The document discusses Lot Quality Assurance Survey (LQAS) as a low-cost methodology for local program monitoring. LQAS uses random sampling at the supervision area level to identify priority areas and provide accurate coverage measures. It enables targeting interventions within districts. The document provides an example of AMREF using LQAS to monitor activities in 5 sub-counties, measuring indicators like ITN use and ANC attendance. LQAS offered timely data to inform planning. The recommendations include strengthening research and using LQAS data to base proposals and plans on relevant evidence.