The Monitoring and Evaluation methodologies and Program and Project Frameworks are based on well-developed sets of indicators. These indicators provide the basis for pre- and post-analyses and define the positive and negative impacts of program and project interventions, foreseen and unforeseen, intended and unintended. The NGHOA MEAL policy has three main objectives which are, to monitor and evaluate results and impacts of (NGHOA) activities, to provide a basis for decision-making on amendments and improvements of policies, strategies, program management, procedures, and projects and to document, provide feedback on, and disseminate results and lessons learned.