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Related Experiment Video

Updated: May 18, 2026

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
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Program evaluation: considerations of effectiveness, efficiency and equity.

W A Reinke1

  • 1The Johns Hopkins School of Hygiene and Public Health, Baltimore, Maryland, USA.

Journal of Family & Community Medicine
|September 26, 2012
PubMed
Summary
This summary is machine-generated.

Achieving health program success requires balancing effectiveness, efficiency, and equity. This study defines metrics to objectively assess trade-offs between these crucial program attributes.

Keywords:
EffectivenessEfficiencyEquity

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Area of Science:

  • Public Health
  • Health Services Research
  • Program Evaluation

Background:

  • Health programs aim for effectiveness, efficiency, and equitable benefit distribution.
  • The compatibility of these program success attributes is often questioned.
  • Narrow programs may be efficient but exclude disadvantaged groups, raising equity concerns.

Purpose of the Study:

  • To critically define measures of health program effectiveness, efficiency, and equity.
  • To develop analytical methods for objectively assessing trade-offs between these attributes.
  • To apply these methods to real-world family planning program data.

Main Methods:

  • Development of precise metrics for effectiveness, efficiency, and equity.
  • Presentation of analytical techniques to clarify inter-attribute trade-offs.
  • Empirical application using data from an Indian family planning study.

Main Results:

  • Demonstrated that effectiveness, efficiency, and equity are not always mutually compatible.
  • Highlighted potential trade-offs when expanding programs to serve disadvantaged populations.
  • Provided a framework for objective assessment of these trade-offs in family planning.

Conclusions:

  • Sharper definitions of effectiveness, efficiency, and equity are essential for program design.
  • Analytical tools can objectively reveal and guide decisions on program trade-offs.
  • Evidence-based assessment is crucial for optimizing health program outcomes and reach.