This document introduces an integrated gender toolkit for monitoring and evaluating health programs. The toolkit was developed to provide guidance on integrating gender considerations into health program M&E activities. It includes modules on developing a rationale, identifying stakeholders, building a gender-integrated M&E plan, and developing an implementation plan. Each module includes activities and tools to help programs collect sex-disaggregated data, analyze how programs impact gender norms and inequalities, and improve health outcomes. The overall aim is to equip programs with the resources needed to understand the relationship between gender and health and incorporate gender perspectives into their M&E practices.

1. Integrating Gender
in the M&E of Health
Programs: A Toolkit
Brittany S. Iskarpatyoti, MPH
Bridgit Adamou, MPH
Jessica Fehringer, PhD
MEASURE Evaluation
December 12, 2017

2. Overview
Toolkit
Development
Background
& Purpose

3. Background
& Purpose

4. Gender: Culturally defined set of economic, social, and
politicalroles, responsibilities, rights, entitlements, obligations,and
power relations associated with being female and male, and
the relationships between and among women and men
Gender expectations have a significant
impact on a person’s health, shaping:
• Behaviors and exposure
• Beliefs related to risk and vulnerability
• Help/health-seeking
• How health services are structured and provided
Gender, Health, and M&E

5. Gender integration entails identifying and addressing
gender differences and resulting inequalities
Gender integration in M&E includes:
• Collection and use of
• Sex- and age- disaggregated data
• Gender-sensitive data
• Analyze whether programs are changing
gender norms; reducing inequalities; and
improving service delivery, access to services
and health outcomes
Gender, Health, and M&E

6. Principles, Policies & Frameworks

7. Purpose
This toolkit provides:
•Processes and tools for integrating gender in a
health program’s M&E activities
•Guidance on facilitating communication with
primary stakeholders on the importance of
gender and M&E
•Additional resources on gender-integrated
programming and M&E

8. Development

9. Methods
Women, Girls,and Gender Equality(WGGE) Framework
Source: Michal Avni, Joan Kraft, Diana Santillan, Ana Djapovic Scholl, Amani Selim, & the M&E Technical Working Group. (2013).
Results framework for the WGGE principle. Washington, DC, USA: Global Health Initiative’s Women, Girls, and Gender Equality
Principle M&E Technical Working Group.

10. •Reviewed existing tools on gender and M&E
•Developed outline in consultation with GHI
WGGE M&E Working Group representatives
•Developed content
•Feedback from GHI WGGE M&E working
Group, other USAID staff, including LGBT experts,
and other MEASURE Evaluation experts in
gender and M&E and data use
•Sought USG offices with which to pilot the tool
Methods
Development

11. • Key population HIV project
• Capacity building
Pilot
Ghana
Care Continuum Project Evaluate for Health (E4H)
• M&E project
• Training of trainers

12. Toolkit

13. Designed for
• Program individuals and teams
• Program directors
• Gender focal persons
• Program officers
• M&E officers
• Various health programs
• Various health agencies and initiatives
Audience

14. Facilitation
• Team or single facilitator
• Responsible for organizing the process: collecting
documents, setting up meetings, and enabling
discussion and learning
•
How to Use this Toolkit
Time varies depending on
M&E situation and modules
planning to complete.

15. Toolkit
Modules
MODULE Potential Use
MODULE A:
Developing a Rationale for Integrating
Gender into M&E
Begin the process of integrating gender into M&E
MODULE B:
Identifying and Engaging Stakeholders
Choose your stakeholders and/or assign tasks
MODULE C:
Setting the Stage for Gender Integration
into M&E
Provide guidance on what to cover in an initial
stakeholder meeting on gender integration into M&E
MODULE D:
Building a Gender- Integrated M&E Plan
Identify and develop gender-integrated elements of
your M&E plan and create a gender-integrated results
framework
MODULE E:
Developing an Implementation,
Dissemination and Use Plan
Determine methods for data collection, analysis,
dissemination, and interpretation

