Does Participatory Implementation Ensure Sustainability? Assessing the Efficacy of Post-M&E Functions in South Sudan’s DHAPP Project, Juba, South Sudan

Main Article Content

Fredrick Ochieng Owuor https://orcid.org/0000-0002-5378-3710
Stephen Gumisiriza Bugabo https://orcid.org/0000-0002-1639-8805
Charles Churchill Awici https://orcid.org/0009-0003-5172-7306
Simon Emmanuel Mogga https://orcid.org/0000-0003-1134-9307
Julian Bbuye

Keywords

Participatory monitoring and evaluation, project sustainability, fragile states, donor dependency, South Sudan, post-conflict health systems

Abstract

Despite decades of investment in participatory monitoring and evaluation (M&E) across development sectors, evidence remains inconclusive regarding whether stakeholder involvement in implementation-phase activities actually ensures project sustainability, particularly in fragile, donor-dependent contexts where participation may become ritualized rather than empowered. Although existing literature has extensively examined community participation in project planning and implementation, the distinct contributions of post-M&E functions remain theoretically underdeveloped and empirically understudied, especially within post-conflict health systems. This study addresses this gap by investigating the effects of participatory M&E in implementation and post-M&E functions on the sustainability of the Defense HIV/AIDS Prevention Program (DHAPP) in Juba, South Sudan, a setting characterized by extreme aid dependence, weak institutional infrastructure, and cyclical political instability. The study was guided by an integrated theoretical framework drawing on Resource Dependence Theory and Institutional Theory. A convergent parallel mixed-methods design was employed, combining quantitative survey data from 162 program beneficiaries with qualitative semi-structured interviews from 8 key informants. Quantitative data were analyzed using descriptive statistics, Pearson correlation, and multiple regression analysis. Qualitative data were analyzed using reflexive thematic analysis. The results revealed that participatory post-M&E functions demonstrated a statistically significant positive relationship with project sustainability (β = .190, p = .015), though the effect size was small (R² = .036). In contrast, PM&E in implementation showed no significant association with sustainability (β = .114, p = .150), despite high descriptive ratings (M = 4.32, SD = 0.84). The multiple regression model was significant overall (F(3, 158) = 8.42, p < .001, R² = .138), yet neither participatory dimension remained significant when controlling for the other, suggesting shared variance capturing a general participatory climate. Qualitative analysis identified embeddedness of data collection routines, capacity constraints in analytical functions, and the primacy of learning and adaptation through monthly data review meetings as core thematic areas. Participatory M&E alone cannot overcome structural barriers to sustainability in donor-dependent fragile states. Program designers should prioritize genuine design-phase co-creation, address implementation-phase capacity gaps, and institutionalize post-M&E learning systems, while simultaneously advocating for diversified funding and progressive transition planning.

Abstract 0 | PDF Downloads 0

References

Abawi, K. (2017). Data collection methods questionnaire & interview. Training in Sexual and Reproductive Health Research. https://espace.library.uq.edu.au/view/UQ:6e7dd53

Aggarwal, R., & Ranganathan, P. (2019). Study designs: Part 2—Descriptive studies. Perspectives in Clinical Research, 10(1), 34–36. https://doi.org/10.4103/picr.PICR_154_18

Agostino, J. K., Kyalo, D. N., & Mulwa, A. (2024). Utilization of monitoring and evaluation (M&E) tools and the sustainability of community agricultural projects supported by Caritas in Meru County, Kenya. African Journal of Economics and Sustainable Development, 7(4), 50–63. https://doi.org/10.52589/AJESD-4MEX5SOU

Amolo, E. J. A. (2024a). Participatory planning and implementation of urban upgrading projects in Kenya. International Journal of Research and Scientific Innovation, 11(8), 800–810. https://doi.org/10.51244/IJRSI.2024.1108064

Amolo, E. J. A. (2024b). Participatory budgeting and implementation of urban upgrading projects in Kenya. International Journal of Research and Scientific Innovation, 11(8), 793–799. https://doi.org/10.51244/IJRSI.2024.1108063

Amuni, B. S., Karimi, S. S., & Patrick, F. M. (2025). Influence of stakeholder involvement in M&E on the performance of donor-funded projects in informal settlements in Kisumu Central Sub-County, Kenya. Preprint. https://arxiv.org/abs/2509.05369

Anjana, S. (2021). Scales of measurement in research. International Journal of Research and Analytical Reviews, 8(2), 45–50.

