Our example (country specific mobile app for doctors), spent 100 € on AdWords, end result was literally 0 app installs, 0 sign-ups, 0 everything. Medical keywords are expensive, no chance of sending them directly to the App Store/Play Store (that we saw at least), and no other useful targetting.
Here come Facebook mobile install ads. 40 € spent so far, 500+ app installs, 200+ sign-ups, great retention. We can roughly target medical professionals, take them directly to the app stores, and the clicks are cheap as hell.
I have no doubt that AdWords work much better in other cases, and that FB can be useless, but it's not black and white, you need to know which tool fits the purpose.