Monitoring and evaluation tenets and performance of county funded brick and mortar health projects in Busia County

Abstract

Monitoring and Evaluation of projects tenets are very crucial in determining whether the project is in progress to meet the set goal or not. The proposed study was on monitoring and evaluation tenets and performance of county funded brick and mortar health projects in Teso North sub county in Busia county. The specific objectives were to establish how the level of competence in Monitoring and evaluation, resource allocation for Monitoring and evaluation, and stakeholders’ participation in Monitoring and evaluation affected the performance of county funded health projects. The study was centered on the Stakeholder’s theory, expectancy theory and theory of planned behavior. A descriptive research design was used. A sample of 314 respondents was reached across all the wards in Teso North sub county using stratified Random sampling. Data was collected using Questionnaires and Key informant interviews. The quantitative data was analyzed using descriptive statistics and inferential statistics in the form of the Pearson’s Correlations and regression. Qualitative data was analysed thematically to illuminate emerging issues on the subject. Hypothesis test results p=0.933 for objective one led to failure to rejecting the null hypothesis for the first study objective stating that there was no significant relationship between competency in M&E and performance of health projects. However, Hypothesis test results for the second and third study objectives p= 0.037 and p=0.000 respectively resulted to rejecting the null hypotheses for both objective two and three of the study hence concluding existence of a significant relationship between both availability of resources for M&E and stakeholders’ participation in M&E and performance of health projects. The study concludes that all the three factors under study; level of competency, availability of resources for M&E and stakeholders’ participation in M&E have a significant relationship with performance of health projects in Teso North sub county in Busia, Kenya. The study recommends policy action on allocation of adequate resources through consideration of determining the minimum proportion of project budgets for M&E. stakeholders’ participation framework needs to be strengthened for effective community participatory M&E. There is need for further research on other related factors unaccounted for by the study. Further research is required on effectiveness of stakeholders’ participation in the M&E context in public health projects.