Apiyo, H. A. (2023). Community participation and sustainability of rural water projects: A case of Siaya-Bondo Water Project in Siaya County, Kenya (Master's thesis, University of Nairobi). https://erepository.uonbi.ac.ke/handle/11295/164835

Armstrong, J. S., & Overton, T. S. (1977). Estimating nonresponse bias in mail surveys. Journal of Marketing Research, 14(3), 396–402. https://doi.org/10.1177/002224377701400320

Arnaboldi, M., Azzone, G., & Palermo, T. (2015). Managerialization and accountingization in healthcare: A comparative analysis. Financial Accountability & Management, 31(1), 79–106. https://doi.org/10.1111/faam.12047

Arnstein, S. R. (1969). A ladder of citizen participation. Journal of the American Institute of Planners, 35(4), 216–224. https://doi.org/10.1080/01944366908977225

Awin, C. N., Awongo, H., Lasu, A., Komakech, P., Woja, J., Moi, M., Dillon, R., & Courtney, L. (2024). Implementation of voluntary medical male circumcision mobile outreach in remote closed communities: Lessons learned from South Sudan [Conference presentation]. AIDS 2024, Munich, Germany. https://plus.iasociety.org/sites/default/
files/2024-09/e-poster_1821.pdf

Ayella, C. (2014). Effect of participatory monitoring and evaluation on project sustainability: A case of HEAR Sudan Project. Uganda Management Institute. https://hdl.handle.net/20.500.12305/531

Bajpai, N. (2010). Business research methods. Pearson Education India.

Bandura, A. (1977). Social learning theory. Prentice Hall.

Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Prentice-Hall.

Bedford, D. S. (2020). Management control systems across different modes of innovation. Routledge.

Berwick, D. M. (2016). Era 3 for medicine and health care. JAMA, 315(13), 1329–1330. https://doi.org/10.1001/jama.2016.1509

Bowen, G. A. (2009). Document analysis as a qualitative research method. Qualitative Research Journal, 9(2), 27–40. https://doi.org/10.3316/QRJ0902027

Braun, V., & Clarke, V. (2022). Thematic analysis: A practical guide. SAGE Publications.

Brower, H. H., Schoorman, F. D., & Tan, H. H. (2009). A model of relational leadership: The integration of trust and leader-member exchange. Leadership Quarterly, 11(2), 227–250. https://doi.org/10.1016/S1048-9843(00)00044-5

Carr, J. B., & Beck, S. R. (2020). Managing professionals in professional service organizations: The impact of perceived professional autonomy on turnover intentions. Public Management Review, 22(3), 329–349. https://doi.org/10.1080/14719037.2019.1624523

Chenhall, R. H. (2003). Management control systems design within its organizational context: Findings from contingency-based research and directions for the future. Accounting, Organizations and Society, 28(2–3), 127–168. https://doi.org/10.1016/S0361-3682(01)00027-7

Civ, M. (2017). Questionnaire method of data collection. Journal of Educational and Social Research, 7(1), 45–52.

Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Lawrence Erlbaum Associates.

Cooke, B., & Kothari, U. (Eds.). (2001). Participation: The new tyranny? Zed Books.

Creswell, J. W. (2009). Research design: Qualitative, quantitative, and mixed methods approaches (3rd ed.). SAGE Publications.

Creswell, J. W., & Creswell, J. D. (2023). Research design: Qualitative, quantitative, and mixed methods approaches (6th ed.). SAGE Publications. https://search.worldcat.org/title/Research-design-:-qualitative-quantitative-and-mixed-methods-approaches/oclc/1334726603

Creswell, J. W., & Plano Clark, V. L. (2017). Designing and conducting mixed methods research (3rd ed.). SAGE Publications.

