Training on Monitoring and Evaluation for National Health Insurance Schemes
Course Overview
What is Monitoring and Evaluation for National Health Insurance Schemes?
Monitoring and Evaluation (M&E) for National Health Insurance (NHI) schemes involves systematically tracking performance, coverage, financial protection, and equity outcomes. It uses data systems, indicators, and analytics to inform policy decisions, improve service delivery, and ensure progress toward Universal Health Coverage (UHC).
Many NHI schemes struggle with weak data systems, fragmented reporting, and limited use of analytics. This results in poor visibility into coverage gaps, inequities, inefficiencies, and financial risks—hindering effective policy adjustments and system performance.
This course equips participants with practical M&E frameworks, tools, and methodologies to design and implement robust monitoring systems for NHI schemes. It emphasizes data-driven decision-making, equity analysis, and performance tracking to strengthen UHC outcomes.
Key Concepts Covered
• M&E frameworks for health insurance systems
• UHC indicators (coverage, financial protection, service quality)
• Data collection, management, and validation
• Equity analysis (gender, income, geographic disparities)
• Performance dashboards and reporting
• Claims data analysis and utilization review
• Impact evaluation and policy feedback loops
• Digital health information systems
Participants will apply skills to:
• Track NHI coverage and enrollment trends
• Identify underserved populations and equity gaps
• Monitor financial protection and out-of-pocket spending
• Analyze claims data for efficiency and fraud detection
• Improve policy decisions through data insights
• Strengthen accountability and transparency in NHI systems
By the end of the course, participants will be able to design and implement effective M&E systems, analyze health insurance data, and improve UHC performance and equity.
Duration
5 Days
Who Should Attend
• Health insurance administrators and managers
• M&E specialists and data analysts
• Health ministry officials and policymakers
• Public health program managers
• Health economists and researchers
• Digital health and IT professionals
• Donor agencies and development partners
Course Impact
Individual Impact
• Strengthen skills in M&E design and implementation
• Improve ability to analyze health insurance data
• Enhance capacity in equity and coverage analysis
• Build expertise in performance reporting
• Improve data-driven decision-making
Organizational Impact
• Improve visibility into NHI performance
• Strengthen accountability and transparency
• Enhance equity in health coverage
• Improve efficiency and reduce waste
• Support progress toward UHC goals
Course Objectives
By the end of this course, participants will be able to:
• Design M&E frameworks for NHI schemes
• Define and track UHC indicators
• Analyze claims and utilization data
• Identify and address equity gaps
• Develop dashboards and reporting systems
• Strengthen data quality and validation
• Use M&E insights for policy improvement
Course Outline
Module 1: Foundations of M&E for Health Insurance
• Overview of NHI systems and UHC goals
• Role of M&E in health financing
• Key performance indicators for NHI
• Data sources and systems
• Exercise: Assess current M&E systems
• Case Study: M&E improving NHI performance
Module 2: Data Systems and Management
• Data collection methods and tools
• Health information systems and integration
• Data quality assurance and validation
• Data governance and privacy considerations
• Practical: Design a data collection framework
• Case Study: Strengthening data systems
Module 3: Coverage, Utilization, and Financial Protection Analysis
• Measuring coverage and enrollment
• Analyzing service utilization patterns
• Tracking out-of-pocket expenditures
• Identifying inefficiencies and gaps
• Exercise: Data analysis scenarios
• Case Study: Improving financial protection
Module 4: Equity Analysis and Targeting
• Measuring equity in health insurance
• Disaggregating data (gender, income, geography)
• Identifying vulnerable populations
• Designing targeted interventions
• Practical: Equity gap analysis
• Case Study: Reducing disparities in coverage
Module 5: Reporting, Evaluation, and Policy Use
• Developing dashboards and reports
• Communicating findings to stakeholders
• Impact evaluation methods
• Using data for policy and program improvement
• Capstone Exercise: M&E framework for NHI
• Case Study: Data-driven policy reform
Prerequisites
Course Administration and Investment
Whether you join us in a physical boardroom or through our virtual campus, we’ve designed every administrative detail for a seamless, professional experience.
Our fees are all inclusive during course hours.
- Covered: High level tuition, comprehensive materials (digital + physical), mid morning and afternoon refreshments, a full executive lunch, and any scheduled study visits or site tours.
- Not covered: Travel, visa fees, medical/travel insurance, personal expenses, and accommodation.
From registration to the classroom, we keep things clear and efficient.
- Registration: Find your preferred schedule, click “Register,” complete the form, and submit. Need help? Talk to us directly.
- Pre Course Assessment: After registering, you’ll receive a diagnostic survey to help facilitators tailor content to your needs.
- Joining Instructions: Once fees are paid, you’ll receive a Delegate Welcome Pack at least 7 days before the start date (venue maps, virtual access links, and pre reading materials).
We provide premium environments optimized for adult learning and networking.
- Physical Venues: Premium 4 star and 5 star executive boardrooms across our global host cities, with high tier catering.
- Virtual Instructor Led Training (VILT): High definition, interactive platforms featuring breakout rooms, digital whiteboards, and live technical support.
- NITA and Regulatory Compliance: Administrative processes align with national training authorities.
You’ll leave with tools that extend the course value far beyond the final day.
- ForElite Learner Kit: A physical or digital course manual, proprietary templates, and a curated toolkit of industry standard SOPs.
- On Site / In App Support: Dedicated course coordinators handle technical, dietary, or logistical inquiries in real time.
We validate your commitment to excellence with internationally recognized credentials.
- Attendance Tracking: Rigorous daily logging to meet corporate and regulatory accreditation requirements.
- Verifiable Credentials: Upon successful completion, you receive a certificate of course completion.
Our relationship with you doesn’t end when the course closes.
- Feedback & ROI Reporting: Detailed post course evaluations to give sponsors clear insight into training impact.
- Alumni Network Access: Every delegate joins the ForElite Alumni Network for ongoing peer to peer learning and exclusive webinars.
When is the next intake?
UpdatedWe offer customized training solutions tailored to your organization's specific needs (location, dates, content and team size).
Talk to us and we’ll guide you on the best schedule and format for your team.
Training Methodology
We turn knowledge into results. Using our P.E.A.K. Framework (Prepare, Engage, Apply, Know), every participant leaves with practical skills they can use immediately.
Proven Impact
In the last 12 months, over 1,200 professionals have applied the P.E.A.K. Framework to reduce onboarding time by an average of 30% and accelerate project delivery across 14 industries.
The outcome: Participants don’t just learn. They gain the tools, confidence, and strategy to drive measurable impact.
Tailor-Made Training and Customization
Off-the-shelf solutions rarely fit perfectly. At ForElite Training Institute, we built our Tailor-Made Training (TMT) service to embed our expertise directly into your unique strategy, culture, and operations.
We replace generic examples with scenarios from your sector (e.g., public sector, NGOs, financial services, or logistics).
Choose a format that fits your operations: intensive 3 day bootcamps or weekly sessions that minimize work disruption.
We teach directly from your actual templates, brand guidelines, or financial reports.
Host your bespoke training in any of our 21+ global cities, or we'll send facilitators to your office anywhere in the world.
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ForElite Training Institute is a global institutional capacity-building and EdTech partner that empowers organizations and professionals with transformative, high-impact learning.