The government of Morocco sets up surveillance systems within the already existing healthcare system to monitor and collect data. Mass education in hygiene is implemented in primary education schools which are free for residents of Morocco. In 2005, The government of Morocco approved two reforms to expand health insurance coverage. The first reform was a mandatory health insurance plan for public and private sector employees to expand coverage from 16 percent of the population to 30 percent. The second reform created a fund to cover services for the poor. Both reforms improved access to high-quality care. Infant mortality has improved significantly since 1960 when there were 144 deaths per 1,000 live births, in 2000, 42 per 1,000 live births, and now it is 20 per 1,000 live births. The country's under-five mortality rate dropped by 60% between 1990 and 2011.