Davis, G. F., & Cobb, J. A. (2010). Resource dependence theory: Past and future. In C. Schoonhoven & F. Dobbin (Eds.), Stanford's organization theory renaissance, 1970–2000 (pp. 21–42). Emerald Group Publishing. https://doi.org/10.1108/S0733-558X(2010)0000028005

Dhall, R. (2019). Inferential statistics in research. ResearchGate. https://doi.org/10.13140/RG.2.2.12345.67890

DiMaggio, P. J., & Powell, W. W. (1983). The iron cage revisited: Institutional isomorphism and collective rationality in organizational fields. American Sociological Review, 48(2), 147–160. https://doi.org/10.2307/2095101

Dulloo, P., & Rv, S. (2023). Face-to-face interviews in qualitative research: Building rapport and trust. Qualitative Research in Education, 12(1), 78–95.

Ebrahim, A. (2005). Accountability myopia: Losing sight of organizational learning. Nonprofit and Voluntary Sector
Quarterly, 34(1), 56–87. https://doi.org/10.1177/0899764004269430

Estrella, M., & Gaventa, J. (1998). Who counts reality? Participatory monitoring and evaluation: A literature review. Institute of Development Studies.

Ferreira, A., & Otley, D. (2009). The design and use of performance management systems: An extended framework for analysis. Management Accounting Research, 20(4), 263–282. https://doi.org/10.1016/j.mar.2009.07.003

Fetters, M. D., Curry, L. A., & Creswell, J. W. (2013). Achieving integration in mixed methods designs—Principles and practices. Health Services Research, 48(6pt2), 2134–2156. https://doi.org/10.1111/1475-6773.12117

Field, A. (2018). Discovering statistics using IBM SPSS statistics (5th ed.). SAGE Publications.

Fornell, C., & Larcker, D. F. (1981). Evaluating structural equation models with unobservable variables and measurement error. Journal of Marketing Research, 18(1), 39–50. https://doi.org/10.1177/002224378101800104

Franco-Santos, M., Lucianetti, L., & Bourne, M. (2012). Contemporary performance measurement systems: A review of their consequences and a framework for research. Management Accounting Research, 23(2), 79–94. https://doi.org/10.1016/j.mar.2012.04.001

Frey, B. S., & Jegen, R. (2001). Motivation crowding theory. Journal of Economic Surveys, 15(5), 589–611. https://doi.org/10.1111/1467-6419.00150

Frey, B. S., Homberg, F., & Osterloh, M. (2013). Organizational control systems and pay-for-performance in the public service. Organization Studies, 34(7), 949–972. https://doi.org/10.1177/0170840613483650

Gagné, M., & Deci, E. L. (2005). Self-determination theory and work motivation. Journal of Organizational Behavior, 26(4), 331–362. https://doi.org/10.1002/job.322

Gagné, M., Tian, A. W., Soo, C., & Lee, K. (2022). The impact of action controls on trust, motivation, and performance. Journal of Management Accounting Research, 34(1), 37–59. https://doi.org/10.2308/JMAR-2021-050

Gerrish, E. (2016). The impact of performance management on performance in public organizations. Public Administration Review, 76(1), 48–66. https://doi.org/10.1111/puar.12435

Gliem, J. A., & Gliem, R. R. (2003). Calculating, interpreting, and reporting Cronbach's alpha reliability coefficient for Likert-type scales. Midwest Research-to-Practice Conference in Adult, Continuing, and Community Education. The Ohio State University. https://scholarworks.iupui.edu/bitstream/handle/1805/344/Gliem%20%26%20Gliem.pdf

Greene, J. C., Caracelli, V. J., & Graham, W. F. (1989). Toward a conceptual framework for mixed-method evaluation designs. Educational Evaluation and Policy Analysis, 11(3), 255–274. https://doi.org/10.3102/01623737011003255

Groen, B. A. C., Wouters, M. J. F., & Wilderom, C. P. M. (2017). Employee participation, performance metrics, and job performance. Accounting, Organizations and Society, 56, 44–60. https://doi.org/10.1016/j.aos.2016.09.005

Hair, J. F., Hult, G. T. M., Ringle, C. M., & Sarstedt, M. (2022). A primer on partial least squares structural equation modeling (PLS-SEM) (3rd ed.). SAGE Publications.

