The implementation analysis found that ERA was largely implemented as designed, although the amount and quality of retention and advancement support offered to participants varied over time and across districts.
The impact of the scheme will depend upon the degree of implementation and the extent to which the scheme is implemented as designed, including the appropriate and effective targeting of women for receipt of the free NHIF card, and the manner of providing reimbursements to health facilities.
While much of the health science literature is focused on professional practice, some of the concepts they have developed are useful for other fields, such as the concept of "fidelity" of implementation which describes the extent to which a program or service has been implemented as designed.
To make an impact on the public's health, evidence-based interventions must be disseminated broadly, supported by training and technical assistance, adopted widely, and implemented as designed.
1. Was the Pre-Kindergarten to Kindergarten Transition Project (PKTP) implemented as designed?
Overall, the program was implemented as designed, particularly by year 2 when the early operational challenges were overcome.
Sound program development and evaluation principles suggest that it is essential to assure that programs are being implemented as designed and with high fidelity prior to the conduct of rigorous summative evaluations of impact.
The evaluation found that, after initial start-up problems, and despite variations in quality across offices and staff, ERA was largely implemented as designed, attesting that it was feasible to attach a post-employment component to the work of Jobcentre Plus or other employment agencies.
We know, in fact, that only 8% of programs implemented by schools are in fact evidence-based, and only 3.5% are both evidence based and implemented with fidelity, or as designed; when programs are not implemented as designed, their effectiveness goes down.
The LDP was mainly implemented as designed.
For example, indicators should address such questions as: Is the intervention being implemented as designed?
