Regular monitoring and evaluation provides a systematic method to document the progress and impact of national programmes in terms of defined indicators, for example, tracking hand hygiene improvement as a key indicator, including hand hygiene compliance monitoring. Ÿ National level monitoring and evaluation should have in place mechanisms that: › Provide regular reports on the state of the national goals (outcomes and processes) and strategies. › Regularly monitor and evaluate the WASH services, IPC activities and structure of the health care facilities through audits or other officially recognized means. › Promote the evaluation of the performance of local IPC programmes in a non- punitive institutional culture.