The study on perceptions and practices of monitoring & evaluation of health workers on
HIV/AIDs Interventions was conducted at Mbagathi Hospital, Nairobi County. The aim
of the study was to establish how health workers at the Comprehensive Care Clinic at
Mbagathi Hospital in Nairobi County perceive and practice monitoring and evaluation.
The study employed a cross sectional research design and purposive sampling technique.
The target population was health workers working in the Comprehensive Care Clinic
(CCC) at Mbagathi Hospital. A semi-structured questionnaire was administered to the
health workers. Microsoft Office Excel 2007 was used in the quantitative data analysis.
The key results from the study indicate that the respondents agreed that it was important
to keep proper HIV records. A majority of the respondents viewed M&E to be very
useful. All the respondents stated that it was important to have an M&E Plan for it helps
to monitor data activities and to improve efficiency. Most of the respondents were aware
of written procedures/polices/guidelines that guide M&E processes within the CCC
programme. On practices, all interviewed respondents indicated that they use M&E forms
for record keeping; they summarize cases to get totals monthly. All respondents reported
that at the end of the month they sent records to the HRIO. Most of the staff indicated
that they take part in the development of data collection tools and data analysis. The
respondents stated that there are feedback mechanisms in place and evaluation results are
majorly used for decision making.
Key recommendations on policy included continuous sensitization and review of written
M&E guidelines to the health workers to ensure clarity and deeper internalization.
Enhance discussions on HIV/AIDs indicators to ensure broader understanding of the
HIV/AIDs indicators. To increase ownership, the M&E agenda should be introduced at
team/departmental level. Feedback mechanisms should be periodically reviewed and
strengthened. To facilitate evidence based policy making there is need for the M&E
information provided to also be linked to health advocacy.