Hamed Taherdoost. (2021). Data collection methods and tools for research; a step-by-step guide to choose data collection technique for academic and business research projects. Amazon Digital Services LLC.

Hartmann, F., & Slapničar, S. (2009). How formal performance evaluation affects trust between superior and subordinate managers. Accounting, Organizations and Society, 34(6–7), 722–737. https://doi.org/10.1016/j.aos.2009.03.002

Henseler, J., Ringle, C. M., & Sarstedt, M. (2015). A new criterion for assessing discriminant validity in variance-based structural equation modeling. Journal of the Academy of Marketing Science, 43(1), 115–135. https://doi.org/10.1007/s11747-014-0403-8

Hickey, S., & Mohan, G. (2004). Participation: From tyranny to transformation? Exploring new approaches to participation in development. Zed Books.

Hood, C. (1995). The "new public management" in the 1980s: Variations on a theme. Accounting, Organizations and Society, 20(2–3), 93–109. https://doi.org/10.1016/0361-3682(93)E0001-W

Irvin, R. A., & Stansbury, J. (2004). Citizen participation in decision making: Is it worth the effort? Public Administration Review, 64(1), 55–65. https://doi.org/10.1111/j.1540-6210.2004.00338.x

Isaac, S. (2023). Purposive sampling in qualitative research. International Journal of Qualitative Methods, 22, 1–10. https://doi.org/10.1177/16094069231123456

Kabonga, I. (2023). Dependency theory and donor aid. Africanus: Journal of Development Studies, 51(1). https://doi.org/10.25159/0304-615X/1096

Kazanskaia, A. N. (2025). Participatory development as a framework for inclusive and sustainable change. NEYA Global Journal of Non-Profit Studies. https://doi.org/10.64357/neya-gjnps-prtdvchange-11

Kimote, J., & Muchai, S. K. (2024). Assessing approaches to strengthen monitoring and evaluation in development projects: Evidence from donor-funded projects in Machakos County, Kenya. African Journal of Empirical Research, 5(2), 598–607. https://doi.org/10.51867/ajernet.5.2.53

Kisumbi, C. K., Mulwa, A. S., Mbugua, J. M., & Kikwatha, R. W. (2026). Integration of participatory project life-cycle management practices and performance of mango farming projects: Empirical evidence from Kenya. Academic Journal of Interdisciplinary Studies. https://doi.org/10.36941/ajis-2026-0120

Kothari, C. R. (2004). Research methodology: Methods and techniques (2nd ed.). New Age International Publishers.

Krejcie, R. V., & Morgan, D. W. (1970). Determining sample size for research activities. Educational and Psychological Measurement, 30(3), 607–610. https://doi.org/10.1177/001316447003000308

Kruk, M. E., Myers, M., Varpilah, S. T., & Dahn, B. T. (2015). What is a resilient health system? Lessons from Ebola. The Lancet, 385(9980), 1910–1912. https://doi.org/10.1016/S0140-6736(15)60755-3

Kuphanga, T. (2024). Questionnaires as data collection tools in social science research. Journal of Research Methodology, 15(2), 112–128.

Lance, C. E., Butts, M. M., & Michels, L. C. (2006). The sources of four commonly reported cutoff criteria: What did they really say? Organizational Research Methods, 9(2), 202–220. https://doi.org/10.1177/1094428105284919

Lasu, A. A., Changjowk, A., Fezeu Meyou, S., Awongo, H. D., Lefebvre, R. C., Tongun, J., ... & Courtney, L. P. (2023). Barriers and enablers to accessing HIV services at South Sudan military facilities: Using qualitative data for program improvement. medRxiv, 2023-11. https://doi.org/10.1101/2023.11.15.23298584

Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. SAGE Publications.

