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the internal and external costs of the program

We are discussing performance monitoring evaluation in this section in more detail because it is a commonly used type of local public health department program evaluation; it usually meets funder’s requirements for evaluation; it generally, can be conducted within program resources; and the results can be informative and useful for program improvement. It is an appropriate type of evaluation for local MCH programs that are required to assess their performance to comply with federal Title V funding reporting requirements. If programs are following the planning process presented in this guide, a problem analysis of those priority problems identified in a community needs assessment resulted in the identification of the most potentially effective intervention points and strategies. From those, outcome objectives and then program activities and process measures were developed. A review of the program and research literature, combined with the experience of local epidemiologists, program staff and community representatives, contributed to program theory. A process and outcome performance monitoring evaluation will meet the requirement of accountability. It also provides program managers with information to identify program implementation problems and for continuous quality improvement. The types of questions that performance monitoring can answer are: • Are program services and activities being delivered as planned? • Is the program reaching the target population? • Is the quality of the program services adequate? • Does the program outcome data indicate the program is achieving its desired results? • Is there a significant difference in program performance between participant groups, e.g., race/ethnic or economic groups?