Integrative approaches to monitoring and evaluation (M&E) in agricultural extension programs are essential for effectively measuring program impacts, enhancing accountability, and informing continuous improvements. This chapter discusses the critical role of comprehensive M&E systems that go beyond mere output tracking to capture meaningful outcomes, such as increased crop yields and the adoption of sustainable practices. By integrating both quantitative data-like production statistics-and qualitative insights-such as farmer feedback-these systems provide a multi-dimensional understanding of program performance. The chapter emphasizes the importance of participatory approaches, enabling stakeholders to actively engage in the evaluation process, which fosters a sense of ownership and aligns programs with community priorities.