To assess, the challenges, Gaps and Opportunities of MSEs in creating access to WASH and Nutrition products and services in HVP areas in Four intervention woredas of the Healthy Village Programme, located in the Amhara and Tigray regions: Goncha Siso Enessie, Enebssie Sar Midir, and Shebel Berenta in East Gojjam, and Emba Alaje in the Southern Tigray Zone