The objective of the Management for Results (MfR) Strategy is to link human, financial, and technological resource management to development goals and objectives. This includes employing policies, strategies, resources and processes to improve decision-making, transparency, and accountability. In a cooperative effort between the Ministry of Health and Ministry of Finance, the implementation of the MfR Strategy is an opportunity to improve health service provision, in alignment with the Zero Hunger Pact, which aims to reduce maternal mortality and chronic malnutrition among children under five. TRAction provided technical assistance to support the implementation of the Strategy.
In addition to the technical support, TRAction assessed the strategy's implementation through the use of an implementation evaluation. Experience suggests that implementing the MfR Strategy in the public sector has proven to be a challenge for several countries in Latin America. Therefore, the implementation evaluation (also commonly referred to as a ‘process evaluation’) was useful in capturing information about program performance and documenting lessons learned. This knowledge was then incorporated into further implementation of MfR activities in Guatemala and shared with key stakeholders through the development of a dissemination plan.
Guatemala: The MfR Strategy was implemented in priority Area Directorates covering the 166 municipalities with the highest prevalence of childhood malnutrition, according to the last census of school children height carried out in 2008. The Area Directorates were: Quiche, Ixil, Huehuetenango, San Marcos, Totonicapán, Sololá, Quetzaltenango, Chimaltenango, Chiquimula, Alta Verapaz and Baja Verapaz. However, the implementation evaluation concentrated on the Central Level of the Ministry, as this is where the Strategy originates, and on the Ixil Health Area.
The specific MfR Strategy objectives for each element of the project are described below.
The evaluation focused on Central-Level and the Ixil and San Marcos Health Areas. Interviewees included MSPAS staff in Area Directorates and Municipal Health Districts; MINFIN staff, and SEGEPLAN staff. Mixed methods were used, including a review of implementation documents and records, key-informant interviews, group discussions and field visits.
Click here to read the preliminary report on the study's findings. This is a Spanish-language report.