About Us
The Regional Malaria Elimination Initiative (RMEI) is a results-based financing program seeking to accelerate progress towards malaria elimination in Mesoamerica and the Dominican Republic. RMEI is funded by the Bill & Melinda Gates Foundation, the Global Fund and eight countries of the region, and administered by the Inter-American Development Bank (IDB) in collaboration with the Pan American Health Organization (PAHO) and the Clinton Health Access Initiative (CHAI).
RMEI builds on the recommendations and commitments made by Ministers of Health to the 55th Directing Council of the Pan American Health Organization, including the approved plan for eliminating malaria by 2020. By adopting this plan, the region committed itself to intensifying efforts to eliminate the disease, especially with increased efforts focusing on vulnerable populations and occupational groups. It also builds on the Master Plans prepared under the Project Mesoamerica, and on each country’s national elimination action plans.
The central elements of RMEI are the regional approach, the improvement of quality, the promotion of a culture of learning, and strategic and operational technical assistance focused on the elimination of malaria. RMEI has implemented an action framework to consolidate the achievements and the necessary conditions to prevent the reintroduction of malaria in the region through 2025.
The implementation of RMEI is supported through a multi-donor trust fund managed by the IDB and sponsored by the Bill & Melinda Gates Foundation (BMGF), the Global Fund to Fight AIDS, Tuberculosis and Malaria, and the Carlos Slim Foundation.
Our Results-Based Financing (RBF) Model
The projects developed within the RMEI framework are supported through a results-based financing model that combines three types of resources: (i) an investment tranche, financed with resources from the FEM Fund; (ii) local counterpart resources, provided by the participating countries; and (iii) a performance incentive, also financed with FEM Fund resources, conditioned on the achievement of previously established goals. The investment tranche covers 25% of the project, while the remaining 75% is financed with resources from the local counterpart, which may come from new or existing IDB loans and/or other national budgets.
When countries achieve the goals established for the agreed indicators, they earn part or all the performance tranche, which corresponds to 20% of the funds initially invested by the country. Countries can use the performance incentive within their health sector without restrictions.
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