1 This document is confidential and is intended solely for the use and information of the client to whom it is addressed. Beirut, Lebanon July 6, 2007 Social Inter-Ministerial Committee Progress Report # 2 PRESENTATION
Jan 15, 2016
1
This document is confidential and is intended solely for the use and information of the client to whom it is addressed.
Beirut, LebanonJuly 6, 2007
Social Inter-Ministerial Committee Progress Report # 2
PRESENTATION
2
Today’s objective is to update Your Excellencies on progress to-date, endorse the MoSA and MEHE programs, discuss the MoH, MoL and NSSF plans, and highlight key issues
Meeting Objectives
Brief Your Excellencies on the status of issues raised in the previous IMC and on progress to-date of GR PCO planning and monitoring activities
– In the last IMC, 9 main issues were raised regarding MoSA, MoH, and MoL/NSSF: 6 issues were resolved, and 3 are delayed (details in appendix)
Highlight progress and status in each sector:
– Paris III Program Milestones (2007 and 2008)
– Short Term Technical Assistance Requirements
– Short Term Initiatives Implementation Progress and Issues
Discuss MoL, NSSF and MoH engagement under Paris III
3
Natural Owner
Identification of Initiatives
Prioritization of Initiatives
Program Charters
Development
KPIs Setting
Natural Owner Review Immediate Next Steps
Ministry of Social Affairs
✓ ✓ 75% 25%Minister reviewed Program
Charters and Technical Assistance
Finalize detailed workplans for programs 3 and 4
Develop KPIs
Ministry of Health ✓ ✓ 50%
Minister reviewed initiatives prioritization and
DG reviewed Technical Assistance
Finalize development of Program Charters for short-term initiatives
Develop KPIs
Ministry of Education
✓ ✓ ✓ 50%Minister reviewed Program
Charters and Technical Assistance
Finalize KPIs Finalize “Early Retirement Plan” for
teachers with MoF Develop final commitment
document and obtain Minister of Education and Higher Education endorsement
NSSF
List of short-term
initiatives under
development
NSSF DG involved in Program development
Develop Program Charters and Detailed Workplans for short-term initiatives
Develop NSSF reform program in coordination with Minister of Labor, NSSF Board, NSSF General Management and NSSF Technical Committee
Ministry of Labor ✓ ✓ 50%
Minister reviewed Program Charters
Finalize Program Charters (Medium and long-term budget)
Develop KPIs
Progress To-date
Social IMC Progress To-date
The Paris III implementation planning process is generally on track – Delays might occur with NSSF
4
The Ministry of Social Affairs has developed four main programs under Paris III
Ministry of Social Affairs – Program Milestones
Short-Term Milestones(Pre-November 2007)
Short-Term Milestones(Pre-November 2007)
Medium/Long-Term Milestones(Post-November 2007)
Medium/Long-Term Milestones(Post-November 2007)
Improved procedures for implementation of local development projects at MoSA finalized
Ministerial decision taken for eligibility criteria of NGOs and Welfare Institutions wishing to be subcontracted by MoSA
Improved procedures for implementation of local development projects at MoSA finalized
Ministerial decision taken for eligibility criteria of NGOs and Welfare Institutions wishing to be subcontracted by MoSA
New MoSA mandate endorsed by Social IMC and Council of Ministers
New MoSA organizational chart enacted by Parliament
Processes at MoSA automated
New MoSA mandate endorsed by Social IMC and Council of Ministers
New MoSA organizational chart enacted by Parliament
Processes at MoSA automated
Social Inter-Ministerial Committee established Communication Attaché appointed Social strategy framework developed Action plan for eliminating duplicated programs and
services endorsed by Council of Ministers Mapping of existing local dev. projects completed
Social Inter-Ministerial Committee established Communication Attaché appointed Social strategy framework developed Action plan for eliminating duplicated programs and
services endorsed by Council of Ministers Mapping of existing local dev. projects completed
Social strategy action plan endorsed by Council of Ministers and implemented
Duplication in delivery of social services and program implementation eliminated
Monitoring / evaluation mechanisms established Local development guidelines established
Social strategy action plan endorsed by Council of Ministers and implemented
Duplication in delivery of social services and program implementation eliminated
Monitoring / evaluation mechanisms established Local development guidelines established
Proxy Means Testing (PMT) formula finalized Decision taken by IMC on the hosting of the
PMT database Implementation plan for new targeting
mechanism of Social Safety nets programs approved by IMC
Proxy Means Testing (PMT) formula finalized Decision taken by IMC on the hosting of the
PMT database Implementation plan for new targeting
mechanism of Social Safety nets programs approved by IMC
Pilot program for new targeting mechanism launched
New targeting mechanism evaluated and scaled up
Pilot program for new targeting mechanism launched
New targeting mechanism evaluated and scaled up
Coverage of services offered to the disabled expanded (Rights and Access)
Proposal finalized for the implementation of free healthcare/hospitalization for the holders of the Disability Card
Coverage of services offered to the disabled expanded (Rights and Access)
Proposal finalized for the implementation of free healthcare/hospitalization for the holders of the Disability Card
Provision of cash assistance to poor households using new targeting mechanism
“Full in house” services to disabled improved Free healthcare/hospitalization provided for
targeted segments Ongoing school food program improved
Provision of cash assistance to poor households using new targeting mechanism
“Full in house” services to disabled improved Free healthcare/hospitalization provided for
targeted segments Ongoing school food program improved
Social Affairs
Restructure the Ministry of Social
Affairs
Restructure the Ministry of Social
Affairs
Enhance Management of the
Social Sector
Enhance Management of the
Social Sector
Develop New Targeting
Mechanisms for Social Safety Nets
Programs
Develop New Targeting
Mechanisms for Social Safety Nets
Programs
Implement Prioritized Safety Nets Programs
Implement Prioritized Safety Nets Programs
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Short-term initiatives progress is underway – However budget availability is essential for future progress
Ministry of Social Affairs – Short Term Initiatives Progress and Issues
Progress on Short-Term InitiativesProgress on Short-Term Initiatives IssuesIssues
Restructure the Ministry of Social
Affairs
Restructure the Ministry of Social
Affairs
Enhance Management of the
Social Sector
Enhance Management of the
Social Sector
Develop New Targeting
Mechanisms for Social Safety Nets
Programs
Develop New Targeting
Mechanisms for Social Safety Nets
Programs
Draft procedures for implementing local development project at MoSA prepared
Draft ministerial decision for eligibility criteria of Welfare Institutions and NGOs prepared
Draft procedures for implementing local development project at MoSA prepared
Draft ministerial decision for eligibility criteria of Welfare Institutions and NGOs prepared
Could be delayed in the absence of timely funding
Could be delayed in the absence of timely funding
Previous studies and sectoral strategies conducted by concerned ministries reviewed
Development of social strategy launched with support from experts. Components to be ready by mid-July 2007
Intern recruited to coordinate elimination of duplicated activities between MoSA, MoH and MEHE. Identification to be completed by August 2007
Consultant appointed (CDR) to undertake mapping of local dev projects
Previous studies and sectoral strategies conducted by concerned ministries reviewed
Development of social strategy launched with support from experts. Components to be ready by mid-July 2007
Intern recruited to coordinate elimination of duplicated activities between MoSA, MoH and MEHE. Identification to be completed by August 2007
Consultant appointed (CDR) to undertake mapping of local dev projects
Delay in appointing a Communication attaché for the Social IMC
Delay in appointing a Communication attaché for the Social IMC
Analysis of Multi-Purpose Survey and determination of poverty indicators currently undertaken
Targeting mechanisms under development through proxy means testing
Analysis of Multi-Purpose Survey and determination of poverty indicators currently undertaken
Targeting mechanisms under development through proxy means testing
Could be delayed in the absence of timely funding
Could be delayed in the absence of timely funding
Implement Prioritized Safety Nets Programs
Implement Prioritized Safety Nets Programs
Not initiated Not initiated Could be delayed in the absence of timely funding
Could be delayed in the absence of timely funding
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22
44
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Social Affairs
6
Moving forward, MoSA needs technical assistance of around $1.05 million to achieve short-term (Pre-November 2007) goals …
Ministry of Social Affairs – Short Term Technical Assistance Requirements(Pre-November 2007)
Social Affairs
ProgramsPrograms MilestonesMilestones Budget ItemsBudget Items AmountAmount Total BudgetTotal Budget
Restructure the Ministry of
Social Affairs
Restructure the Ministry of
Social Affairs
New MoSA mandate endorsed by Social IMC and Council of Ministers
New MoSA organizational chart enacted by Parliament
Processes at MoSA automated
New MoSA mandate endorsed by Social IMC and Council of Ministers
New MoSA organizational chart enacted by Parliament
Processes at MoSA automated
Experts/HR fees (MoSA restructuring)
– Organizational– Training– Social Development– Legal
Experts/HR fees (MoSA restructuring)
– Organizational– Training– Social Development– Legal
$ 2,000 $ 4,000 $ 6,000 $ 2,000
$ 2,000 $ 4,000 $ 6,000 $ 2,000
$ 14,000$ 14,000
Enhance Management of
the Social Sector
Enhance Management of
the Social Sector
Social strategy action plan endorsed by Council of Ministers and implemented
Duplication in delivery of social services and program implementation eliminated
Monitoring / evaluation mechanisms established
Local develop. guidelines established
Social strategy action plan endorsed by Council of Ministers and implemented
Duplication in delivery of social services and program implementation eliminated
Monitoring / evaluation mechanisms established
Local develop. guidelines established
Communication Attaché (6 months)
Communication Attaché (6 months)
$ 15,000 $ 15,000
$ 15,000$ 15,000
Develop new targeting
mechanisms for Social
Safety Nets programs
Develop new targeting
mechanisms for Social
Safety Nets programs
Pilot program for new targeting mechanism launched
New targeting mechanism evaluated and scaled up
Pilot program for new targeting mechanism launched
New targeting mechanism evaluated and scaled up
IT hardware:– 2 Servers– 10 PCs– Peripherals
IT hardware:– 2 Servers– 10 PCs– Peripherals
$ 8,000 $ 15,000 $ 2,000
$ 8,000 $ 15,000 $ 2,000 $ 25,000$ 25,000
Implement Prioritized Safety Nets Programs
Implement Prioritized Safety Nets Programs
Provision of cash assistance to poor households using new targeting mechanism
