This report examines the context, practices, and strategies in selected KOICA municipalities in Northern Samar. Using the Nurturing Care Framework, it analyzes how these LGUs implement and govern ECCD-F1KD initiatives. It also analyzes the factors and processes that influence the implementation and delivery of, and access to ECCD-F1KD services, and provides recommendations on strategies and related interventions for the ECCD-F1KD Program. To do these, this report conducts a situation analysis of nutrition and health outcomes and provides recommendations on three elements, namely, enabling environment, supply, and demand.