‘Assessment of monitoring practices on the performance of donor sponsored health projects: a case of vukisha-95prevention, care and treatment project, Kisii county,Kenya’

Abstract

‘Health projects aim at increasing the accessibility and affordability of healthcare services through instituting a human resource base that is responsive to helpless individuals in society. It also aims to improve accessibility of healthcare facilities and therefore monitoring practices are required to be established in this situation. Monitoring practices are processes employed to collect useful information and analyze them for better performance by maximizing positive influences and minimizing risk adverse effects. Monitoring practices are established with proper documentation of performance plans at given interval. Monitoring and evaluation becomes a very essential practice of several health projects. Therefore, this study aimed at assessing influence of monitoring practices on health projects - a case of Vukisha-95 donor funded HIV Care, Treatment and Prevention Projects. The specific objectives were: To inspect the influence of auditing practice on performance of health projects; To determine the influence of progress review and follow-ups on performance of health projects; and, To examine the influence of management by exception on performance of health projects. The study adopted an analytical research design that. The descriptive research design was also used to describe the application of mixed research design on variables under the study. The goal population encompassed of 293 respondents from the Ministry of Health employees from 124 Vukisha-95 Project facilities supported in the county. This is because they employ monitoring practices for the ongoing health projects. This target population included clinical officers, doctors, nurses, lab technologists, counselors, data officers and Community Health Promoters (CHPs). The rersearch used questionnaires to collect data. Descriptive and inferential statistics were analyzed by the Statistical Package for Social Sciences (SPSS). Incidences, percentages and means constituted expressive statistics The study found that monitoring practices have a huge positive impact on the performance of v Vukisha-95 Projects in Kisii County. The study also found that human and technology based challenges may hinder the execution of monitoring practices in donor funded projects. The outcomes will be significant to healthcare workers, policy makers, and Ministry of Health, policymakers and future researchers’.