New ISM Publication: The Initial Prize in the Salud Mesoamerica Initiative Results-Based Aid Initiative

Authors: Eichler, Rena; Nelson, Jennifer; Ríos-Zertuche, Diego; Iriarte, Emma; Gigli, Susan; Zúñiga Brenes, Paola


The Salud Mesoamerica Initiative is a public-private partnership that provides funding to national governments in Mesoamerica (the region consisting of southern Mexico and Central America) that is conditional on attaining health results in their poorest municipalities. SMI has set into motion a dynamic process that is strengthening health systems for reproductive, maternal, neonatal and child health. The complementary and mutually reinforcing factors driving these changes include: reputational and financial incentives; competition among the participating countries; learning across national boundaries; external monitoring and the use of credible data to measure and reward results; technical assistance; and a sense of urgency created by the imposition of clear, time-bound performance goals. This results-based focus at the population level has also triggered changes in health systems that include: government commitment; strengthened leadership and operational management practices; enhanced coordination and collaboration between teams within the national ministries of health and between national and local levels in the health sector; new policies and norms focused on reproductive, maternal, neonatal and child health; health information data collection and analysis for decision-making and accountability; strengthened commodity management systems; increased demand for health services at community levels; and enhanced service delivery readiness. These system-strengthening measures are providing the foundation for the eight Mesoamerican countries to improve maternal and child health results among the poorest in the subsequent phases of SMI, when improved health outcomes will be rewarded. This results-based aid initiative contains unique features that offer lessons to strengthen other results-based aid initiatives and inform future donor partnerships with countries or between national and subnational governments. - See more at: Publications

More Information


Outreach & Communications Office
Iniciativa Salud Mesoamérica 2015
+1 202 623 3045

Recent News

Un grupo de WhatsApp ayuda a prevenir complicaciones en el embarazo en Belice

Cuando no hay acceso a servicios especializados, se recurre a la tecnología para diagnosticar complicaciones en el embarazo.

November 28, 2017

The button that saved Linda Guadalupe’s life

The mater code protocol of the Women’s Hospital in San Cristóbal de las Casas avoided the death of a woman eight days after delivering her son, who weighed 890 grams at birth

November 28, 2017

Madres que no solo cantan nanas

Source: El País

Adaptar las letras de grandes éxitos musicales ha permitido a dos doctoras acercar los centros de salud a poblaciones que los infrautilizaban

November 14, 2017

Diálogos interculturales que mejoran la salud

Source: El País

Un programa de salud comunitaria en Mesoamérica está dando la vuelta a los indicadores de salud materno infantil en Chiapas, una de las zonas más desiguales de México

November 08, 2017

Descubrir qué es un condón a los 40 años

Source: El País

Las comunidades indígenas de Chiapas sufren enormes carencias e inequidades en salud materno-infantil. El programa Salud Mesoamérica trabaja para paliarlas

November 08, 2017

Carlos Slim
Health Institute
international cooperation
Bill & Melinda Gates
Development Bank
We advance in the hand with:

Hello, Welcome to the IDB!

Please join our mailing list by simply entering your email below.