Impacts of the Monitoring and Evaluation System on Malnutrition Reduction to Under 5 Children in Wanging’ombe District, Njombe Region

The study aimed to show the impact Monitoring and Evaluation system on Malnutrition reduction to under 5 children in Wanging’ombe district because it is among the council in Njombe region where malnutrition is high about 42.3% (WDC, 2019). The study involved sample size 98 health workers from selected health facilities and CHMT members. Data of this study was collected by using interview and documentary review and tools used were questionnaire and checklist, sampling techniques used for the study was purposive and convenience sampling. On determining factors contributing to the use of the Monitoring and Evaluation system in the reduction of malnutrition to children under 5 years, the findings revealed that, proper decision making, service delivery, planning and budgeting were found to be significant factors. On examining factors affecting the successful implementation of Monitoring and Evaluation system in the reduction of Malnutrition for children under 5 years, human capacity, financial capacity, material capacity and management perception. On identification of possible strategies for improving the use of Monitoring and Evaluation system in the reduction of Malnutrition to children under 5 years, the following were significant strategies like recruitment of more M&E, Training, Seminals to M&E staffs simply because few staff have been capacitated on use of M&E system (DHIS2 &HIMS). The study recommended that, the government is required to invest enough fund in M&E system, this will ensure availability of data tools, transport facilities, and availability of competent M&E experts. Finally, the government must cooperate with other stakeholders such NGOs and (CSO) on fighting against Malnutrition reduction Keywords: Monitoring and Evaluation, Malnutrition Reduction, Children, Wanging’ombe