Determinants of The Effectiveness of Monitoring and Evaluation Systems in Public Health Organizations: A Case of Mwananyamala Hospital in Dar Es Salaam.

Malunde, Paul Lucas (2023) Determinants of The Effectiveness of Monitoring and Evaluation Systems in Public Health Organizations: A Case of Mwananyamala Hospital in Dar Es Salaam. Masters thesis, The Open University of Tanzania.

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Abstract

The Mwananyamala Hospital in Dar es Salaam was the focus of the study, which investigate the factors that determine the efficacy of monitoring and evaluation systems in public health organizations. The study analyzed how stakeholders' involvement, staff competency, and management support affect monitoring and evaluation effectiveness. It also evaluated the obstacles to effective monitoring and evaluation implementation. This study employed a quantitative research approach with an explanatory cross-sectional research design. The study's target population was 259, from which 218 respondents were selected. Frequency, percentage, and multiple linear regressions were used to evaluate the data collected. Results show that there is a significant positive correlation between Stakeholders’ involvement and the Effectiveness of Monitoring and Evaluation, as evidenced by a p-value of 0.028. Also, the study that there is a significant positive for employee competence as evidenced by a p-value of 0.032 also the study revealed a significant positive for management support owing to the p-value of 0.024, which is less than 0.05. Conclusions were that management support, staff competency and stakeholder involvement all favorably impact monitoring and evaluation efficacy. The study recommends involvements of stakeholders including contractors in meetings, hiring informed, talented, and experienced staff for monitoring assessment activities, and contracting external monitoring and evaluation experts to share their knowledge and expertise. Keywords: Determinants, Monitoring, Evaluation, Effectiveness, Explanatory Cross-sectional Research Design.

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