Factors affecting the utilization of monitoring and evaluation findings in the implementation of malaria control programs in Uganda, case study of H/C IV in Kira Wakiso district

Abstract

This study looked at how Monitoring and Evaluation (M&E) findings are used in malaria program planning and resource allocation. Key factors that encouraged this use included perceived effectiveness of insecticide-treated nets (ITNs) and health education campaigns. However, gaps still existed in feedback loops, continuous staff development, and engaging stakeholders. Data were collected from 52 respondents, including health workers and program managers. About 57.7% of respondents reported frequently using M&E data, mainly for reporting purposes. The study suggests strategies to improve evidence-based malaria control interventions. It also noted the need to align malaria control strategies with evidence-based priorities to strengthen decision-making. In conclusion, while Kira Health Center IV has M&E structures in place, stakeholder engagement is insufficient. The study revealed that most malaria control programs lack integration of M&E evidence into the design of targeted interventions, especially for high-risk populations. Implementing these recommendations could significantly enhance access to analyzed data and increase capacity-building initiatives for data-driven decision-making. Respondents indicated that they use M&E findings in decision-making and identified factors influencing this use. However, fewer respondents mentioned using findings to guide local populations. They emphasized the need for timely dissemination of findings and improved thematic analysis to identify patterns and insights. Results showed that although M&E systems for malaria control exist, turning findings into actionable strategies is not optimal. Quantitative data were analyzed using descriptive statistics, while qualitative data underwent thematic analysis. Barriers to effective use included inadequate feedback mechanisms and limited capacity to analyze and apply data. The study used a cross-sectional design, combining both qualitative and quantitative approaches through structured questionnaires and key informant interviews. While systems are in place, the use of findings for malaria control decision-making was moderate. Participation in data review processes is crucial to improve the use of M&E results. The study recommends regular training for health personnel on data analysis and application, establishing participatory review meetings to interpret findings together, and ensuring timely dissemination of data. It also highlights the importance of management support and staff training in data interpretation.