Year of Publication



Public Health

Date Available


Degree Name

Master of Public Health (M.P.H.)

Committee Chair

Sarah Wackerbarth, PhD

Committee Member

Richard Ingram, DrPH

Committee Member

Cezar Mamaril, PhD


Problem: Nonprofits, especially in public health, have become more and more prevalent in recent years. With that increase in support, come greater awareness from stakeholders evaluate nonprofits as effective and impactful on the communities they serve. Frameworks of Organization Effectiveness allow investigators to predict how effective an organization might be in their work. The aims of this study were to identify key Organizational Effectiveness frameworks that could be used to evaluate Nonprofits and use them in practice. Therefore, individuals wishing to become involved with effective nonprofits will be empowered to make good investments of volunteer time and donations

Method: This study was conducted using a case study approach. The researcher conducted interviews with three key informants of WaterStep, a nonprofit in Louisville, Kentucky. Thematic Analysis was used to identify underlying themes that would correlate to the Organization Effectiveness frameworks. Furthermore, the financial reports published online by WaterStep were quantitatively analyzed compared to another nonprofit, Charity Water.

Results: Individual information as well as themes from the interviews were fit into the criteria for each framework. The Multiple Constituency Framework was deemed to be the most appropriate and subjective for requiring the stakeholder to measure various determinants of NPO effectiveness such as focus, fiscal efficacy, and program effectiveness. This framework also allowed for the greatest subjectivity of the stakeholder and could therefore be used accurately in determining effectiveness of other NPOs.

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