The reform of social security enactments to bring them in line with current trends and facilitate
their implementation by consolidating them into a Code. The Committee has already
established it and the Consultant has been recruited with the help of the ILO. The purpose is to
review the legislative and regulatory provisions governing the National Social Security Fund
(CNSS). To achieve this, an inventory of all the legislative and regulatory enactments will be
carried out with a view to updating the legal framework governing the institution and adapting
them to the current Nigerien context. Against this background, a government seminar on
dialogue for the establishment of a national social protection floor was held in July 2018
including the first national forum on the retreat held in September 2018.
509. The Nigerien Social Mutual Agency (ANMS) established by Decree No. 2015-474/PRN/MET/SS
of 4 September 2015, is conducting activities as part of the reinforcement of the social mutual benefits
of workers through the provision of additional medical coverage. The Strategic Mutual Health
Development Plan aims at contributing to maternal and infant-child mortality through alternative
financing mechanisms and community participation in health. The overall objective is to improve
financial access to quality healthcare and services through community-based mutual health schemes
and businesses.
510. The specific objectives of the Strategic Plan are to extend mutual health coverage to all regions of
the country; contribute to the improvement of the mutual health environment; strengthen the financing
mechanisms of the community-based mutual health schemes; develop the technical capacity of mutual
health services; deepen dialogues among the various stakeholders involved in mutual health, encourage
the beneficiaries of CNSS services to resort to insurance campaigns for the benefit of their members
especially for businesses with the requisite resources.
511. A study of the budgetary allocation for financing social protection was conducted and a cost
assessment tool regarding options has been prepared in order to support the work of the thematic
groups. The aim of this cost assessment of options is to calculate, analyse and inform the stakeholders
involved in the national dialogue about the costs of options selected as a means of assisting the country
in its decision-making process regarding the social protection floor (SPF). A validation workshop of
this study was organized from 28 to 30 June, 2016 in Niamey. It brought together all the stakeholders
in the area of social protection and the preparation of the roadmap is underway.
512. The modernization of services of the CNSS is on-going through computerization of the processing
of documentation in order to improve the conditions of service of the staff and the quality of service
and to minimize any risks of error in the processing of documents at both central government level
and in the regions and also to promote effective control of the cost of services.
513. Some bodies within the central government and employees of State-owned enterprises, parastatal
companies and private organizations have established professional mutual health agencies and are
operating at various levels of success. In addition to healthcare, these mutual agencies are developing
services such as death benefits, financial assistance in the event of disasters, compensation for
retirements etc.
514. The Government is also in the process of establishing a mutual health scheme for public servants.
The legal framework for such a mutual scheme has already been defined.
515. With the financial assistance of the French Development Agency (AFD), UEMOA has established
a programme for the extension of health risk cover where the mutual schemes play a central role. An
inventory of existing mutual schemes in all the regions has been taken for financing by UEMOA to the
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