“Full in house” services to disabled improved
Free healthcare/hospitalization provided for targeted segments
Ongoing school food program improved
Provision of cash assistance to poor households using new targeting mechanism
“Full in house” services to disabled improved
Free healthcare/hospitalization provided for targeted segments
Ongoing school food program improved
Cost to increase delivery of proximity services within the Rights and Access program (60,000 handicapped)
Cost to increase delivery of proximity services within the Rights and Access program (60,000 handicapped)
$ 1,000,000 (out of $3,000,000)
$ 1,000,000 (out of $3,000,000)
$ 1,000,000$ 1,000,000
Note: All budgetary requirements should be reviewed and endorsed by the Ministry of Finance
7
… And around $ 33.6 million to achieve long term (Post-November 2007) goals
ProgramsPrograms MilestonesMilestones Budget ItemsBudget Items AmountAmount Total BudgetTotal Budget
Restructure the Ministry of
Social Affairs
Restructure the Ministry of
Social Affairs
Improved procedures for implementation of local development projects at MoSA finalized
Ministerial decision taken for eligibility criteria of NGOs and Welfare Institutions wishing to be subcontracted by MoSA
Improved procedures for implementation of local development projects at MoSA finalized
Ministerial decision taken for eligibility criteria of NGOs and Welfare Institutions wishing to be subcontracted by MoSA
Experts fees to assist in the restructuring of MoSA
Subcontractor fees to develop MIS
Experts fees to assist in the restructuring of MoSA
Subcontractor fees to develop MIS
$ 71,000
$ 3,521,500 (based on detailed proposal)
$ 71,000
$ 3,521,500 (based on detailed proposal)
$ 3,592,500$ 3,592,500
Enhance Management of
the Social Sector
Enhance Management of
the Social Sector
Social IMC established Communication Attaché appointed Social strategy framework developed Action plan for eliminating duplicated
programs and services endorsed by CoM Mapping of existing local development
projects completed
Social IMC established Communication Attaché appointed Social strategy framework developed Action plan for eliminating duplicated
programs and services endorsed by CoM Mapping of existing local development
projects completed
-- -- --
Develop new targeting
mechanisms for Social
Safety Nets programs
Develop new targeting
mechanisms for Social
Safety Nets programs
Proxy Means Testing formula finalized Decision taken by IMC on the hosting of
the PMT database, and the staff required to maintain it
Implementation plan for new targeting mechanism of Social Safety nets programs approved by IMC
Proxy Means Testing formula finalized Decision taken by IMC on the hosting of
the PMT database, and the staff required to maintain it
Implementation plan for new targeting mechanism of Social Safety nets programs approved by IMC
Funding needed to scale up pilot program and operate it (to assess the performance of the targeting mechanism)
Funding needed to scale up pilot program and operate it (to assess the performance of the targeting mechanism)
$ 1,000,000 $ 1,000,000
$ 1,000,000$ 1,000,000
Implement Prioritized Safety Nets Programs
Implement Prioritized Safety Nets Programs
Coverage of services offered to the disabled expanded
Proposal finalized for the implementation of free healthcare/hospitalization for the holders of the Disability Card
Coverage of services offered to the disabled expanded
Proposal finalized for the implementation of free healthcare/hospitalization for the holders of the Disability Card
Cash assistance to poor Free hospitalization cost Cost to improve food in public
schools Cost to increase delivery of
proximity services In-house services for disabled Services & Exemptions to poor
Cash assistance to poor Free hospitalization cost Cost to improve food in public
schools Cost to increase delivery of
proximity services In-house services for disabled Services & Exemptions to poor
$ 16,000,000 $ 7,000,000 $ 2,000,000
$ 2,000,000
$ 1,000,000 $ 1,000,000
$ 16,000,000 $ 7,000,000 $ 2,000,000
$ 2,000,000
$ 1,000,000 $ 1,000,000
$ 29,000,000 (depending
on targeting)
$ 29,000,000 (depending
on targeting)
Social Affairs
Note: All budgetary requirements should be reviewed and endorsed by the Ministry of Finance
Ministry of Social Affairs – Medium/ Long Term Technical Assistance Requirements(Post-November 2007)
8
The Ministry of Health has identified seven main programs under Paris III
Health
Ministry of Health Paris III MilestonesShort-Term Milestones(Pre-November 2007)
Short-Term Milestones(Pre-November 2007)
Medium/Long-Term Milestones(Post-November 2007)
Medium/Long-Term Milestones(Post-November 2007)
Complete Post-War Recovery ProgramComplete Post-War Recovery Program
Upgrade Primary Healthcare ServicesUpgrade Primary Healthcare Services
Follow up Implementation of Quality Assurance ProgramFollow up Implementation of Quality Assurance Program
Undertake health financing reformUndertake health financing reform
Enhance Public Health Functions and ProgramsEnhance Public Health Functions and Programs
Special services provided to injured and affected communities
Special services provided to injured and affected communities
PHC accreditation program developed and implemented
PHC accreditation program developed and implemented
Catchment areas for 120 centers defined and referral system between centers and hospital designed
Health card system and IT infrastructure developed Disease management guidelines implemented Performance based contracting for targeted primary
health care services implemented Roll-out of maternal and child mortality reduction
program to 10 cazas completed
Catchment areas for 120 centers defined and referral system between centers and hospital designed
Health card system and IT infrastructure developed Disease management guidelines implemented Performance based contracting for targeted primary
health care services implemented Roll-out of maternal and child mortality reduction
program to 10 cazas completed
Public hospital accreditation program implemented and institutionalized
Public hospital accreditation program implemented and institutionalized
Clinical practice guidelines developed Clinical practice guidelines developed
Database of eligible beneficiaries integrated across public funds
Pilot testing of the visa billing system completed National Health Accounts (NHA) updated and
institutionalized
Database of eligible beneficiaries integrated across public funds
Pilot testing of the visa billing system completed National Health Accounts (NHA) updated and
institutionalized
By-laws of public funds amended to allow for common procedures
Insurance functions harmonized and integrated across funds
Electronic processing of hospital bills implemented
By-laws of public funds amended to allow for common procedures
Insurance functions harmonized and integrated across funds
Electronic processing of hospital bills implemented
National expanded immunization program enhanced Decentralization of epidemiological surveillance
system completed Public health programs strengthened
National expanded immunization program enhanced Decentralization of epidemiological surveillance
system completed Public health programs strengthened
Emergency management services provided Non-Communicable Diseases programs enhanced
Emergency management services provided Non-Communicable Diseases programs enhanced
Improve Public Health RegulationsImprove Public Health Regulations
Undertake Pharmaceutical ReformUndertake Pharmaceutical Reform
N/A N/A "Carte Sanitaire" system implemented Health technology assessment program developed
"Carte Sanitaire" system implemented Health technology assessment program developed
Drugs registered from 2000 to 2006 re-priced Drugs registered from 2000 to 2006 re-priced Current drug registration and reference pricing system reviewed and approved
Generic drug policies developed and implemented
Current drug registration and reference pricing system reviewed and approved
Generic drug policies developed and implemented
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22
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44
55
66
77
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While MoH has started working on its short-term initiatives, it is still finalizing its detailed planning with the support of the World Bank
Health
Ministry of Health – Short Term Initiatives Progress and Issues
Completed Completed
PHC accreditation program funded by Italian Cooperation, and started implementation with Balamand University
PHC accreditation program funded by Italian Cooperation, and started implementation with Balamand University
Catchment areas, referral system, health card system and IT infrastructure not started and under discussion between MoH and the World Bank during their mission in July 2007
Wadi Khalid project roll-out lacking funding
Catchment areas, referral system, health card system and IT infrastructure not started and under discussion between MoH and the World Bank during their mission in July 2007
Wadi Khalid project roll-out lacking funding
Public hospital accreditation program funded by MoH budget of 2007, and implemented by the French Health Authority through ESA (Project duration of 18 months)
Public hospital accreditation program funded by MoH budget of 2007, and implemented by the French Health Authority through ESA (Project duration of 18 months)
Public hospital accreditation program contract signed with ESA in May 2007, waiting for approval of Court of Accounts
Public hospital accreditation program contract signed with ESA in May 2007, waiting for approval of Court of Accounts
Database of eligible beneficiaries already operational across public funds
Pilot testing of the visa billing system conducted in-house by MoH (To be completed by Nov 2007)
Currently developing NHA matrices for 2004-2005
Database of eligible beneficiaries already operational across public funds
Pilot testing of the visa billing system conducted in-house by MoH (To be completed by Nov 2007)
Currently developing NHA matrices for 2004-2005
Several initiatives not started and under discussion between MoH and the World Bank during their mission in July 2007
Several initiatives not started and under discussion between MoH and the World Bank during their mission in July 2007
N/A N/A National expanded immunization program stopped because funds were not transferred from MoF to MoH
Public health programs (AIDS, NCD) stopped because funds were not transferred from MoF to WHO
Several initiatives not started, and under discussion between MoH and the World Bank
National expanded immunization program stopped because funds were not transferred from MoF to MoH
Public health programs (AIDS, NCD) stopped because funds were not transferred from MoF to WHO
Several initiatives not started, and under discussion between MoH and the World Bank
N/A N/A N/A N/A
Documents gathered for re-pricing Category A pharmaceutical products registered after year 2001
Pricing of part of Category A pharmaceutical products reviewed
Documents gathered for re-pricing Category A pharmaceutical products registered after year 2001
Pricing of part of Category A pharmaceutical products reviewed
N/A N/A
Progress on Short-Term InitiativesProgress on Short-Term Initiatives IssuesIssues
Complete Post-War Recovery ProgramComplete Post-War Recovery Program
