FOLLOWING AN INTRODUCTORY OVERVIEW OF PROGRAM AND PROJECT EVALUATION AND MONITORING, A PERSPECTIVE ON EVALUATION IS PROVIDED, WITH ATTENTION TO MANAGEMENT, THE DEVELOPMENT OF EVALUATION TECHNOLOGY, THE DEMAND FOR EVALUATION, THE CONTEXT AND LEVELS OF EVALUATION, THE EVALUATION CONSULTANT'S ROLE, AND PRACTICAL CONCERNS ABOUT SUCCESSFUL PROGRAMS, ENVIRONMENT OF HEALTH RESOURCES DEVELOPMENT EVALUATION, POLITICAL CONSTRAINTS ON EVALUATION, CONDITIONS FOR EVALUABILITY, AVAILABILITY OF HISTORICAL DATA, USE OF EVALUATION FINDINGS, AND INFLUENCE OF FUNDING SOURCES IN PROGRAM AND PROJECT EVALUATION. EVALUATION PHASES ARE OUTLINED. THE MONITORING PROCESS, THE SYSTEMATIC RECORDING OVER TIME OF DESCRIPTIVE INFORMATION ABOUT PATTERNS OF EVENTS AND CONDITIONS OF PROGRAM OR PROJECT OPERATIONS, IS ALSO OUTLINED. OTHER ASPECTS EMPHASIZED INCLUDE BARRIERS TO EFFECTIVE MONITORING, DESIGN AND IMPLEMENTATION OF A MONITORING SYSTEM, IDENTIFYING SOURCES OF INFORMATION, CONTINUOUS COLLECTION OF MANAGEMENT INFORMATION, MONITORING FISCAL EDUCATION AND POLICEMEN, PUBLIC INTERESTS, RACE AND MONITORING GRANT-RELATED INCOME, USING QUANTITATIVE AND NARRATIVE PROGRESS REPORTS, AND THE USE OF SITE VISITS. SUBSEQUENT SECTIONS ON PROJECT AND PROGRAM EVALUATION ADDRESS THE PURPOSES OF PROJECT AND PROGRAM EVALUATION, BARRIERS TO EFFECTIVE EVALUATION, THEORETICAL CONSIDERATION IN SELECTING AN EVALUATION DESIGN, AND THE DESIGN, ESTABLISHMENT, AND IMPLEMENTATION OF APPROPRIATE EVALUATION APPROACHES. ADMINISTRATIVE DECISIONS IN BOTH PROJECT AND PROGRAM EVALUATION ARE ALSO EXAMINED. APPENDED MATERIALS INCLUDE AN OVERVIEW OF A PLANNING AND EVALUATION SYSTEM, FISCAL MONITORING FORMS, BUDGETS REVISIONS, AN EXAMPLE OF GRANT-RELATED INCOME POLICY, A PROJECT PROGRESS MONITORING FORM, APPROACHES TO EVALUATION, COMMON EVALUATION FRAMEWORKS, AND AN INTERRUPTED TIME SERIES DESIGN. TABULAR AND GRAPHIC DATA, REFERENCES, AND A GLOSSARY ARE INCLUDED.