View full metadata record

dc.titleNot Your Cookie-Cutter Results-Based Aid Initiative: Salud Mesoamerica Initiative’s Experience Improving Health for the Poorest in Mesoamerica
dc.contributor.authorRegalia, Ferdinando
dc.contributor.authorEichler, Rena
dc.contributor.authorGigli, Susan
dc.contributor.authorCleason, Mariam
dc.contributor.authorTapia Conyer, Roberto
dc.contributor.authorGavilanes Hernandez, Francisco Javier
dc.contributor.authorKress, Daniel
dc.contributor.authorWong, Ethan
dc.contributor.authorMujica, Ricardo
dc.contributor.authorBetancourt Cravioto, Miguel
dc.contributor.authorCiria Matilla, María Cruz
dc.contributor.authorÁlvarez, María Cristina
dc.contributor.authorIriarte, Emma
dc.contributor.authorNelson, Jennifer
dc.contributor.authorZúñiga Brenes, Paola
dc.contributor.authorRíos-Zertuche, Diego
dc.contributor.orgunitSocial Protection and Health Division
dc.coverageLatin America
dc.coverageLatin America
dc.date.available2017-10-06T00:00:00
dc.date.issue2017-10-04T00:00:00
dc.description.abstractSalud Mesoamerica Initiative (SMI) is a unique results-based aid initiative that rewards countries for achieving health targets in the poorest municipalities in Mesoamerica. A partnership between private and public donors and governments, it offers lessons for philanthropists, corporate social responsibility teams, and bilateral donors about how to alter development assistance from the usual model of paying for inputs to a new one in which countries are paid for achieving results for their poorest populations. What makes this model of RBA feasible is its reliance on the staff, relationships, systems, and implementation capability of the Inter-American Development Bank and the dedicated unit that supports countries. Countries commit to achieve targets that progress from system readiness metrics to outcomes. Verification is based on externally conducted household and facility surveys. Five out of the eight countries achieved first-phase targets and received a performance payment, and all countries improved on key health system metrics.
dc.format.extent11
dc.identifier.doihttp://dx.doi.org/10.18235/0000855
dc.identifier.urlhttps://publications.iadb.org/publications/english/document/Not-Your-Cookie-Cutter-Results-Based-Aid-Initiative-Salud-Mesoamerica-Initiative’s-Experience-Improving-Health-for-the-Poorest-in-Mesoamerica.pdf
dc.identifier.urlhttps://publications.iadb.org/publications/spanish/document/No-es-una-iniciativa-de-cooperación-basada-en-resultados-hecha-con-molde.pdf
dc.language.isoen
dc.mediumAdobe PDF
dc.publisherInter-American Development Bank
dc.subjectHuman Health
dc.subjectHealth Care System
dc.subjectMerit Pay
dc.subject.jelcodeI14 - Health and Inequality
dc.subject.keywordsResults Based Aid; Results Based Financing; Pay for Performance; Performance Based Financing; Aid Effectiveness; Philanthropy
idb.identifier.pubnumberIDB-TN-1313
Return to Publication