MONITORING AND EVALUATION CAPACITY BUILDING ON PERFORMANCE OF ELECTRONIC HEALTH RECORDS AT A KENYAN REFERRAL HOSPITAL.​

This study looked at how Coast General Teaching and Referral Hospital’s Electronic Health Record performance was affected by capacity building for monitoring and evaluation. A descriptive survey design using concurrent mixed-methods was used. A quantitative survey was conducted with 235 healthcare professionals. Department heads and information technology managers participated in qualitative key informant interviews. The data was examined using descriptive statistics and thematic analysis. The study discovered a positive correlation (Composite Mean = 3. 46, Standard Deviation = 1. 43) between Electronic Health Record performance and Monitoring and Evaluation capacity building. The most powerful factors influencing competency were ongoing mentoring and supervision (Mean = 3. 64).However, there were not enough “Monitoring ad Evaluation mentors” per shift due to high turnover rates and serious gaps in clinical staff’s formal Monitoring and Evaluation-specific training. The success of electronic health records is significantly influenced by capacity building for monitoring and evaluation. Hospitals must designate ward-based Monitoring and Evaluations champions and institutionalize on-the-job training in order to go beyond one-time on boarding.