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Understanding mis-implementation in public health practice.

Ross C Brownson1, Peg Allen2, Rebekah R Jacob2

  • 1Prevention Research Center in St. Louis, Brown School, Washington University in St. Louis; Division of Public Health Sciences and Alvin J. Siteman Cancer Center, Washington University School of Medicine, Washington University in St. Louis.

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Summary
This summary is machine-generated.

Mis-implementation in public health programs is common, with many effective programs ending prematurely and ineffective ones continuing. Addressing these issues is crucial for efficient resource allocation.

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Area of Science:

  • Public Health Practice
  • Health Program Management
  • Policy Implementation

Background:

  • Understanding mis-implementation, such as terminating effective programs or continuing ineffective ones, is vital for public health decision-making.
  • Mis-implementation can lead to inefficient use of scarce resources in public health.

Purpose of the Study:

  • To describe the frequency and patterns of program mis-implementation in U.S. state and local health departments.
  • To identify specific types of mis-implementation: ending effective programs and continuing ineffective ones.

Main Methods:

  • A cross-sectional study involving 944 public health practitioners from state and local health departments and partner agencies.
  • Data collected via online surveys between October 2013 and June 2014.
  • Survey focused on program endings and continuations, and reasons for these decisions.

Main Results:

  • 36.5% of state and 42.0% of local health department employees reported effective programs often or always ending.
  • 24.7% of state and 29.4% of local respondents indicated ineffective programs often or always continuing.
  • Reasons for program endings varied between state and local levels, suggesting tailored interventions.

Conclusions:

  • Public health practice requires a focus on addressing mis-implementation to optimize resource utilization.
  • Interventions to combat mis-implementation should consider the differing contexts of state and local health departments.