Monitoring & Evaluation Practices and Performance of County Funded Health Projects in Mombasa County, Kenya
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Date
2024-08
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Abstract
In so far as they promote equitable economic
growth and sustainable development, countyfunded 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 ascertain how monitoring and evaluation
procedures affect the effectiveness of countyfunded health projects in Mombasa County.
The study’s specific objective is to ascertain
how the effectiveness of county-funded health
projects in Mombasa County is affected by
stakeholder participation. 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 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 resource
allocation was statistically significant at α =
0.05 level of significance. More specifically,
stakeholder involvement was found to have a
predictive power on County -health projects
stakeholder involvement (β = 0.438, t = 2.201,
α = 0.035). Drawing from the study findings,
it is concluded that stakeholder involvement
posited predictor variable for county-health
projects’ performance is 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 robust stakeholder involvement for
better performance of such projects
Description
Research Article
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Citation
Makau, J. M., & Kiarie, F. K. (2025). Monitoring & evaluation practices and performance of county funded health projects in Mombasa County, Kenya (Doctoral dissertation, Kenyatta University).