The framework has been used to monitor a number of government pro poor programmes and policies. Key among them is the Ghana school Feeding Programme; the Capitation Grant; the National Health Insurance Scheme; Agricultural and trade policies; maternal health promotion and the use of local government revenue and mineral royalties. At the core of the monitoring activities of SEND is the application of what is referred to as the Participatory Monitoring and Evaluation Network (PM&E) framework used to monitor public expenditure in the health, education, and sectors among others.