▁social ▁conditions , ▁not ▁of ▁the ▁program . ▁Thus ▁the ▁concept ▁of ▁an ▁outcome ▁does ▁not ▁necessarily ▁mean ▁that ▁the ▁program ▁targets ▁have ▁actually ▁changed ▁or ▁that ▁the ▁program ▁has ▁caused ▁them ▁to ▁change ▁in ▁any ▁way . ▁ ▁There ▁are ▁two ▁kinds ▁of ▁out comes , ▁namely ▁outcome ▁level ▁and ▁outcome ▁change , ▁also ▁associated ▁with ▁program ▁effect . ▁Out come ▁level ▁refers ▁to ▁the ▁status ▁of ▁an ▁outcome ▁at ▁some ▁point ▁in ▁time . ▁Out come ▁change ▁refers ▁to ▁the ▁difference ▁between ▁outcome ▁levels ▁at ▁different ▁points ▁in ▁time . ▁Program ▁effect ▁refers ▁to ▁that ▁portion ▁of ▁an ▁outcome ▁change ▁that ▁can ▁be ▁attributed ▁uniqu ely ▁to ▁a ▁program ▁as ▁opposed ▁to ▁the ▁influence ▁of ▁some ▁other ▁factor . ▁ ▁Me as uring ▁Program ▁Out comes ▁Out come ▁measurement ▁is ▁a ▁matter ▁of ▁representing ▁the ▁circumstances ▁defined ▁as ▁the ▁outcome ▁by ▁means ▁of ▁observable ▁indic ators ▁that ▁vary ▁system atically ▁with ▁changes ▁or ▁differences ▁in ▁those ▁circumstances . ▁Out come ▁measurement ▁is ▁a ▁system atic ▁way ▁to ▁assess ▁the ▁extent ▁to ▁which ▁a ▁program ▁has ▁achieved ▁its ▁intended ▁out comes . ▁According ▁to ▁M out on ▁( 2 0 0 9 ) ▁meas uring ▁the ▁impact ▁of ▁a ▁program ▁means ▁demonstr ating ▁or ▁estim ating ▁the ▁accum ulated ▁differenti ated ▁proxim ate ▁and ▁emer gent ▁effect , ▁some ▁of ▁which ▁might ▁be ▁un int ended ▁and ▁therefore ▁un for ese en . ▁ ▁Out come ▁measurement ▁serves ▁to ▁help ▁you ▁understand ▁whether ▁the ▁program ▁is ▁effective ▁or ▁not . ▁It ▁further