Policy makers are yet another stakeholder group that uses both published literature and final program reports regarding process and effect evaluation findings when formulating health policy and making decisions about program resource allocation. Community action groups, community members, and program participants and recipients form another group of stake- holders. This stakeholder group is most likely to advocate for a community health assessment and to use process evaluation results as a basis for seeking additional resources or to hold the program accountable.
Program Life Cycle Feedback loops contribute to the overall de- velopment and evolution of a health program, giving it a life cycle. In the early stages of an idea
the program to the target audience, training and managing program personnel, and delivering or providing the intervention as planned. During implementation of the program, it is critical to conduct an evaluation of the extent to which the program is provided as planned; this is the process evaluation. The data and findings from the process evaluation are key feedback items in the planning and evaluation cycle, and they can and ought to lead to revisions in the program delivery.
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