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interests of key stakeholders and the proposed uses of evaluation findings.

Public health agencies are usually accountable to a number of constituencies and the needs of these constituencies should be considered. For example, an MCH Title V funded program is required to do a community needs assessment, identify priority problems, and develop objectives and interventions designed to improve targeted outcomes. Funded agencies are then required to report annually on progress in meeting their stated process and objectives. If one of the evaluation stakeholders is a local governing body that is faced with a depressed economy, then it may be desirable to have an efficiency (e.g., a cost effectiveness) evaluation. If a community group is involved, then client acceptability and access to services will probably be their concern. If a particular component program has applied for and received funding to contribute to research findings (e.g., a program funded by the Centers for Disease Control and Prevention for the purpose of developing and testing innovative interventions) a “scientific” experimental evaluation with a control or comparison group is necessary. When thinking about the evaluation design, content, and timeline determine in which of the following ways the evaluation will be used. Will it be used to: • Show that the program has been implemented in a manner consistent with the proven interventions on which it is based? • Report back to a funding agency on the overall use of a block grant? • Report the results of a new pilot program? • Make a case for program effectiveness to advocate for funding or expanded funding? • Monitor and improve program services? • Assist program management? Examples of the evaluation questions stakeholders may have: • Is the program operating as conceived? • Are the program objectives being met? • Are the intended services being delivered to the intended clientele? How many times or how often? • Are sufficient numbers of clients being served? • Which of the program activities are effective? Which work best? Are some recipients affected more by the program than others? Why? • What is the impact of the program on the community as a whole