GFF Partner Country Guatemala
The GFF supports the government of Guatemala's commitment to achieve better nutrition for all children. The country’s investment case focuses on over- and under-nutrition and includes prioritized interventions across multiple sectors — health, water and sanitation, social protection, social and behavior change, and agriculture.
The GFF is supporting a performance-based buy-down, conditioned on the achievement of results of the World Bank-financed Crecer Sano nutrition program. The GFF grant support incentivizes the government to invest more in the country’s conditional cash transfer program, which provides direct assistance to families and encourages them to seek routine health and nutrition services. Through the program, the government invested US$18 million from its national budget — double the buy-down’s amount — in the cash transfer program, reaching US$23.8 million of total investments in 2022 from only US$3.5 million in 2019. The ratio of disbursement of these funds has also improved over time, increasing from 24 percent to 99.9 percent in 2021. Correspondingly, the number of cash transfers for health and nutrition services reached more than 244,000 beneficiaries in 2021 — an increase of 548 percent since 2019.
Core RMNCAH-N Impact Indicators
The 8 GFF core impact indicators reflect updates aligned with the in-country survey schedule which optimally occurs once every three to five years to determine population-based changes in important health and nutrition outcomes. These indicators are core to the GFF Logic Model, to reflect impact of aligned interventions over time.
The GFF highlights progress between the two most recent point estimates from population-based surveys approved by countries. The timing of the data points is dependent on when survey data are available, which introduces lags. In addition, it has been demonstrated that stillbirths tend to be under-reported in population based surveys1. For many of the indicators highlighted in this table, annual estimates are produced through global processes. The globally produced estimates can be found through the following sites:
Core Health Financing Indicators
The six GFF core health financing indicators track changes to country budget and expenditures with a focus on health spending, to monitor the expected impact of increasing the total volume and value of funding allocated to health and nutrition. The GFF partnership supports financing reforms by engaging with ministries of finance and ministries of health to strengthen mobilization of domestic resources as well as allocative and technical efficiency. These indicators are tracked through country-specific data sources such as BOOST, NHA, and budget reports. Expenditure data are tracked through the Global Health Expenditure Database (GHED), for which data are available through the end of 2018. Through measurement of budgets and expenditures, the GFF partnership aims to accelerate the expansion of interventions that are high-impact, cost-effective, affordable, and feasible to accelerate progress on universal health coverage and in achieving SDG targets.
Survey and Estimated RMNCAH-N Coverage
The RMNCAH-N coverage data includes a standard set of 15 RMNCAH-N coverage indicators from available population-based surveys from 2014 to the most recent available survey. These indicators show progress towards key goals across maternal, child, and adolescent health and nutrition outcomes. Additional key nutrition-sensitive and/or education-specific coverage indicators are presented for countries where the GFF co-finances a nutrition-focused World Bank project or where education is a strong focus of the IC.
The RMNCAH-N coverage data are sourced from the most recent available population-based surveys.
- Source: 2021/22 Baseline Survey of the National Crusade for Nutrition. Please note that this survey is not nationally representative and therefore is not directly comparable with the 2014 DHS.
- For additional indicators and historical data, please refer to the Primary Health Care (PHC) tab, where an additional range of RMNCAH-N survey data and visuals from previous years is available.
Resource Mapping
Resource mapping is a key component of the GFF approach. The resource mapping exercise helps countries assess funding gaps, align donor and government resources, and improve the efficiency and equity of health spending. Resource mapping data for each country varies based on whether countries have completed one or more resource mapping exercises.
Monitoring The Country-led Process
The GFF Logic Model highlights key elements of a GFF co-financed country-led process that contribute to the expected impact of improved RMNCAH-N outcomes over time. The GFF has developed a core set of indicators to monitor implementation of the GFF approach, considered as inputs and activities in the model, that emphasize prioritization and alignment to capitalize on efficiencies to improve transparency and accountability as well as health outcomes. Process monitoring includes tracking investment case development, country stakeholder engagement, health financing and the inclusion of gender and equity approaches.
Implementation Progress
GFF Country Engagement Theory of Change
The Country Engagement Framework highlights reforms prioritized by the country, and links them to output and outcome indicators which represent the measurable results that the reforms intend to help achieve. By selecting a specific reform within the drop down menu, the user can see the intended results that correspond with that reform as represented by specific output and outcome indicators. Where implementation progress is mature and data are available for output and outcome indicators, users can click on the arrow to access results in data section below.
Implementation Progress Data
The data in this section is aligned with the Guatemala Theory of Change and data is provided for a selection of indicators from the Investment Case Results Framework, Health Financing priorities, and the World Bank Project as applicable. Please select indicators from the dropdown menu to view the data for each indicator. Where subnational data is available, the map will display subnational trends over time or the latest data available. Hovering over the map will display additional data for the select indicator. Clicking on a region will add it to the chart on the right. All data, including source information, may be downloaded by selecting the arrow to the right of the indicator dropdown menu.