Objective: Is pre-planned end-point of all activities; Is precise and 'specific'. Is either achieved or not achieved. Is concerned with the problem itself. Target: A discrete activity which helps measure the extent of attainment of objectives; Is a 'concept of degree of achievement' of objective with a time line. Goal: Ultimate desired state 'towards which objectives and resources are directed; shows all or none phenomenon' and on related social and economic development. Impact : Is an expression of the positive effects of a programme, services or the institution on the overall health development and on related social and economic development.