Kipruto, Hillary2021-01-292021-01-292020-04Kipruto, H. (2020). The Effect of Devolution on Monitoring and Evaluation of Health Services in Kenya: A Case Study of the County Level of Government in Bungoma and Baringo Counties. Daystar University, School of Human and Social Sciences: Nairobihttps://repository.daystar.ac.ke/handle/123456789/3397Master of Arts in Monitoring and EvaluationThis study examined the impact of devolution on monitoring and evaluation (M&E) of health services Kenya, with a particular focus on Baringo and Bungoma counties. The study's objectives were to assess the type of M&E systems in place at the health departments of the two counties; determine the capacity of health services’ M&E systems in the health departments of the two counties; assess the availability of data management systems that support M&E of health services in the two counties; establish the level of funding for health services’ M&E systems in the two counties; and assess the effect of devolution on health services’ M&E systems in the two counties. A cross-sectional research design was applied and quantitative and qualitative data were obtained. The study used stratified random sampling to identify the two counties (Baringo and Bungoma). The sample comprised 112 staff (47 from Baringo County and 65 from Bungoma County), and 28 senior managers (14 from each county) from the two counties' health departments. The 112 staff were identified through stratified random sampling, while the 28 senior managers were chosen through purposeful sampling. In collecting data, a questionnaire was used for the 112 staff, while focus group discussion (FGD) was used for the 28 senior managers. The response rate from the questionnaire was 72%, while that from the FGD was 100%. The study found out that devolution, through the allocation of resources, service management, and scheduling, has made the following possible: M&E staff to improve healthcare access, improvement of the capacity of M&E staff in the healthcare sector, and the enhancement of the quality of healthcare M&E systems. The study recommends, among other things, the establishment of M&E functions in the counties; and the filling of M&E positions in the counties with only persons with M&E qualifications.enDevolutionMonitoring and EvaluationHealth ServicesCounty Level of GovernmentBungoma CountyBaringo CountyThesis