Monitoring and Evaluation and Performance of the ARV Supply Chain Program by NASCOP in Kenya
Abstract
Cases of Antiretroviral (ARV) drug stock outs, untimely deliveries, shortages and expiries continue to emanate from healthcare workers, particularly in the pharmacy departments, of Antiretroviral Therapy (ART) health facilities across Kenya. Every stock out of ARV’s contributes to the risk of interrupted treatment and possibly premature death of a child, woman or man somewhere in Kenya. This prompted the need for the study to determine how engagement of the key stakeholders at health facility level, through Monitoring and Evaluation (M&E), affects the performance of the National Aids and STI Control Program (NASCOP) as a health division mandated with programming of HIV & Aids in Kenya. The study thus sought to evaluate the effect of M&E on performance of the ARV supply chain program by NASCOP in Kenya. The study adopted the descriptive research design. The results revealed that M&E had a positive and significant effect on program performance (B=0.257, p=0.011). This implied that an increase in M&E by one unit would lead to increase in program performance by 0.257 units with other factors held constant. The study concluded that M&E had a positive and significant effect on performance of the ARV supply chain program by NASCOP in ART health facilities in Kenya. The study went ahead to recommend that NASCOP formulates mechanisms of strengthening M&E as a tool of assessment that enhances tracking, evaluating and monitoring of programs to a success. This can be done through provision of adequate reporting tools to each of the ART sites and regular revision of indicators to ensure that relevant and strategic objectives are being monitored. Also, there is need for routine system updates and sensitization to the pharmacy staff at health facilities to enhance commodity management. Allocation of adequate resources is also mandatory in the M&E docket if all M&E activities are to be conducted to achieve set program objectives and goals.
Keywords: Monitoring and Evaluation, Performance, ARV Supply Chain Program, NASCOP
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