Upgrade Primary Healthcare ServicesUpgrade Primary Healthcare Services
Follow up Implementation of Quality Assurance ProgramFollow up Implementation of Quality Assurance Program
Undertake health financing reformUndertake health financing reform
Enhance Public Health Functions and ProgramsEnhance Public Health Functions and Programs
Improve Public Health RegulationsImprove Public Health Regulations
Undertake Pharmaceutical ReformUndertake Pharmaceutical Reform
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22
33
44
55
66
77
10
Health
Ministry of Health – Short Term Technical Assistance Requirements(Pre-November 2007)
ProgramsPrograms MilestonesMilestones Budget ItemsBudget Items AmountAmount Total BudgetTotal Budget
Complete Post-War Recovery ProgramComplete Post-War Recovery Program
Special services provided to injured and affected communities
Special services provided to injured and affected communities -- -- --
Upgrade Primary Healthcare Services
Upgrade Primary Healthcare Services
PHC accreditation program developed and implemented
Catchment areas for 120 centers defined Health card system & IT infrastructure developed
PHC accreditation program developed and implemented
Catchment areas for 120 centers defined Health card system & IT infrastructure developed
To be defined To be defined To be defined To be defined
DPLDPL
Follow up Implementation of Quality Assurance
Program
Follow up Implementation of Quality Assurance
Program
Public hospital accreditation program implemented and institutionalized
Public hospital accreditation program implemented and institutionalized
-- -- --
Undertake health financing reformUndertake health financing reform
Database of eligible beneficiaries integrated across public funds
Pilot testing of the visa billing system completed National Health Accounts (NHA) institutionalized
Database of eligible beneficiaries integrated across public funds
Pilot testing of the visa billing system completed National Health Accounts (NHA) institutionalized
To be defined To be defined To be defined To be defined
DPLDPL
Enhance Public Health Functions and
Programs
Enhance Public Health Functions and
Programs
Expanded immunization program enhanced Decentralization of epidemiological
surveillance system completed Public health programs strengthened
Expanded immunization program enhanced Decentralization of epidemiological
surveillance system completed Public health programs strengthened
To be defined To be defined To be defined To be defined
DPLDPL
Improve Public Health Regulations
Improve Public Health Regulations
N/A N/A
-- -- --
Undertake Pharmaceutical Reform
Undertake Pharmaceutical Reform
Drugs registered from 2000 to 2006 re-priced Drugs registered from 2000 to 2006 re-priced IT equipment and staff IT equipment and staff $ 20,000 $ 20,000
$ 20,000$ 20,000
Most MoH initiatives depend on availability of funding through the DPL – An additional $ 20,000 is required in the short-term to undertake drugs re-pricing
Note: All budgetary requirements should be reviewed and endorsed by the Ministry of Finance
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Health
Ministry of Health – Medium/Long-Term Technical Assistance Requirements(Post-November 2007)
ProgramsPrograms
Complete Post-War Recovery ProgramComplete Post-War Recovery Program
Upgrade Primary Healthcare Services
Upgrade Primary Healthcare Services
Follow up Implementation of Quality Assurance
Program
Follow up Implementation of Quality Assurance
Program
Undertake health financing reformUndertake health financing reform
Enhance Public Health Functions and
Programs
Enhance Public Health Functions and
Programs
Improve Public Health Regulations
Improve Public Health Regulations
Undertake Pharmaceutical Reform
Undertake Pharmaceutical Reform
MilestonesMilestones Budget ItemsBudget Items AmountAmount Total BudgetTotal Budget
N/A N/A -- -- --
Disease management guidelines implemented Performance based contracting for targeted
primary health care services implemented Roll-out of maternal and child mortality reduction
program to 10 cazas
Disease management guidelines implemented Performance based contracting for targeted
primary health care services implemented Roll-out of maternal and child mortality reduction
program to 10 cazas
Roll-out of maternal and child mortality reduction program to 10 cazas
Roll-out of maternal and child mortality reduction program to 10 cazas
$ 1,300,000 $ 1,300,000
DPL + $ 1,300,000
DPL + $ 1,300,000
Clinical practice guidelines developed Clinical practice guidelines developed
-- -- --
By-laws of public funds amended to allow for common procedures
Insurance functions integrated across funds Electronic processing of hospital bills implemented
By-laws of public funds amended to allow for common procedures
Insurance functions integrated across funds Electronic processing of hospital bills implemented
To be defined To be defined To be defined To be defined
DPLDPL
Emergency management services provided Non-Communicable Diseases programs
enhanced
Emergency management services provided Non-Communicable Diseases programs
enhanced
To be defined To be defined To be defined To be defined
DPLDPL
“Carte Sanitaire" system implemented Health technology assessment program developed
“Carte Sanitaire" system implemented Health technology assessment program developed -- -- --
Current drug registration and reference pricing system reviewed and approved
Generic drug policies developed and implemented
Current drug registration and reference pricing system reviewed and approved
Generic drug policies developed and implemented -- -- --
Most MoH initiatives depend on availability of funding through the DPL – An additional $ 1.3 million is required in the medium-term to roll-out the maternal and child mortality program to 10 cazas
Note: All budgetary requirements should be reviewed and endorsed by the Ministry of Finance
12
The Ministry of Education and Higher Education has identified seven main programs under Paris III
Ministry of Education – Paris III MilestonesShort-Term Milestones(Pre-November 2007)
Short-Term Milestones(Pre-November 2007)
Medium/Long-Term Milestones(Post-November 2007)
Medium/Long-Term Milestones(Post-November 2007)
Consolidate Policy, Planning and Resources Allocation
Consolidate Policy, Planning and Resources Allocation
Achieve Universal Basic Education (UBE) for Ages 6 to 15
Achieve Universal Basic Education (UBE) for Ages 6 to 15
Improve Efficiency, Effectiveness and Competence Level of the Teaching Workforce
Improve Efficiency, Effectiveness and Competence Level of the Teaching Workforce
National education strategy developed Policy, planning and Information
Management functions integrated to MEHE Contract for delivery of SIS equipment
signed Contract signed for organizational structure
and performance budgeting
National education strategy developed Policy, planning and Information
Management functions integrated to MEHE Contract for delivery of SIS equipment
signed Contract signed for organizational structure
and performance budgeting
New MEHE organization structure implemented
Performance-based budget for the education sector
EMIS and SIS operational Permanent Policy, planning, and Information
Management Unit
New MEHE organization structure implemented
Performance-based budget for the education sector
EMIS and SIS operational Permanent Policy, planning, and Information
Management Unit
Textbooks for all public school students distributed
Free transportation scheme for reallocated cycle 3 students established
Textbooks for all public school students distributed
Free transportation scheme for reallocated cycle 3 students established
Compulsory Basic Education Legislations enacted
Registration fees for Cycle 3 eliminated Local society engaged in financing of school
fund 100% of cycle 3 reallocated public students
receiving free school transportation
Compulsory Basic Education Legislations enacted
Registration fees for Cycle 3 eliminated Local society engaged in financing of school
fund 100% of cycle 3 reallocated public students
receiving free school transportation
Training on Leadership Management to 30% of Public School Principals completed
Training on Leadership Management to 30% of Public School Principals completed
Public school teachers reallocated based on optimal utilization plan
Second Language learning opportunities expanded
Recruitment of teachers based on university degrees
Training on Leadership Management to 50% of Public School Principals completed
Separation packages offered to 2884 teachers
Professional competence of teaching workforce enhanced
Public school teachers reallocated based on optimal utilization plan
Second Language learning opportunities expanded
Recruitment of teachers based on university degrees
Training on Leadership Management to 50% of Public School Principals completed
Separation packages offered to 2884 teachers
Professional competence of teaching workforce enhanced
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22
33
Education
13
The Ministry of Education and Higher Education has identified seven main programs under Paris III … (Cont’d)
Ministry of Education – Paris III MilestonesShort-Term Milestones(Pre-November 2007)
Short-Term Milestones(Pre-November 2007)
Medium/Long-Term Milestones(Post-November 2007)
Medium/Long-Term Milestones(Post-November 2007)
Enhance Quality of EducationEnhance Quality of Education
Enhance the Utilization of Educational FacilitiesEnhance the Utilization of Educational Facilities
Examination Generation System, Examination Management System, and a Question Bank System developed
Examination Generation System, Examination Management System, and a Question Bank System developed
New Curriculum developed Quality and content of the student textbooks
and teachers guide enhanced Learning Achievement enhanced Access to public preschool education in
poor, rural areas expanded Drop-out Prevention Program implemented Psycho-social support program expanded
New Curriculum developed Quality and content of the student textbooks
and teachers guide enhanced Learning Achievement enhanced Access to public preschool education in
poor, rural areas expanded Drop-out Prevention Program implemented Psycho-social support program expanded
Schools requiring consolidation identification Consolidation plan ready At least 30 non viable schools consolidated
(within the first year of consolidation plan implementation)
Schools requiring consolidation identification Consolidation plan ready At least 30 non viable schools consolidated
(within the first year of consolidation plan implementation)
GIS system to optimize utilization of investment implemented
Upgrading of MEHE physical infrastructure initiated
Continuous process of school consolidation
GIS system to optimize utilization of investment implemented
Upgrading of MEHE physical infrastructure initiated
Continuous process of school consolidation
Rationalize Vocational and Technical EducationRationalize Vocational and Technical Education
Develop Quality Assurance in Higher Education
Develop Quality Assurance in Higher Education
VTE teaching tools and methods reviewed Plan for elements of quality assurance
completed
VTE teaching tools and methods reviewed Plan for elements of quality assurance
completed
School distribution across Lebanese regions rationalized
