Developing a county monitoring and evaluation system (M&E) and performance management system at service delivery level. AHADI. September 2018

This brief document describes key elements of a County M&E and performance management system, emphasizing service delivery at facility and ward level. The term “system” is used to describe the procedures, instruments and tools a county develops and uses in order to practice M&E. The M&E system forms the foundation for performance management and should focus on measuring service delivery and should answer the following questions: (i) what services are to be/are actually provided and what is the level and quality of service delivery; (ii) where are services provided; (iii) is service provision benefitting citizens; (iv) is service delivery efficient and does it provide value for money; (v) which service provider is performing the best and worst; and (vi) how might services be improved? The M&E system should support policy and resource allocation decisions and support the management of performance, down to the level of an individual service delivery point. This document was prepared to serve as a resource for AHADI facilitators.