Authors : Muhimpundu Sangwa Ornella; Dr. Afolabi Luqman

Volume/Issue : Volume 11 - 2026, Issue 9 - September

Google Scholar : https://tinyurl.com/33dxb9sc

DOI : https://doi.org/10.38124/ijisrt/26sep847

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.

Abstract : This study examined the effect of Monitoring and Evaluation (M&E) practices on public program performance and efficiency, focusing on the Patient Voice Program (PVP) at Masaka Hospital in Kigali, Rwanda. Specifically, the study assessed the effects of M&E planning, data analysis and reporting, data quality assurance, and staff capacity on the performance and efficiency of the Patient Voice Program. The study was guided by the Donabedian model of healthcare quality, the resource-based view (RBV) theory, and systems theory. A mixed-methods research design was adopted, integrating quantitative and qualitative approaches. Target population comprised 195 respondents, including hospital staff, management personnel, support staff, and program stakeholders involved in implementing the Patient Voice Program. A census approach was employed whereby all members of the population participated in the study. Data were collected using structured questionnaires, semi-structured interviews, and documentary review.

References :

1. Agency for Healthcare Research and Quality (AHRQ). (2024). Healthcare efficiency and quality improvement strategies. https://www.ahrq.gov;
2. Agyekum, K., & Mensah, J. (2023). Resource utilization efficiency in public health systems. International Journal of Health Economics, 12(2), 88–102.
3. AHRQ. (2024). Healthcare efficiency and quality improvement strategies. Agency for Healthcare Research and Quality;
4. Aiken, L. S., & West, S. G. (2021). Multiple regression: Testing and interpreting interactions (2nd ed.). Sage Publications.
5. Al-Abri, R., & Al-Balushi, A. (2022). Patient satisfaction survey as a tool towards quality improvement. Oman Medical Journal, 37(1), 45-52.
6. Ameh, S., Klipstein-Grobusch, K., & Musenge, E. (2022). Quality of care and health outcomes in Sub-Saharan Africa: Applying the Donabedian model. BMC Health Services Research, 22(1), 45–57.
7. Aminu, A., Bello, S., & Hassan, M. (2023). Impact of M&E capacity-building on hospital performance in Northern Nigeria. African Journal of Health Management, 15(3), 201-215
8. Ansar, A., & Collins, D. (2022). Timeliness in healthcare delivery and patient outcomes. Health Policy Journal, 18(2), 122-134.
9. Baker, G. R., & Chassin, M. R. (2021). Enhancing patient safety and quality of care. Health Affairs, 40(11), 1713-1720;
10. Baker, G. R., & Chassin, M. R. (2021). Quality improvement in healthcare: The role of systems thinking. The Lancet, 397(10272), 452-459
11. Bamberger, M., & Rugh, J. (2022). Real World evaluation: Working under budget, time, data, and political constraints (3^rd ed.). Sage Publications.
12. Bamberger, M., Rao, V., & Woolcock, M. (2021). Using mixed methods in monitoring and evaluation. World Bank Research Observer, 36(1), 1–25.
13. Bamberger, M., Vaessen, J., & Raimondo, E. (2021). Dealing with complexity in development evaluation. SAGE Publications.
14. Bartoletta, A., Zazzaro, A., & Rossi, S. (2021). Human resource alignment and hospital performance. Health Policy and Planning, 36(5), 645–653.
15. Bartoletta, M., Rossi, F., & Bianchi, L. (2021). Workforce alignment and hospital performance. Health Systems Review, 13(4), 233–248.
16. Batini, C., & Scannapieco, M. (2022). Data quality: Concepts, methodologies and techniques (2nd ed.). Springer.
17. Blendon, R. J., Benson, J. M., & Hero, J. O. (2021). Public trust and healthcare responsiveness. New England Journal of Medicine, 385(9), 769–771.
18. Braithwaite, J., Mannion, R., & Matsuyama, Y. (2022). Health systems as complex adaptive systems. BMJ, 376, e066399.
19. Bryman, A. (2022). Social research methods (6th ed.). Oxford University Press.
20. Campbell, S. M., Reeves, D., & Kontopantelis, E. (2022). Quality frameworks in healthcare systems. The Lancet, 399(10328), 1883–1895.
21. Carter, N., Bryant-Lukosius, D., & DiCenso, A. (2021). The use of triangulation in qualitative research. Oncology Nursing Forum, 48(1), 1–10.
22. CDC. (2022). Data quality assurance in public health systems. Centers for Disease Control and Prevention.
23. Centers for Disease Control and Prevention (CDC). (2022). Data quality in healthcare systems. https://www.cdc.gov
24. Cleary, P. D., & McNeil, B. J. (2021). Patient satisfaction as an indicator of quality care. Inquiry Journal, 58, 1–12.
