Ensuring Program Quality and Progress through Monitoring & Evaluation

Understanding if the project is achieving what it set out to do

value chain graphic

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Monitoring and evaluation enables programs to track targets for the project against what is actually happening and provides insights for program improvement. You will need to develop an appropriate an M&E system for your program. Figuring out what that system is involved balancing the need for a wide range of information about PrEP uptake, continuation, adherence, and infection with the feasibility of collecting and compiling those data. The intensity of data collection may change as programs go to scale.

Information collection systems

Monitoring systems collect data to help track actual performance versus targets for a project. Depending on the size of the program, systems can collect detailed, individual data or broader aggregate data. For example, the data collection capacity of a local, small-scale program can be much more targeted and specific than that of a far-reaching, national level program. Information collection systems provide the raw data, (the “what”), that feed into a deeper understanding of programs (the “why”). Programs should design their collection systems based on their realistic capacity to collect and analyze data, and use existing tools and indicators where possible. Many tools are available to use or adapt.


Evaluation facilitates understanding of why the data are showing specific findings. If there is a trend of individuals discontinuing PrEP use, evaluations can illuminate the causes behind the discontinuation.

Recommendations for Measuring Effective Use

Jhpiego and the Prevention Market Manager convened a think tank of PrEP experts to examine current methods for monitoring and evaluating PrEP use. This think tank explored the limitations of these methods, and issued preliminary recommendations for a new generation of metrics that better capture and reflect the use and impact of daily oral PrEP. Read more.


A number of monitoring and evaluation materials are available. This page includes a selection. If you’re looking for something in particular, visit our searchable database or use our help desk.

One notable tool is the WHO module on monitoring and evaluation. It is for people responsible for monitoring PrEP programs at the national and site levels. It provides information on how to monitor PrEP for safety and effectiveness, suggesting core and additional indicators for site-level, national and global reporting.

Help Desk

Need answers? The PrEPWatch Help Desk provides support for all your questions related to PrEP implementation and planning.

Last updated January 22, 2020.