Modern learning assessment tools and new teaching methods developed and implemented
System for pedagogic orientation and guidance implemented
School distribution across Lebanese regions rationalized
Modern learning assessment tools and new teaching methods developed and implemented
System for pedagogic orientation and guidance implemented
New Laws and Articles for Lebanese University developed
New Laws and Articles for Lebanese University developed
Measures undertaken to ensure administrative, academic, and financial independence of LU
Standards for institutional QA implemented at MEHE
National structures for quality assurance established
Measures undertaken to ensure administrative, academic, and financial independence of LU
Standards for institutional QA implemented at MEHE
National structures for quality assurance established
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55
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77
Education
14
Education
Three years education strategy developed and its implementation plan is under preparation Financial planning team undertaking training Tenders for EMIS and SIS launched
Three years education strategy developed and its implementation plan is under preparation Financial planning team undertaking training Tenders for EMIS and SIS launched
Not started Not started
Self guided modules and practicum phase currently implemented by 302 school Principals Procurement process for the selection of the expert to develop evaluation tools launched
Self guided modules and practicum phase currently implemented by 302 school Principals Procurement process for the selection of the expert to develop evaluation tools launched
Examination Generation System developed Examination Management System and Question Bank System under development
Examination Generation System developed Examination Management System and Question Bank System under development
Criteria for school consolidation being prepared Prioritization of small GE and VTE schools currently underway
Criteria for school consolidation being prepared Prioritization of small GE and VTE schools currently underway
Not started Not started
Not started Not started
Ministry of Education achieved progress on four programs
Ministry of Education – Short Term Initiatives Progress
Consolidate Policy, Planning and Resources Allocation
Consolidate Policy, Planning and Resources Allocation
Achieve Universal Basic Education (UBE) for Ages 6 to 15
Achieve Universal Basic Education (UBE) for Ages 6 to 15
Improve Efficiency, Effectiveness and Competence Level of the Teaching Workforce
Improve Efficiency, Effectiveness and Competence Level of the Teaching Workforce
Enhance Quality of EducationEnhance Quality of Education
Enhance the Utilization of Educational FacilitiesEnhance the Utilization of Educational Facilities
Rationalize Vocational and Technical EducationRationalize Vocational and Technical Education
Develop Quality Assurance in Higher Education
Develop Quality Assurance in Higher Education
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22
33
44
55
66
77
15
The MEHE needs technical assistance of around $4 million to achieve short-term (Pre-November 2007) goals …
Ministry of Education – Short Term Technical Assistance Requirement(Pre-November 2007)
ProgramsPrograms
Education
Note: All budgetary requirements should be reviewed and endorsed by the Ministry of Finance
MilestonesMilestones Budget ItemsBudget Items AmountAmount Total BudgetTotal Budget
Consolidate Policy, Planning and Resource
Allocation
Consolidate Policy, Planning and Resource
Allocation
National education strategy developed Policy, planning and Information Management
functions integrated to MEHE Contract for delivery of SIS equipment signed Contract signed for organizational structure
and for performance budgeting
National education strategy developed Policy, planning and Information Management
functions integrated to MEHE Contract for delivery of SIS equipment signed Contract signed for organizational structure
and for performance budgeting
Experts fees to develop capability at MEHE
Experts fees to develop capability at MEHE
$ 100,000 $ 100,000
$ 100,000$ 100,000
Achieve Universal Basic Education for Ages 6 to 15Achieve Universal Basic
Education for Ages 6 to 15
Textbooks for all public school students distributed
Free transportation scheme for reallocated cycle 3 students established
Textbooks for all public school students distributed
Free transportation scheme for reallocated cycle 3 students established
Cost of implementing free textbooks program for year 1
Cost for free transportation
Cost of implementing free textbooks program for year 1
Cost for free transportation
$ 3,500,000
$ 300,000
$ 3,500,000
$ 300,000$ 3,800,000$ 3,800,000
Improve Efficiency, Effectiveness &
Competence Level of the Teaching Workforce
Improve Efficiency, Effectiveness &
Competence Level of the Teaching Workforce
Training on Leadership Management to 30% of Public School Principals completed
Training on Leadership Management to 30% of Public School Principals completed -- -- --
Enhance Quality of Education
Enhance Quality of Education
Examination Generation System, Examination Management System, and a Question Bank System developed
Examination Generation System, Examination Management System, and a Question Bank System developed -- -- --
Enhance the Utilization of Educational Facilities
Enhance the Utilization of Educational Facilities
Schools requiring consolidation identification Consolidation plan ready At least 30 non viable schools consolidated
Schools requiring consolidation identification Consolidation plan ready At least 30 non viable schools consolidated
Cost of consolidation Cost of consolidation $ 100,000 $ 100,000
$ 100,000$ 100,000
Rationalize Vocational and Technical Education
Rationalize Vocational and Technical Education
VTE teaching tools and methods reviewed Plan for elements of quality assurance
completed
VTE teaching tools and methods reviewed Plan for elements of quality assurance
completed-- -- --
Develop Quality Assurance in Higher
Education
Develop Quality Assurance in Higher
Education
New Laws and Articles for Lebanese University developed
New Laws and Articles for Lebanese University developed -- -- --
16
… And around $24 million to achieve medium/ long term (Post-November 2007) goals
Ministry of Education – Medium/ Long Term Technical Assistance Requirement(Post-November 2007)
ProgramsPrograms MilestonesMilestones Budget ItemsBudget Items
Education
AmountAmount Total BudgetTotal Budget
Note: All budgetary requirements should be reviewed and endorsed by the Ministry of Finance
Consolidate Policy, Planning and Resource
Allocation
Consolidate Policy, Planning and Resource
Allocation
Achieve Universal Basic Education for Ages 6 to
15
Achieve Universal Basic Education for Ages 6 to
15
Improve Efficiency, Effectiveness &
Competence Level of the Teaching Workforce
Improve Efficiency, Effectiveness &
Competence Level of the Teaching Workforce
New MEHE organization structure implemented Performance-based budget for the education sector EMIS and SIS operational Permanent Policy, planning, and Information
Management Unit
New MEHE organization structure implemented Performance-based budget for the education sector EMIS and SIS operational Permanent Policy, planning, and Information
Management Unit
Compulsory Basic Education Legislations enacted Registration fees for Cycle 3 eliminated Local society engaged in financing of school fund 100% of cycle 3 reallocated public students receiving
free school transportation
Compulsory Basic Education Legislations enacted Registration fees for Cycle 3 eliminated Local society engaged in financing of school fund 100% of cycle 3 reallocated public students receiving
free school transportation
Cost to connect 100 sites to EMIS
Experts fees to develop MEHE capability
Cost to connect 100 sites to EMIS
Experts fees to develop MEHE capability
Cost to eliminate registration fees for 2 years
Cost of providing free textbooks for year 2
Cost to eliminate registration fees for 2 years
Cost of providing free textbooks for year 2
$ 500,000
$400,000
$ 500,000
$400,000 $ 900,000$ 900,000
$ 8,600,000
$ 3,500,000
$ 8,600,000
$ 3,500,000$ 12,100,000$ 12,100,000
Public school teachers reallocated based on optimal utilization plan
Second Language learning opportunities expanded Recruitment of teachers based on university degrees Training on Leadership Management to 50% of Public
School Principals completed Separation packages offered to 2884 teachers Professional competence of teaching workforce
enhanced
Public school teachers reallocated based on optimal utilization plan
Second Language learning opportunities expanded Recruitment of teachers based on university degrees Training on Leadership Management to 50% of Public
School Principals completed Separation packages offered to 2884 teachers Professional competence of teaching workforce
enhanced
Cost of professional development for additional 20% of public school principals
Cost of early retirement to be determined by MEHE and MOF
Cost of professional development for additional 20% of public school principals
Cost of early retirement to be determined by MEHE and MOF
$ 400,000
TBD
$ 400,000
TBD
$ 400,000+
Early Retirement Plan Cost
$ 400,000+
Early Retirement Plan Cost
17
… And around $24 million to achieve medium/ long term (Post-November 2007) goals … (Cont’d)
Ministry of Education – Medium/ Long Term Technical Assistance Requirement(Post-November 2007)
ProgramsPrograms MilestonesMilestones Budget ItemsBudget Items
Education
AmountAmount Total BudgetTotal Budget
Note: All budgetary requirements should be reviewed and endorsed by the Ministry of Finance
Enhance Quality of Education
Enhance Quality of Education
New Curriculum developed Quality and content of the student textbooks and
teachers guide enhanced Learning Achievement enhanced Access to public preschool education in poor, rural
areas expanded Drop-out Prevention Program implemented Psycho-social support program expanded
New Curriculum developed Quality and content of the student textbooks and
teachers guide enhanced Learning Achievement enhanced Access to public preschool education in poor, rural
areas expanded Drop-out Prevention Program implemented Psycho-social support program expanded
Cost of Furniture & equipment
Cost of Psycho Social program
Cost of Drop out program
Cost of Furniture & equipment
Cost of Psycho Social program
Cost of Drop out program
$ 4,000,000
$ 500,000
$ 2,500,000
$ 4,000,000
$ 500,000
$ 2,500,000
$ 7,000,000$ 7,000,000
Enhance the Utilization of Educational FacilitiesEnhance the Utilization of Educational Facilities
GIS system to optimize utilization of investment implemented
Upgrading of MEHE physical infrastructure initiated Continuous process of school consolidation
GIS system to optimize utilization of investment implemented
Upgrading of MEHE physical infrastructure initiated Continuous process of school consolidation
Cost of GIS Cost of GIS $ 1,000,000 $ 1,000,000
$ 1,000,000$ 1,000,000
Rationalize Vocational and Technical
Education
Rationalize Vocational and Technical
Education
Develop Quality Assurance in Higher
Education
Develop Quality Assurance in Higher
Education
School distribution across Lebanese regions rationalized
Modern learning assessment tools and new teaching methods developed and implemented