25. Creswell, J. W., & Creswell, J. D. (2022). Research design: Qualitative, quantitative, and mixed methods approaches (6th ed.). Sage Publications.
26. Donaldson, M., & Mason, T. (2022). Measuring timeliness in healthcare delivery. Journal of Healthcare Management, 67(2), 95–110.
27. Drummond, M. F., Sculpher, M. J., & Claxton, K. (2021). Methods for the economic evaluation of health care programmes (4th ed.). Oxford University Press.
28. East African Community. (2022). East African Community health sector performance report. EAC Secretariat.
29. Etikan, I., & Bala, K. (2022). Sampling techniques in research methodology. Biometrics & Biostatistics International Journal, 11(3), 45–50.
30. Field, A. (2021). Discovering statistics using IBM SPSS statistics (5th ed.). Sage Publications.
31. Fitzpatrick, R. (2022). Measuring patient satisfaction in healthcare systems. BMJ Quality & Safety, 31(6), 441–443.
32. Fitzpatrick, R., Sanders, C., & Worthen, B. (2022). Program evaluation: Alternative approaches and practical guidelines(5th ed.). Pearson.
33. George, T. (2025). Research methodology simplified. Academic Press.
34. Gray, A., & Vlassoff, C. (2022). Cost-effectiveness in healthcare systems. Global Health Economics Journal, 7(2), 75–89.
35. Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2022). Multivariate data analysis (8th ed.). Cengage Learning.
36. Harrison, M. I., & Shortell, S. M. (2022). Organizational factors in healthcare responsiveness. Health Services Research, 57(1), 1–10.
37. Hayes, A. F. (2022). Introduction to mediation, moderation, and conditional process analysis (3rd ed.). Guilford Press.
38. Hermann, A., Schmid, A., & Wiedenmann, F. (2023). Determinants of patient satisfaction. Health Services Research Journal, 58(2), 200–215.
39. Hitt, M. A., Ireland, R. D., & Hoskisson, R. E. (2022). Strategic management (13th ed.). Cengage Learning.
40. Hitt, M. A., Xu, K., & Carnes, C. M. (2022). Resource-based theory in public sector organizations. Journal of Management, 48(1), 1–28.
41. Hoppes, M. (2014). Data validation and reduction of medication errors. Journal of Nursing Care Quality, 29(2), 134–139.
42. Institute of Medicine (IOM). (2023). Improving healthcare efficiency and quality. National Academies Press.
43. Israel, M., & Hay, I. (2022). Research ethics for social scientists (3rd ed.). Sage Publications.
44. Jiang, X., Li, Y., & Zhang, H. (2025). Real-time reporting and hospital efficiency using AI. Healthcare Informatics Research, 31(1), 1–15.
45. Jobson, G., Naidoo, S., & Pillay, Y. (2024). Governance of patient feedback systems in South African hospitals. Health Policy and Planning, 39(2), 210–222.
46. Johnson, R. B., & Onwuegbuzie, A. J. (2021). Mixed methods research: A research paradigm. Educational Researcher, 33(7), 14–26.
47. Kallio, H., Pietilä, A. M., Johnson, M., & Kangasniemi, M. (2021). Systematic methodological review of semi-structured interviews. Journal of Advanced Nursing, 72(12), 2954–2965.
48. Kamau, P., & Odhiambo, R. (2021). Health system performance and monitoring frameworks in East Africa. African Health Sciences, 21(3), 1254–1265.
49. Kaplan, H. C., Brady, P. W., & Dritz, M. C. (2023). Applying systems theory in healthcare improvement. Pediatrics, 151(2), e2022058452.
50. Kruk, M. E., Gage, A. D., & Arsenault, C. (2021). High-quality health systems in the SDG era. The Lancet Global Health, 9(11), e1525–e1534.
51. Lee, S., & Robinson, J. (2023). Healthcare system efficiency and waiting times. International Journal of Health Planning and Management, 38(1), 112–126.
52. Ministry of Health (MoH). (2023). Rwanda health management information system report. Government of Rwanda.
53. Ministry of Health Rwanda (MoH). (2023). Health management information system report. Government of Rwanda.
54. Morgan, D. (2023). Workflow optimization in hospital systems. Journal of Health Organization and Management, 37(4), 567–582.
55. Mukamana, D., Habimana, S., & Ndayisaba, J. (2023). M&E capacity and healthcare performance in Rwanda. Rwanda Journal of Medicine and Health Sciences, 6(2), 89–104.
56. Mukamana, D., Uwizeye, J., & Habimana, P. (2023). M&E capacity and health system performance in Rwanda. Rwanda Journal of Medicine and Health Sciences, 6(2), 88–102.
57. Mwangi, J., Njoroge, P., & Kihara, M. (2023). Challenges of M&E systems in Sub-Saharan Africa. African Evaluation Journal, 11(1), 1–12.
58. Mwangi, Kihara, J., & Otieno, S. (2023). Monitoring and evaluation practices in Sub-Saharan Africa. African Journal of Public Administration, 15(1), 45–60.