16. Toolkit
Module Components

17. Toolkit
Activities
MODULE Gender-Related M&E Activities
MODULE A:
Developing a Rationale for
Integrating Gender into M&E
Activity A.1: Gathering background information
Activity A.2: Organizing background information
MODULE B:
Identifying and Engaging
Stakeholders
Activity B.1: Identifying stakeholders
Activity B.2: Engaging stakeholders
MODULE C:
Setting the Stage for Gender
Integration into M&E
Activity C.1: Reviewing gender-integrated programming
Activity C.2: Introducing fundamentals of M&E
Activity C.3: Introducing gender-integrated M&E
Activity C.4: Presenting the country’s gender, gender-related programming,
and M&E situation
MODULE D:
Building a Gender- Integrated
M&E Plan
Activity D.1: Adapting program goals and objectives and reviewing the scope
of the M&E system
Activity D.2: Building your gender-integrated M&E results framework
Activity D.3: Defining indicators to measure gender-related outputs and
outcomes
Activity D.4: Creating your gender indicators to measure gender-related
outputs and outcomes
Activity D.5: Identifying data sources
MODULE E:
Developing an Implementation,
Dissemination and Use Plan
Activity E.1: Determining methods for data collection
Activity E.2: Developing a plan for analyzing, disseminating and using your
data

18. Toolkit

19. Activities are supported by relevant tools:
• Spreadsheets are designed to help you organize program
and M&E information.
Toolkit
Tools

20. Toolkit
Tools

21. Activities are supported by relevant tools:
• Spreadsheets are designed to help you organize program
and M&E information.
• Sample agendas are provided to guide in-person
meetings.
Toolkit
Tools

22. Toolkit
Tools

23. Activities are supported by relevant tools:
• Spreadsheets are designed to help you organize program
and M&E information.
• Sample agendas are provided to guide in-person
meetings.
• PowerPoint (PPT) presentations are designed to guide your
discussions, ensuring that essential points on each topic
are covered. Speaker notes are included with the PPTs.
Toolkit
Tools

24. Toolkit
Tools

25. Activities are supported by relevant tools:
• Spreadsheets are designed to help you organize program
and M&E information.
• Sample agendas are provided to guide in-person
meetings.
• PowerPoint (PPT) presentations are designed to guide your
discussions, ensuring that essential points on each topic
are covered. Speaker notes are included with the PPTs.
• Handouts highlightimportant informationfor each activity.
They may be distributed to your stakeholders or other
interested parties that the team involves inthe process as
reference or to work through an activity.
Toolkit
Tools

26. Toolkit
Tools

27. By working through the activities and
companion tools, programs will have:
• An understanding of the relationship
between gender, programs, and M&E
• A working gender-integrated M&E
plan/framework
• A implementation, dissemination, and
use plan for gender data
Toolkit

28. Available Now!
www.measureevaluation.org/
resources/tools/gender/toolkit
-for-integrating-gender-in-the-
monitoring-and-evaluation-of-
health-programs

29. Questions/Feedback
If you have already reviewed the tool and
have feedback – we would love to hear it so
that we can make improvements.
bschriver@unc.edu

30. Acknowledgments
• MEASURE Evaluation Project and the MEASURE Evaluation
Population & Reproductive Health Project (2009–2014)
• Bridgit Adamou
• Shelah Bloom
• Jessica Fehringer
• Brittany Iskarpatyoti
• Jessica Levy
• Tara Nutley
• Knowledge Management Team
• USAID
• Michal Avni
• Joan Marie Kraft
• Vy Lam
• Ana Djapovic Scholl
• Annie Schwartz
• Amani Selim
• Women, Girls, and Gender Equality (WGGE) Technical
Working Group & Global Health Initiative
• Evaluate for Health
• Care Continuum Project

31. This presentation was produced with the support of the United States
Agency for International Development (USAID) under the terms of MEASURE
Evaluation cooperative agreement AID-OAA-L-14-00004. MEASURE
Evaluation is implemented by the Carolina Population Center, University of
North Carolina at Chapel Hill in partnership with ICF International; John
Snow, Inc.; Management Sciences for Health; Palladium; and Tulane
University. Views expressed are not necessarily those of USAID or the United
States government.
www.measureevaluation.org