Assessing Monitoring and Evaluation System for Managing HIV/AIDS Related Projects among Healthcare Providers at Thika Level 5 Hospital, Kiambu County, Kenya

Abstract

Background: 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 improving healthcare delivery and patient outcomes. Based on systems theory, the research evaluates the effectiveness of current M&E frameworks and identifies areas for improvement within the hospital’s health- care infrastructure. Aim: This study focuses on evaluating the monitoring and evaluation system for managing HIV/AIDS related projects among health- care providers at Thika Level 5 Hospital, Kiambu County, Kenya.  Research Methods: Mixed-methods design was used where stratified random sampling technique was used to select 384 study participants. Structured questionnaires and focus group discussions, this research aimed to capture diverse perspectives from healthcare providers, M&E specialists, and administrators. Results: The study findings revealed that there was a high level of effectiveness (78.2%) of the current M&E system in place at the Thika Level 5 Hospital.  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, the need for additional funds and lack of technological advancement. 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.