Master of Arts in Development Monitoring and Evaluation

Permanent URI for this collectionhttps://hdl.handle.net/20.500.11951/1583

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Effectiveness of participatory monitoring and evaluation in environment management interventions in Palabek Refugee Settlement, Lamwo
(Uganda Christian University, 2026-06-17) Deborah Akello
This study evaluated the effectiveness of participatory monitoring and evaluation (PM&E) in environmental management interventions in Palabek Refugee Settlement, Lamwo District, Uganda. The researcher was motivated by the persistent environmental challenges in the settlement, including deforestation, soil degradation, poor waste management, and pollution, despite ongoing interventions by governmental and non-governmental organizations. The study adopted the participatory development theory, which emphasizes community involvement, empowerment, and sustainable development. This theory guided the exploration of how participatory approaches in planning, monitoring, and evaluation could enhance the effectiveness and sustainability of environmental management interventions. Key findings revealed that soil degradation (46.2%) and deforestation (23.1%) were the most pressing environmental challenges. Participatory planning and design significantly improved project implementation, with logistic regression showing that community involvement increased participation odds by 4.23 times (p = 0.008). Similarly, participatory monitoring and evaluation demonstrated positive effects, with frequent community engagement ("Often" or "Always") correlating with higher project success rates (OR = 3.90, p = 0.019). The study also highlighted the critical role of organizations like UNHCR (42.3%) and the Danish Refugee Council (15.4%) in environmental conservation efforts. The study concluded that PM&E enhances the effectiveness and sustainability of environmental management interventions by fostering community ownership, accountability, and responsiveness. Recommendations included strengthening participatory mechanisms, ensuring regular community engagement, and integrating feedback into project cycles. Future research could explore long-term impacts of PM&E and its socio-economic synergies in refugee settings. Keywords: Participatory monitoring and evaluation, environmental management, refugee settlement, community participation, sustainability, Palabek.
Gender responsiveness of M&E systems: an assessment of knowledge, attitudes and practices among humanitarian non-governmental organizations in Yumbe District
(Uganda Christian University, 2026-05-30) Ruth Akao
The study explored the gender responsiveness of Monitoring and Evaluation (M&E) systems among humanitarian NGOs in Yumbe district Uganda. While promoting gender equality is a key part of humanitarian work, many NGOs continue to rely on conventional M&E systems that inadequately capture the differential impacts of interventions on men and women. The research investigated the knowledge, attitudes and practices (KAP) of humanitarian NGO staff towards gender responsive M&E systems. A qualitative case study design was used and the data was collected through key informant interviews, in-depth interviews and focus group discussions with M&E and program staff. The thematic analysis revealed that while majority NGOs demonstrated a basic understanding of gender responsiveness, they struggled to put it into practice. Attitudes towards gender integration were usually shaped by donor requirements rather than internal organizational commitment and gender was frequently equated to women’s issues, side lining the needs of men and boys. Practices such as sex disaggregated data collection and gender sensitive indicators were inconsistently applied. Organizational readiness varied, with some NGOs lacking the tools, training and leadership support needed to fully integrate gender into their M&E frameworks. Overall, the study highlights the need for more training, stronger internal policies and real commitment to inclusive approaches. Helping staff improve their knowledge, attitudes and practices is key in building a more effective M&E system that truly reflect the experiences of both women and men in humanitarian settings.
