dc.contributor.author | Njuguna, Eunice W | |
dc.date.accessioned | 2023-01-31T07:13:44Z | |
dc.date.available | 2023-01-31T07:13:44Z | |
dc.date.issued | 2022 | |
dc.identifier.uri | http://erepository.uonbi.ac.ke/handle/11295/162147 | |
dc.description.abstract | The study sought to examine the impact of monitoring and evaluation practices on
implementation of Linda Mama Maternity Healthcare Project in Nyandarua County. The study
specifically sought to scrutinize the effect of Health Information Systems Stakeholder
Participation; Client Satisfaction Survey; and Utilization of Monitoring and Evaluation findings
on implementation of Linda Mama Maternity Project. The study was guided by the Realistic
Evaluation Theory and Stakeholder Theory. The study utilized mixed method research design
and its sampling techniques were Stratified and simple random sampling which selected 234
healthcare staff from a target population of 569 healthcare staff in public hospitals in Nyandarua
County. Purposive sampling was used to select Nurse Managers in Charge of Maternity Services
as key informants. Data was collected from hospital staff using questionnaires; interviews were
held with 6 Nurse Managers and FGDs conducted with 32 mothers. The SPSS software (version
23) was utilised in the analysis of collected data which generated descriptive statistics and
conduct regression analysis. Thematic analysis was used to analyze qualitative data. The study
established that M&E Practices account for 61.8% variation in Implementation of Linda Mama
Maternity Project. Health Information Systems has a positive and significant effect on
Implementation of Linda Mama Maternity Project (β1=0.542; p=0.000); Stakeholder
Participation has a positive and significant effect on Implementation of Linda Mama Maternity
Project (β2=0.594; p=0.001); Client Satisfaction Surveys have a positive significant effect on
Implementation of Linda Mama Maternity Project (β3=0.431; p=0.000); and Utilization of M&E
information has a positive and significant effect on Implementation of Linda Mama Maternity
Project (β4=0.567; p=0.000). This study found out that Health Information Systems provides data
that used is used to determine if women have access to all essential maternal services before,
during and after delivery. The system also provides data on adequacy of hospital staff and
maternal facilities for planning purposes to ensure that public health facilities in Nyandarua
County have sufficient facilities and staff in proportion to the number of mothers seeking
maternal services. The study found out that only 2.9% of hospital staff was involved in designing
M&E plan; 67.5% of the hospital staff and 84.4% of mothers were involved at the data collection
phase of M&E. Participation of stakeholders in monitoring enhances reliability and validity of
M&E data and the quality of maternal health care services. However, limited participation of
NHIF in the joint semi-annual M&E meeting has resulted insufficient reimbursement of
expenses to hospitals. This study also found out that 85.2% of mothers participated in the client
satisfaction surveys on a quarterly basis to provide data that is used to determine if quarterly
targets are met and taking corrective action to ensure the Project is on track to facilitating
mothers access to all essential maternal services. Linda Mama Maternal Healthcare project M&E
data is utilized for developing solutions to challenges facing public hospitals in provision of
maternity services; evaluating effectiveness of Linda Mama Project interventions; enhancing
accountability and as a learning experience. However, staff shortages; high workload on the
nurses and shortage of facilities has limited level 2 hospitals from providing caesarean section
deliveries and ultrasound services. Therefore this study recommends that: the joint stakeholder
M&E meetings to be held on a quarterly basis to facilitate periodic tracking of mothers access to
maternal services particularly PNC; County Government and management of public hospitals
coordinates with NHIF to enhance their participation in the joint stakeholder M&E meeting;
NHIF provides timely and sufficient reimbursements to hospitals; the County Government of
Nyandarua expedites employment of more nurses and procurement of ultrasound machines and
construction of theatres in all Level 2 hospitals. | en_US |
dc.language.iso | en | en_US |
dc.publisher | University of Nairobi | en_US |
dc.rights | Attribution-NonCommercial-NoDerivs 3.0 United States | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/us/ | * |
dc.subject | Maternal Healthcare | en_US |
dc.title | Monitoring and Evaluation Practices on the Implementation of Maternal Healthcare Project: the Case of Linda Mama Maternity Project in Nyandarua County, Kenya | en_US |
dc.type | Thesis | en_US |