Monitoring is carried out internally by the district health management team in the course of implementation of the district health plan. Implementation of the district health plan should be the main focus of deliberations during the DHMT meetings.

Evaluation is the systematic assessment of actions in order to improve planning or implementation of current and future activities. Evaluation includes areas of context, input, process and impact to assess whether the set objectives have been achieved. It can be internal, that is carried out by the implementers, or external. The essence of evaluation is to determine programme performance, effectiveness and efficiency.

Monitoring and Evaluation (M&E)

Monitoring and evaluation techniques

• Monitoring and Evaluation (M&E) is used to assess the performance of projects, institutions and programmes set up by governments, international organizations and NGOs.
• Its goal is to improve current and future management of outputs, outcomes and impact.

Process of monitoring and evaluation

• Monitoring allows results, processes and experiences to be documented and used as a basis to steer decision-making and learning processes. Monitoring is checking progress against plans.
• Evaluations appraise data and information that inform strategic decisions, thus improving the project or programme in the future.