This article examines the challenges of linking smallholders to high-value food markets by looking at the experience of the Plataformas programme in the Ecuadorian Sierra. Multiple evaluation methods are employed to ensure identification of program impact. The findings suggest that the programme successfully improved the welfare of beneficiary farmers, as measured by yields and gross margins. These benefits are achieved through improving the efficiency of agricultural production and through selling at higher prices. No significant secondary health or environmental effects were found. Overall, the programme provides clear evidence that combining production support with facilitating market access can be successful.