Background: Approximately 3 billion people worldwide, including more than 20 million people in Peru alone, depend on biomass fuels (BMF) for heating and boiling water, cooking, and lighting their homes. Burning BMF on poorly ventilated stoves results in household air pollution (HAP), which includes carbon monoxide (CO). Stove improvement programs aim to reduce indoor air pollution and are included in various organizations’ education visits to Peru. The programs do not allow sufficient time, or provide equipment or skills training to determine if the stove improvements have been successful.Objective: To develop and implement a rapid, low-cost method to measure CO concentrations in rural Peruvian households in order to assess the success of stove improvements. Methods: CO concentrations were measured 159 times in 14 households (with 7 clean, 6 traditional, and 1 gas stove) near Cusco, Peru. CO concentrations were measured in one-minute intervals with MSA Altair 4X multigas monitors. The likelihood of the 95th percentile exceeding the NIOSH CO ceiling limit of 200 ppm for each stove type was calculated.Results: The probability of overexposure was almost three times lower with “clean” stoves than with traditional stoves, i.e., 24% vs 9%.Conclusion: A promising and pragmatic method to evaluate the increased effectiveness of clean stoves over traditional ones was developed and tested. This method supports the implementation of clean stoves as a risk reduction measure.