MONITORING AND EVALUATION PRACTICES AND PERFORMANCE OF HEALTH PROJECTS IN KIAMBU COUNTY, KENYA

Caroline Nekesa Ngoya, Dr. Anne Marie Wairimu Mungai

Abstract


The general objective of the study is to establish the influence of monitoring and evaluation practices on performance of health projects in Kiambu County, Kenya. Specifically, the study sought to determine the influence of M&E planning on performance of health projects in Kiambu County, Kenya, to establish the influence of M&E capacity on performance of health projects in Kiambu County, Kenya. This study was guided by Theory of Change, and Systems Theory. The study adopted descriptive research design. This study was conducted at the ministry of health. This study was conducted in Kiambu County and only focused on health projects. According to Kiambu County report (2023) the department of health is structured into Tier 5- Inter-county facility (1), Tier 4 -Hospitals (13), Tier 3 -Health Centres (24) and Tier 2 -Dispensaries (70). The study therefore targeted a total of 108 health projects. The unit of observation was 216 respondents comprising of project managers and M&E officers working on the 108 projects. The study’s sample size was reached at using Krejcie and Morgan sample size determination formula. The 138 respondents were chosen with the help of stratified random sampling technique. This study relied on both primary and secondary data. Primary data was collected through use of semi structured questionnaires. The study also conducted pilot test to test the validity and the reliability of the data collection instrument. The data collection instrument generated quantitative data. The study used both descriptive and inferential statistics for data analysis with the aid of Statistical Package for Social Sciences (SPSS version 25). Descriptive statistics such as mean, standard deviation, frequency and percentages were used in this study. In relation to inferential statistics, the study used correlation analysis. This was used to establish the relationship between the independent and the dependent variables. Data was then presented in a tables, bar charts and pie charts. From the pilot test results, the questionnaire met all the validity and reliability requirements and the respondents had a clear understanding of the data collection instrument hence it is good instrument for data collection. The study concludes that M&E planning has a positive and significant influence on performance of health projects in Kiambu County, Kenya. In addition, the study concludes that M&E capacity has a positive and significant influence on performance of health projects in Kiambu County, Kenya. Based on the findings, the study recommends that the management of health projects in Kenya should establish a robust and participatory Monitoring and Evaluation (M&E) system.

Key Words: Monitoring and Evaluation Practices, Performance of Health Projects, M&E Planning, M&E Capacity 


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References


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