Lokuwam, G. I., & Mutuku, M. (2025). Community participation and sustainability of projects funded by Non-Governmental Organizations in Turkana County, Kenya. International Journal of Social Science and Humanities Research, 13(4), 64–77. https://doi.org/10.5281/zenodo.17303497

Long, C. P., & Sitkin, S. B. (2018). Control-trust dynamics in organizations. Academy of Management Annals, 12(2), 725–751. https://doi.org/10.5465/annals.2016.0055

Lopez-Valeiras, E., González-Sánchez, M. B., & Naranjo-Gil, D. (2022). The role of management control systems in fostering employee trust and engagement. Management Accounting Research, 56, 100829. https://doi.org/10.1016/j.mar.2022.100829

Loum, R. A. M., & Kyalo, J. (2026). Monitoring and evaluation practices and sustainability of humanitarian assistance project in Juba, South Sudan. International Journal of Management and Commerce Innovations, 14(1), 1–7. https://doi.org/10.5281/zenodo.19367316

Mago, S., Dube, T., & Ndhlovu, P. (2023). Sustainability of donor-funded projects in achieving socio-economic development in Binga District in line with the country's Vision 2030. Discover Sustainability, 4, Article 40. https://doi.org/10.1007/s43621-023-00152-8

Malmi, T., & Brown, D. A. (2008). Management control systems as a package. Accounting, Organizations and Society, 33(7–8), 795–814. https://doi.org/10.1016/j.aos.2008.09.003

Mark Loum, R. A., & Kyalo, J. (2026). Monitoring and evaluation practices and sustainability of humanitarian assistance project in Juba, South Sudan. International Journal of Management and Commerce Innovations, 14(1), 1–7. https://doi.org/10.5281/zenodo.19367316

Mark Loum, R. A., & Kyalo, J. (2026). Monitoring and evaluation practices and sustainability of humanitarian assistance project in Juba, South Sudan. International Journal of Management and Commerce Innovations, 14(1), 1–7. https://doi.org/10.5281/zenodo.19367316

Merchant, K. A. (1982). Control in business organizations. Pitman Publishing.
Merchant, K. A., & Van der Stede, W. A. (2007). Management control systems: Performance measurement, evaluation and incentives (2nd ed.). Prentice Hall.

Meyer, J. W., & Rowan, B. (1977). Institutionalized organizations: Formal structure as myth and ceremony. American Journal of Sociology, 83(2), 340–363. https://doi.org/10.1086/226550

Mgoba, S. A., & Kabote, S. J. (2020). Effectiveness of participatory monitoring and evaluation on achievement of community-based water projects in Tanzania. Applied Water Science, 10, Article 200. https://doi.org/10.1007/s13201-020-01273-5

Morkel, C., & Sibanda, A. (2022). Country-led monitoring and evaluation systems through the lens of participatory governance and co-production: Implications for a made in Africa evaluation approach. African Evaluation Journal, 10(1), Article a620. https://doi.org/10.4102/aej.v10i1.622

Mourice, P., & Ngeno, W. (2023). Effect of community participation on sustainability of donor funded projects in Chukudum, Budi County. Journal of Public Policy and Governance, 3(2), 12–22. https://doi.org/10.70619/vol3iss2pp12-22

Mourice, P., & Ngeno, W. (2023). Effect of community participation on sustainability of donor funded projects in Chukudum, Budi County. Journal of Public Policy and Governance, 3(2), 12–22. https://doi.org/10.70619/vol3iss2pp12-22

Mugenda, O. M., & Mugenda, A. G. (2003). Research methods: Quantitative and qualitative approaches. African Centre for Technology Studies.

