An HSA in Malawi explaining his CCM treatment data displays. Photo by Emmanuel Chimbalanga, courtesy of Save the Children Malawi.


Monitoring and evaluation systems are at the center of program management. Community health worker (CHW) tasks and records can be used as a starting point for creating monitoring and evaluation systems. Managers then compare achievements against standards or targets set to determine if adequate progress is being made toward achieving the results. Record-keeping forms used by CHWs and their supervisors should correspond to defined CHW competencies and tasks. Managers as well as communities and decisionmakers especially want information to determine whether CHWs are doing what they are expected to do and, if not, why, as well as how they could be better supported in carrying out their tasks. For managers and supervisors, monitoring means knowing which providers are working well and which need more help. For the providers, monitoring means that their work is recognized and having a measurable impact. Together, these suggest the principle indicators for monitoring and evaluation, such as correct assessment and management of sick children.

Health management information systems (HMIS) are information systems (paper-based or computerized
or both) in which information from service delivery points is collected routinely (usually every month), and passed up to higher levels of the health system for tracking progress and decision making. Ideally, iCCM is included in the national HMIS.


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