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Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model

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Sexually transmitted diseases program performance measures: how are they performing?

Thomas A Peterman¹, Daniel R Newman, Dayne E Collins

¹Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. tap1@cdc.gov

Sexually Transmitted Diseases

|February 1, 2011

Summary

Developing performance measures for sexually transmitted disease (STD) prevention programs showed improved data quality but little evidence of overall performance enhancement. Additional efforts are needed to truly improve STD prevention program outcomes.

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Area of Science:

Public Health
Health Services Research
Disease Prevention

Background:

Performance measures were created to enhance the effectiveness of sexually transmitted disease (STD) prevention programs.
The development process involved collaboration between STD programs and the Centers for Disease Control and Prevention (CDC).

Purpose of the Study:

To assess the impact and effectiveness of implementing nationwide performance measures in STD prevention programs.
To evaluate whether the developed measures led to tangible improvements in program performance.

Main Methods:

Measures were identified, pilot tested for feasibility and relevance, and then implemented nationally in 2004.
Data were collected, shared, and analyzed; site visits, webinars, and technical assistance were provided to support program improvement.
National performance data were analyzed to determine if improvements occurred in the measured activities.

Main Results:

Some performance measures were revised or removed during the implementation process.
The quality of reported data demonstrated improvement over time.
Limited evidence suggested an overall enhancement in program performance despite the measures.

Conclusions:

Performance measures serve as a valuable tool for monitoring program activities.
While measures can contribute to program improvement, they are insufficient on their own.
Sustained and enhanced efforts are necessary to achieve significant improvements in STD prevention program performance.