Availability, Utilization And Appropriateness Of The Mechanisms For Monitoring And Evaluating Continuing Professional Development At Middle Level Health Training Institutions In Kenya

NZOMO MWITA 161 PAGES (28710 WORDS) Public Health Thesis

ABSTRACT

Continuing Professional Development (CPD) training has received global recognition as a tool for improving knowledge and performance of health workers after their basic training, and consequently improving health service delivery. In Kenya, Middle Level Health Training Institutions (MLHTIs) produce the bulk (over 80%) of health workers at CPD training level. However, information on whether monitoring and evaluation (M&E) mechanisms for CPD training activities are available and utilized at MLHTIs in Kenya is relatively scarce and may not be relied on to develop appropriate M&E systems for tracking CPD training. The main objective of this study therefore, was to determine the availability, utilization and appropriateness of the mechanisms for monitoring and evaluating CPD training among public, private and faith-based Middle Level Health Training Institutions (MLHTIs) in Kenya. The respondents were 375 tutors from public, faith based and private MLHTIs, selected using a mix of sampling techniques: stratified, purposive, proportionate and simple random. To validate the data, 79 former CPD course participants, 33 heads of department, 34 principal tutors, 28 financial personnel and 5 HMIS staff were included in the study. Data collection was conducted using a questionnaire, key informant interviews, and desk review of CPD training curricula and reports. Quantitative data was analyzed using Statistical Package for Social Sciences (SPSS), while data from desk review was analyzed through a process of data reduction, organization and interpretation. Pearson‟s chi-square test was used to determine the significant differences (P