The purpose of this document is to provide guidance on the use of complexity-aware monitoring within the MOMENTUM projects. MOMENTUM—or Moving Integrated, Quality Maternal, Newborn, and Child Health Services, Voluntary Family Planning, and Reproductive Health Care (MNCH/FP/RH) to Scale—is the U.S. Agency for International Development’s (USAID’s) flagship, multi-award program to accelerate reductions in maternal, newborn, and child mortality and morbidity in high-burden USAID priority countries.

This guidance includes an introduction to the key concepts associated with complexity-aware monitoring, guidance to support application of the approaches to MOMENTUM, a summary matrix to quickly compare selected approaches, a brief overview of each selected approach, and resources to support use of these approaches. The overall goal of this guide is to support MOMENTUM partners to use complexity-aware monitoring approaches to enhance their monitoring and evaluation (M&E) and adaptive learning, thereby improving the likelihood of project success.