PSI remains committed to achieving measurable health impact in all its activities. PSI uses monitoring
and evaluation techniques to assess progress and identify future areas of focus. A Behaviour Change
Impact Survey (BCIS) is conducted at the beginning and end of the project to provide a full
understanding of consistent condom use, STI treatment and the underlying reasons why male clients
of sex workers in our project areas do or do not adopt these behaviours. Every six months, PSI
conducts a shorter tracking survey to monitor changes in behaviours, attitudes and exposure to
activities. These results allow PSI to measure progress and make midprogram adjustments to both the
messages and intensity of communication activities. To monitor condom availability, PSI conducts a
coverage assessment study every six months.

This research assesses whether or not an area has an adequate number of outlets selling condoms
(any brand), allowing PSI to determine resource allocation (i.e., which areas have enough outlets and
which need more) and to avoid duplication with other condom distributors.

Finally, PSI monitors the quality of the Key Clinic Network in several ways. Each clinic is required to provide patient service logs for all STI patients indicating the syndrome and treatment they were
offered (as well as several other quality of care indicators) every month. As this is self-reported, PSI
also conducts simulated patient surveys every six months. ‘Simulated patients’ with real STI
syndromes are sent to clinics to measure quality of care and the effectiveness of provider
interventions in improving quality services.