Digital transformation: harnessing opportunities, mitigating risks
Digitalisation offers opportunities, but also carries risks. GIZ passes on the skills needed to address both sides of this coin: in Tanzania and Nepal, we are driving the digitalisation of social systems, while in the Republic of Moldova, we are strengthening the population’s resilience to disinformation.
As a claims investigator for Nepal’s state health insurance scheme, Goma Mishra and her 13 colleagues
receive around 40,000 claims per day, meaning they would each have to review around 3,000 invoices from
health care providers every day. But thanks to the management software openIMIS and a smart AI application,
only a fraction of this amount actually lands on their desks. AI automatically checks all claims for
inconsistencies. The employees then only have to review any cases where irregularities are found. "This
enables us to process claims from health care institutions with a speed and precision that would not be
possible if we had to check them all manually," says Goma Mishra. openIMIS has helped her and her colleagues
to manage their workload "without feeling overwhelmed. This faster and smarter way of working gives us more
time to focus on what really matters – providing high-quality services for our citizens."
In Tanzania, the management software openIMIS is supporting the digitalisation of the national social protection system.
Global Alliances for Social Protection
Commissioned by
German Federal Ministry for Economic Cooperation and Development (BMZ), European Union, Swiss Agency for Development and Cooperation (SDC)
Digitalisation – an important factor for social protection
Ralf Radermacher is responsible for the Global Alliances for Social Protection (GASP) global programme,
which also uses openIMIS. He agrees that digitalisation enhances efficiency. He firmly believes that
"social protection is the most effective tool against poverty. It provides stability and drives growth in
purchasing power within countries." Social protection is a human right. The Sustainable Development Goals
(SDGs) call for everyone worldwide to have access to social protection systems. Yet this is still not
the case for around half of the world’s population.
IT solutions and AI, in particular, are ideally positioned to change this. They facilitate access to
social protection systems and make them transparent, fair and fast. Thanks to digitalisation, nobody
entitled to help remains unheard. This is because data from digitalised management systems can be used to
determine people’s actual needs at the click of a mouse – such as identifying all farmers affected by
drought and offering them assistance. Digitalised systems can also recognise changes in socio-economic
structures, enabling a faster and more targeted response.
Open-source software for everyone
The development of openIMIS began in Tanzania in 2012, with support from the Swiss Government.
The aim was to use the software for the voluntary health insurance scheme in the East African country.
The German Federal Ministry for Economic Cooperation and Development (BMZ) and GIZ were brought on board
to make openIMIS globally accessible. And it worked: in Nepal, openIMIS facilitated the introduction of
the first national social protection system in 2016. Cameroon uses openIMIS to manage health insurance
schemes and Bangladesh uses it for occupational accident insurance. openIMIS has also been used for money
transfers and voucher systems. This proves that the software is modular, versatile and effective.
On behalf of the Swiss Agency for Development and Cooperation and BMZ, GIZ has been working on the
distribution of the software since 2016. As the coordinating body, we also ensure that openIMIS is
further developed and maintained on an ongoing basis as an open-source software with a freely available
source code. GIZ serves as the point of contact, contracts companies, finds experts and facilitates exchange
among developers, ensuring that all parties learn from each other. This makes the software even more efficient
and secure. Some 21 companies from 19 countries are currently working on openIMIS. The application is
recognised as a digital public good in the register of the Digital Public Goods Alliance, which is
supported by the United Nations.
34.3 million
people in 14 countries benefit from openIMIS.
Nepal
The Nepalese health insurance authority uses openIMIS to manage the national social protection system in 76 of the country’s 77 districts. The Nepalese Social Security Fund also uses openIMIS for occupational accident and disability insurance.
Tanzania
In Tanzania, openIMIS facilitates the management of a voluntary health insurance scheme in 26 of the country’s regions.
Cameroon
In the Centre and Northwest regions of Cameroon, selected institutions use openIMIS to manage the country’s free HIV assistance programme. The software is also used for health insurance schemes in Cameroon’s Northwest and Southwest regions.
Standards for digitalisation
The process of digitalising social protection systems usually poses more questions than just "what is the right software?".
