To boost well being co-benefits throughout city insurance policies which deal with air air pollution and local weather change, WHO, in cooperation with numerous worldwide, nationwide, and native companions, applied the City Well being Initiative (UHI) pilot challenge in Accra, Ghana. The Initiative prompted the well being sector to make use of its influential place to exhibit to decision-makers and the general public the total vary of well being, environmental and financial advantages that may be achieved from implementing native emission discount and power entry insurance policies and methods. Coverage monitoring, though not all the time thought of, is a basic part of this process. It assesses the planning, implementation and progress of a coverage to refine or modify insurance policies with the ultimate goal of accelerating the probability of the coverage being profitable. This report is an consequence of the final part of the UHI mannequin course of, Coverage monitoring and monitoring outcomes. The report proposes a framework for monitoring city well being insurance policies, with a particular deal with the impacts of air high quality and power entry on human well being and well-being in African international locations, giving some examples from the pilot challenge in Accra. The report additionally supplies sources to survey air high quality in cities and different instruments to evaluate public well being and the environmental impacts of city insurance policies and monitor or monitor their results.