Examining the gaps and barriers in monitoring and evaluation of male engagement in family planning among selected Non-governmental organizations in the health sector in Kampala Capital City Authority, Uganda

Abstract

Male engagement in reproductive health/family planning is considered an integral component in maximizing reproductive health outcomes. However, monitoring and evaluation efforts towards this approach is significantly low, a major setback that has inhibited the provision of evidence needed for public health planning and decision-making. The study examined the gaps and barriers in monitoring and evaluation of male engagement in family planning among selected non-governmental organizations in the health sector in Kampala Capital City Authority, Uganda. A multiple case study design utilizing a qualitative approach to data collection was used to gather information from twelve key informants. Desk reviews and observation were used to provide supplementary evidence-based data. The data was analyzed thematically using an inductive approach. The investigation process followed the ethical procedures and concerns before, during, and after the study. The health workers and managers had positive views towards M&E of male engagement in family planning. there was significant integration of the male engagement component in the family planning M&E system among health non-governmental organizations. The predominant gaps and barriers identified were lack of provisions in data collection tools for capturing male engagement data, insufficient male-specific indicators, inadequate staffing, insufficient funding, lack of specific budget cost line for male engagement, and limited government and management influence towards the collection of male engagement information. To realize effective monitoring and evaluation of male engagement in family planning, there is a need to harmonize data collection tools to facilitate the collection of male engagement information in FP, coordinated efforts from the government, and support supervision towards monitoring and evaluation of male engagement, use of SMART male engagement indicators and developing a specific M&E costed plan for male engagement.