This research was a qualitative research with the purposes to monitor and evaluate the policy implementation, and to review the policy recommendation of the Participatory Health Region 3. Data sources were documents related to the Participatory Health Region 3, and informants which consist of 24 committees of the Participatory Health Region 3, and 50 stakeholders of the Participatory Heath Region 3. Research tools composed of the in-depth interview question, focus group interview question, field record form, and data record forms. Data were analyzed as a descriptive statistic: frequency distribution, percent, mean, and standard deviation. Thematic analysis was used to analyze a qualitative data. Research results showed that: 1. Monitoring and evaluation of the policy implementation for the Participatory Health Region 3 1.1 Personnel: qualification and experience of the committees played a major role in the operation of the Participatory Health Region. Stakeholders were involved in effectively as a role in national. 1.2 Working process composed of though adjustment and cooperation noticeable in the starting phase, network cooperative system, conferences, and cross-organizational collaboration. 1.3 Policy of the Participatory Health Region 3 operation consisted of five topics: resources and environment system, nutritional stabilization system, ecological and cultural traveling system, local health service system, and public health system. The policy in this level implementation for Participatory Health Region 3 was successful in a policy level. The operation was done by network cooperation and designation of the Level point "Agroforestry". On the other hand, monitoring and evaluation remained unclear for most part, and the results of the performances indices (minus 9 plus 5) remain unclear for evaluation. However, the committees were maintained that the operation was on the right track.  1.4 Keys to success were commitment of the leader, teamwork, expertise of the key persons, common ground/objectives, and network cooperation. Weaknesses composed of lack of understanding in one's role for many departments, discontinuity in the committees and time for activities, and restriction on news and information. 2. Review of policy recommendation for the operation of Participatory Health Region 3 2.1 National policy recommendation: creation of information sources related to the Participatory Health Region, electing committee by considering the experience and determination to operate the policy, preparation of the teamwork for the committee of Health Region, seminars for all Participatory Health Regions, forming a central academic team to support the regions, and appointing a secretary of the committee of the Participatory Health Region who should be a full-time employee. 2.2 Regional policy recommendation: public relation on the operation of the Participatory Health Region, database of each region and/or information for decision, permission for the stakeholders to formulate the operating policy from the beginning, encouragement of collaboration between organizations in order to operate each topic effectively, designation of the leverage point, review of the performance indices in the event of the change in working process and topics, and academic conference by the Participatory Health Region 3. 2.3 Local policy recommendation: policy enforcement according to the capability of each area, database of each province and/or information for decision, teamwork encouragement, common objective, and network cooperative working.