System for pedagogic orientation and guidance implemented
School distribution across Lebanese regions rationalized
Modern learning assessment tools and new teaching methods developed and implemented
System for pedagogic orientation and guidance implemented
Measures undertaken to ensure administrative, academic, and financial independence of LU
Standards for institutional QA implemented at MEHE National structures for quality assurance established
Measures undertaken to ensure administrative, academic, and financial independence of LU
Standards for institutional QA implemented at MEHE National structures for quality assurance established
Cost of rationalizing VTE
Cost of rationalizing VTE
Cost of implementing initiative
Cost of implementing initiative
$ 1,000,000 $ 1,000,000
$ 1,000,000$ 1,000,000
$ 1,500,000 $ 1,500,000
$ 1,500,000$ 1,500,000
18
NSSF reform is advancing along two major streams: Short-Term quick-wins; and a long-Term program in cooperation with the World Bank
Several plans have been developed for the NSSF, both internally and externally, and some accomplishments have been registered on all levels. However, the current situation of the fund necessitates a substantial increase in the intensity of reform
NSSF reform efforts are following two streams:
– Short-term quick-wins which previously attained preliminary consent from the NSSF BoD, and which should attain consensus from all stakeholders
– Long-term program that will be formulated by the stakeholders, after reviewing existing reform studies and initiatives, specifically the plan developed in cooperation with the World Bank
A consensus-building approach must be followed to formulate a long term comprehensive reform plan for the NSSF, based on feedback and active participation from all four stakeholders:
– Board of Directors (Decision-making Authority)
– General Management (Executive Authority)
– Technical Committee (Compliance and Advisory Authority)
– Ministry of Labor (Oversight Authority)
With close support from the Prime Minister and/or Minister of Labor and the GR PCO
NSSF
NSSF Reform Plans
19
The NSSF has started implementing several short-term quick-wins aiming at strengthening administration, auditing accounting …
Implementing Phase I of the IT Infrastructure Master Plan:– Bids completed between January and April 2007, and contracts signed with the corresponding
companies:• Hardware & PCs are delivered successively, with delivery completion by May 2007• LAN installation initiated and will be completed latest by April 2008• WAN installation initiated and will be completed latest by May 2008• Software and training contracts to be outsourced to IDS, under a two-year contract, latest by
15/7/2007– IT systems (hardware, software, training) to be rolled out to 14 out of 35 centers (representing
over 60% of NSSF capacity) from August to November 2007– Completion of Phase I of the IT Infrastructure Mater Plan by July 2008
Contracting 4 consultants, pursuant to recruitment tests organized by the Civil Services Board:– IT and computerization experts– Actuarial statistician– Managerial accountant– Financial economist
Implementing Phase I of the IT Infrastructure Master Plan:– Bids completed between January and April 2007, and contracts signed with the corresponding
companies:• Hardware & PCs are delivered successively, with delivery completion by May 2007• LAN installation initiated and will be completed latest by April 2008• WAN installation initiated and will be completed latest by May 2008• Software and training contracts to be outsourced to IDS, under a two-year contract, latest by
15/7/2007– IT systems (hardware, software, training) to be rolled out to 14 out of 35 centers (representing
over 60% of NSSF capacity) from August to November 2007– Completion of Phase I of the IT Infrastructure Mater Plan by July 2008
Contracting 4 consultants, pursuant to recruitment tests organized by the Civil Services Board:– IT and computerization experts– Actuarial statistician– Managerial accountant– Financial economist
Perform 2001 to 2005 audits by an international firm
– Grant Thornton has been selected and the auditing process will be carried out from August 2007 until early 2009
Resolve issues related to government dues owed to the NSSF
– Negotiations need to be carried out between MoF and NSSF
Perform 2001 to 2005 audits by an international firm
– Grant Thornton has been selected and the auditing process will be carried out from August 2007 until early 2009
Resolve issues related to government dues owed to the NSSF
– Negotiations need to be carried out between MoF and NSSF
Strengthen the Administration of
the NSSF
Strengthen the Administration of
the NSSF
Audit NSSF Accounts and
Government Dues
Audit NSSF Accounts and
Government Dues
List of NSSF Short Term Initiatives
NSSF
20
… containing administrative expenditures, improving capacity to collect contributions, and determining NSSF liabilities and securing funding
NSSF Medium Term Initiatives
Implement the new grade and salary structures Terminate contracts with hospitals not accredited by the Ministry of Health Commence “on-call” rotation schemes for doctors during statutory holidays to control hospital admittance Create an oversight committee to oversee open heart, by-pass and “spring” surgeries Administer drugs for incurable diseases through the Fund Commence recruitment proceeding to employ pharmacists Continuously follow-up and update drug listings and medical supplies
Implement the new grade and salary structures Terminate contracts with hospitals not accredited by the Ministry of Health Commence “on-call” rotation schemes for doctors during statutory holidays to control hospital admittance Create an oversight committee to oversee open heart, by-pass and “spring” surgeries Administer drugs for incurable diseases through the Fund Commence recruitment proceeding to employ pharmacists Continuously follow-up and update drug listings and medical supplies
Contain Administrative
Costs and Health Expenditures
Contain Administrative
Costs and Health Expenditures
Perform an actuarial study for the Health and Maternity insurance branch:– Assess the financial situation of the Fund until 2020– Propose scenarios related to recipients benefits and financing modes– Study completed and delivered to NSSF by August 2007
Perform an actuarial study for the End of Service Indemnities branch:– Perform an actuarial assessment to determine available and needed funds to establish deficit or surplus
amounts– Study completed and delivered to NSSF by September 2007
Perform an actuarial study for the Health and Maternity insurance branch:– Assess the financial situation of the Fund until 2020– Propose scenarios related to recipients benefits and financing modes– Study completed and delivered to NSSF by August 2007
Perform an actuarial study for the End of Service Indemnities branch:– Perform an actuarial assessment to determine available and needed funds to establish deficit or surplus
amounts– Study completed and delivered to NSSF by September 2007
Determine NSSF Liabilities & Secure
its Funding and Funding Continuity
Determine NSSF Liabilities & Secure
its Funding and Funding Continuity
Improve NSSF Capacity to Collect
Contributions under Current Law
Improve NSSF Capacity to Collect
Contributions under Current Law
Share non confidential information between MoF and NSSF on registered companies Perform field audit to increase compliance through:
– Increasing the number of field auditors (100 additional auditors) to regularly survey companies– Forward the employment requisitions to the Minister of Labor to present to the CoM
Enhance collection processes:– Create a supervision & control unit to follow-up on companies that repudiate their NSSF commitments– Exempt the companies which did not pay their dues before 2004 from late penalties, in virtue of the
Clemency law– Strengthen the Litigation department with lawyers and paralegals and automate it, and request the approval
of the CoM to commence paralegal recruitment proceedings
Share non confidential information between MoF and NSSF on registered companies Perform field audit to increase compliance through:
– Increasing the number of field auditors (100 additional auditors) to regularly survey companies– Forward the employment requisitions to the Minister of Labor to present to the CoM
Enhance collection processes:– Create a supervision & control unit to follow-up on companies that repudiate their NSSF commitments– Exempt the companies which did not pay their dues before 2004 from late penalties, in virtue of the
Clemency law– Strengthen the Litigation department with lawyers and paralegals and automate it, and request the approval
of the CoM to commence paralegal recruitment proceedings
NSSF
21
In parallel to short-term quick-wins, the NSSF is formulating a long-term reform plan in cooperation with the World Bank
Expand Coverage of
Social Insurance System
Expand Coverage of
Social Insurance System
Strengthen the Administration
of the NSSF
Strengthen the Administration
of the NSSF
NSSF Long Term Programs
Audit, Update and Reform
NSSF Accounts and Accounting
Practices
Audit, Update and Reform
NSSF Accounts and Accounting
Practices
Improve Financial
Continuity of the NSSF
Improve Financial
Continuity of the NSSF
Strengthen Income
Protection Policies
Strengthen Income
Protection Policies
Projects under study
and development in
cooperation with the
World Bank
Projects under study
and development in
cooperation with the
World Bank
NSSF
22
Labor
The Ministry of Labor has planned one program aiming at “Modernizing the Labor Law” and “Enhancing Service Delivery” of the Ministry
The MoL has identified and planned one program aiming at:– Facilitating the employment of temporary, seasonal and young workers within Lebanon– Facilitating the import of highly skilled workers and managers into Lebanon– Streamlining contract termination proceedings– Upgrading the Ministry’s capacity to handle the added workload and modernizing its operations
through the introduction of IT capabilities
The program consists of two initiatives:– “Streamlining Employment and Termination Processes”: The first step is to recall the
amendment to the Labor Law submitted to the CoM. Subsequently, the MoL would introduce new amendments, which will be submitted to the CoM and Parliament
– “Enhancing Service Delivery”: This initiative will start in parallel to the previous one and entails streamlining and automating key processes, and enhancing human capabilities
Currently, MoL lacks technical know-how, manpower, capabilities and resources to fully carry out both initiatives. The MoL, in cooperation with the GR PCO, will investigate the possibility of attaining the required support – legal and MIS/IT experts, capable manpower and other resources – from OMSAR/other public entities/private sector subcontractors – in order to achieve set targets
Overview of Ministry of Labor Paris III Program
23
Next Steps
Going forward, Natural Owners should resolve pending issues, finalize short-term Technical Assistance requirements, and endorse Paris III Commitment Documents
All Natural Owners of the Social Sector require timely funding in order to advance on their implementation plans
Finalize development of Program Charters and KPIs for:
– Ministry of Social Affairs
