SPRING launched its Ghana country office, which focuses on improving delivery of high-impact services and generating increased demand for those services. These activities resulted in the creation of the “1,000-day household” approach, which encompasses a range of social and behavior change communication activities. We also launched the “WASH 1,000” approach, which builds capacity around community-led total sanitation and targets the reduction of aflatoxin levels in ground nuts through improved testing and storage techniques.