Healthy competition drives success in results-based aid: Lessons from the Salud Mesoamérica Initiative

Bcheraoui, Charbel El; Palmisano, Erin B.; Schaefer, Alexandra; Woldeab, Alexander; Moradi‐Lakeh, Maziar; Salvatierra, Benito; Hernández-Prado, Bernardo; Mokdad, Ali H.

doi:10.1371/journal.pone.0187107

Cited by 16 publications

(27 citation statements)

References 15 publications

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“…Success also indicated to be birthed from a healthy level of competition between siblings, cousins, friends, fellow colleagues and rivals both on an interpersonal and professional level. This is further supported by evidence from a research published in PloS One 2017 [ 30 ].…”

Section: Discussionsupporting

confidence: 60%

Meaning of Success: perception of medical students, and faculty-A Qualitative Study from a medical school in Mauritius

Banerjee¹,

Robinson²,

Munoosingh³

et al. 2020

Nepal J Epidemiology

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Background: The objective of this study was to find what undergraduate medical students and teaching faculty perceive success to be. Methods: A descriptive phenomenological qualitative study was designed and conducted on faculty and medical students at Sir Seewoosagur Ramgoolam Medical College, Mauritius. NVivo 12 (Windows) Plus software was implemented for data analysis and thematic analysis was performed. Results: The codes/nodes namely being: Satisfaction, Accomplishment, Actions, Motivations, Extrinsic Factors and Intrinsic Factors were identified in the transcribed data. Satisfaction was described as the positive emotions and notions intimately related as well as synonymously associated with success. Accomplishment as the attainment and fulfilment of any physical, mental, emotional, social, occupational, personal goal or desire by an individual. Actions was the arsenal of physical processes, acts of planning, goal setting or forethinking exercised by the individual. Motivations was the drive to attain the preset goal or notion be it positive or negative, applies to factors that enable a subject to strive forwards. Extrinsic Factors were the external determinants and definition of success perceived by the subject. Intrinsic Factors were the subject’s internal organic, comprehension and definition of success. The themes generated were: Products of Success, Mechanisms of Success and Concepts of success. Conclusion: A tangible demarcation is noticeable between the preconceived general impression of success and the vast multifactorial cohort of intrinsic and extrinsic factors coupled to the highly emotional aspects which were brought forth.

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Section: Discussionsupporting

confidence: 60%

Meaning of Success: perception of medical students, and faculty-A Qualitative Study from a medical school in Mauritius

Banerjee¹,

Robinson²,

Munoosingh³

et al. 2020

Nepal J Epidemiology

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“…Several methods of financing can be usedin particular, results-based financing in a solid accounting framework, and a regional approach different from the traditional one followed, which consists of targeting each country alone. 32,43 Contributors CEB conceived the manuscript. CEB, and AHM provided overall guidance.…”

Section: Discussionmentioning

confidence: 99%

Burden of disease in francophone Africa, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017

