Assessing monitoring and evaluation system for managing HIV/aids related projects among healthcare providers at Thika level 5 hospital, Kiambu county, Kenya

Abstract

Monitoring and Evaluation (M&E) systems play a pivotal role in assessing the effectiveness and impact of projects, programs, or interventions by providing a structured framework for data collection, analysis, and decision-making. This study investigates the Monitoring and Evaluation (M&E) systems implemented in managing HIV/AIDS-related projects at Thika Level 5 Hospital, with a focus on enhancing healthcare delivery and patient outcomes. Grounded in Systems Theory, the research evaluates the effectiveness of current M&E frameworks and identifies areas for improvement within the hospital's healthcare infrastructure. Drawing from a comprehensive literature review, this study contextualizes the importance of M&E systems in HIV projects. Within the healthcare landscape of Kenya, where HIV/AIDS remains a significant public health challenge, tailored M&E systems are crucial for optimizing resource allocation and improving service delivery (NASCOP, 2020). Utilizing a mixed-methods approach, including structured questionnaires, and focus group discussions, this research aimed to capture diverse perspectives from healthcare providers, M&E specialists, and administrators. By integrating quantitative data on system effectiveness and qualitative insights on challenges and opportunities, the study developed actionable recommendations for refining M&E systems at Thika Level 5 Hospital. Ethical considerations, including informed consent, confidentiality measures, and participant welfare protocols, were integral to ensuring the integrity of the research process. This study underscored the importance of upholding ethical standards in research involving human participants, prioritizing their rights and well-being. Data was coded, cleaned and analysed using SPSS version 28 objective wise. The findings of the study revealed that there was a high level of effectiveness (78.2%) of the current M&E system in place at Thika Level 5 Hospital. The training and capacity-building efforts provided to healthcare providers regarding M&E practices on HIV/AIDS project were high and the improvement after M&E training was effective (100%). Some of the challenges and barriers faced in the implementation of the M&E system for HIV/AIDS projects were inadequate financial resources, inadequate staffing, need for additional funds, and lack of technological advancement. In conclusion, a high level of effectiveness of the M&E system for managing HIV projects among healthcare providers in a hospital signifies that the system is well-structured, data-driven, and capable of producing meaningful insights that enhance patient care and program outcomes. The study recommends that health facilities should develop and implement comprehensive training programs focused on M&E principles, methodologies, and tools for healthcare staff.