Iniciativa mesoamericana de la salud

Operating Model

Monitoring and Assessment

Rigorous measurement generates a virtuous cycle at many levels of the health system. Rapid coverage surveys in combination with the results-based funding model generates a rigorous check on the quality of administrative data and provides incentives to improve the accuracy of administrative estimates and target-setting, and creates a clear relationship between funding, its uses and health impact. Independent measurement limits perverse incentives to over-report observed in other global health initiatives. Finally, measurement increases transparency and accountability to communities, civil society, regional institutions and donors, and may make its own contribution in the form of increased funding.

The Initiative includes two types of assessments:

• An initial assessment to determine the health services coverage baseline will be used to define interventions and generate indicators to be used in the Performance Framework, and;
• Follow-up surveys (every 18-24 months) will generate evidence to be disseminated and used as the basis of policy dialogue for subsequent projects within the framework of the Initiative as well as to determine the disbursement of the Performance Tranche.