The M&E system should be designed to be capable
of capturing a variety of positive and negative trends
across the community over different time scales.
Monitoring strategies should also consider that a
variety of positive community-level impacts will occur.
For example, rapid changes in and alleviation of
“income poverty” is likely to produce significant
improvement in the nutrition status of children under
five years of age. Nutritional changes can occur both
acutely (over days and weeks) and chronically (over
months and years) with significant direct effects on
other disease states, such as anemia, malaria,
pneumonia, and so on. Nutritional-effects data are
relatively easy to capture by systematically measuring
height, weight, and age in children under age five.