ABSTRACT
This chapter discusses the main lessons of the monitoring and evaluation (M&E) experience for developing countries. The M&E strategy of Mexican health reform was based on a very simple framework with three components for each of the three levels of the health system: the organizational level, the program level, and the policy level. The chapter monitors the organizational level, way in which personal and public health services were being provided. It evaluates the most important programs of the administration. In terms of monitoring of health services, the chapter originally planned to design three observatories to monitor ambulatory services, hospital services, and public health services. In terms of program evaluation, the chapter also conducted external evaluations of at least three important programs: Fair Start in Life, which was a program dealing with child and maternal health; National Crusade for Quality in Healthcare; and Seguro Popular, a new public health insurance scheme intended to provide social protection in health to non-salaried population.
