Effectiveness of National HIV/AIDS monitoring and evaluation system in HIV/AIDS management in Kenya
Migwala, John J
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This research project is a study of effectiveness of National HIV/AIDS Monitoring and Evaluation System on HIV/AIDS Management in Kenya. The research is informed by the performance-based management principle, a current global development trend acclaimed for efficiency and effectiveness in the control of human affairs. The Kenya's National HIV/AIDS Monitoring and Evaluation Framework is a performance-based system. The study was occasioned by the significantly high HIV I AIDS prevalence in Kenya and the concerns about impropriety in the disease's management. The purpose of the study was to examine the critical role a specifically designed national HIV/AIDS evaluation system would play in the institutionalization of accountability, transparency and organizationalleaming in the disease's prevention, treatment and palliative care in Kenya. The study is based on three objectives, namely: establishing the extent of MES capacity to produce relevant information for HIV/AIDS management in national public health institutions in Kenya; determining the extent of HIV I AIDS information resources and their accessibility in HIV I AIDS management in national public health institutions in Kenya; and, exploring opportunities and challenges in the institutionalization of the system in the national public health institutions in Kenya. The study covers the national public health institutions whose head offices are in Nairobi, where HIV I AIDS field data are processed for policy formulation and decision-making. The research was unable to cover grass-root public health station owing to limitations of time and research funds. This research product would encourage, particularly, the implementers of the National HIV I AIDS Monitoring and Evaluation Framework in the national public health institutions to diagnose strengths and weaknesses of their information and control systems from time to time for effectiveness and efficiency of HIV/AIDS programmes. Further, the research anticipates a stimulated study interest in accountability and transparency systems. This research is based on non-experimental survey research methodology and quantitative data. Non-probability sampling procedures were used to select appropriate study subjects. The researcher collected data from respondents by means of self-administered questionnaires. Descriptive statistics analysis techniques were used to analyse the data. The research findings indicate that the National HIV/AIDS Monitoring and Evaluation System could be underperforming in its current implementation consequent to inadequate organizational capacity, resources, legal and political structures, and access to information.