In programme evaluation terminology, a district immunization programme reaches 92% of its target infants using resources far above the allocated budget, while a neighbouring district reaches 80% within budget. The first district is high on which evaluation dimension?

• A Efficacy but low on effectiveness
• B Both effectiveness and efficiency
• C Efficiency but low on effectiveness
• D Effectiveness but low on efficiency ✓

Explanation

Effectiveness is the degree to which a stated objective is attained under real field conditions, so covering 92% of target infants indicates high effectiveness. Efficiency relates outputs to the inputs consumed, and exceeding the allocated budget signals low efficiency. Efficacy refers to results under ideal conditions, typically measured in trials, and does not apply to a routine district programme. This distinction between doing the right things well and doing them economically is the core concept being tested.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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