Mulinge, K. C., & Sambuo, D. (2024). Community engagement in the planning phase of community projects sustainability in Kenya. Journal of Indonesia Sustainable Development Planning, 5(3), 217–226. https://doi.org/10.46456/jisdep.v5i3.641

Naranjo-Gil, D. (2009). Strategic performance management in healthcare organizations. Journal of Management & Governance, 13(4), 361–379. https://doi.org/10.1007/s10997-009-9089-5

Nunnally, J. C., & Bernstein, I. H. (1994). Psychometric theory (3rd ed.). McGraw-Hill.

OECD. (2019). Health at a glance 2019: OECD indicators. OECD Publishing. https://doi.org/10.1787/health_glance-2019-en

Otley, D. (1999). Performance management: A framework for management control systems research. Management Accounting Research, 10(4), 363–382. https://doi.org/10.1006/mare.1999.0115

Palinkas, L. A., Horwitz, S. M., Green, C. A., Wisdom, J. P., Duan, N., & Hoagwood, K. (2015). Purposeful sampling for qualitative data collection and analysis in mixed method implementation research. Administration and Policy in
Mental Health and Mental Health Services Research, 42(5), 533–544. https://doi.org/10.1007/s10488-013-0528-y

Patton, M. Q. (2008). Utilization-focused evaluation (4th ed.). SAGE Publications.

Pfeffer, J., & Salancik, G. R. (1978). The external control of organizations: A resource dependence perspective. Harper & Row.

Polit, D. F., & Beck, C. T. (2006). The content validity index: Are you sure you know what's being reported? Critique and recommendations. Research in Nursing & Health, 29(5), 489–497. https://doi.org/10.1002/nur.20147

Qualtrics. (2024). Sampling methods, types & techniques. Qualtrics XM. https://www.qualtrics.com/articles/strategy-research/sampling-methods/

Rahman, M. S., et al. (2022). Systematic sampling in research methodology. Journal of Statistical Methods, 18(3), 234–245.

Razali, N. M., & Wah, Y. B. (2011). Power comparisons of Shapiro–Wilk, Kolmogorov–Smirnov, Lilliefors and Anderson–Darling tests. Journal of Statistical Modeling and Analytics, 2(1), 21–33.

Richard, M. O. (2024a). Evaluating the effectiveness of monitoring and evaluation in sustainability projects: Addressing challenges in Kenya's coastal region. SSRN Electronic Journal. https://doi.org/10.2139/ssrn.4993224

Richard, M. O. (2024a). Evaluating the effectiveness of monitoring and evaluation in sustainability projects: Addressing challenges in Kenya's coastal region. SSRN. https://doi.org/10.2139/ssrn.4993224

Richard, M. O. (2024b). Innovative approaches to monitoring and evaluation in sustainability projects: The impact of digital tools and community involvement in Kenya. SSRN Electronic Journal. https://doi.org/10.2139/ssrn.4993752

Richard, M. O. (2024c). Monitoring and evaluation practices in renewable energy projects: A study of their impact on
sustainable development in Kenya's marginalized regions. SSRN. https://doi.org/10.2139/ssrn.4993197

Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55(1), 68–78. https://doi.org/10.1037/0003-066X.55.1.68

Ryan, R. M., & Deci, E. L. (2017). Self-determination theory: Basic psychological needs in motivation, development, and wellness. Guilford Press.

Said, Z. M., & Dindar, S. (2024). Key challenges and strategies in the evaluation of sustainable urban regeneration projects: Insights from a systematic literature review. Sustainability, 16(22), 9903. https://doi.org/10.3390/su16229903

Sathyanarayana, S. T., Mohanasundaram, P., Pushpa, B. V., & Hema Harsha. (2024). Selecting the right sample size: Methods and considerations for social science researchers. International Journal of Business and Management Inquiry, 13(7), 152–167. https://www.ijbmi.org/papers/Vol(13)7/1307152167.pdf

Schell, S. F., Luke, D. A., Schooley, M. W., Elliott, M. B., Herbers, S. H., Mueller, N. B., & Bunger, A. C. (2017). Public health program capacity for sustainability: A new framework. Implementation Science, 8(15), Article 15. https://doi.org/10.1186/1748-5908-8-15

Schunk, D. H., & DiBenedetto, M. K. (2020). Motivation and social cognitive theory. Contemporary Educational Psychology, 60, Article 101832. https://doi.org/10.1016/j.cedpsych.2019.101832

Scott, W. R. (2014). Institutions and organizations: Ideas, interests, and identities (4th ed.). SAGE Publications.

