Good Governance

Good Governance

App folder
sites/default/files/images/guidelines/COLL02/
Guideline code
GG
Old code
COLL02
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0

One-stop service centre

The one-stop service centre project is in line with the initiative of Algerian authorities to rethink basic public services from the citizen’s point of view. Instead of functioning in an isolated fashion, our services need to be grouped into units that make benefits accessible under optimal conditions, preferably via a common interface: the “one-stop service centre”.

Updating social benefits

The most common complaint made by those insured by the National Social Insurance Fund (Caisse Nationale de Prévoyance Sociale – CNaPS) relates to the amount of social benefits granted: the amount of several benefits has been set as a standard amount such that any changes require the legal texts to be amended. Moreover, the conditions for obtaining old age insurance benefits no longer reflect today’s context, given the state of the labour market following the successive crises experienced by the country.

National Health Insurance Fund (T) online hospital-pharmacy data link: Eliminating fraud in accredited pharmacies

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.

Improved Community Health Funds (iCHF): Third-party relationships improving health service provision and members’ recruitment

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.

Compliance enforcement through identity cards rejection: A case of the National Health Insurance Fund – United Republic of Tanzania

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.

Type I ISAE 3402 Certification for the internal audit system for the Portfolio Management Service of the Pension Fund of Morocco

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.

Innovation in the system of collecting social contributions from the Public Administration

The pension management system for officials and civil servants managed by the Social Insurance Institute – State Employees’ General Retirement Fund (Institut de prévoyance sociale – Caisse générale de retraite des agents de l’Etat – IPS-CGRAE) experienced serious difficulties for a long time, leading to a cumulative deficit of more than francs CFA 288 billion as at 31 December 2012. This was largely due to the non-payment or partial payment of contributions by affiliated government agencies over a number of years.

Strengthening the governance system of the Pension Fund of Morocco by setting up specialized committees and certifying the Fund’s various activities

The Pension Fund of Morocco (Caisse marocaine des retraites – CMR) is managed by a tripartite Board of Directors. In 2001, a Permanent Committee was put in place to prepare Board sessions and monitor the implementation of decisions and resolutions of the Board. In addition, the Board created two support committees in 2011 to strengthen the governance of the Fund: the Asset Allocation Committee and the Audit Committee.

Anti-corruption system

Acts of corruption were perceived in various ways by individuals. It was difficult to make it clear to staff that a particular act constituted corruption and as such was forbidden by law. Corruption was perceived by many solely as taking money from a user for a service that was due to him or her by law. Acts of corruption were not recorded in any form with a view to controlling it, regardless of their impact on results or on the organization's resources or public image.