Influence of monitoring and evaluation systems on provision of health care services in public health institutions in Migori county, Kenya.

Abstract

Provision of health services in hospitals lack priority that it should enjoy in terms of monitoring and evaluation. Developed countries have pursued results orientated development initiatives by adopting more effective monitoring and evaluation practices in health care services provision. Monitoring and Evaluation systems allow project activities to be measured and analyzed. The purpose of the study was to establish the influence of Monitoring & Evaluation systems on the provision of health care services in Public Health Institutions in Migori County, Kenya.This study was guided by the following research objectives; human capacity for Monitoring & Evaluation, partnership for managing Monitoring & Evaluation, Monitoring & Evaluation work plan and data auditing on Monitoring &Evaluation. The research design used was descriptive survey. The study targeted a sample of 60 doctors, 102 Nurses, 43 M&E officers, 9 social workers, 16 community health volunteers and 55 patients. The data collection instruments included a questionnaire and an interview guide. Data analysis was descriptive in the form of frequencies and percentage. Multiple regression was conducted .From the study findings, data collection was regular with data analysis carried mainly through SPSS21. The study found out that technical support increased the knowledge on monitoring and evaluation systems. Donor partnership was involved influenced provision of health services in public health institution to a moderate extent. The respondents agreed that data quality assurance in M&E influenced provision of health care services. The study concluded that technical support increased the knowledge on monitoring and evaluation systems to a moderate extent. Communication among organization involved influenced provision of health services in public health institution to a moderate extent. Inventory of organizations involved. Availability of skilled labour influenced provision of health services in public health institution to a great extent. Regular data assessment influenced provision of health services in public health institution to a great extent. The public health institution management should offer technical support to the personnel. The stakeholder support needs to be documented. The County government needs to encourage donor partnership so as to improve health services in public health institutions. The County government needs to employ qualified skilled labour. The management needs to conduct a regular data assessment.