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Building on the gains of the National Health Mission, India’s RMNCH+A Strategy, launched in 2013, was a milestone in the country’s health planning. The strategy recognised the interdependence of RMNCH+A interventions across life’s stages and adopted a comprehensive approach to address inequitable distribution of healthcare services for the vulnerable population groups and in poor-performing geographies of the country. However, lack of a robust monitoring and evaluation framework and sub-optimal focus on social determinants of health possibly limited its overall impact and ability to sustain improvements. This article studies some of the limitations of the earlier strategy. These include the variable responsiveness of health systems across states, over-reliance on partner agencies, lack of a dedicated monitoring and evaluation framework and an inability to address social determinants of health might have limited the impact of the strategy. It also shines a light on the recently launched Aspirational District Program which is guided by the learnings and limitations of the RMNCH+A program.  Program implementers and researchers may find this article useful. Click here to read the article.