In line with USGs objective of promoting rigorous country-led M&E and GHIs learning agenda, the goal of MEASURE Evaluations work in Kenya is to build the capacity of MOH to increase the availability and use of health information. The project will build the capacity of the MOH (at sub national levels) in outcomes monitoring using Lot Quality Assurance Sampling (LQAS), scale up and institutionalize referrals monitoring, intensify efforts to improve the availability and use of community health data for decision making and program improvement (at community, sub-national and national levels), and conduct a facility Maternal /Child Mortality Survey that will provide cause-specific, facility-related, maternal and child death data. Additionally, in an effort to expand in-country M&E human resource capacity, the project will further strengthen M&E training programs at Kenyatta University by providing technical assistance in M&E and conducting evaluation studies. The project will work at the national level with the MOH and other GOK stakeholders on activities that require national consensus.For LLC, this activity will strengthen part of host country health information system in Nyanza, Western and Coast through procurement of an IT infrastructure (internet connectivity and networking equipment) that connects central and 16 counties in the three provinces. It will also support the procurement of 16 county servers, 2 national servers, 200 computers, netbooks, smartphones, PDAs, and printers for use at national and county levels, but has not procured and will not procure vehicles. The procured equipment will help in strengthening the GoK's capacity to collect and report complete and accurate data. This activity is funded primarily with pipeilne funds in this budget cycle.

SI has five components, which include: 1) Build the capacity of the MOH (at sub national levels) in outcomes monitoring using LQAS, which is a cost and time efficient approach to tracking the performance of health programs; 2) Scale up and institutionalize referrals monitoring. This will include correctly incorporating referral indicators in the data capturing tools and monitoring referral indicators nationally (i.e. including referrals indicators in AOP). In addition, MEASURE Evaluation will develop and implement health workers referral training protocols and guidelines; 3) Support to community level M&E and CHIS. MEASURE Evaluation will aim to intensify efforts to improve the availability and use of community health data for decision making and program improvement (at community, sub-national and national levels). This will be done through systematic institutional capacity building for the division of community health services, targeted direct support to districts and community units through trainings, printing of data collection tools, support to supervision staff, and operationalization of data quality improvement and data use forums; 4) Maternal/child mortality surveillance. Conduct a facility Maternal /Child Mortality Survey that will provide cause-specific, facility-related, and maternal and child death data in 300 facilities. An initial assessment of selected facilities will look at the quality (e.g. completeness and cause of death accuracy) of mortality data. Based on that assessment, the survey methodology will be established and a program of capacity building (e.g. training in ICD-10 coding) will be established to remediate deficiencies in specific areas of data collection; 5) Capacity Building on pre-service M&E training with Kenyatta University. The activity centers on collaborative linkages with KU and long-term training to foster country ownership and sustainability of M&E training. The project will strengthen the capacity of Kenyatta University to offer sustainable M&E training programs, provide technical assistance in M&E, and conduct evaluation studies.