One way to increase efficiency in public administration is through interoperability. This is where various digital systems
can communicate with each other and share data. For this to work, both the existing and new digital solutions of all
authorities need to speak the same language – ideally one that works internationally. This is what the international
Digital Convergence Initiative (DCI), which supports the digital transformation of social protection systems, aims to do.
GIZ coordinates and supports this initiative on behalf of BMZ and the European Commission.
Just imagine: a single mother urgently needs help paying her children’s school fees. She contacts the responsible authority,
but has to wait months for payment. The reason for the delay? Her children’s births were registered, but the authority
responsible for providing assistance with school fees cannot access the data.
Standards currently being developed by DCI aim to prevent such problems in future. For this purpose, the project team has
defined cases in which authorities commonly access data from other authorities. For these interfaces, working groups of
experts, associations, initiatives and even multilateral organisations are then formed. They develop rules that define
the format in which data needs to be recorded and which data actually needs to be collected. As a digital public good,
the findings are made available at events and online free of charge and are open for comment. The aim is to reach a global
consensus on interoperability standards. The International Labour Organization (ILO) and the World Bank are key
partners for both openIMIS and DCI.
"The world is at a critical point: as many countries struggle with numerous crises, investments in
social protection systems are essential to ensure that countries can guarantee at least a basic
standard of living – an important first step towards realising the human right to social security."
Gilbert Houngbo
Director-General of the International Labour Organization (ILO)
"Chile is undertaking a major digital transformation challenge to provide greater certainty, security and speed in service delivery. Existing government data is being used specifically for social programmes to simplify administrative procedures for citizens. DCI provides valuable benchmarks in data architecture, documentation and programming by enabling access to resources that were previously not open and creating new scope for action."
Verónica Achá Alvarez
Head of the Social Information Analysis Department, Chilean Ministry of Social Development and Family
But DCI plans to do even more. Over the next two years, it will advise six more countries on digitalisation solutions.
Two help desks, or hotlines, are also being set up for countries seeking to digitalise their administrative processes.
One of these is responsible for general enquiries, while the AI help desk handles questions relating specifically
to the use of artificial intelligence.
Sook-Jung Dofel, Strategic Director for Artificial Intelligence at GIZ, illustrates why we need a human-centred application of artificial intelligence.
3 questions for Ralf Radermacher
"AI will become more important in the social protection sector."
Ralf Radermacher
Head of the Global Alliances for Social Protection (GASP)
As promising as its application is, there is much to consider when introducing artificial intelligence in administration.
GIZ is launching an AI help desk for authorities interested in using AI. Ralf Radermacher, Head of the Global Alliances for
Social Protection (GASP) global programme, explains how it works.
What role does AI play in social protection?
AI will play a more important role in the social protection sector in future. For example, if an early warning system
predicts that a drought will destroy the harvest in three months’ time, AI allows me to identify those people who are
likely to be affected. Ideally, I can then optimise the timing of payments to make these people more resilient and
enable them to prepare.
What is the AI help desk?
Just imagine that you are an administrative employee somewhere in the world with an idea about how artificial
intelligence would improve your work. But you don’t know who to contact to find out whether your dataset is suitable,
what you need to consider and what risks there are. After all, you want to use AI responsibly. The AI help desk is
the right point of contact for this.
What exactly do you offer?
When you get in touch with the AI help desk, GIZ is the first port of call. We then ask our ever-expanding
network of partners who can take on the case. We highlight the aspects that need to be considered. This
significantly reduces the risk of AI being used improperly.
The various projects coordinated by GIZ under the GASP global programme all benefit from one another:
with DCI, standards are developed that are also used in the openIMIS software. The two new help desks
established to answer questions on digitalisation and AI may highlight additional practical cases for
which standards are required. The openIMIS team will also be on hand to offer advice in this context.
Interoperability is therefore standard practice for us.
"Our strong collaboration on digital social protection through the DCI and openIMIS initiatives has been a transformative journey towards improving access and efficiency in social protection. Working together, we have successfully harnessed technology to create sustainable, scalable solutions that can be offered to countries, enabling them to better support the poor and vulnerable. We are excited to continue building on this partnership and take these solutions even further, expanding their impact and reach."
Melis U. Guven
Global Lead for Social Protection Delivery Systems, World Bank
New digital opportunities bring not only potential benefits but also risks: public opinion is increasingly
being shaped online, with social media in particular used to spread disinformation.