Health facility interventions tuberculosis service delivery: Assessment of the TB program in Hoima Regional Referral Hospital
(Uganda Christian University, 2026-06-06) Jovia Kusiima
This study was about the health facility interventions tuberculosis service delivery, an assessment of the Tuberculosis program. A case study of Hoima Regional Referral Hospital. This study examined how health facility interventions have improved Tuberculosis service delivery efforts among referral hospitals in Uganda, focusing on Hoima Regional Referral Hospital which was taken as a case study. It had three objectives namely; (i) To assess the contribution of infrastructure upgrades to the Tuberculosis service delivery of the Tuberculosis program at Hoima Regional Referral Hospital. (ii) To analyse the contribution of skilled healthcare professionals to the outcomes of the Tuberculosis program at Hoima Regional Referral Hospital. (iii) To examine the effectiveness of Tuberculosis awareness campaigns in improving TB service delivery at Hoima Regional Referral Hospital. The research focused on three key health facility interventions infrastructure upgrades, skilled healthcare professionals and Tuberculosis awareness campaigns and their impact on Tuberculosis service delivery, addressing a critical public health challenge in a region where Tuberculosis remains a significant burden. This study employed a mixed research design using both quantitative and qualitative approaches to obtain comprehensive data on the study variables. A sample size of 155 out of 247 respondents was selected using appropriate sampling techniques to ensure representation of the target population. Data were collected using questionnaires and interview guides, while analysis was conducted using statistical and thematic methods to generate meaningful findings in line with the study objectives. The findings revealed that these interventions collectively explain 51.6% of the variance in Tuberculosis service delivery (R² = 0.516, p < 0.001), highlighting their significant role in improving Tuberculosis care outcomes. The sections that follow provide a detailed conclusion of the findings in relation to the study’s objectives and offer recommendations for hospital administrators, policymakers, and future researchers to enhance Tuberculosis service delivery at referral hospitals. While these three interventions demonstrably influence Tuberculosis service delivery at Hoima Regional Referral Hospital, the researcher acknowledges that other factors, such as patient-centered care approaches, community involvement, service accessibility, program sustainability, and the efficiency of resource allocation, may also significantly impact outcomes. Furthermore, recognizing the likelihood of government and donor funding for Tuberculosis programs at Hoima Regional Referral Hospital and similar facilities, a follow-up study is recommended to specifically investigate the influence of health facility interventions on the success of donor funded Tuberculosis programs across Uganda. This would provide crucial insights into how external funding shapes the effectiveness of Tuberculosis service delivery in comparable healthcare settings.
Evaluating Buganda Kingdom’s HIV/AIDS prevention and treatment program
(Uganda Christian University, 2026-06-08) Esther Nelima
This study sought to evaluate HIV/AIDS Prevention and Treatment Program in Buganda kingdom, focusing on the accessibility of testing facilities, the role of peer support and counseling services and the impact of awareness campaigns on behaviour and knowledge. A mixed-method sequential explanatory design was utilised in this study, beginning with a quantitative cross-sectional survey and followed by qualitative semi-structured and key informant interviews to explore the reasons behind observed trends. To ensure representativeness and depth of insights, stratified random, purposive and simple random sampling techniques were used. Descriptive statistics, correlations and regression analyses were used to analyse quantitative data meanwhile qualitative data was examined through thematic analysis and triangulated to integrate findings from both methods. Study findings revealed that peer support and counseling services had the strongest influence on patient well-being, improving adherence to antiretroviral therapy, reducing emotional distress as well as fostering resilience. Change in behaviour was influenced by awareness even though their effectiveness was limited by cultural stigma and gender disparities. Accessibility to testing facilities for HIV/AIDS varied across communities and respondents, with rural areas facing the most constraints. This study contributes empirical evidence on the benefits of blending structural and behavioural interventions in programs for HIV/AIDS within cultural contexts. The study recommends strengthening peer support networks, expanding access to testing facilities in underserved areas and tailoring awareness initiatives so as to address cultural and gender-specific barriers, thereby guiding policymakers and program implementers toward more effective HIV/AIDS interventions in Buganda Kingdom and similar settings.
Attitudes of teachers towards the effectiveness of the M&E system in implementation of the new lower secondary curriculum: a case of Busaana sub-county
(Uganda Christian University, 2025-08-15) Peter Baraka
The study explored the attitudes of the teachers on the effectiveness of the M&E system in the implementation of the new lower secondary curriculum, looking at the case of Busaana sub-county. The specific objectives of the study included the identification of the dimensions of the M&E system used in the assessment of the performance of secondary schools in Uganda, to find out the teachers’ attitude toward the effectiveness of the M&E system in improving teaching and learning in the new lower secondary curriculum, and lastly to evaluate the attitudes of teachers towards the effectiveness of the M&E system in improving students’ academic performance in the new lower secondary curriculum. A case study design was adopted in this qualitative study to collect information from teachers of secondary schools in Busaana sub-county in Kayunga district. The main data collection methods used were in-depth interviews and key informant interviews. The research found that teachers fairly understood the monitoring and evaluation system, discussed a number of tools and methods used in the educational M&E systems, like lesson observations, student assessments, and inspections, among others. The study also found that teachers positively perceived the system to nurture their responsiveness to learners’ needs, a tool of accountability, and a source of professional development. However, the study also found negative effects like heavy workload, data loss, among others. The study also found a big gap in professional training and resource availability; however, it also highlighted its strength in early identification of weaknesses and solutions, and motivating students to improve academically. Based on these findings, the study recommended engaging and recruiting more monitoring and evaluation actors, timely availability of essential tools, teacher training on M&E, and increased M&E efforts from the government, like more frequent visits. The study also recommended that schools engage all stakeholders in M&E, and encouraged teachers to engage in professional development.