– Ministry of Health
– Ministry of Education and Higher Education
– Ministry of Labor
NSSF:
– Develop Program Charters and Detailed Workplans for short-term initiatives
Review and approve funding and TA requests, and finalize short-term requirements
Endorse/ Sign Paris III Commitment Documents with Natural Owners
Actions Required
24
An additional IMC meeting should take place to finalize programs, timelines, KPIs and funding, with steady-state implementation progress reporting starting in August
IMC Engagement Schedule – May to August 2007
Appoint Secretary to the IMC and agree on his/her role
Review progress, and resolve escalated issues
Review initiative and program allocation, and resolve overlaps
Appoint Secretary to the IMC and agree on his/her role
Review progress, and resolve escalated issues
Review initiative and program allocation, and resolve overlaps
1st Social IMC: 17 May 2007 1st Social IMC: 17 May 2007First Round of
IMC Meetings
First Round of
IMC Meetings
Meeting Objectives Dates
Follow up on 1st round of IMC meetings
Endorse initiatives and program allocation
Endorse cross ministerial initiative teams
Resolve escalated issues
Follow up on 1st round of IMC meetings
Endorse initiatives and program allocation
Endorse cross ministerial initiative teams
Resolve escalated issues
2nd Social IMC: 6 July 2007 2nd Social IMC: 6 July 2007Second Round of
IMC Meetings
Second Round of
IMC Meetings
Follow up on 2nd round of IMC meetings
Review and approve natural Owners funding/ TA requests
Endorse/ Sign Paris III Commitment Documents with Natural Owners
Follow up on 2nd round of IMC meetings
Review and approve natural Owners funding/ TA requests
Endorse/ Sign Paris III Commitment Documents with Natural Owners
3rd Social IMC: 21 August 2007 3rd Social IMC: 21 August 2007Third Round of IMC Meetings
Third Round of IMC Meetings
Next Steps
25
Appendix
IMC Issues Register
Ministry of Social Affairs
Ministry of Health
Ministry of Education and Higher Education
NSSF
Ministry of Labor
26
Issues related to initiative allocation and Natural Owners engagement that were raised during the previous Social IMC were addressed and completed Social IMC Issues Register
Issue IDIssue Level
Issue Description Raised by DateAssigned
toActions Needed Deadline Status
001 H
2 initiatives related to “providing healthcare services to poor and disabled citizens” have yet to be allocated either to MoSA or to MoH
Minister of Health / Minister of Social Affairs
17/05/2007 Minister of Social Affairs
MoSA will be the primary natural owner, working towards identifying the eligibility criteria for the following two initiatives:
– “Assure free hospitalization for the poor”
– “Implement free health care system for the holders of the Disability Card”
Once eligibility criteria are determined, the delivery of the service could be made by the MoH or outsourced to a third party
25/05/2007 Completed
Initiatives integrated into MoSA
Paris III program
002 H
Unavailability of the Household Survey database to the social targeting mechanism that MoSA is currently undertaking with the World Bank
Minister of Social Affairs
17/05/2007 Prime Minister
Prime Minister to facilitate release of the Household Survey database from CAS and UNDP to MoSA and the World Bank
01/06/2007 Completed
Database released on 11/06/2007
003 H
NSSF reform plan is still under development in coordination with the World Bank. This is delaying the planning process
BAH 17/05/2007 Minister of Labor/ NSSF DG
Quickly identify short-term initiatives and programs and start developing Program Charters for the short-listed programs
30/06/2007(Revised deadline)
Completed
NSSF M&S started to develop Charters
004 H
MoH has identified initiatives to be performed under Paris III, however continuous shift in focus as a result of ongoing discussions with the World Bank is delaying the planning process
BAH 17/05/2007 MoH Quickly freeze a list of short-term initiatives and programs and start developing Program Charters for the short-listed initiatives and programs
01/06/2007 Completed
MoH M&S started to develop Charters
Update on Previous IMC
27
Social IMC Issues Register
Issue IDIssue Level
Issue Description Raised by DateAssigned
toActions Needed Deadline Status
005 H
Communication of social aspects of Paris III is deficient
BAH based on Press Monitoring
17/05/2007 Social IMC Members
GR PCO
Prime Minister and all members of the Social IMC to stress the social aspect of the Paris III Program in the press
Appointment of a press attaché for the Social IMC
On-going
15/06/2007
In progress
Delayed
006 H
MoSA requires recruitment of additional M&S staff
Minister of Social Affairs
15/05/2007 Minister of Finance
Booz Allen
Minister of Finance will arrange for financing the recruitment of M&S staff from UNDP or World Bank fund
Booz Allen to send Job Descriptions for the M&S Staff to the Ministries of Finance and Social Affairs
30/06/2007
18/05/2007
Delayed
Completed
007 H
MoL/NSSF requires recruitment of additional M&S staff
NSSF 15/05/2007 Minister of Finance
Booz Allen
Minister of Finance will arrange for financing the recruitment of M&S staff from UNDP or World Bank fund
Booz Allen to send Job Descriptions for the M&S Staff to the Ministries of Finance and Labor
30/06/2007
18/05/2007
Delayed
Completed
008 L
Minister of Labor not engaged
Social IMC 17/05/2007 Minister of Labor / BAH
BAH to meet with Minister of Labor, in order to agree on Ministry’s initiatives that could be started at this stage
08/06/2007 CompletedMeeting held on
25/05/2007
009 L
Minister of Health not engaged
Social IMC 17/05/2007 Minister of Social Affairs
Minister of Social Affairs will aim to invite the Minister of Health for a meeting with BAH at her residence
25/05/2007 CompletedMeeting held on
25/05/2007
The appointment of a press attaché for the Social IMC, and the recruitment of M&S staff for MoSA and MoL/NSSF have been delayed
Update on Previous IMC
28
Appendix
IMC Issues Register
Ministry of Social Affairs
Ministry of Health
Ministry of Education and Higher Education
NSSF
Ministry of Labor
29
List of Programs and Initiatives
Ministry of Social Affairs – Summary of Paris III Programs and Initiatives
Sector Programs and Initiatives Stakeholders Preliminary Timeline Implem. Comments
1.Restructure the Ministry of Social Affairs
1a.Review the mandate and programs of the Ministry of Social Affairs
MoSA, OMSAR Q4 2007- Q4 2009
M
Re-organization review project done by OMSAR
To be efficiently restructured, local development depends on national coordination of all local development efforts
Reorganizing the Care program depends on completing the targeting mechanisms
1b. Develop new organizational structure for the Ministry of Social Affairs
MoSA, OMSAR Q3 2007 – Q4 2008L
Depend on initiative (1a)
1c. Undertake process re-engineering and automation of the Ministry of Social Affairs
MoSA, OMSAR Q4 2008 – Q4 2009
L
Depend on initiative (1b) Automation of MoSA should
start when restructuring of components and procedures at MoSA is completed
Natural Owner S: Short term M: Medium Term L: Long TermIMPLEMENTATION:XXX
Social Affairs
30
List of Programs and Initiatives
Ministry of Social Affairs – Summary of Paris III Programs and Initiatives
Sector Programs and Initiatives Stakeholders Preliminary Timeline Implem. Comments
2.Enhance management of the social sector
2a.Establish and activate a Social Inter-ministerial Committee supported by a technical secretariat and a Communication Attaché
MoSA Q1 2007 – Q4 2007S
Need to appoint a Communication Attaché
2b.Formulate a comprehensive social strategy MoSA, Social IMC Q2 2007 – Q4 2007
S
Previous studies undertaken by concerned ministries have been reviewed e.g. findings of sectoral strategies
Social IMC is in the process of developing the social strategy with support from a team of experts. Components of the strategy should be ready by mid-July
2c.Eliminate duplication and increase coordination in the delivery of social services and implementation of programs between the ministries of Social Affairs, Education and Health
MoSA, MEHE, MoH, Social IMC
Q2 2007 – Q4 2008
S
MoSA has recruited an intern to coordinate with Ministries on the elimination of duplications
Minister of Social Affairs sent a memo to MEHE and MoH requesting cooperation on this effort
Identification of duplicated activities should be completed by end of July 2007
2d.Establish monitoring and evaluation mechanism for social programs across the ministries of Social Affairs, Education and Health
MoSA, MEHE, MoH, Social IMC
Q1 2008 – Q3 2008M
Natural Owner S: Short term M: Medium Term L: Long TermIMPLEMENTATION:XXX
Social Affairs
31
List of Programs and Initiatives
Ministry of Social Affairs – Summary of Paris III Programs and Initiatives
Sector Programs and Initiatives Stakeholders Preliminary Timeline Implem. Comments
2e.Create a coordination mechanism for the implementation of local development projects
MoSA, Social IMC Q1 2007 – Q1 2008
S
Consultant appointed (CDR) Mapping of local dev projects
in progress Data analysis and workshop
organization could be undertaken on the short-term
Development need framework would be defined on the medium term
3.Develop new targeting mechanisms for Social Safety Nets programs3a.Establish targeting mechanism (through proxy
means testing) for implementing Safety Net programs
MoSA, Social IMC Q2 2007 – Q4 2008
S
Analysis of Multi-Purpose Survey and determination of poverty indicators are being undertaken
Development of targeting mechanisms would be done through proxy means testing
3b.Review and identify Safety Nets programs MoSA, Social IMC Q2 2007 – Q4 2007 M Depend on initiative (3a)
3c.Develop detailed procedures, implementation plans, and evaluation mechanisms for Safety Nets programs
MoSA, Social IMC Q1 2008 – Q2 2009L
Depend on initiative (3b)
Natural Owner S: Short term M: Medium Term L: Long TermIMPLEMENTATION:XXX
Social Affairs
32
List of Programs and Initiatives
Ministry of Social Affairs – Summary of Paris III Programs and Initiatives
Source: (*) “Final Social Action Plan: Towards Strengthening Social Safety Nets and Access to Basic Social Services” (Republic of Lebanon, January 2007)
Sector Programs and Initiatives Stakeholders Preliminary Timeline Implem. Comments
4. Implement prioritized Safety Nets programs*
4a. Provide cash assistance to the poorest female headed households, poor families (more than 7) with at least one drop-out child working underage, poor elderly, and to poor disabled people
MoSA Q4 2008 – ongoing
L
Safety nets categories would be reviewed after finalizing the targeting mechanisms
Sustainability not ensured4b.Assure free hospitalization for the poor elderly and
children under 5 yearsMoSA, MoH Q1 2007 – Q4 2007
M
Safety nets categories would be reviewed after finalizing the targeting mechanisms
Sustainability not ensured4c. Identify services and exemptions to be provided to
elderly through electronic Identification CardsMoSA Q3 2007 – Q4 2007
M
4d. Expand the coverage of services offered to the disabled
MoSA Q2 2007 – Q4 2007
S
Increase delivery of proximity services within “Rights and Access” program
Sustainability depends on fund availability
4e.Scale up and improve the quality of existing “full in house” services to the disabled
MoSA Q2 2007 – Q4 2007
M
Examples would be to offer electric chairs, sophisticated beds, etc.
