Table 4.

Main identified strengths and barriers for implementing an evaluation framework for CMHC

Mexico	Nicaragua	Chile
Strengths
Local collaboration Local universities Existence of a ‘Norma Oficial Mexicana’ to guide clinical care On‐going training Local human resources	Family and community health model Inter‐institutional work Interest on evaluation Local collaboration Local universities On‐going training Committed local human resources	Long experience of developing community mental health Strong public primary care Local collaboration Local universities On‐going training Local human resources
Barriers/Limitations
Weak culture of evaluation Lack of time Risk of ‘penalizar’ (‘punishment’) Lack of local capacity for analysis Limited information systems	Weak culture of evaluation Lack of time Lack of training in evaluation Risk of ‘penalizar’ (‘punishment’) Lack of local capacity for analysis Limited information systems	Weak culture of evaluation Lack of time Potential initial barrier at the front line (related with the fear of changing) Limited information systems