Although a wide range of public health initiatives are in place, their impact is rarely evaluated. Furthermore, a recent WHO evaluation against essential public health functions found weaknesses mechanisms for perfonnance and accountability (particularly at sub-national level) and training of the public health workforce. A good example of this is the Comision de Enlace Salud, Industriay Comercio (COESAINCO, the Commission for liaison between health, industry and commerce), established in 2012. This brings together the Ministries of Health, Economics, External Trade and the Presidency, and a number of national trade and industry bodies (including those representing the pharmaceutical sector).