Sexually transmitted diseases program performance measures: how are they performing?

Background: Performance measures were developed in order to improve the performance of sexually transmitted disease (STD) prevention programs. Methods: A consultant worked with persons from STD programs and Centers for Disease Control and Prevention to identify possible measures. Measures were pilot tested for feasibility and relevance in several programs, then implemented nationwide in 2004. Data were collated and shared with programs and presented at national meetings. Site visits, webinars, and technical assistance focused on program improvement related to the measures. Reported data were analyzed to see if national performance improved on the activities measured. Results: Some measures were dropped or revised, and quality of reported data improved over time. There was little evidence that overall program performance improved. Conclusions: Performance measures are one way to monitor performance, and might contribute to program improvement, but additional efforts are needed to improve performance.