This brief reports on a three-arm cluster randomized controlled trial of 3,015 households evaluating the effectiveness of SPIR II, a nutrition-sensitive graduation model implemented in Ethiopia. The full treatment package—combining nutrition-focused behavior change communication (BCC), village economics and savings associations, monthly maternal cash transfers of US$20, and a one-time livelihood grant of US$300—generates large, sustained improvements in child diet quality, household consumption, livestock holdings, and formal savings. A substantial reduction in childhood stunting (7 percentage points) is observed in the same sub-arm; BCC alone improves caregiver nutrition knowledge but does not lead to improved child feeding or growth. The benefit-cost ratio is nearly two, suggesting the program more than pays for itself. Read more>>