 9-10 year old girls. For the RI intervention the study constructed a cohort of 1,330 caregivers of girls aged 15-29 and pregnant women who were interviewed at baseline. The study used a mixed methods approach with quantitative data from individual cohort and cross sectional household studies and qualitative data from key informant interviews and focus group discussions. The evaluation was conducted in a gender sensitive and child rights based manner.