Effect of government cash transfers on beneficiaries’ socio-economic wellbeing: a case of Uganda’s youth livelihood program
(Uganda Christian University, 2026-05-20) Mercy Nabulobi
The study examined the effects of the Youth Livelihood Programme (YLP) on the socio¬economic wellbeing of the beneficiaries in Pallisa District, Uganda. A mixed methods approach was employed, combining cross sectional survey design and qualitative interviews for key informants. The data was collected from 126 beneficiaries and 15 key informants. The findings of the study show that most beneficiaries used the funds given to them to start income generating activities mainly in agriculture and small businesses and services, but the success of these projects was largely moderate due to challenges like delayed disbursement, insufficient funding, and lack of financial literacy. While there were slight improvements in income levels and overall affordability of basic needs like food, healthcare, education, shelter, the program’s contribution to assets accumulation was very minimal and only limited to small assets like livestock and basic tools. A negligible number were able to acquire land or any other long-term productive assets. Overall, YLP led to moderate improvements in beneficiaries’ socio-economic wellbeing by enhancing the beneficiaries’ ability to start income generating activities which enhanced their ability to meet some basic needs. This study concludes that while YLP has potential to empower youth economically, its overall impact remains limited by design and implementation gaps. It recommends individual funding, increased funding per group, timely disbursement, financial literacy training and improved monitoring for improved program outcomes.
A realist evaluation of interventions to improve antiretroviral therapy adherence among HIV positive adolescents at Mukono General Hospital
(Uganda Christian University, 2026-05-25) Innocent Kabagenyi
The purpose of this study was to evaluate interventions for improving ART Adherence at Mukono General Hospital. This study was premised on the Social Action Model Theory (SAT) by Talcott Parsons in 1937 that assets that individual’s actions and beliefs are influenced by the interacting with others through cultural, social and environmental norms while the Health Behavioral Model (HBM) by Hochbaum, Rosenstock and Kegels in 1950’s says that an individual’s actions and behavior are influenced by their actions, beliefs perception as well as external factors. The study had three objectives: to explore the factors for access and use of ART services among HIV positive adolescents, to examine the mechanisms aimed at improving ART adherence at Mukono General Hospital, to assess the outcomes of the mechanisms aimed at improving ART Adherence among HIV Positive adolescents at Mukono General Hospital. The study was based on Realist Evaluations that are used to understand what interventions work, for whom, how, and why they work. The study adopted a case study design by employing qualitative data from 26 respondents. Interview guides were used as measures of data collection through semi-structured guides, focus group discussions as well and key informant guides. The study involved primary and secondary data as the sources of information. The general outcome of the study indicated that the general conclusion was that socioeconomic, mobile health services, technological, psychosocial support from health workers, counsellors, peer support groups, and family support groups are the interventions that are used to improve ART Adherence at Mukono General Hospital. This was established through the outcomes established in the study by adopting the positive outcomes. Based on the findings and conclusions of the study, the study recommended that management at Mukono General Hospital should improve support for mobile health services through hospital managers, local authorities as well as offering more support to peer support groups through empowerment and engagement. Management at Mukono General Hospital should develop policies that can be further used to improve ART adherence through working closely with the Ministry of Health and Partner Groups to improve ART adherence among HIV positive Adolescents.
