Strengthening Health System Responses to Gender-based Violence in Eastern Europe and Central Asia

A resource package

5.1. Understanding monitoring and evaluation

Monitoring is the continuous assessmentof achievements during the implementation process.Evaluation is a periodic, comprehensive and systematic reviewof an intervention, its design, implementation and results.

Monitoring and evaluation have to be tailored for each intervention specifically. For example, monitoring and evaluation would look different for:

  • a school-based prevention programme,
  • a training program on the systematic use of screening protocols throughout the health sector,
  • the implementation of domestic violence legislation, or
  • a public awareness-raising campaign aimed at engaging men.

Table 12: Differences between monitoring and evaluation

Often the following five criteria are assessed during monitoring and evaluation: relevance, effectiveness, efficiency, impact, and sustainability.

Figure 11: Criteria for assessing interventions in monitoring and evaluation

These criteria, which have also been adopted by the Organization for Economic Cooperation and Development-Development Assistance Committee (OECD-DAC), summarize some of the key questions that monitoring and evaluation seek to answer. They constitute the general framework for monitoring and evaluation and can be concretized through the questions listed in section 5.2.

  • Relevance refers to the extent to which the intervention is suited to the priorities of the target group and implementing organizations such as health care facilities or the relevant policies and strategies against GBV.
  • Effectiveness measures the extent to which the intervention attains its objectives.
  • Efficiency relates inputs (time, money, resources) to outputs (qualitative and quantitative). It is an economic term which is used to assess the extent to which the least costly resources possible are used in order to achieve the desired results.
  • Impact implies analysing the positive and negative changes produced by the intervention, directly or indirectly, intended or unintended. Indirect results are results, which go beyond the narrow focus of the intervention. For example, the establishment of a counselling centre for battered women can also lead to increased awareness of the problem in the larger community.
  • Sustainability is concerned with measuring whether the benefits of an activity are likely to continue, e.g. after funding has been withdrawn or after survivors of violence return to their home environment.