Impact of monitoring and evaluation practices on the performance of Health IT projects coordinated from Nairobi, Kenya

This study investigated the impact of Monitoring and Evaluation (M&E) practices on the performance of Health IT projects coordinated from Nairobi, Kenya. The research problem focused on assessing how M&E planning processes, technical expertise, and stakeholder involvement influence project outcomes. A descriptive cross-sectional survey design was employed, collecting quantitative data through structured questionnaires and qualitative insights via semi-structured interviews with project beneficiaries, health IT staff, and key stakeholders. Results revealed that 82 per cent of respondents agreed that comprehensive M&E planning enhances project execution and outcomes. Additionally, 77 per cent emphasised the importance of technical expertise, while only 42 per cent confirmed adequate stakeholder analysis and 46 per cent agreed on the collection of stakeholder feedback. The findings highlighted the necessity of integrating detailed M&E plans into project designs for systematic tracking of progress and timely corrective actions. Technical expertise is crucial for effective M&E, underscoring the need for continuous training and the selection of competent personnel. Recommendations include developing comprehensive M&E plans at the project's inception, investing in continuous skill development through regular training programs, and enhancing stakeholder engagement strategies by conducting comprehensive stakeholder analyses, collecting regular feedback, and involving stakeholders in key decision-making processes.