THE EFFECT OF PARTICIPATORY MONITORING AND EVALUATION ON HEALTH SERVICE DELIVERY IN MUNUKI PAYAM, JUBA MUNICIPALITY

Abstract

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.