Medical check-ups must form part of the improved health care system with its mission of providing advice, analysis and monitoring.

We passed through several stages of development, including the measures to expand the coverage, which can be summarized as follows:

The services of the National Social Security Fund (Caisse Nationale de Sécurité Sociale – CNSS) interact with each other and with other institutions, contributors and insured persons. They exchange data, which are either provided or used by the CNSS information system. These exchanges create standardization and security problems. In light of this, the CNSS has created a computer-based tool that generates automatically and on demand generic, standard and secure Web services in the implementation of its various roles in these exchanges.

The National Health Insurance Fund (NHIF) (T), the major health insurance organization in the country took the initiative to accredit pharmacies and drug dispensing outlets so as to enable the Fund's members to get medicines once a health facility does not have such medicines in its stock. This practice created loop-holes for fraudulent practices whereby some people benefited from the Fund by creating ghost patients in pharmacies and from patients visiting more than one facility, hence getting multiple prescriptions as a result costing the Fund millions.

The mining sector is naturally hazardous and as such it poses significant danger to the health of workers through mineral dust exposure causing occupational lung conditions in extreme circumstances and excessive noise exposure predisposing workers to irreversible hearing impairment. To address this challenge the National Social Security Authority (NSSA) of Zimbabwe through its Occupational Safety and Health Division procured mobile clinic in September 2016.

The Community Health Fund (CHF) in Tanzania was established in 2001. Due to the dual role of “Provider” and “Purchaser” of health service played by the Council Health Boards (CHBs) such a design setup has faced challenges of poor management of funds, persistent shortage of services and unreliable membership data. CHF members access services from dispensary level up to district hospital within the Council. As such, unsatisfactory performance of the CHF in most of the councils continue to discourage people to enrol with CHFs subsequently sharply dropout rate of members each year.

Among several other social security benefits, the National Social Security Authority (NSSA) of Zimbabwe pays a funeral grant of USD 300 under the Pension and Other Benefits Scheme. The benefit is paid to provide assistance towards the burial of a member who would have contributed to the scheme for a minimum period of 12 months. The USD 300 payout is insufficient to cover basic funeral expenses. In an endeavour to accord every retirement pensioner a decent burial, NSSA contracted Econet Life to provide funeral services to NSSA retirement pensioners.

The National Health Insurance Fund (NHIF) has been experiencing a number of operational challenges including some attempts by non-contributing members to access health care services by using invalid membership cards.

According to the rules and procedures, members who are not contributing to the Fund for past three consecutive months, are not eligible to access medical services provided by the Fund. However, since around 95 per cent of contributing members of the NHIF are drawn out of the public sector, enforcement of this requirement has been a big challenge.

Among its peers, the Pension Fund of Morocco (Caisse marocaine des retraites – CMR) is innovating with the implementation of this good practice. In this respect, it is the only social security institution amongst the Moroccan Pension Funds and Insurance Companies to undergo certification, for the long term, of its internal process for social security fund investment to ensure maximum transparency and commitment in the exercise of this activity, with the aim of obtaining a label of excellence accredited by independent certifying offices.

Since the reorganization of the Pension Fund of Morocco (Caisse marocaine des retraites – CMR) in 2011, which placed the client at the forefront of its concerns, the Fund’s “client relationship” has changed considerably, in particular owing to the introduction and use of a marketing and multichannel approach.

In 2016, the CMR witnessed: