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The Electronic Sick Notes and Maternity Leave Certificates Management application system (in Lithuania - EPTS), was developed and implemented in order to computerize the issuing process of sick notes and to improve the services provided by the Fund to the insured during their temporary incapacity to work.

As part of its quality approach, which promotes remote contact, and after developing its own interactive Internet site (www.cnam.nat.tn) and customer service by freephone, the National Health Insurance Fund (Caisse nationale d'assurance maladie (CNAM)) launched a new, free messaging service in September 2013: SMS CNAM.

This service communicates useful information to insured persons and the health professionals involved in the handling of their files, as well as messaging alerts and any other information about preventive measures.

The National Social Insurance Fund (Caisse nationale de prévoyance sociale (CNPS)) of Cameroon is an important tool of the State for the promotion of social policy and has therefore decided make social, environmental and economic issues an integral part of its activities and relations with its partners, with the double aim of participating in the sustainable development of the country and reducing the Fund's administrative costs.

Investment through public/private partnerships is a method of funding where a public authority relies on private providers to finance, build/install or even manage equipment or infrastructure. The National Social Insurance Fund (Caisse nationale de prévoyance sociale (CNPS)) of Cameroon, with its policy of prudent management of financial resources and of limiting management risks, opted for this type of funding because, while contributing practically no money at all, the CNPS of Cameroon will, over time acquire assets under certain predetermined conditions.

The National Social Insurance Fund (Caisse nationale de prévoyance sociale (CNPS)) of Cameroon has put in place a five-year strategic plan for a structural change from resource-based management to results-based management in order to position itself as a modern and sustainable institution capable of providing immediate and quality care for socially insured persons,.

To do so, it has adopted seven strategic guidelines divided into 19 points:

A series of reforms has been implemented since 2008 to bring the National Social Insurance Fund (Caisse nationale de prévoyance sociale (CNPS)) of Cameroon up to international standards in an effort to incorporate the best management practices of social security organizations, with a view to guaranteeing not only the sustainability of the Fund, but also rigorous, efficient and exemplary management in all respects. To ensure this and guarantee a high level of performance over the long-term, it has been necessary to train the organization's managers in the profess

The National Social Insurance Fund of Cameroon (Caisse nationale de prévoyance sociale (CNPS)) has developed an online client account consultation tool with a constant view to modernizing its operations and providing its insurees and their employers with real-time information on their status in its records.

Using their membership number clients can create a login and access their personal or company data directly on the www.cnps.cm site. This allows clients to confirm the accuracy of their data and information and request any necessary updates.

The National Social Insurance Fund of Cameroon (Caisse nationale de prévoyance sociale (CNPS)) users were experiencing lengthy waiting times as their files were reviewed by several departments (reception, benefits and accounting) and each step of the review involved separate processing and validation. The CNPS responded to this by developing and implementing a global unified process referred to as the "Total Office" ("Le Bureau Total").

Faced with an inflow of applications from users, the Directorate-General noted serious deficiencies in in its reception process, which sometimes led to a build-up of claimants at the counters while certain benefits remained unpaid, with no explanation.

Pensions are paid in cash quarterly at several payment sites across the country. This requires the involvement of extensive human  (including employees of the National Social Insurance Fund (Caisse nationale de prévoyance sociale (CNPS)), police, and financial institutions) and financial resources (including food for the pensioners, logistics, and security).

• Evolution of the achievement rate based on the time required for the completion of the transaction of the average time of treatment (10-15) days.
• Target rate of accomplishment increased from 70 to 98% (2011-2013) after analysing the reasons for the transaction delays (support by workers (manpower)/adopt new mechanisms to deal with the Ministry of Finance).
• Reduce the frequency rate (by directly communicating with clients).
• Preparation and special paper key performance indicators for social security institutions.
• Execute the plan

As part of its long-term vision, the National Social Security Fund (Caisse nationale de sécurité sociale (CNSS)) adopted a ten-year strategic plan in 2009. One of its operational objectives is to cover 90% of the population under the provisions of Law no. 015-2006/AN of 11 May 2006 relating to the social security scheme applicable to employed and assimilated workers in Burkina Faso by 2020.

A results based management (RBM) is a method of management whereby stakeholders and the Directorate General agree on objectives to be achieved in a given period, together.

The National Social Security Fund (Caisse nationale de sécurité sociale (CNSS)) of Burkina Faso had to face many challenges:

• very poor coverage rate (6% of the population);

• underdeveloped social protection;

• inefficient internal organization;

• slow and inefficient computerization;

• undervalued human resources.

These major challenges facing social security funds call for far-reaching reforms that will ensure the sustainability of our systems.

The Pension Fund of Morocco (Caisse marocaine des retraites (CMR)) ensures the financial equilibrium of the pension schemes it manages by preparing actuarial balance sheets that are presented annually to its Board of Directors. The balance sheet results help decision-makers assess the scheme's financial sustainability and take decisions on steering the system or adjusting the parameters.