Title page -- Copyright information -- Acknowledgements -- CONTENTS -- Index of tables -- Index of indicators -- List of abbreviations -- Introduction -- Part I. Definitions, basic concepts,required capacities and key indicators -- 1. Monitoring and evaluation -- 2. Membership -- 2.1 Population of the area of operations -- 2.2 Target population -- 2.3 Categories of beneficiaries -- 2.4 Forms of membership -- 2.5 Types of membership -- 3. Insurance-related risks -- 4. Income and expenses of an HMIS -- 4.1 Income -- 4.2 Expenses -- 5. Financial statements -- 5.1 Income statement -- 5.2 Balance sheet -- 5.3 Cash flow monitoring -- Summary of required capacities and key indicators of a viable HMIS -- Part II. Monitoring tools and procedures -- 1. Distribution, communication and member satisfaction monitoring -- 1.1 Distribution monitoring -- 1.2 Communication monitoring -- 1.3 Member satisfaction monitoring -- 2. Administrative and technical monitoring -- 2.1 Management information systems and the documentsused in performing administrative and technical monitoring -- 2.2 Monitoring of insurance management functions -- 3. Budget, cash fl ow and investment monitoring -- 3.1 Budget monitoring -- 3.2 Cash flow monitoring -- 3.3 Investment policy monitoring -- 3.4 Summary -- Part III. Evaluating the viability of the health microinsurance scheme -- 1. Evaluation of administrative viability -- 1.1 Evaluation of distribution and communication monitoring -- 1.2 Evaluation of membership monitoring -- 1.3 Evaluation of premium collection monitoring -- 1.4 Evaluation of claims processing -- 1.5 Evaluation of risk portfolio monitoring -- 1.6 Evaluation of accounting records monitoring -- 1.7 Evaluation of budget, cash flow and investment monitoring -- 1.8 Overall evaluation of monitoring -- 2. Evaluation of technical viability.

2.1 Parameters that measure the quality of the risk portfolio -- 2.2 Evaluation of the quality of the risk portfolio -- 3. Evaluation of functional viability -- 3.1 Enrolment trend -- 3.2 Premium collection -- 3.3 Period for reimbursement of members and/or payment of providers -- 4. Evaluation of financial and economic viability -- 4.1 Evaluation of the scheme's financial situation on the basis of ratios -- 4.2 Analytical aspects of financial viability -- 4.3 Evaluation of the scheme's economic viability -- 5. Summary -- Part IV. Evaluation of the institutional viability of the health microinsurance scheme -- 1. Distribution of tasks and management of human resources within the HMIS -- 1.1 Distribution of responsibilities -- 1.2 Human resources -- 2. Links between the HMIS and the other activities conducted by the responsible organization -- 2.1 Financial interrelationships between the various activities conducted by the responsible organization -- 2.2 Relationship between health insurance and other health-related activities of the responsible organization -- 2.3 The "financial health" of the responsible organization -- 3. Relationships between the health microinsurance scheme and health care providers -- 3.1 Functional relationship -- 3.2 Institutional relationship -- 3.3 Contractual relationship -- 4. The legal and regulatory framework governing the operation of the health microinsurance scheme -- 4.1 The legal framework governing the operation of the health microinsurance scheme -- 4.2 Compliance with statutory and regulatory obligations -- Part V. Some indications for evaluating the efficiency, effectiveness and impact of the health microinsurance scheme -- 1. Some indicators of the effectiveness of the health microinsurance scheme -- 1.1 Improving beneficiaries' access to health care -- 1.2 Access to insurance for the majority of the population.

2. Some indicators of the effi ciencyof the health microinsurance scheme -- 3. Some indications for evaluating the impactof the health microinsurance scheme -- 3.1 Indications for evaluating the scheme's impacton beneficiaries and on the target population -- 3.2 Indications for evaluating the impactof the HMIS on the health care supply -- 3.3 Indications for evaluating the impact of the HMIS on the population of the scheme's area of operations -- 3.4 Indications for evaluating the impact of the HMIS on equity -- 4. Relevance of the health microinsurance scheme -- Bibliography -- Annexes -- Annex 1. Descriptive summary of the health microinsurance scheme -- Annex 2. Glossary -- Index.