Health Promotion Interventions, Monitoring And Evaluation Process, Policy Guidelines And Perfomance Of HIV Prevention Projects For Adolescents In Kisumu County, Kenya

Abstract

This study purposed to determine the relationship between health promotion interventions and performance of HIV prevention projects for adolescents in Kisumu County. The study had six objectives. First to determine the extent to which biomedical interventions influence the performance of HIV prevention projects for adolescents in Kisumu County, Kenya. Secondly to assess the extent to which behavioural interventions influence the performance of HIV prevention projects for adolescents in Kisumu County, Kenya. Thirdly to establish the extent to which structural interventions influence the performance of HIV prevention projects for adolescents in Kisumu County, Kenya. Fourthly to establish to what extent the combination of behavioural, biomedical and structural interventions influence the performance of HIV prevention projects for adolescents in Kisumu County, Kenya. The fifth objective was to determine the extent of moderating influence of project M&E process on the relationship between health promotion interventions and performance of HIV prevention projects for adolescents in Kisumu County, Kenya. Lastly to determine the extent of moderating influence of policy guidelines on the relationship between health promotion interventions if any and performance of HIV prevention projects for adolescents in Kisumu county, Kenya. This was done at a time when there was an increasing demand of credible and usable information through M&E processes throughout the world. Variables considered included health promotion interventions and project M&E process, Policy guidelines and performance of HIV prevention projects for adolescents. A review of literature was done and it was established that although there are numerous studies on the role of health promotion interventions in promoting M&E process there are few empirical studies conducted showing the relationship between health promotion interventions and performance of projects. Hypotheses were formulated to help test the relationship between health promotion interventions and performance of prevention projects for adolescents. The study was guided by pragmatism paradigm. A descriptive survey design was used in the study. Using stratified random sampling the study obtained a sample of 358 from a population of 4483. A structured questionnaire with Likert-type interval scale anchored on a five-point scale was used to collect primary data. An interview guide was used to triangulate the results. Pearson‘s Product Moment Correlation was used to test the direction and relationships between the variables. With r values of 0.528, 0.541 and 0.520 for behavioural biomedical and structural interventions respectively, the null hypothesis for the three interventions were rejected concluding that all the interventions had a significant relation on performance of projects. From the three test of moderation influence of project M&E processes, it is true that project M&E processes had no moderation influence on relationship with R2 being 0.003. The test for combined relationship of three independent variables and moderating variable on the dependent variable was analysed using Multi-linear Regression analysis. The study recommended a combination approach on adoption of various categories of interventions to optimize on their combined effectiveness and document results upon successful completion of necessary procedures involved in conducting this study.