The author, a federal manager who leads development and maintenance of evaluation for specific public health programs at the Centers for Disease Control and Prevention, tells the story of developing an evaluation unit in the Office on Smoking and Health. Lessons about managing evaluation, including his practices and related principles, are…

Objective: To evaluate recall and usage of the Food Stamp Office Resource Kit (FSORK), a set of nutrition education materials designed for use in food stamp offices. Design: Client intercept exit surveys, an environmental scan, and individual observations of clients in the food stamp office. Setting: Four food stamp offices in California.…

In the past three decades, program evaluation has sought to more fully engage stakeholders in the evaluative process. But little information has been gathered from stakeholders about how they share in evaluation tasks and whether role sharing leads to confusion or tensions between the evaluator and the stakeholders. This article reports findings…

Describes an approach to introducing performance measurement into a large federal health program, the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act, in response to the government Performance and Results Act. Also discusses characteristics of the HIV/AIDS epidemic that present unique challenges for performance measurement. (SLD)

In this study of the current state of evaluation of health programs, which emphasizes the relationship between health status and poverty, four health programs are examined: Family Planning, Neighborhood Health Centers, Migrant Health Programs, and Comprehensive Health Services for Children and Youth. The study shows that the current health…

The safety and health mandate of the Occupational Safety and Health Act of 1970 is examined in reference to its effectiveness in reducing injuries and its consistency with the goal of promoting general welfare. Chapter 1 describes the essential features of the act and its administration to date, and analyzes the mandate as revealed by legislative…

Current social policies for the elderly are intended to assure a better standard of living, promote adequate medical treatment, and assure safe and clean housing, but they have unintended consequences. It is argued that these social policies serve to keep older people in a state of dependency, poverty, and segregation. Some social policies may be…

This paper reports a medical evaluation of a federal program providing funds for special nutritious food supplements to low income pregnant and lactating women, infants, and children up to four years of age who are nutritional risks. Growth, dietary intake, and biochemical measures were obtained for study infants at the time of enrollment in the…

The purpose of this paper is to specify the design for evaluating the second year Health Start Program. This design is used as the basis for the determination of the data to be collected and the comparisons that will be made using these data to provide information to answer the policy questions asked by the Office of Child Development (OCD). For…

This report details the history and characteristics of the Health Start program, explains the evaluation design and methodological problems in the study, describes the background and health characteristics of approximately 10,000 children enrolled in the program, and delineates the conclusions and recommendations emerging from the evaluation. Data…

This report on the efforts of the Department of Health, Education, and Welfare (HEW) to comply to Title VI of the 1964 Civil Rights Act is based primarily on Commission staff work undertaken during the Spring and Summer of 1968. Interviews were conducted with staff members in HEW's Office for Civil Rights in Washington, and in the Atlanta and…

The main focus of this ESEA Title I program review and forward look is on problem areas the National Advisory Council on the Education of Disadvantaged Children has identified since its first report in 1966, which the Council feels seems to deserve the early attention of a new Administration and Congress. Major recommendations are as follows: (1)…

The final report of the Health Start evaluation of the second year program is presented in three separate documents. This paper presents an overview of the Urban Institute's evaluation of the Health Start program and covers two broad areas: health service coordination and health service delivery. The two major questions for the 1972-73 evaluation…

The Special Summer Food Service Program for Children is one of several programs for the feeding of children administered by the Food and Nutrition Service (FNS). The program is designed to feed during summer vacation, children from areas having poor economic conditions or high concentrations of working mothers. It is authorized through fiscal year…

After 3 years of operation, the Appalachian Regional Commission presents this report and evaluation of its activities as required by the Appalachian Regional Development Act of 1965. A brief overview is given of the history of the program, the Federal-state relationship, the strategy and method of attacking the regions' rural and urban problems,…