Monitoring and Evaluation Practices and Performance of Health Development Projects in Kenya: A Case of Marsabit County Referral Hospital
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Date
2024-10
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Daystar University, School of Business and Economics
Abstract
Projects within the health sector frequently encounter significant challenges that hinder their successful execution. These challenges often stem from inadequate monitoring and evaluation practices, difficulties in defining clear performance indicators, and insufficient time dedicated to M&E activities. Such shortcomings could lead to projects being delivered over budget, behind schedule, and with compromised quality, ultimately resulting in poor project performance. Recognizing the importance of effective M&E practices, this study aims to investigate their impact on the performance of health development projects at Marsabit County Referral Hospital in Kenya.Three specific objectives guided the study: Establish the monitoring and evaluation practices adopted by Marsabit County Referral Hospital, assess the level of project performance at Marsabit County Referral Hospital and determine the relationship between monitoring and evaluation practices and project performance at Marsabit County Referral Hospital.The research was anchored on three key theoretical frameworks: Goal Setting Theory, this theory posited that specific and challenging goals could lead to higher performance. In the context of M&E, clear performance indicators could enhance project outcomes. Program Theory, this framework emphasized the importance of understanding the underlying mechanisms through which M&E practices influence project performance. And, Stakeholder Theory, which was the main theory highlighting the significance of engaging stakeholders in the M&E process to ensure that their needs and expectations are met, thereby enhancing project performance. The study employed a descriptive research design to collect data from employees at Marsabit County Referral Hospital. The target population consisted of 104 senior management team members, managers, supervisors, and project officers. A pretest was conducted with 10 respondents from Mbagathi Referral Hospital, representing 10% of the census population, to ensure the reliability and validity of the research instruments. Data analysis was performed using SPSS version 26.0, with descriptive statistics presented through tables, percentages, and frequencies. Inferential statistics, including correlation analysis, were utilized to examine the relationships between the variables under study.The results of the study indicated strong positive relationships between various M&E practices and project performance indicators. Notably, effective project planning emerged as a critical factor for managing costs effectively, with a correlation coefficient of r = 0.852. This finding underscores the importance of thorough planning in achieving project objectives and maintaining budgetary constraints. In light of the findings, the study recommended that Marsabit County Referral Hospital incorporate comprehensive risk management measures into their project planning processes. By anticipating and mitigating potential risks, the hospital can enhance its project performance and ensure the successful delivery of health development initiatives. The study concluded that identified challenges could be addressed by implementing effective M&E strategies, and the hospital could improve project outcomes and contribute to the overall enhancement of health services in the region.
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MASTER OF BUSINESS ADMINISTRATION
in Project Management
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Citation
Shuna, S. (2024). Monitoring and Evaluation Practices and Performance of Health Development Projects in Kenya: A Case of Marsabit County Referral Hospital. Daystar University, School of Business and Economics