Abstract: In the 21st century, health issues are considered among significant social challenges around the world. Non-Governmental Organisations in Nyeri County, Kenya, and globally such as the Center for Health Solutions, among other stakeholders, have established a couple of health projects focused on addressing health-related issues. Nevertheless, regardless of these efforts, the general picture of health project performance in Nyeri County has remained inadequate as well as health issues have continued to persist. Yet, insufficient studies have been conducted concerning this phenomenon. Information regarding health project performance is scarce, and efforts to compare the data are limited. To improve the performance of health projects, which will reduce rising health issues, the use of monitoring and evaluation practices is inevitable.