Sustainability depends on fund availability
4f. Implement free healthcare/hospitalization for the holders of the Disability Card (Law # 220)
MoSA, MoH Q1 2007 – Q4 2007S
Sustainability depends on fund availability
4g. Improve the ongoing school food program in public schools
MoSA Q4 2007 – Q3 2008
M
School food program was limited to 6 schools
Need to assess the feasibility of rolling out the program to all public schools
Natural Owner S: Short term M: Medium Term L: Long TermIMPLEMENTATION:XXX
Social Affairs
33
Appendix
IMC Issues Register
Ministry of Social Affairs
Ministry of Health
Ministry of Education and Higher Education
NSSF
Ministry of Labor
34
List of Programs and Initiatives
Ministry of Health – Summary of Paris III Programs and Initiatives
Sector Programs and Initiatives Stakeholders Preliminary Timeline Implem. Comments
1.Complete post-war recovery program
1a.Provide special services for injured and affected communities
MoH, WHO Q1 2007 – Q2 2007 Completed
2.Upgrade primary healthcare (PHC) services
2a.Define catchment areas for 120 centers and design a referral system between these centers and public hospitals in the same areas
MoH, World Bank Q3 2007 – Q1 2008S
Not started To be discussed with the
World Bank during their mission in July 2007
Initiatives would provide access to magnetic cards
Contact: Ms. Randa Hamadeh (MoH)
2b.Revise and enhance the PHC package of services for 120 catchments areas
MoH, World Bank Q3 2007 - Q4 2009M
2c.Develop health card system MoH, World Bank Q3 2007 – Q1 2008 S
2d. Initiate health card initiative for eligible MoH beneficiaries of 120 catchments areas
MoH, World Bank Q3 2007 - Q4 2009M
2e.Expand IT infrastructure of 120 catchments areas MoH, World Bank Q3 2007 - Q4 2009 S
2f.Develop and implement PHC accreditation program
MoH Q2 2007 – Q4 2009
S
Funded by the Italian Cooperation
Implemented in cooperation with Balamand University
2g.Develop and implement disease management guidelines
MoH Q4 2007 – Q4 2009L
2h. Introduce performance based contracting for targeted primary health care services; Revise current PHC contracts with NGOs based on recently issued decree and enhance the monitoring capacity of the MoH to manage those contracts
MoH Q4 2007 – Q4 2009
M
Natural Owner S: Short term M: Medium Term L: Long TermIMPLEMENTATION:XXX
Health
35
List of Programs and Initiatives
Ministry of Health – Summary of Paris III Programs and Initiatives
Sector Programs and Initiatives Stakeholders Preliminary Timeline Implem. Comments
2i.Undertake targeted interventions for maternal and child mortality reduction by rolling out implementation of Wadi Khalid project (Akkar), in collaboration with the public hospitals in the areas of Tripoli, Daniyeh, Baalbeck, Hermel, Rachaya, Hasbaya, Marjeyoun, Bint-Jbeil, and Nabatiyeh
MoH, World Bank Q3 2007 -Q4 2009
M
Not started yet Wadi Khalid project is
currently managed by Makassed
Require a budget of LL 2 billion to roll out the project to 10 cazas
Contact: Ms. Randa Hamadeh (MoH)
3.Follow up implementation of Quality Assurance program3a. Implement and institutionalize public hospital
accreditation programMoH, French Health Authority Q3 2007 – Q4 2008
S
Funded by MoH budget of 2007
Implemented by the French Health Authority through ESA (Project duration of 18 months)
Contract signed with ESA in May 2007, pending approval of Court of Accounts
3b.Develop clinical practice guidelines MoH, Order of Physicians, World Bank
Q4 2007 – Q4 2009L
Low priority initiative Depends on availability of
funding
Natural Owner S: Short term M: Medium Term L: Long TermIMPLEMENTATION:XXX
Health
36
List of Programs and Initiatives
Ministry of Health – Summary of Paris III Programs and Initiatives
Sector Programs and Initiatives Stakeholders Preliminary Timeline Implem. Comments
4.Undertake health financing reform
4a.Amend by-laws of public funds to allow for common procedures
MoH, NSSF Q2 2008 – Q2 2009M
Not started To be discussed with the
World Bank during their mission in July 2007
4b.Re-commission the work on the standardization of codes, forms, and payment methods across the funds
MoH, NSSF Q3 2007 – Q4 2008S
4c.Revisit the eligibility policies, contribution rates, covered benefits of the insurance funds
MoH, NSSF Q3 2007 – Q4 2008L
4d. Integrate database of eligible beneficiaries across public funds
MoH, NSSF Q3 2007 – Q4 2007
S
The database of eligible beneficiaries is already operational across public funds. The HMIS would assign the list of services to each beneficiary
4e. Integrate Health Management Information System (HMIS) across funds
MoH, NSSF Q3 2007 - Q4 2008
M
Not started To be discussed with the
World Bank during their mission in July 2007
Depend on initiative (4b)4f.Harmonize and integrate insurance functions
across fundsMoH, MoET Q3 2007 – Q4 2008
L Depend on initiatives (4b)
and (4c)4g.Pilot a common Third Party Administrator (TPA)
for public funds (Interface Resource Body IRB)MoH Q3 2008 – Q4 2009
L
Natural Owner S: Short term M: Medium Term L: Long TermIMPLEMENTATION:XXX
Health
37
Ministry of Health – Summary of Paris III Programs and Initiatives
List of Programs and Initiatives
Sector Programs and Initiatives Stakeholders Preliminary Timeline Implem. Comments
4h.Complete the pilot testing of the visa billing system
MoH, WHO Q1 2007 – Q4 2007
S
Ongoing project to transfer bills electronically to MoH (part of World Bank project)
Pilot testing of the visa billing system is conducted in-house by MoH and expected to be completed by Nov 2007
4i. Implement electronic transfer and processing of hospital bills
MoH Q1 2008 – Q1 2009M
Development, training and implementation to be completed in one year
4j.Update and institutionalize the National Health Accounts (NHA)
MoH Q1 2007 - Q4 2008
S
Currently developing NHA matrices for 2004-2005
Prepare to institutionalize data collection from public funds for 2006-2007
TA provided by WHO to organize the NHA team and install software & templates
5.Enhance public health functions and programs5a. Enhance national expanded immunization
programMoH, UNICEF, MoF Q1 2007 – Q4 2009
S Depend on the MoF contract
with UNICEF (MoF should release contract fund)
5b.Complete the decentralization of epidemiological surveillance system
MoH Q3 2007 – Q4 2009S
To be discussed with the World Bank during their mission in July 20075c.Support emergency management services MoH, WHO Q3 2007 – Q4 2009 M
5d.Strengthen public health programs (Injury prevention, HIV -AIDS, School health)
MoH, WHO Q3 2007 – Q4 2009S
5e.Enhance Non-Communicable Diseases programs
MoH, WHO Q3 2007 – Q4 2009M
Natural Owner S: Short term M: Medium Term L: Long TermIMPLEMENTATION:XXX
Health
38
Ministry of Health – Summary of Paris III Programs and Initiatives
List of Programs and Initiatives
Sector Programs and Initiatives Stakeholders Preliminary Timeline Implem. Comments
6. Improve public health regulations
6a. Implement "Carte Sanitaire" system MoH Q3 2007 – Q4 2009
L
Infrastructure is ready (Health plan through GIS system)
Implementation depends on the adoption of Law (currently at the Council of Ministers)
6b.Develop health technology assessment program
MoH Q1 2008 – Q4 2009
L
Proposal to evaluate new technologies and upgrade existing ones
Not a priority
7.Undertake pharmaceutical reform
7a.Re-price all drugs registered from 2000 to 2006 MoH, Order of Pharmacists Q3 2007 – Q4 2007S
To be completed by October 2007
Contact: Rita Karam7b.Review and improve current registration system MoH, MoET, Order of
PharmacistsQ1 2008 – Q4 2009
L
7c.Review and improve current reference pricing system
MoH, MoET, Order of Pharmacists
Q1 2008 – Q4 2009L
7d.Adopt code of ethics for marketing and promotion of drugs
MoH, Order of Pharmacists, Drug companies
Q1 2008 – Q4 2009L
7e.Develop and implement generic drug policies MoH, MoET, Order of Pharmacists
Q1 2008 – Q4 2009L
7f.Develop prescribing and dispensing guide for physicians and pharmacists regarding generic substitution
MoH, Order of Pharmacists, Order of Physicians
Q1 2008 – Q4 2009L
Natural Owner S: Short term M: Medium Term L: Long TermIMPLEMENTATION:XXX
Health
39
Appendix
IMC Issues Register
Ministry of Social Affairs
Ministry of Health
Ministry of Education and Higher Education
NSSF
Ministry of Labor
40
List of Programs and Initiatives
Ministry of Education – Summary of Paris III Programs and Initiatives
Sector Programs and Initiatives- Stakeholders Timeline Implem. Comments
1.Consolidate policy, planning and resource allocation1a.Develop and implement three year education
strategyMEHE, EDP, WB Jun 2007 – May 2007
S Strategy completed Implementation plan under
preparation1b.Develop a new MEHE organization structure MEHE, EDP, CoM,
ParliamentSep 2006 – Dec 2009
M
EDP has launched the procurement process for the selection of the TA Consultant
MEHE Technical Committee is currently finalizing the technical evaluation
Commencement of services expected by end of June 2007
1c.Develop capability at MEHE to assist in the implementation of Paris III initiatives
MEHE, EDP Jul 2007 – Dec 2009S
EDP is currently nominating the staff to fill in the key positions to H.E. the minister
1d. Integrate and implement policy, planning, and information management functions at MEHE
MEHE Jul 2007 – Feb 2010S
1e.Develop and disseminate model performance based budget for 2008-2009
MEHE, EDP, MoF Mar 2007 – Nov 2011
S
To be done in coordination between MEHE and MoF
A pilot budget would be developed on the short-term
1f. Implement EMIS in MEHE, and SIS at schools MEHE, CDR, EDP, IMU Mar 2005 – Nov 2010
S
SIS should be installed in 1,500 schools by September 2007
EMIS contract should be signed in September 2007
Natural Owner S: Short term M: Medium Term L: Long TermIMPLEMENTATION:XXX
Education
41
List of Programs and Initiatives
Ministry of Education – Summary of Paris III Programs and Initiatives
Sector Programs and Initiatives- Stakeholders Timeline Implem. Comments
2.Achieve Universal Basic Education (UBE) for ages 6-152a.Ensure equitable school access for all students
and enact compulsory education at age 15MEHE, CoM, Parliament, CDR, EDP, ECU
Aug 2007 – May 2011L
2b.Prepare, ratify and implement law to eliminate registration fees at third cycle (Grades 7-9)
MEHE, CoM, Parliament, Ministry of Finance
Aug 2007 – Dec 2009L
2c.Engage participation of local society in the financing of school fund
MEHE, CoM, Parliament, Ministry of Economy