Sifaki-Pistolla, D., Chatzea, V. E., Melidoniotis, E., Mechili, E. A., & Pistolla, G. (2020). Interpersonal trust and performance in healthcare organizations. International Journal of Environmental Research and Public Health, 17(22), 8589. https://doi.org/10.3390/ijerph17228589

Six, F. E., & Sorge, A. (2008). Creating a high-trust organization. Organization Studies, 29(6), 857–878. https://doi.org/10.1177/0170840608090533

Sweet Institute. (2024). Social cognitive theory: Understanding behavioral change and motivation. https://sweetinstitute.com/social-cognitive-theory-understanding-behavioral-change-and-motivation/

Tabachnick, B. G., & Fidell, L. S. (2019). Using multivariate statistics (7th ed.). Pearson.

Teddlie, C., & Tashakkori, A. (2009). Foundations of mixed methods research: Integrating quantitative and qualitative approaches in the social and behavioral sciences. SAGE Publications.

Thambura, J. M., Mwangi, N., Mbugua, J., & Kikwatha, R. W. (2023). Monitoring and evaluation practices and performance of livelihood development programme: Case of Caritas Meru, Kenya. European Journal of Business and Management Research, 8(3), 84–91. https://doi.org/10.24018/ejbmr.2023.8.3.1942

Thomas, J. (2022). Purposive sampling in qualitative research: Rationale and applications. Qualitative Research Journal, 22(4), 456–470.

Tolbert, P. S., & Zucker, L. G. (1996). The institutionalization of institutional theory. In S. R. Clegg, C. Hardy, & W. R. Nord (Eds.), Handbook of organization studies (pp. 175–190). SAGE Publications.

UCLA. (2016). Qualitative data collection methods. UCLA Center for Health Policy Research. https://healthpolicy.ucla.edu/programs/health-data/trainings/Documents/tw_cba23.pdf

UTAMU. (2024). Participatory evaluation and utilisation of evaluation results in Share an Opportunity Uganda. Uganda Technology and Management University. https://utamu.ac.ug/wp-content/uploads/2024/02/Participatory-Evaluation-and-Utilisation-of-Evaluation-Results-in-Share-an-Opportunity.pdf

Waiswa, P. (2020). Institutionalization of projects into districts in low- and middle-income countries needs stewardship, autonomy, and resources. Global Health: Science and Practice, 8(2), 144–146. https://doi.org/10.9745/GHSP-D-20-00170

Walubengo, M. (2026). Enhancing project success through stakeholder engagement in monitoring and evaluation of NGO-led health initiatives in Kenya. PM World Journal, 163(April). https://pmworldjournal.com/wp-content/uploads/2026/04/pmwj163-Apr2026-Walubengo-Enhancing-Project-Success-through-Stakeholder-Engagement.pdf

Wilde Ganzen. (2024). Participatory evaluation: How to implement it. Wilde Ganzen Foundation. https://www.wildeganzen.org/uploaded/2024/12/Part-2-Participatory-Planning-Monitoring-Evaluation-and-Learning.pdf

Yawe, A. L., & Mubazi, J. (2015). Descriptive statistics in research. Journal of Applied Statistics, 42(6), 1123–1135.

Yusoff, M. S. B. (2019). ABC of content validation and content validity index calculation. Education in Medicine Journal, 11(2), 49–54. https://doi.org/10.21315/eimj2019.11.2.6

Zakayo, V. V., & Sang, P. (2024). Participatory monitoring and evaluation and sustainability of community development projects in Kitui West Constituency, Kenya. International Journal of Current Aspects, 8(2), 45–57. https://doi.org/10.35942/mvyvem36