MONITORING AND EVALUATION, BEHAVIOURAL DETERMINANTS AND PERFORMANCE OF MATERNAL HEALTH PROGRAMMES IN KENYAN COUNTY GOVERNMENTS

Abstract

Inefficiency in monitoring and evaluation which is one of the key stages in management has contributed significantly to operations failure in government institutions and programmes. Despite the Kenya government’s effort to promote county maternal health programmes through legal frameworks such as county the integrated monitoring and evaluation practices tool, and while there is empirical evidence that monitoring and evaluation practices contributes to enhanced1 performance, actual performance of county health sector across Kenya remains poor.The on purpose the of the study was relationship between of maternal health programmes to establish the influence monitoring and evaluation in Kenyan of behavioral practices determinants and performance County Governments. The study used the pragmatism paradigm. The study adopted a mixed research design. The study targeted 388 hospitals from nine counties. The unit of analysis

1165 respondents, including employees officers, Medical from level 4 and 5 hospitals

Was (Nurses, Clinical officers, Nutritionists, Pharmacists, Health Records, Laboratory

technologists, Counsellors, Medical superintendents, Hospital administrators, Nursing

services managers and maternal child health (MCH) in charge), County Health Management Members Team members, County governors/deputy governor, County Executive for Health, Health County Chief Officers, County delivery unit members.

The research instruments that were used for data collection are: a self-administered

structured questionnaire and interview guides. Descriptive and inferential data analysis techniques were used in this study. The study found that astrong correlation and behavioral between determinants the performance of county maternal (r=0.821, p=0.001<0.05). The there was health programmes research found that after introduction

1 of behavioural determinants in model 3, there was R square by 0.066. This determinants

1 on1 the showed that there relationship between is a significant influence monitoring and evaluation and performance described by the of maternal health programmes 6.6% variation. The in Kenyan study therefore a rise in the of behavioural practices county governments concluded that a significant influence of behavioural determinants on the

There as was relationship between is monitoring and evaluation practices and performance of maternal health programmes in Kenyan county governments. The research concluded that monitoring and evaluation system is not a political strategy to audit employee performance.Further, the study concluded that excessively high workloads cause

And physical stress, resulting to poor performance and reduced productivity among staff.

The in research recommended that County Maternal the mental Ministry of Health should review staffing needs Health Programmes to help them cope with the increasing numbers

More of people formal professionals seeking skilled delivery services. The and refresher trainings develop their skills. Should be study also recommends included in the programs1

That to help professionals develop their skills