This user guide is a step-by-step introduction to the UN Millennium Project’s maternal and reproductive health needs assessment tool. It assumes that users have read the Handbook and have a basic familiarity with the fundamentals of an MDG Needs Assessment, but does not presume any prior technical knowledge of MDG needs assessment tools. The guide should be used concurrently with the maternal and reproductive health needs assessment tool, available at www.unmillenniumproject.org/policy. In conjunction with the Handbook, it aims to help users embark on an MDG-based maternal health needs assessment.