1. 17/10/20151 5th AfCoP Meeting Setting up a performance management system National Health Insurance Fund Mauritania

2. 17/10/20152 Approach STRATEGIC OBJECTIVE OPERATIONAL OBJECTIVE STRATEGIC INDICATOR OPERATIONAL INDICATOR STRATEGY MEASURING

3. 17/10/20153 Approach (continued)  Reflect the needs and expectations of users / clients into objectives (SMART).  These objectives are achieved through improved processes of the institution / company.  One must be able to distinguish the changes that bring about improvements.

4. 17/10/20154 Performance management  … is a cyclical approach to management that integrates strategy, people, processes and measures in order to improve decision-making, transparency and accountability.  Its focus is on delivering results, measuring performance, learning and adapting, as well as reporting on performance.

5. 17/10/20155 Monitoring and Evaluation  Core indicators for monitoring  Employees committed to indicators  Periodic evaluation…  Performance scorecards

6. A PILOT EXPERIENCE Monitoring Performance at the National Health Insurance Fund 17/10/20156

7. A three-year strategic plan 17/10/20157

8. A proper monitoring and evaluation tool … 17/10/20158

9. Innovating for Effectiveness: Reimbursement by SMS  Take advantage of the features offered by the SMS service to establish a channel of communication with the insured. The system helps to: To reimburse health expenses via mobile Inform the insured about the status of his/hercase Communicate about the services offered by the health insurance fund and its activities Organize communication and awareness campaigns for immunization, screening, monitoring conditions for long periods etc.. Collect policyholders’ feedback (satisfaction index) 17/10/20159

10. Results Chain INPUTSACTIVITIES OUTPUTS INTERMEDIARY RESULTS FINAL RESULTS Program Budget Staff (CNAM and Mauripost) Offices Telecoms infrastructure and informat Program Design IT development Staff Training (CNAM, Mauripost Reduced costs Reduced processing times Reimbursement provided Informed and satisfied beneficiaries Improved financial capacity Insured Better Health Offer better care Innovation spillovers Implementation (Supply) Results (Demand + Supply) 20 civil servants trained Over 6 000 SMS sent 3 000 cases solves

11. Convincing Results 17/10/201511 Process Base Repayment time7,1930,18 Reimbursement rate55,07% 57,76% Cost of transfer68,79325,54 Repayment frequency9,567,75 20092011 Membership rate (total population) 6%10% Share of operating budget / total budget 45%18% Share of budget for evuations / total budget 43% 25% Exceeding32 millions2 billions Support Rate41%72%

12. 17/10/201512 I thank you http://www.cnam.mr/