The Use of the WHO Framework at the Subnational Level: The Case of Mexico

The Use of the WHO Framework at the Subnational Level:The Case of Mexico Octavio Gómez-Dantés Office for Performance Evaluation Ministry of Health, Mexico Mexico City April 2004

The decentralization of the Mexican health system has strengthened the stewardship role of the Ministry of Health, including its evaluation responsibilities. The performance assessment of the 32 state health systems in Mexico has been based on the concepts and methods recently developed by WHO. The performance assessment of state health systems has been complemented by two other components: the evaluation of priority programs and the evaluation of personal and non-personal health services. Main messages

Outline • Decentralization of the Mexican health system • Health system performance assessment: The National Performance Assessment Survey 2002 • Program and services evaluation • Challenges for the future

Resource distribution, MoH Mexico 2002 Ministry of Health 7% National institutes and hospitals 18% States 56% Special programs 20%

Stewardship subfunctions • Generation of information and evidence • Intra and inter-sectoral coordination • Design of national policies • Strategic planning • Sanitary and health care regulation • Monitoring and evaluation • Accountability promotion

WHO Framework Objectives Functions Responsiveness Stewardship Resource Service Health generation provision Fair financing Financing

Health perception in men by age group Mexico 2002 Good Regular Bad

Health perception in women by age group Mexico 2002 Good Regular Bad

Approval percentage in prompt attention by health services provider, Mexico 2002

Approval percentage in prompt attention by state, México 2002

Ratings by domain of responsiveness at national level, by type of attention, Mexico 2002

Percentage of households with catastrophic health expenditures by state, México 2002

Source of health financing by state, Mexico 2002

WHR 2000 versus NPAS, Mexico WHR 2000 NPAS, Mexico

Evaluation framework MICRO MACRO Service evaluation: personal and public health services Program evaluation Health systems evaluation Management Decision Making

Challenges for the future • Improve the validity, opportunity and coverage of health information • Institutionalization of evaluation procedures • Generate evaluation products specifically targeted to common citizens

The Use of the WHO Framework at the Subnational Level: The Case of Mexico

The Use of the WHO Framework at the Subnational Level: The Case of Mexico

Presentation Transcript

NATURAL SELECTION AT THE LEVEL OF THE ALLELE

THE ADMINISTRATIVE ORGANISATION OF BELGIUM AT THE LEVEL OF THE PROVINCE

Monitoring the MDGs at the Subnational Level

The Use of Public Space in Mexico

Legal Obstacles to Subnational Energy Initiatives: The Case of the United States

Who is the head of the executive branch at the state level?

Iowa Case Study: The Use of Statewide Standards at the Local Level

Mutations at the level of the homologous pair

THE Gulf of Mexico

T he Subnational Comparative Method in Media Studies: The Case of Mexico

DATA USE AT THE SCHOOL LEVEL

Storage Solutions The use case at the National Library of the Netherlands (KB)

The use of SDMX at the ECB

The case of the Fire at Byrnes

Approaches in the United States to Benchmarking at the Subnational Level

Decentralization and management strengthening at the operational level The WHO Framework

Small Area Estimation for Monitoring the MDGs at the Subnational Level

The Government of Mexico

Explaining behavior at the level of the neuron

Policy Actions at the National Level: The Case of Uganda

Implementation of learning outcomes at the program level: the case of the University of Latvia

Application of the PEFA Framework at country-level