In the Republic of Moldova, we are taking targeted action against disinformation. The country has had a pro-European
government since 2021, and Maia Sandu was re-elected to the office of President in late 2024. At the same time, there
are two regions in Moldova where certain elements of the population are seeking greater autonomy: Transnistria in
the east of the country, which receives strong support from Russia, and Gagauzia in the south. Nearly a third of
all Moldovans speak Russian as a first language. Under the influence of Russia and pro-Russian oligarchs, the
opposition regularly uses the news service Telegram, social networks such as Facebook or TikTok and television
to stir up sentiment against the Moldovan Government and the planned EU accession.
Disinformation is misleading information that is spread with the deliberate intention of deceiving people.
It prevents people from forming their own opinions and undermines social cohesion and trust in media and
political institutions, making it a major threat to democracies.
were recorded by social media campaigns supported by the Info Trust Alliance Moldova in 2024. On average, each of the approximately 1.6 million users in the country came into contact with them around eight times.
51
Moldovan and 11 international media
– including television, radio and print and online media – published content supported by the project.
Since the end of 2023, GIZ has supported the Moldovan Government in establishing the Center for Strategic Communication and
Countering Disinformation. It began its work in mid-2024 with the aim of making society more resilient to disinformation campaigns.
To achieve this, employees at authorities are trained to identify, analyse and counter manipulated information. GIZ supports state
institutions in developing standardised processes for crisis communication and in responding more effectively in crises, in
cooperation with the media. It also provided the IT infrastructure for the centre.
But our work in the Republic of Moldova begins before disinformation is even created: through ‘prebunking’ campaigns, we
identify disinformation narratives that are very likely to be spread – on occasions such as the country’s national day, for
instance. To disrupt the effect, we work with our partners in the run-up to such events, providing targeted support for
NGOs, media and influencers in placing fact-based and engaging information on these narratives in social media or on television.
This enables users to properly assess information and form their own opinions. The Media Ownership Monitor also provides
transparency on who owns what share of the media in the country and who is behind the political influencers having a growing
impact on social media.
All of these measures aim to provide Moldovans with sufficient facts, enabling them to engage with different political
opinions. Through its comprehensive approach, GIZ ensures that everyone is included in this process: government,
media, civil society and the public. "In the long term, Moldova aims to develop an informed and resilient society
that is able to recognise and combat disinformation on its own," says former Minister of Internal Affairs in Moldova Ana Revenco.
Digitalisation offers great opportunities for social protection and diversity of political views, but also carries risks.
We at GIZ work with German, European and international partners worldwide to train people to be able to harness the
potential of the digital world and mitigate risks as effectively as possible.
GIZ analyzes the use of its websites completely anonymously in order to improve them.
Details on data storage
Here you can find out more about the cookies on this site. You can use the checkboxes to decide which cookies you accept. However, you cannot deselect necessary cookies.
Cookies are small text files and do not contain any personal data. They expire after the period specified in the description.
Necessary cookies help to make a website usable by enabling basic functions such as page navigation and access to secure areas of the website. The website cannot function properly without these cookies.
Name of the cookie
Function
Storage period
dd_cookie_consent_choices
Saves the status of your consent or rejection of the use of cookies
12 months
dd_cookie_consent_status
Saves the status of your consent or rejection of the use of cookies
12 months
Statistics cookies help us to understand how visitors use our websites by collecting information anonymously.
Name of the cookie
Function
Storage period
et_allow_cookies
etracker / Tracking cookie
"No cookies" - 50 years
"Necessary cookies" - 480 days
_et_coid
etracker / Tracking cookie
24 months
BT_ctst
etracker / Tracking cookie
Until the end of the browser session
BT_pdc
etracker / Tracking cookie
12 months
BT_sdc
etracker / Tracking cookie
Until the end of the browser session
isSdEnabled
etracker / Tracking cookie
24 hours
_et_coid
Tracking cookie (www.etracker.de)
24 months
Click OK to confirm the default cookie settings. If you do not agree with the completely anonymized storage and evaluation of the data, you can object to the storage now by clicking on the check mark or later under Cookie settings. However, you cannot deselect necessary cookies.