Readiness assessment focuses on collecting baseline data on how well positioned a government is
in regard to design, build and sustain monitoring and evaluation system. Building capacity in
government is a long term process. The Government of Kenya developed Vision 2030 as a
development. The Ministry of Health developed its Health Policy in line with Kenya Vision 2030
and the Kenya Constitution 2010. The existing Health Sector monitoring and evaluation
framework does not stipulate how the Ministry of Health will monitor provisions of the National
Financial Management Act, 2012. Neither does it provide on how the National Government will
monitor conditional grants to the county Government. The country should develop a robust
monitoring and evaluation plan that cover both technical and financial reporting between the
national Government and County Governments and across the County governments. The objective
of the study is to assess the readiness of Ministry of Health to implement monitoring and evaluation
system. Data was collected from the Ministry of Health using questionnaires. Data was then
analyzed and presented in graphs and pie charts. Based on the findings of this study, it was
established that the Ministry of Health has high demands (incentives) for designing monitoring
and evaluation systems to assess their programs. The study also demonstrated that the Ministry of
Health has adequate roles and responsibilities necessary to assess its performance in line with
monitoring and evaluation programs. Lastly, the study established that the Ministry of Health has
necessary capacity to undertake monitoring and evaluation despite disagreements in factors such
as adequate finances, resources, information Communication Technology, infrastructure, and
innovations required to enhance smooth implementation of monitoring and evaluation. It was
however recommended that the ministry should focus on enhancing their capacity, especially on
financial support and development of infrastructure.