Abstract: Research has it that developing countries face major challenges that are related to the provision of poor quality healthcare services which have been attributed to inadequate knowledge and skills compounded with low staff members. M&E in Kenya is weak with poor information and data sharing. Through HMIS, Kenya has streamlined its data collection whereby data flow channels have been defined and information sharing among stakeholders has been embraced. However, the existing M&E systems still have disjointed activities, numerous program-specific M&E structures and the existing M&E systems satisfying the reporting needs of donors. These challenges have created a weak culture of information use and demand. The objective of the study was to determine the effects of M&E human capacity on health service delivery. Descriptive research design was employed, a sample of 113 health facilities was sampled using LQAS sampling technique, primary data was collected using researcher designed questionnaires while secondary data was collected through review of relevant literature. Quantitative data was analysed using SPSS while qualitative data was analysed using qualitative content analysis and triangulated with quantitative data. The findings indicated that M&E human capacity could explain 84.4% of variability in health service delivery. The study recommended that capacities of existing M&E practitioners be developed and ensuring institutional memory where every trained M&E practitioner trains at least one other person. The researcher suggested areas for further research to include a similar study that compares the findings from public, private, NGO and FBO health facilities in both rural and urban areas.
Keywords: human capacity, effective, monitoring and evaluation, health service delivery, determinants.
Title: Determinants of Effective Monitoring and Evaluation in Health Service Delivery: A Case of Nairobi City County Health Facilities
Author: GEOFFREY KABUKWES KIBOI, DR. JENNIFER KILONZO, PROF. MIKE IRAVO
International Journal of Management and Commerce Innovations
ISSN 2348-7585 (Online)
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