As part of our mandate to gather and disseminate evidence and knowledge from global RBF experiences, RBF Health regularly organizes events, including seminars and capacity building workshops.
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Results-Based Aid: The Salud Mesoamérica Experience




The Salud Mesoamérica Initiative (SMI) is a public-private partnership between the Bill & Melinda Gates Foundation (BMGF), the Carlos Slim Foundation, the Government of Spain, the Inter-American Development Bank (IDB), the countries of Central America and the State of Chiapas in Mexico.  SMI works to reduce maternal and health inequalities through a results-based financing model, aligned with priorities established by the governments of the region. Among the poor in Mesoamerica, only 5 out of every 10 pregnant women are attended during childbirth by skilled birth personnel and the mortality rate among children in poverty is twice that of the national average.

The SMI Results-Based Financing (RBF) model is based on four basic concepts: 1) Countries have to work within the poorest 20% of their populations, selected based on Poverty Incidence Data; 2) SMI funds can only finance evidence-based, cost-effective and promising interventions for maternal and child health; 3) All projects are co-financed by SMI and countries (50% average cost-sharing, leveraging domestic funding) and executed under the RBF model; and 4) All results are externally verified by an independent third party (Institute of Health Metrics and Evaluation) through both household and health facility surveys. If countries meet 80% of their goals they receive 50% of their original investment to use freely within the health sector.

In 24 months teams have modified service delivery platforms, achieved changes in national norms, and attained permanent availability of life-saving medicines and equipment in the hardest-to-reach areas of Mesoamerica in the first phase of the program. The next phase will include coverage and quality indicators. In the region, SMI interventions are directly benefiting 1.8 million women of reproductive age and children less than 5 years of age. Indirectly, 4.5 million people living in the poorest areas are also benefiting from these interventions. 

To RSVP for this event, email Aissa Socorro at

Join by WebEx 
Meeting number: 739 074 766  
Meeting Password: March10
Join by Telephone
Toll #:  1-650-479-3207 (US/Canada)
Access code: 739 074 766  
A light lunch will be served


Ferdinando Regalia, Social Protection and Health Division Chief, Inter-American Development Bank (IADB)

Ferdinando Regalia heads the Social Protection and Health Division at the Inter-American Development Bank (IDB). Prior to this position, he served as Advisor to the IDB Vice President for Sectors and Knowledge (2008-2009), as Chief of Social Policy and Economics at UNICEF South Africa (2008-2007), and as Social Protection Specialist in the Sector Operations Department 2 (Central America, Dominican Republic and Mexico) and Poverty Economist in the Poverty Unit at the IDB (1999 – 2006).

Emma Margarita Iriarte, Executive Secretary, Salud Mesoamerica Initiative

Emma Margarita Iriarte is the Executive Secretary of the Salud Mesoamérica Initiative, managed by the Inter-American Development Bank (IDB) and sponsored by the Bill & Melinda Gates Foundation, the Carlos Slim Health Institute, and the Spanish Government. She has managed, supervised and led health programs related to health sector reform and decentralization, family planning, maternal child health and HIV/AIDS activities. Prior to joining the IDB, Dr. Iriarte acted for seven years as the principal technical health advisor to the U.S. Embassy, USAID and other United States Government members in Honduras on strategic direction of the health portfolio.


Daniel Dulitzky, Practice Manager, Latin America and the Caribbean, World Bank


Success beyond numbers:
The Salud Mesoamerica Initiative’s results-based financing approach to improve health services for the poorest in Mesoamerica