Table 2 Reported frequency and reasons for mis-implementation from a survey of U.S., 2018
| Â | Perceived frequency of mis-implementation | ||||
|---|---|---|---|---|---|
Never | Rarely | Sometimes | Often | Always | |
Inappropriate Termination | |||||
 How often do effective programs, overseen by your work unit, end when they should have continued (n=613) | 7.8% | 36.7% | 43.2% | 7.5% | 0.0% |
Inappropriate Continuation | |||||
 How often do ineffective programs, overseen by your work unit, continue when they should have ended (n=604) | 9.3% | 36.1% | 40.1% | 7.8% | 0.6% |
Most common reasons for ending effective programsa | % endorsing | ||||
 Funding priorities changed/funding ended | 87.6% | ||||
 Support from leaders in your agency changed | 38.9% | ||||
 Support from policy makers changed | 34.2% | ||||
 Program was not sustainable | 30.2% | ||||
 Program champions left the agency | 24.4% | ||||
 Lack of staff capacity to write or manage new grants | 21.8% | ||||
 Lack of inclusion of partnering organizations | 6.7% | ||||
 Program not made visible to others | 5.8% | ||||
 Support from general public changed | 2.8% | ||||
 Other | 2.5% | ||||
 Staff lacks public health training | 1.7% | ||||
Most common reasons for continuing ineffective programsa | % endorsing | ||||
 Funder priorities to maintain program | 43.4% | ||||
 Policy makers’ request or requirements to continue | 42.9% | ||||
 Agency leadership requests or requirements to continue | 37.9% | ||||
 Standard is to maintain the status quo | 36.5% | ||||
 Advocacy group support | 19.4% | ||||
 Limited evidence available to support ending programs | 14.9% | ||||
 Program champion support | 14.2% | ||||
 Disagreement with alternate approaches | 12.9% | ||||
 Not cost effective to change programs | 10.3% | ||||
 Evidence-based practices not available for the setting | 9.6% | ||||
 Staff morale may be affected if program is ended | 5.0% | ||||
 Other | 3.0% | ||||