Characterizing performance improvement in primary care systems in Mesoamerica: A realist evaluation protocol.

ABSTRACT: Background. Improving performance of primary care systems in low- and middle-income countries (LMICs) may be a necessary condition for achievement of universal health coverage in the age of Sustainable Development Goals. The Salud Mesoamerica Initiative (SMI), a large-scale, multi-country program that uses supply-side financial incentives directed at the central-level of governments, and continuous, external evaluation of public, health sector performance to induce improvements in primary care performance in eight LMICs. This study protocol seeks to explain whether and how these interventions generate program effects in El Salvador and Honduras. Methods. This study presents the protocol for a study that uses a realist evaluation approach to develop a preliminary program theory that hypothe

SUBMITTER: Munar W 

PROVIDER: S-EPMC5801599 | biostudies-literature | 2018 Jan

REPOSITORIES: biostudies-literature