The purpose of this report is to present the overall findings, conclusions and recommendations of the Mid Term Review (MTR) of the PEI Scale-up. Programme (2007-2012). The formulation of the report’s findings takes account of best practices and lessons learned, focusing on internal factors (strengths, weaknesses) affecting implementation and management arrangements of the programme, areas for corrective action, areas for potential success and external factors (opportunities, threats) affecting implementation. The report provides detailed and operational recommendations. The overall objectives of the external MTR are: i) “to assess overall programme progress”; ii) “serve as a monitoring tool focusing on how the programme is operating and if any major changes are required”.