The limited MCH Bureau SPRANS evaluation efforts
Leaves the Bureau vulnerable to critiques regarding priority setting for SPRANS
Leaves the Bureau vulnerable to critiques that it is not interested in rigorous assessment
Makes it difficult to “tell the story” of SPRANS successes
Leaves the Bureau without a key tool for assisting the States and others in implementing the best of evidence-based programs and policies
(Fine & Kotelchuck, 1999)