BUTARO, RWANDA - MARCH 16, 2017: From left to right: Dr. Alexis Manirakiza and pediatric resident Dr. Jean Pierre Bucyanayandi discuss a patient during morning rounds on the pediatrics ward at Butaro District Hospital.

Monitoring and Evaluation (M&E) is a critical component of implementation so that the program can better understand the success and challenges of the implementation process and its downstream outcomes. Throughout this toolkit, several M&E tools, such as implementation process measure (IPM) tools, have been described surrounding implementation processes and facility-level assessments.

Monitoring and evaluation tools

Clinical indicators

Disease-specific as well as cross-cutting NCD indicators provide valuable insight into clinical operations, patient demographics, and clinical outcomes. The following list includes typical M&E indicators for integrated NCD clinics addressing common and severe NCDs.

Universal Health Coverage (UHC)

UN Sustainable Development Goal 3 focuses on good health and well-being for all. Thus, health delivery leaders have a mandate to ensure access to care of the catchment area. Through the UHC tools provided here, modeling and analysis can produce, regional estimates of service coverage. Facilities can then estimate the approximate expected patient volume of a given disease. Low patient enrollment volumes relative to the expected quantity may indicate a need for further decentralization of care, increased active case finding in the community, or addressing socio-economic barriers to accessing care.

Mentorship M&E indicators

The following Mentorship M&E Indicators were produced by Inshuti Mu Buzima (IMB), PIH’s sister site in Rwanda, and provide quantitative data describing the quality of care provided by nurse mentees.  Evaluation of the data can directly inform areas of quality improvement.

Download all monitoring and evaluation documents