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This publication aims to review monitoring and evaluation activities, methodologies and findings around the Stepping Stones (SS) approach. Over the last ten years, Stepping Stones has been used by many NGOs as an effective tool for HIV prevention, gender empowerment, community mobilisation and promotion of PLWHA rights. However, monitoring and evaluation documentation on SS is sparse and does not reflect the wealth of learning about the methodology. Key findings show that SS helps improve communication about health issues and supports behaviour changes, although evidence that it has led to a decline in HIV or AIDS incidence is less clear. The report calls for well-designed and systematic monitoring and evaluation activities, and for a strategic dissemination of findings and monitoring and evaluation data