Sustainability rests in the delivery of commercially viable and funded work linked to national policy priorities. Our goal is to improve access to family planning and related reproductive health services enabling individuals to have children by choice not chance. Working with Government of Nigeria and in partnership with other organizations, MSION provides family planning and other reproductive healthcare clinical services in underserved communities. MSION’s goal is to meet the needs of underserved Nigerians and dramatically improve access and use of a range of reproductive health services. Marie Stopes International Organization Nigeria (MSION) is a results-orientated Social Business, which uses modern management and marketing techniques to provide reproductive health care and allied services. After thorough field testing, this practical and field-based ethical framework can be widely used by donor agencies, M&E teams, institutional review boards and ethics committees.Job Description Monitoring & Evaluation Officer A case study is discussed in this context. This proposed theoretical framework can act as the blueprint for building the capacity of ethics committees to review M&E proposals. A theoretical framework for ethical considerations is proposed in this paper. There is a need to institutionalise the ethical review of M&E proposals. There are several ethical frameworks in public health, but none focusing on the monitoring and evaluation process. Some of the key ethical considerations are avoiding conflicts of interest, maintaining independence of judgement, maintaining fairness, transparency, full disclosure, privacy and confidentiality, respect, responsibility, accountability, empowerment and sustainability. Since M&E is the backbone of public health programmes, ethical considerations are important in their conduct. Monitoring and evaluation (M&E) is an essential part of public health programmes.
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