Tracking progress related to implementation of monitoring & evaluation in accordance with the government wide monitoring and evaluation framework at OR Tambo District with reference to Mthatha Regional Hospital

Abstract

The Eastern Cape Department of Health is expected to conduct M&E activities aimed at improving health systems in accordance with the National Development Plan. This study was conducted with the aim of tracking progress related to the implementation of Monitoring & Evaluation in accordance with the Government-wide Monitoring and Evaluation framework at OR Tambo District with reference to Mthatha Regional Hospital. From the starting point of identifying a practical problem in terms of shortcomings related to M&E, there was a need to investigate potential challenges hindering the implementation of M&E. The qualitative research approach was applied in this study, and the results showed among other findings, that that there is inadequacy in the integration of budget alignments to institutional strategic documents, lack of technical leadership approach in the development of programme indicators and a lack of capacity and motivation to carry out M&E in this institution such as institutional end-term reviews or organisational end term reviews. The study concludes with a presentation of some discussions aimed at highlighting potential reinforcements that the ECDOH and other health stakeholders could consider in their attempts to strengthen M&E.

Ngokuhambelana nesiCwangciso soPhuhliso seSizwe, iSebe lezeMpilo leMpuma Koloni kulindeleke ukuba liqhube imisebenzi yokubeka iliso nokuvavanya (M&E), ejolise ekuphuculeni iinkqubo zempilo. Olu phononongo lwenziwe ngenjongo yokulandela umkhondo wokuphunyezwa komgaqo-nkqubo wokubeka iliso novavanyo kwisibhedlele soMmandla saseMthatha, kwiSithili sase-OR Tambo. Kwasekuqaleni kolu phando bekukho iziphene ezichongiweyo ngokunxulumene nokuphunyezwa kweM&E kwaye, emva koko, kubekho imfuneko yokuphonononga imingeni enokubakho ethintela ukuphunyezwa kweM&E kwiSibhedlele soMmandla saseMthatha.Indlela yophando esemgangathweni iye yasetyenziswa kolu phando kwaye iziphumo zibonise, phakathi kwezinye, ukuba kukho okungonelanga ekudityanisweni kolungelelwaniso lohlahlo lwabiwo-mali kumaxwebhu asemthethweni afana nesicwangciso-qhinga, ukungabikho kwendlela yobunkokeli bobugcisa ekuphuhliseni izikhombisi zenkqubo, kunye nokunqongophala kwabasebenzi kunye nenkuthazo yokwenza iM&E kweli ziko, njengophononongo lokuhlola indima ehanjiweyo ekupheleni kwexesha elithile. Uphononongo luqukumbela ngokunikezela ezinye zezindululo ezijolise ekuqaqambiseni uqinisekiso olunokubakho ukuba i-ECDOH kunye nabanye abachaphazelekayo bezempilo banokuqwalasela kwiinzame zabo ukuqinisa i-M&E.

Ho ya ka Morero wa Ntshetsopele ya Naha, Lefapha la Bophelo bo Botle la Kapa Botjhabela le lebelletswe ho etsa mesebetsi ya tekolo le tshekatsheko (M&E), e reretsweng ho ntlafatsa mekgwa ya bophelo bo botle. Morero ona o entswe ka sepheo sa ho sala morao khatelopele ya ho kengwa tshebetsong leano la tekolo Sepetleleng sa Lebatowa sa Mthatha, Seterekeng sa OR Tambo. Ho tloha qalong ya diphuputso tsena ho bile le mefokolo e hlwauweng mabapi le ho kenngwa tshebetsong ha M&E mme, ka mora moo, ho ne ho hlokahala hore ho hlahlojwe diphephetso tse ka bang teng tse sitisang ho kenngwa tshebetsong ha M&E Sepetleleng sa Lebatowa sa Mthatha. Ho ile ha sebediswa mokgwa wa ho etsa dipatlisiso tsa boleng phuputsong ena mme diphetho di bontshitse, hara tse ding, hore ho na le bofokodi ho kopanngweng ha tekano ya tekanyetso ditokomaneng tsa molao tse kang moralo wa leano, ho hloka mokgwa wa boetapele ba botekgeniki ntlafatsong ea matshwao a lenaneo, le kgaello ya bokgoni le kgothatso ya ho etsa M&E setsing sena, jwalo ka hlahlobo ya pheletso ya nako ya setheo. Diphuputso tsena di phethela thuto tse tse ding ho fumana matlafatso ka ho ba teng ECDOH le bankakarolo ba bang bao bophelo bo botle ba ka akanyang ho bona hore ba ka bo matlafatsa jwang boitekong ba ho phahamisa M&E.