title: [Mixed design for the evaluation of the Mesoamerica Health 2015 initiative].
abstract: Since the Salud Mesoamerica 2015 initiative (SM-2015) aim is to improve health and nutrition conditions of those most vulnerable in Mesoamerica, the goal of the evaluation is to generate evidence of the joint effectiveness of a package of interventions designed to improve the health conditions. We propose a mix design for the evaluation, which will allow to know the magnitude of changes attributable to the interventions, as well as the meanings of these changes for the target population, taking into account the specificities of each country. The main axis of this design is a locality panel where information about individuals, households, and health facilities (first and second level) will also be collected. The evaluation design described in this paper was developed between June and December, 2009, and it was integrated during workshops in Cuernavaca (Mexico), Managua (Nicaragua), and San Jose (Costa Rica). The proposed design will allow to generate evidence about the joint effectiveness of the package of interventions proposed for the SM-2015. The success of this design rests on the political commitment of countries and donors.
authors.affiliation: Dirección de Economía de la Salud, Centro de Investigación en Evaluación y Encuestas, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México. jpgutier@correo.insp.mx
authors.forename: Juan Pablo
authors.initials: JP
authors.lastname: Gutiérrez
authors.forename: Marta María
authors.initials: MM
authors.lastname: Téllez-Rojo
authors.forename: Pilar
authors.initials: P
authors.lastname: Torres
authors.forename: Martín
authors.initials: M
authors.lastname: Romero
authors.forename: Stefano M
authors.initials: SM
authors.lastname: Bertozzi
mesh_terms: D000818:Animals; D002489:Central America; D002648:Child; D002662:Child Health Services / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data; D003362:Cost-Benefit Analysis; D003715:Dengue / Q000517:prevention & control; D003906:Developing Countries; D005260:Female; D006040:Goals; D006293:Health Promotion / Q000191:economics / Q000458:organization & administration*; D006302:Health Services Research / Q000379:methods*; D006801:Humans; D017589:Immunization Programs / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data; D007231:Infant, Newborn; D007391:International Cooperation; D008288:Malaria / Q000517:prevention & control; D044342:Malnutrition / Q000517:prevention & control; D008427:Maternal Health Services / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data; D008800:Mexico; D009032:Mosquito Control / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data; D011247:Pregnancy; D011314:Preventive Health Services / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data; D015397:Program Evaluation / Q000379:methods; D011634:Public Health; D034121:Reproductive Health Services / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data; D012107:Research Design