Objective: This study examined the moderating effect of the regulatory framework on the relationship between Participatory Monitoring and Evaluation (PM&E) processes and the performance of HIV/AIDS community health projects by NGOs in Kisumu County, Kenya. Theoretical Framework: Anchored in participatory action research, the study drew on theory of stakeholder engagement to assess the extent to which PM&E and regulatory frameworks collectively enhanced project performance. Method: Using a moderated multiple regression model, the study analysed data on PM&E processes, regulatory frameworks, and their interaction on project outcomes. Quantitative data were collected from NGO project managers and community leaders and analysed to test the study’s hypotheses. Results and Discussion: PM&E processes significantly influenced project performance (β = 0.341), with the regulatory framework also contributing independently (β = 0.345). The interaction between PM&E and the regulatory framework further moderated this relationship, as indicated by a composite mean of 4.13, correlation coefficient R = 0.572, and ANOVA (F = 55.360, p = 0.000). These results led to the rejection of the null hypothesis, confirming that both PM&E and regulatory frameworks positively impacted project success. Research Implications: Strengthening regulatory frameworks, enhancing participatory monitoring practices, and conducting regular policy reviews were deemed essential for improved project performance. Capacity-building for community leaders was also recommended to reinforce the efficacy of HIV/AIDS community health projects. Originality/Value: This study contributes to existing literature by highlighting the critical role of regulatory frameworks in moderating PM&E effectiveness, offering actionable insights for NGOs and policymakers focused on enhancing the impact of community health interventions.
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