59. Njenga, M., Wanjiru, L., & Kamau, P. (2022). Effect of M&E planning on project performance. International Journal of Project Management, 40(5), 456–468.
60. O’Donnell, O., & Smith, P. (2021). Healthcare performance measurement in developed countries. Health Economics, 30(3), 345–360.
61. OECD. (2023). Monitoring and evaluation frameworks for public sector performance. OECD Publishing.
62. OECD. (2024). Results-based management in public administration. OECD Publishing.
63. Ongalo, E., & Were, M. (2022). Evidence-based decision-making in healthcare systems. East African Medical Journal, 99(4), 200–210.
64. Palinkas, L. A., Horwitz, S. M., Green, C. A., et al. (2021). Purposeful sampling for qualitative data collection. Administration and Policy in Mental Health, 42(5), 533–544.
65. Patton, M. Q. (2021). Utilization-focused evaluation (5th ed.). SAGE Publications.
66. Payne, S., Field, D., & Rolls, L. (2023). Patient feedback and care improvement. Journal of Health Services Research, 28(2), 145–160.
67. Piquer-Martinez, C., Garcia, M., & Lopez, J. (2024). Governance and staff capacity in hospital performance. European Journal of Health Economics, 25(1), 77–91.
68. Ployhart, R. E., & Moliterno, T. P. (2023). Emergence of human capital resources. Academy of Management Review, 48(1), 1–24.
69. Polit, D. F., & Beck, C. T. (2022). Nursing research: Generating and assessing evidence (11th ed.). Wolters Kluwer.
70. Porter, M. E., & Kaplan, R. S. (2022). Value-based healthcare delivery. Harvard Business Review Press.
71. Privitera, G. J. (2022). Statistics for the behavioral sciences (3rd ed.). Sage Publications.
72. Rossi, P. H., Lipsey, M. W., & Henry, G. T. (2023). Evaluation: A systematic approach (9th ed.). SAGE Publications.
73. Rwanda Biomedical Centre. (2024). Patient Voice Program implementation report. Government of Rwanda.
74. Rwanda Health Sector Performance Report. (2023). Annual health sector performance report. Ministry of Health.
75. Saunders, M., Lewis, P., & Thornhill, A. (2023). Research methods for business students (9th ed.). Pearson.
76. Schober, P., Boer, C., & Schwarte, L. A. (2021). Correlation coefficients in medical research. Anesthesia & Analgesia, 126(5), 1763–1768.
77. Senge, P. (2021). The fifth discipline: The art and practice of the learning organization (Rev. ed.). Doubleday.
78. Smith, J., & Brown, L. (2021). Efficiency in public health systems. Public Administration Review, 81(3), 412–420.
79. Smith, J., & Noble, H. (2023). Combining primary and secondary data in health research. Nurse Researcher, 30(1), 45–52.
80. Sofaer, S., & Firminger, K. (2023). Patient-centered care and responsiveness. Medical Care Research and Review, 80(2), 145–160.
81. Tambo, E., Ugwu, C., & Ngogang, J. (2022). Participatory monitoring and evaluation in Africa. BMC Public Health, 22(1), 112.
82. Thabane, L., Ma, J., Chu, R., et al. (2021). A tutorial on pilot studies. BMC Medical Research Methodology, 10(1), 1–10.
83. Tilahun, B., Abebe, M., & Mekonnen, Z. (2025). Governance and data use in Ethiopian hospitals. BMC Health Services Research, 25(1), 45–60.
84. UNICEF. (2022). Data analysis and reporting in public programs. UNICEF.
85. UNICEF. (2023). Monitoring and evaluation frameworks for service delivery. UNICEF.
86. Uwase, J., & Byiringiro, F. (2023). M&E planning and service delivery in Rwanda. Rwanda Journal of Social Sciences, 5(1), 33–47.
87. Uwitonze, A., & Ngabonziza, P. (2024). Challenges in M&E implementation in Rwanda. East African Health Research Journal, 8(1), 55–68.
88. Vahdat, S., Griffin, P., & Stahl, J. (2019). Planning and patient flow efficiency. Operations Research for Health Care, 23, 100–110.
89. WHO. (2023). Monitoring and evaluation framework for health systems. World Health Organization.
90. Williams, R., Carter, J., & Evans, D. (2023). Resource efficiency in healthcare delivery. Health Economics Review, 13(1), 45.
91. World Bank. (2023). Monitoring and evaluation in public sector management. World Bank Publications.
92. World Health Organization (WHO). (2023). Monitoring and evaluation framework for health systems strengthening. WHO.
93. Wright, P. M., & McMahan, G. C. (2022). Human resources and organizational performance. Journal of Management, 48(2), 345–370.
94. Xie, Y., Zhang, L., & Chen, H. (2023). Healthcare planning and operational efficiency. International Journal of Healthcare Management, 16(2), 150–162.
95. Yusoff, M. S. B. (2021). ABC of content validation. Education in Medicine Journal, 11(2), 49–54.