---
title: "Pivot - Monitoring and Evaluation System | Relief Applications"
description: "PIVOT is an NGO working in countries with fragile health services, such as Madagascar, strengthening public health systems by combining rights-based care with…"
url: https://reliefapplications.org/projects/pivot-monitoring-and-evaluation-system/
lang: en
updated: 2026-11-11
---

# Pivot - Monitoring and Evaluation System

PIVOT is an NGO working in countries with fragile health services, such as Madagascar, strengthening public health systems by combining rights-based care with science-guided operations. Relief Applications has partnered with PIVOT since 2017 to build effective data-management and Monitoring & Evaluation systems.

- **Client**: PIVOT
- **When**: Jul 2017–Jul 2019
- **Team**: 3+
- **Services**: [Info management & MEAL](https://reliefapplications.org/services/info-management/), [App development](https://reliefapplications.org/services/app-dev-and-maintenance/)
- **Industry**: Health and human rights
- **SDGs**: 3. Good health and well-being, 10. Reduced inequalities, 17. Partnerships for the goals
- **Client website**: [pivotworks.org](https://www.pivotworks.org/)

PIVOT operates in contexts with extremely limited medical services, where reliable data is essential to guide scarce resources. Health staff were collecting sensitive data on programmes such as malnutrition, TB and HIV, but existing tools made it difficult to ensure data quality, consolidate indicators, and share clear metrics with decision-makers and donors, especially in remote, low-resource environments. PIVOT needed a secure, easy-to-use monitoring and evaluation system that could capture sensitive health data, support field staff, and provide meaningful analytics to M&E teams and donors. Relief Applications worked closely with PIVOT’s M&E department to map existing data flows and indicator frameworks, then designed a centralised platform with a robust API feeding automated dashboards. Our approach focused on usability for field teams, strong data protection practices, and flexible analytics to adapt as programmes evolved. We delivered a user-friendly data management platform backed by a secure cloud database, automated dashboard visualisations for priority indicators, and improved statistical analysis capabilities. The system enables accurate and secure recording of health data, clearer presentation of key metrics, and faster, evidence-based decision-making, supporting PIVOT’s mission to strengthen public health systems and demonstrate impact to partners and donors.

## The challenge

- Enable accurate and secure recording of sensitive health data
- Improve monitoring and evaluation of programs such as malnutrition, TB, and HIV
- Present key metrics clearly for internal teams and donors
- Provide easy access for field staff working in low-resource settings

## What we did

- Designed and implemented a user-friendly data management platform
- Developed a robust API for automated dashboard visualizations
- Delivered high-quality, intuitive dashboards to support decision-making and donor reporting
- Improved statistical analysis capabilities to enhance oversight of health program outcomes

![Monitoring and Evaluation System, PIVOT: screen 1](https://reliefapplications.org/images/projects/slides/p089/01.webp)

![Monitoring and Evaluation System, PIVOT: screen 2](https://reliefapplications.org/images/projects/slides/p089/02.webp)

## More projects

- [MSF UK - REMIT: Research Management & Impact Tool Review](https://reliefapplications.org/projects/msf-uk-remit-research-management-impact-tool-review/): MSF UK
- [Equality Fund - Impact Library: Data, Stories & Insights](https://reliefapplications.org/projects/equality-fund-impact-library/): Equality Fund
- [HQAI - Innovation & IT Advice](https://reliefapplications.org/projects/hqai-innovation-and-it-advice/): HQAI
- [WHO - Global Health Cluster Support](https://reliefapplications.org/projects/who-global-health-cluster-support/): WHO
- [FIDH - Automated Timesheet Management System](https://reliefapplications.org/projects/fidh-automated-timesheet-management-system/): FIDH
- [UNESCO - MAB Biosphere Reserves Platform](https://reliefapplications.org/projects/unesco-mab-platform-for-tracking-biosphere-reserves-submission-workflow/): UNESCO

- [All projects](https://reliefapplications.org/projects/)