The purpose of this manual is to provide guidance on how to collect and report data on children in formal alternative care in Ghana in a standardised way, and to analyse, present, and make the data available for use. The manual describes the necessary data management procedures, and the roles and responsibilities of different stakeholders for generating high-quality data on alternative care. The guidelines present a range of indicators for alternative care, the sources of information, the frequency of reports on alternative care, and monitoring and review structures. As with all M&E manuals, it is intended to be a working document; the manual will be changed and improved as the M&E system evolves. Updates will be made to the document on a periodic basis.