Name: Byegon, Mercy Cherotich

Topic: Monitoring and Evaluation Activities, Support Structures And Performance Of Health Outreach Programs Funded By Non-Governmental Organization In Nairobi County, Kenya: A Case of Kibera Informal Settlement

ABSTRACT

Monitoring and evaluation activities are essential component in implementing outreach health services in form of programs intervention or project. Countries are in collaboration with local health facilities to respond to the uneven distribution of healthcare services. The national government and NGOs through the health sector mobilizes resources to support and conduct outreach health-related activities in hard-to-reach places through integrating programme activities into the health plan as a key factor11121 to improving remote populations’ health outcomes. The purpose of the study was to establish the influence of monitoring and evaluation activities, support structures on performance of health outreach programs funded by NGOs in Kibera informal settlement, Nairobi County. The study investigated the objectives namely resource mobilization for M&E, capacity building for M&E, planning for M&E, data collection for M&E and Results utilization and findings for M&E on performance of outreach programs. The study also determined the moderating influence of health support structures on the relationship between M&E activities and performance of health centre outreach programs funded by NGOs, seven objectives guided the study. The study adopted pragmatism philosophical underpinning and cross-sectional descriptive survey design and correlational research design. Table was used to determine the sample size of 283, this include 22 heads facilities, 14 County Officers and 247 households as programs beneficiaries. Data was collected through self-administered structured questionnaires and structured interview schedule. The collected data was analysed using both descriptive and inferential statistics especially Pearson’s Correlation tests. Multiple linear regressions were used for hypothesis testing. Based on the findings the study established a positive correlation between resource mobilization for M&E, capacity building for M&E, planning for M&E, data collection for M&E and Results utilization and findings for M&E on Performance of outreach programs, therefore the six were rejected and one was accepted. Therefore, it can be concluded that M&E activities have significant influence on performance and health projects funded by NGOs as all had a P value of 0.000<0.05. In additions, findings showed that support structures moderate the relationship between M&E activities and Performance of outreach programs with (R2 = 0.324, F=137.253, p=0.000<0.05). The study, concluded that Performance of health outreach programs are influenced by various factors of relevance in this study where are M&E activities mainly resource mobilization for M&E culture, capacity for M&E, planning for M&E, utilization of results and findings for moderated by health support structures. Lastly, the study recommends policy interventions from the grant providers ought to closely examine the various dimensions of M&E activities as a strategy to ensure impact sustainability by such programs in Kenya. Programs policy should ensure effectiveness and efficiency of the health support structures as a strategy for enhancing performance of programs funded Government or NGOs. To guarantee project performance, program stakeholders the study further recommends that programs beneficiaries should be involved in M&E activities and M&E practise should be embedded in project management to aid in demonstrating implementation and performance of programs. Further studies should examine health institution performance has been influence by devolution and need for planning coordination and use of data in health sector to enhance M&E activities, research development as and performance of programs.