Almost half of all deaths of children under five years of age are attributable to malnutrition, and despite the decline in numbers, progress continues to be very slow. Malnutrition and under-nutrition, in particular, affect mainly households living in poverty. Recent research has shown that holistic livelihood programs can have a wide range of benefits for these poor families, from increasing household consumption and income to improving food security and mental health. This evaluation measured the impact of a multifaceted program on nutritional status, productive assets, and income. The program adapts the graduation approach, which combines a comprehensive set of interventions to enable ultra-poor households to develop sustainable livelihoods and resilience. It features a cash unconditional transfer, a productive investment (livestock or seeds), and a nutrition component (distribution of fortified flour), and nutrition education.