The Most Significant Change (MSC) technique is a participatory M&E approach that allows communities to share their learning in a way that is comfortable to them and allows project participants and implementers to learn together through project implementation.

Document assists frontline health workers in using the data collected at health facilities to solve common problems in service delivery and improve their response to community needs.

Document contains a literature review of experiences in participatory monitoring and evaluation (PM&E) from around the world, used in different contexts and involving all stakeholders.