Monitoring and Evaluation Practices and Perfomance of County Funded Health Construction Projects in Kilifi County, Kenya
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Date
2025-06
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Kenyatta University
Abstract
The Devolution Act and Implementation Guidelines stress the need of assessing the progress of health facilities built with county funds. In counties, the many parties accountable for project delivery are also tasked with monitoring its progress. In order to produce an accurate assessment of a project, individuals tasked with monitoring and assessing it must ask the correct questions, conduct thorough investigations of the actual problems, and gather all necessary data. Managers of public works projects are always pleased when their efforts succeed. This means completing the project on schedule and without going over budget, as well as satisfying the entire project's other stakeholders. Despite best efforts, numerous Kilifi County health building projects financed by the county have ran over budget, behind schedule, failed to meet end-product standards, failed to meet customer wants and expectations, and failed to achieve management objectives. For effective tracking and measurement of results, as well as illumination of the triggers to difficulties inherent in handling county-funded health construction projects, effective evaluation and monitoring techniques are essential. This project aimed to examine the correlation between evaluation methods and the performance of health construction projects funded by Kilifi County. The research focused on the assessment of resource allocation on performance of health construction projects, to analyse the influence of stakeholder involvement on project performance, to study the influence of M& E Staff Training on project performance and to determine the influence of M&E System on performance of health construction projects funded by Kilifi County. The investigation was grounded in theories such as stakeholder, resource-based perspective, equity, and program. Descriptive research approach was employed, concentrating on all 88-project staff from 29 county-funded health project in Kilifi County. Stratified random sampling was used to group respondents according to their regions while purposive sampling aided in the selection of respondents based on their knowledge. Data was collected through a structured questionnaire. The gathered quantitative data was processed and examined using SPSS version 21. The data analysis utilized descriptive and inferential statistics, such as means, standard deviations, and frequencies, were used for data interpretation. The findings showed that resource allocation had positive and significant effect on project performance. The results demonstrated that stakeholder involvement played significant role in enhancing project performance. The outcome of the study indicated how M &E Staff Training was significant in contribution to the improvement of project performance. The study established that M&E System significantly impacted the performance of health construction projects in Kilifi County. The conclusion was made that Kilifi County government allocates resource to improve project performance. The county government of Kilifi was also engaging with its stakeholders to enhance performance of its health construction projects. Conclusion was made that M&E Staff Training is significant in the improvement of performance of health construction projects. The study concluded that M&E systems are important in the improvement of health construction projects in Kilifi County. The study recommended the need for early disbursement of resource to reduce delay in project implementation and enhance performance. Kilifi County may also enhance communication to aggressively engage its stakeholders for more support needed to enhance project performance. It was recommended on enhanced M&E System to obtain feedback necessary in the improvement of project performance. Future study may consider using other project performance metrics as well as different study locations to compare the findings
Description
A Research Project Submitted to the School of Business, Economics and Tourism in Partial Fulfillment of the Requirements for the Award of Degree of Master of Business Administration (Project Management Option)
Kenyatta University, June, 2025
Supervisors:
1.Joshua Tumuti