| Preface | xiii |
| Acknowledgments | xix |
Section 1 | The Context of Health Program Development and Evaluation | 1 |
Chapter 1 | Health Program Development and Evaluation | 3 |
| History and Context | 4 |
| Evaluation as a Profession | 9 |
| Planning and Evaluation Cycle | 11 |
| Program Life Cycle | 16 |
| Types of Evaluation | 18 |
| The Public Health Pyramid | 20 |
| Community | 25 |
| Who Does Planning and Evaluations? | 29 |
| Roles of Evaluators | 31 |
| Across the Pyramid | 31 |
| Discussion Questions | 34 |
Chapter 2 | Relevance of Diversity and Disparities to Health Programs | 37 |
| Health Disparities | 39 |
| Diversity and Health Programs | 42 |
| Organizational Culture | 54 |
| Across the Pyramid | 65 |
| Discussion Questions | 67 |
Chapter 3 | Planning for Health Programs and Services | 73 |
| Definitions of Planning | 74 |
| Historical Background on Planning in Public Health | 74 |
| PATCH | 75 |
| APEXPH | 76 |
| MAPP | 76 |
| Summary | 77 |
| Planning Paradoxes, Assumptions, and Ethics | 79 |
| Approaches to Planning | 84 |
| Planning Steps and Stages | 91 |
| Across the Pyramid | 106 |
| Discussion Questions | 108 |
Section 2 | Developing Health Programs | 113 |
Chapter 4 | Community Health Assessment for Program Planning | 115 |
| Types of Needs | 115 |
| Perspectives on Assessment | 116 |
| Types of Assessments | 120 |
| Steps in Conducting the Assessment | 122 |
| Across the Pyramid | 145 |
| Discussion Questions | 147 |
Chapter 5 | Program Theory and Interventions Revealed | 151 |
| Program Theory | 152 |
| Interventions | 155 |
| Impacts and Outcomes in Public Health | 163 |
| Functions of Program Theory | 172 |
| Across the Pyramid | 175 |
| Discussion Questions | 177 |
Chapter 6 | Program Objectives and Setting Targets | 179 |
| Parameters of the Program | 179 |
| Program Goals and Objectives | 184 |
| Using Data to Set Target Values | 191 |
| Across the Pyramid | 208 |
| Discussion Questions | 209 |
Section 3 | Implementing Health Programs | 211 |
Chapter 7 | Logistics of Program Implementation | 213 |
| Inputs to the Organizational Plan | 214 |
| Outputs of the Organizational Plan | 221 |
| Inputs to the Service Utilization Plan | 229 |
| Outputs of the Service Utilization Plan | 232 |
| Across the Pyramid | 233 |
| Discussion Questions | 234 |
Chapter 8 | Process Evaluation: Measuring Inputs and Outputs | 237 |
| Process Evaluation | 238 |
| Data Collection Methods | 241 |
| Monitoring Inputs to the Organizational Plan | 244 |
| Quantifying Outputs of the Organizational Plan | 249 |
| Monitoring Inputs to the Service Utilization Plan | 250 |
| Intervention Delivery | 254 |
| Quantifying Outputs of the Service Utilization Plan | 257 |
| From Data to Action | 266 |
| Across the Pyramid | 271 |
| Discussion Questions | 273 |
Section 4 | Evaluating the Impact and Outcome of Health Programs | 277 |
Chapter 9 | Planning the Methods for Evaluating Intervention Effects | 279 |
| Developing the Evaluation Questions | 280 |
| Intervention Effect Evaluation Variables from the Program Effect Theory | 286 |
| Measurement Considerations | 291 |
| Threats to Data Quality | 296 |
| Data Sources (Methods) | 298 |
| Considerations During Planning | 310 |
| Across the Pyramid | 313 |
| Discussion Questions | 315 |
Chapter 10 | Choosing Designs for Impact Evaluation | 319 |
| Choosing an Evaluation Design | 320 |
| Sampling | 343 |
| Designs and Failures | 351 |
| Across the Pyramid | 353 |
| Discussion Question | 354 |
Chapter 11 | Analyzing and Interpreting Evaluation Data | 357 |
| Data Entry and Management | 357 |
| Sample Description | 361 |
| Thinking About Change | 362 |
| Across Levels of Analysis | 367 |
| Statistical Answers to the Question | 368 |
| Interpretation | 379 |
| Across the Pyramid | 382 |
| Discussion Questions | 383 |
Chapter 12 | Qualitative Methods for Planning and Evaluation | 387 |
| Functions of Qualitative Methods | 387 |
| Qualitative Methods | 388 |
| Scientific Rigor | 398 |
| Sampling for Qualitative Methods | 400 |
| Qualitative Analyses | 400 |
| Presentation of Findings | 406 |
| Across the Pyramid | 407 |
| Discussion Questions | 408 |
Section 5 | From Data to Decision | 411 |
Chapter 13 | Cost Analyses: The Basics | 413 |
| Types of Economic Analyses | 413 |
| Basic Steps Involved in Conducting Economic Evaluations | 423 |
| Assessing Economic Evaluations | 432 |
| Across the Pyramid | 433 |
| Discussion Questions | 434 |
Chapter 14 | Continuing the Cycle | 437 |
| Data and Information | 437 |
| Reports | 441 |
| Ethics | 449 |
| Contextual Considerations | 454 |
| Meta-Evaluation | 459 |
| Quality of Evaluation | 460 |
| Across the Pyramid | 462 |
| Discussion Questions | 463 |
| Index | 467 |