Monitoring & Evaluation Practices and Performance of County Funded Health Projects in Mombasa County, Kenya
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Date
2025-02
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Kenyatta University
Abstract
county-funded health programs have a positive impact on the county's economic and social development. The monitoring and evaluation of health projects, particularly in the County governments are not completed on time despite significant resources allocated to their implementation and despite the fact that these projects significantly improve the lives of community members, necessitating an intervention. According to the literature currently available on County Integrated Development Plans, Mombasa County has a high number of health initiatives that have been started since 2014 and an equivalent number of these projects that have stalled or failed completely. The main cause of this stalling or failure has been posited as the absence of a system for monitoring and providing feedback on the projects' implementation and development. A monitoring and evaluation system can offer an intervention. Therefore, the goal of this study is to determine how monitoring and evaluation procedures affect the effectiveness of county-funded health projects in Mombasa County. The study’s specific objectives are to determine how the effectiveness of county-funded health projects in Mombasa County is affected by stakeholder participation, resource allocation, project management expertise, and monitoring and evaluation mechanisms. Cross-sectional research design was used for the study. The target population, and hence the unit of analysis of the study were 32 county-health projects in Mombasa County. Through stratified random sampling technique, a sample of 102 respondents was selected. The sample respondents comprised mainly key members of project implementation committee. The study was anchored on stakeholder theory, resource-based theory and program theory respectively. Primary data for the study were collected using semi-structured questionnaires and applied pick-and-drop procedure. Cronbach's alpha testing was applied to test for reliability of the data collection instrument. Further, both descriptive and inferential statistical data analysis were carried out. For descriptive statistical analysis, findings were presented using tables and graphs as appropriate. Ordinary Least Squares Diagnostic tests, were carried out before the multiple regression modelling. Cronbach alpha coefficient above the threshold of 0.7 was obtained for all the explanatory variables of the study. This implied reliability of the data collection instrument. Results from the multiple regression model showed that all the predictor variables were statistically significant at α = 0.05 level of significance. More specifically, resource allocation was found to have the highest predictive power on County -health projects (β = 0.519, t = 2.403, α = 0.042) followed by stakeholder involvement (β = 0.438, t = 2.201, α = 0.035). Results for the other two predictor variables, M&E systems (β = 0.407, t = 0.122, α = 0.00) and project management expertise (β = 0.438, t = 2.916, α = 0.00) respectively. Drawing from the study findings, it is concluded that all the four posited predictor variables for county-health projects’ performance are statistically significant and sufficient for such project management decision making. Further, and arising from the findings, the study recommends that emphasis and efforts be made on adequate resource allocation and robust stakeholder involvement for better performance of such projects. For further research it is recommended that other predictor variables drawn from the other project management knowledge areas be studied and their predictive powers on performance be compared with current results for better understanding and knowledge creation.
Description
A Research Project Submitted to the School of Business, Economics and Tourism in Partial Fulfilment of the Requirements for the Award of the Degree of Master of Business Administration (Project Management) Degree of Kenyatta University, February 2025.
Supervisor
Francis K. Kiarie