Grant Management and Performance of Health Project: A Case of Radiotherapy Improvement Project in Rwanda Military Teaching Hospital

Catherine Giramata & Samuel Sindayigaya
University of Kigali
https://orcid.org/0009-0005-7358-1074
Email: giramatacathy@gmail.com

Abstract: The general objective of this study was to assess the impact of grant management practices on performance of radiotherapy improvement project. Data collection instruments included a structured questionnaire for quantitative data and an interview guide for qualitative insights. The collected data were processed through editing, coding, and tabulation, followed by analysis using SPSS version 29. The results indicate model summary for grant management practices and Health Project Performance, where R was 0.945. The R Square was 0.892, meaning that budgeting practices, financial accountability, monitoring and evaluation, and donor compliance jointly explained 89.2% of the variation in health project performance. The regression findings showed that donor compliance requirement had the strongest positive and significant effect on the performance of the Radiotherapy Improvement Project (β = 0.496, t = 8.838, p = 0.000). This was followed by budgeting practices, which had a positive and significant effect (β = 0.211, t = 4.006, p = 0.000). Financial accountability also had a positive and significant influence (β = 0.151, t = 3.248, p = 0.001), while Monitoring and Evaluation had the lowest, but still positive and significant, effect on project performance (β = 0.127, t = 3.949, p = 0.000). The study concluded that grant management practices significantly improved performance of Radiotherapy Improvement Project. The study recommended that Rwanda Military Hospital should strengthen participatory budgeting, financial accountability systems, Monitoring and Evaluation practices, and donor compliance procedures to improve project implementation and performance.