Bcheraoui

Mimche

Miangotar

et al. 2020

The Lancet Global Health

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Background Peer-reviewed literature on health is almost exclusively published in English, limiting the uptake of research for decision making in francophone African countries. We used results from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017 to assess the burden of disease in francophone Africa and inform health professionals and their partners in the region. Methods We assessed the burden of disease in the 21 francophone African countries and compared the results with those for their non-francophone counterparts in three economic communities: the Economic Community of West African States, the Economic Community of Central African States, and the Southern African Development Community. GBD 2017 employed a variety of statistical models to determine the number of deaths from each cause, through the Cause of Death Ensemble model algorithm, using CoDCorrect to ensure that the number of deaths per cause did not exceed the total number of estimated deaths. After producing estimates for the number of deaths from each of the 282 fatal outcomes included in the GBD 2017 list of causes, the years of life lost (YLLs) due to premature death were calculated. Years lived with disability (YLDs) were estimated as the product of prevalence and a disability weight for all mutually exclusive sequelae. Disability-adjusted life-years (DALYs) were calculated as the sum of YLLs and YLDs. All calculations are presented with 95% uncertainty intervals (UIs). A sample of 1000 draws was taken from the posterior distribution of each estimation step; aggregation of uncertainty across age, sex, and location was done on each draw, assuming independence of uncertainty. The lower and upper UIs represent the ordinal 25th and 975th draws of each quantity and attempt to describe modelling as well as sampling error. Findings In 2017, 779 deaths (95% UI 750-809) per 100 000 population occurred in francophone Africa, a decrease of 45•3% since 1990. Malaria, lower respiratory infections, neonatal disorders, diarrhoeal diseases, and tuberculosis were the top five Level 3 causes of death. These five causes were found among the six leading causes of death in most francophone countries. In 2017, francophone Africa experienced 53 570 DALYs (50 164-57 361) per 100 000 population, distributed between 43 708 YLLs (41 673-45 742) and 9862 YLDs (7331-12 749) per 100 000 population. In 2017, YLLs constituted the majority of DALYs in the 21 countries of francophone Africa. Age-specific and cause-specific mortality and population ageing were responsible for most of the reductions in disease burden, whereas population growth was responsible for most of the increases. Interpretation Francophone Africa still carries a high burden of communicable and neonatal diseases, probably due to the weakness of health-care systems and services, as evidenced by the almost complete attribution of DALYs to YLLs. To cope with this burden of disease, francophone Africa should define its priorities and invest more resources in health-system strengthening and...

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“…Indeed, our qualitative work in Chiapas showed that the RBA model created a culture of accountability, which was strengthened following the failure to meet targets during the first measurement round. With the improvement plan, accountability trickled down to the level of health workers, who developed the habit of routinely checking supplies and ensuring shortages were avoided [ 36 ]. Third, it is possible that we have some self-reporting bias in our survey.…”

Section: Discussionmentioning

confidence: 99%

“…The SMI methodology was previously published [ 35 , 36 ]. Briefly, the IDB worked with countries to select the poorest regions for the intervention.…”

Section: Methodsmentioning

confidence: 99%

Supply-side interventions to improve health: Findings from the Salud Mesoamérica Initiative

et al. 2018

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BackgroundResults-based aid (RBA) is increasingly used to incentivize action in health. In Mesoamerica, the region consisting of southern Mexico and Central America, the RBA project known as the Salud Mesoamérica Initiative (SMI) was designed to target disparities in maternal and child health, focusing on the poorest 20% of the population across the region.Methods and findingsData were first collected in 365 intervention health facilities to establish a baseline of indicators. For the first follow-up measure, 18 to 24 months later, 368 facilities were evaluated in these same areas. At both stages, we measured a near-identical set of supply-side performance indicators in line with country-specific priorities in maternal and child health. All countries showed progress in performance indicators, although with different levels. El Salvador, Honduras, Nicaragua, and Panama reached their 18-month targets, while the State of Chiapas in Mexico, Guatemala, and Belize did not. A second follow-up measurement in Chiapas and Guatemala showed continued progress, as they achieved previously missed targets nine to 12 months later, after implementing a performance improvement plan.ConclusionsOur findings show an initial success in the supply-side indicators of SMI. Our data suggest that the RBA approach can be a motivator to improve availability of drugs and services in poor areas. Moreover, our innovative monitoring and evaluation framework will allow health officials with limited resources to identify and target areas of greatest need.

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Healthy competition drives success in results-based aid: Lessons from the Salud Mesoamérica Initiative

Cited by 16 publications

References 15 publications

Meaning of Success: perception of medical students, and faculty-A Qualitative Study from a medical school in Mauritius

Meaning of Success: perception of medical students, and faculty-A Qualitative Study from a medical school in Mauritius

Burden of disease in francophone Africa, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017

Supply-side interventions to improve health: Findings from the Salud Mesoamérica Initiative

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