Exploration of Staff Perception on Monitoring Practices in Compassion International Assisted Projects in Mbale District
(Uganda Christian University, 2025-10-22) Cathryn Bigala
The study explored staffs’ perceptions on monitoring practices in organisational performance, with close reference to Compassion International projects in Mbale. The main objective of this study was to explore staffs’ perceptions on monitoring practices in Compassion International Mbale projects. The specific objectives were: To examine the various monitoring practices in Compassion International projects and to explore staffs’ perceptions on the effectiveness of monitoring practices of Compassion International projects in Mbale. The study employed a case study research design, qualitative approach, reviewed relevant literature on the subject basing on objectives and applied the control theory to explore monitoring practices and effectiveness in Compassion International projects in Mbale. The researcher used purposive sampling where the respondents were chosen because of their roles and knowledge about the topic. As a result, the researcher interviewed 10 out of 12 respondents. The findings indicated that monitoring plans significantly contribute to overall organisational performance but Compassion International projects do not intentionally plan, document and use monitoring practices to record the effect of programs and inform them on future interventions. The study recommends that Compassion International projects in Mbale need to intentionally plan, document and utilise monitoring practices for the success of their programmes. The study concludes that monitoring should not be seen as a donor requirement or activity based but should be incorporated in interventions because it enhances program effectiveness and performance.
THE EFFECT OF PARTICIPATORY MONITORING AND EVALUATION ON HEALTH SERVICE DELIVERY IN MUNUKI PAYAM, JUBA MUNICIPALITY
(UGANDA CHRISTIAN UNIVERSITY, 2025-10-28) ISABELLA KITARI FELICIANO LOBEDING
The primary objective of this study was to ascertain the impact of participatory monitoring and evaluation on health care delivery in South Sudan's local governments, with a focus on Munuki Payam, Juba Municipality. The study was guided by the following specific objectives: to ascertain how stakeholder ownership of M&E affects the provision of health services in Munuki Payam, Juba Municipality; to investigate the effects of participatory planning and execution of M&E on the provision of health services; and more. We used a survey methodology that was descriptive. The study employed a quantitative strategy more often than a qualitative one, albeit using a qualitative technique as well. Using simple random and deliberate sampling techniques, 234 participants were selected at random from the research population of 531 participants. Descriptive statistics utilized in quantitative data analysis were percentages and frequencies. With content analysis, data from qualitative sources were examined. Results showed that participatory M&E planning had a significant, favorable, and powerful impact on the provision of health services in Munuki Payam, Juba Municipality (r =.591, P-value=.000). On the second objective, participatory M&E implementation had a favorable and significant impact on the provision of health services in Munuki Payam, Juba Municipality (r =.236, P-value=.000), and on the third objective, stakeholder ownership of M&E had a favorable and significant impact on the provision of health services (r =.308, P-value=.000). The conclusion was that all aspects of participatory M&E positively and significantly impacted the provision of health services, while the degree of participation in M&E and stakeholder ownership of M&E had less of an impact. The report advised that a clear consensus be established between local government officials and community stakeholders over how frequently data relating to M&E for health service programs should be collected.
An Analysis of Effectiveness of Remote Monitoring Methods Used by World Vision International During COVID-19 Situation in Bidi-Bidi Refugee Settlement
(Uganda Christian University, 2025-05-20) Denish Daga
The COVID-19 pandemic significantly disrupted humanitarian operations worldwide, compelling agencies to adopt remote monitoring mechanisms to maintain project oversight amidst restricted field access. This study investigates the effectiveness of remote monitoring methods employed by World Vision International in Bidi-Bidi Refugee Settlement, Yumbe District, Uganda, one of the largest refugee settlements in Africa. The research was structured around three core objectives: (1) to identify the forms of remote monitoring methods used; (2) to assess the effectiveness of these methods during the pandemic and (3) to explore the challenges encountered in their implementation. Utilizing a mixed-methods design, the study integrated quantitative data from structured questionnaires with qualitative insights from key informant interviews involving staff, community monitors, and local leaders. Findings revealed that the predominant remote monitoring method were Information and Communication Technology (ICT) tools such as mobile phones, WhatsApp, Zoom, and email and the Integrated Community-Based Monitoring (ICBM) method, which leveraged local structures and leadership to facilitate data collection and reporting. These methods proved moderately effective in ensuring timely project monitoring, cost efficiency, and continuity in service delivery. However, several constraints limited their overall effectiveness. Key challenges included inadequate training on digital tools, high communication costs, inconsistent internet access, limited data verification capabilities, and security risks for community-based monitors. The study emphasizes the need for targeted policy interventions, government support for digital infrastructure, and capacity strengthening of local actors to enhance the robustness and inclusivity of remote monitoring in humanitarian settings. It contributes to the existing literature by contextualizing remote monitoring in crisis settings and offers recommendations to optimize its implementation during future emergencies. Key terms: Remote monitoring, effectiveness, humanitarian sector, pandemic situation.

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