Mexico

Background

Health has improved markedly in Mesoamerica, the region consisting of southern Mexico and Central America, over the past decade. Despite this progress, there remain substantial inequalities in health outcomes, access, and quality of medical care between and within countries. Poor, indigenous, and rural populations have considerably worse health indicators than national or regional averages. In an effort to address these health inequalities, the Salud Mesoamérica 2015 Initiative (SM2015), a results-based financing initiative, was established.

The authors of this article are interviewed and share insights in this Brown University Press Release about this journal article

With a goal to reduce HIV risk behaviors, researchers investigated whether gay men and male sex workers in Mexico City would participate in a conditional cash transfer program that encourages HIV prevention education and regular testing. A new study in the European Journal of Health Economics reports the price that would get more than 75-percent participation: $288 a year.

This case study, one in a series exploring community engagement and PBI, discusses the ways in which Mexico's performance-based incentive (PBI) program, Oportunidades, has (or hasn't) increased social accountability by engaging program beneficiaries, known as vocales, to oversee program administration at the local level.Oportunidades, a conditional cash transfer program, has received attention and acclaim for its success combating poverty and poor nutrition.

This document describes the main features of the RBF program supported by the World Bank in Mexico.

This feature story highlights Mexico’s exemplary poverty fighting program, Oportunidades, which used results-based financing methods for a decade to help 25% of the population improve their health, nutrition and educational status. Research documenting the program’s results shows how using CCTs raised incomes and changed behavior.

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