Monitoring and Evaluation Community of Practice

The HIVE Monitoring and Evaluation (M&E) Community of Practice (CoP) supports country teams to strengthen M&E systems for HIV prevention services for pregnant and breastfeeding women, with a focus on PrEP, including both oral and long-acting PrEP options.

Through peer learning, technical exchange, and shared tools, the CoP helps countries improve how they collect, analyze, and use data to guide vertical transmission prevention (VTP) and PrEP programming and reduce the risk of maternal HIV acquisition and vertical transmission.

About the Community of Practice

Vertical transmission of HIV remains a public health challenge in many African countries, particularly during pregnancy, the postnatal period, and breastfeeding. As countries expand access to PrEP, including newer long-acting products such as lenacapavir (LEN) and cabotegravir long-acting (CAB-LA), strong M&E systems are essential to monitor service availability, uptake, continuation, and outcomes among pregnant and breastfeeding women.

The HIVE M&E CoP provides a structured platform for peer learning, alignment with global guidance, co-creation of tools, and practical problem-solving to strengthen the use of data for HIV prevention broadly and PrEP programming specifically within VTP programs.

Focus and Activities

The CoP supports countries in improving how data are collected, analyzed, linked, and used to guide HIV prevention programming and reduce the risk of vertical transmission.

Priority Focus Areas

    • PrEP Indicator harmonization
      Defining and aligning indicators for monitoring PrEP and long-acting prevention options among pregnant and breastfeeding women.
    • HIV testing and retesting
      Monitoring maternal HIV testing and retesting in alignment with PrEP service delivery.
    • PrEP availability, eligibility, and continuation
      Tracking availability, eligibility assessment, initiation, and continuation of PrEP during pregnancy and breastfeeding.
    • Data linkage
      Linking PrEP data with maternal, postnatal, and infant records to better understand vertical transmission risk.
    • Client and provider experience
      Understanding the experiences and satisfaction of recipients of care and health providers, and using this information to improve services.
    • Routine data use
      Using routine data to identify gaps, missed opportunities, and areas for program improvement.

The M&E CoP convenes quarterly virtual learning sessions and facilitates peer exchange among HIVE member countries and partners. Activities include sharing approaches to indicators, tools, dashboards, cohort monitoring, and data linkage; supporting the co-creation of M&E tools and guidance; promoting harmonization across prevention and VTP data systems; providing technical guidance on PrEP/LEN M&E challenges; and documenting country experiences, innovations, and lessons learned.

    October 2025 Meeting

    HIVE Launch Meeting: Data Ownership and System Resilience.

    February 2026 Meeting

    M&E Services for Pregnant and Breastfeeding Women in the Era of Expanding PrEP Options. 

    June 2026 Meeting

    Country Approaches for Adopting and Integrating PrEP Cascade Indicators for PBFW.