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This paper outlines the assessment and evaluation of public health programs. Among municipalities in Japan, 80 have evaluated public health programs and 70 have analyzed existing data on their jurisdictions. The proportions of municipalities that have monitored statistics were 90 for cause-specific mortality and participation rates of various programs, and 50 for standardized mortality ratios. Programs have been evaluated by various types of design, including case study design, before-afterfatcat:44aiidphpbc5ndu52wryjnyfny