PRMED is in charge of implementing the Debt Sustainability Framework for Low-Income Countries (DSF) initiative. This joint World Bank-IMF framework aims to support Low-Income Countries’ (LICs) efforts to achieve their development goals without creating future debt problems. It also aims to keep countries that have received debt relief under the HIPC Initiative and the MDRI on a sustainable track. The framework allows creditors to tailor their financing terms in anticipation of future risks and helps clients balance the need for funds with the ability to repay their debts. In addition to helping creditors tailor their terms, the framework serves as the basis for IDA financing decisions regarding the grant-loan mix, which is linked directly to the country’s risk of debt distress rating under the DSF assessment. While the debt sustainability in low income countries is based on CPIA related, indicative thresholds applied under the DSF, debt levels in middle income countries (MICs) are assessed with the help of other tools. One of the tools used in PRMED can be found in the fiscal policy section (see fiscal sustainability).