Sep 2007 – Dec 2009L
2d.Provide free textbooks to public schools students through revolving textbooks program
MEHE, ECRD Nov 2007 – Nov 2009
S
Books could be provided in September 2007, if the budget of $4 million per year is made available
2e.Provide free school transportation for cycle 3 public students arising from their reallocation, where necessary
MEHE, Ministry of Transport Aug 2007 – Jun 2008
S
A percentage of students in consolidated schools would need transportation
Require a budget of $0.5M
3. Improve efficiency, effectiveness and competence level of the teaching workforce3a.Continue implementation of Leadership
Development Program for school principals and institutionalize the program within MEHE and LU
MEHE, EDP, LU Sep 2004 – Dec 2009
S
302 school Principals are currently implementing the self guided modules and practicum phase
3b.Enhance the professional competence of the teaching workforce
MEHE, EDP, ECRD, AFD Jan 2006 – Dec 2009
S
EDP has launched the procurement process for the selection of the TA Consultant to develop evaluation tools
Technical Committee has finalized the technical evaluation
Natural Owner S: Short term M: Medium Term L: Long TermIMPLEMENTATION:XXX
Education
42
List of Programs and Initiatives
Ministry of Education – Summary of Paris III Programs and Initiatives
Sector Programs and Initiatives- Stakeholders Timeline Implem. Comments
3c.Enhance the efficiency of teacher work-force utilization
MEHE Jun 2007 – Dec 2009M
3d.Develop and implement an early retirement program
MEHE, MoF, CoM Mar 2008 – Oct 2009L
4.Enhance quality of education
4a.Review and update curriculum MEHE, ECRD Jul 2007 – Dec 2009 M
4b.Enhance the quality and content of the student textbooks and teachers guide
MEHE, ECRD Jul 2007 – Nov 2007M
4c.Enhance Learning Achievement MEHE, EDP, ECRD, Department of Examinations
May 2006 – Dec 2009
S
Examination Generation System (EGS) and Question Bank System should be ready before November 2007
4d.Expand access to public preschool education in poor, rural areas
MEHE, ECRD, CDR, ECU Sep 2007 – Dec 2009L
4e. Introduce “Drop-out Prevention Program” targeting pedagogical reasons behind drop-out and repetition problem
MEHE, ECRD, EDP Jul 2007 – Dec 2010L
5.Enhance the utilization of educational facilities
5a.Upgrade the physical requirement of schools MEHE, CDR, ECU, EDP, IMU Jul 2007 – Mar 2010
M
EDP has launched the procurement process for the recruitment of a TA Consultant to undergo a GIS professional Development study
5b.Consolidate small GE schools MEHE Jun 2007 – Dec 2009 S
5c.Reallocate students in cycle three MEHE Sep 2007 – Oct 2009 M
Natural Owner S: Short term M: Medium Term L: Long TermIMPLEMENTATION:XXX
Education
43
List of Programs and Initiatives
Ministry of Education – Summary of Paris III Programs and Initiatives
Sector Programs and Initiatives Stakeholders Timeline Implem. Comments
6.Rationalize vocational and technical education
6a. Restructure VTE Program framework, specializations and delivery modules
MEHE, DGVTE, DGHE, MoL, CoM, Parliament
Jun 2007 – Dec 2009L
6b. Institutionalize relationship and partnership between VTE institutions (administration, educational institutions, civil and economic councils)
MEHE, DGVTE Jun 2007 – Dec 2009
L
6c. Revise VTE school distribution through the usage of VTE school mapping system
MEHE, DGVTE, CDR Jul 2007 – Dec 2009L
6d. Upgrade VTE curriculum teaching methods and tools, equipment requirements, and learning assessment tools
MEHE, DGVTE Jul 2007 – Dec 2009L
6e. Develop VTE human resources and provide new human resources according to needs
MEHE, DGVTE Jul 2007 – Dec 2009L
6f. Adopt a system for pedagogic orientation and guidance
MEHE, DGVTE Jul 2007 – Nov 2009M
6g. Develop standards for institutional quality assurance
MEHE, DGVTE Jul 2007 – Dec 2009L
7.Develop Quality Assurance in higher education
7a.Enact the Lebanese University law MEHE, DGHE, LU, CoM, Parliament
Aug 2007 – Dec 2009L
7b.Develop standards for institutional quality assurance
MEHE, DGHE, CoM, Parliament
Aug 2007 – Dec 2009L
7c.Establish national structure for quality assurance MEHE, DGHE, CoM, Parliament
Jul 2007 – Dec 2009L
Natural Owner S: Short term M: Medium Term L: Long TermIMPLEMENTATION:XXX
Education
44
Appendix
IMC Issues Register
Ministry of Social Affairs
Ministry of Health
Ministry of Education and Higher Education
NSSF
Ministry of Labor
45
List of Programs and Initiatives
Sector Reform Programs and Initiatives Stakeholders Preliminary Timeline Implem. Comments
1.Rationalize and expand coverage of social insurance system on a fixed basis1a.Create a Sub-Committee for Health Insurance
Policy and standardize the health systems within the framework of a comprehensive policy
NSSF, MoH, Public Servants Cooperative,
Q2 2007 – Q3 2007M
As a part the Inter-ministerial Committee for Social Policy
1b.Develop a coordinated framework for the social security insurance policy and draw up designs and provisions for a private health insurance system
NSSF, MoH, MoSA, Sub-Committee for Health Insurance Policy
Q4 2007 – Q2 2009M
1c.Establish 5 technical committees to standardize the agenda of the medical, laboratory and radiology issues and approve the medical needs
NSSF, MoH, Sub-Committee for Health Insurance Policy
Q2 2007 – Q3 2007
M
The issues to be addressed are: Design and implementation
of health insurance plans Financing mechanisms Pricing and contracting
arrangements Billing and payment systems Quality control processes
Natural Owner S: Short term M: Medium Term L: Long TermIMPLEMENTATION:XXX
NSSF
UNDER DEVELOPMENT
NSSF – Summary of Paris III Programs and Initiatives
46
List of Programs and Initiatives
Sector Reform Programs and Initiatives Stakeholders Preliminary Timeline Implem. Comments
2.Strengthen the governance and administration of the NSSF2a.Build a strong IT capacity
- Establish a directorate level IT department - Recruit internal and external skills
NSSF Q2 2007 – Q3 2007S
2b. Implement Phase 1 of the Master Plan and ensure consistency with envisaged reforms in the health insurance and end-of-service indemnity branches- Recruit a technical management team within the NSSF to oversee the implementation of the master plan- Assess core business processes and systems in the context of the reform of the health insurance and end-of-service indemnity systems
NSSF Q2 2007 – Q3 2007
S
The plan is being implemented
Bids (Hardware, Software, LAN, WAN) carried out between January and April 2007
Outsource Software & training to IDS (15/7/2007)
2c. Implement Phase 2 of the Master Plan- Prepare TORs and bidding documents for implementation- Identify necessary adjustments to the Phase 2 of the Master Plan- Contract consultancy companies to implement the action plan
NSSF Q2 2007 – Q3 2007
L
Develop work methods Develop systems Estimated budget = 8-10
Million Dollars
Natural Owner S: Short term M: Medium Term L: Long TermIMPLEMENTATION:XXX
NSSF
UNDER DEVELOPMENT
NSSF – Summary of Paris III Programs and Initiatives
47
List of Programs and Initiatives
Sector Reform Programs and Initiatives Stakeholders Preliminary Timeline Implem. Comments
3.Audit, update and reform NSSF accounts and accounting practices3a.Resolve issues related to government dues, NSSF
assets, Bank deposits dormant accounts, receivables and payables- Decide, in light of Committee’s outcome, whether or not to engage auditor to reconcile differences- Agree with MoF on refinancing plan of documented arrears and liquidate non-documented ones- Establish agreements between government and the NSSF on a plan to refinance these liabilities
NSSF, MoF Q2 2007 – Q3 2007
S
Negotiations between MoF and NSSF required
3b.Perform 2001 and 2005 audits by an international Firm
NSSF, MoF Q2 2007 – Q3 2007
S
Grant Thornton selected. Auditing process will start as of August 2007 until July, 30, 2008
3c.Normalize the payment schedule for government dues to the NSSF according to the law
NSSF Q4 2007 – Q2 2009L
3d.Normalize the payment schedule for government dues to the NSSF according to the law
NSSF Q4 2007 – Q2 2009L
Natural Owner S: Short term M: Medium Term L: Long TermIMPLEMENTATION:XXX
NSSF
UNDER DEVELOPMENT
NSSF – Summary of Paris III Programs and Initiatives
48
List of Programs and Initiatives
Sector Reform Programs and Initiatives Stakeholders Preliminary Timeline Implem. Comments
3e.Reform accounting unit within NSSF NSSF Q4 2007 – Q2 2009 M
3f.Adopt ”ring fenced” system and practice where payables can be recorded to facilitate cash projection and cash management
NSSF Q2 2007 – Q3 2007M - L
Develop accounting design
3g.Develop NSSF accounting practices to full accrual basis and prepare a balance sheet following acceptable accounting standards
NSSF Q4 2007 – Q2 2009M - L
This process is implemented as a part of the first phase
3h.Prepare and submit to parliament detailed receipts and expenditures budget for the forthcoming fiscal year together with a statement of component fund asset and liability, and a regular state budget
NSSF Q4 2007 – Q2 2009
L
3i.Secure commitment to the NSSF to work on the control issues identified by the audit
NSSF Q2 2007 – Q3 2007M
Natural Owner S: Short term M: Medium Term L: Long TermIMPLEMENTATION:XXX
NSSF
UNDER DEVELOPMENT
NSSF – Summary of Paris III Programs and Initiatives
49
List of Programs and Initiatives
Sector Reform Programs and Initiatives Stakeholders Preliminary Timeline Implem. Comments
4. Improve NSSF capacity to collect contributions under current law4a.Share non confidential information between
Ministry of Finance and NSSF on registered companies and self employed
NSSF, Chamber of Industry and Commerce, MoF, MoL: Foreign Workers Committee
Q2 2007 – Q3 2007
S
Financial and economic organizations shall provide the NSSF with the registered companies and self employed documented in the Chamber of Industry and Commerce registers
4b. Increase the number of field auditors (100 additional auditors) to regularly survey companies
NSSF Q2 2007 – Q3 2007S
Await the approval of CoM on the increase of the field auditors number
4c.Perform field audit to increase compliance NSSF Q2 2007 – Q3 2007 S
4d.Enhance collection process:
- Implement financial penalties on arrears and apply this procedure on companies which dues were not paid after 1/1/2005
- Exempt the companies which dues were not paid before 2004 from penalties in virtue of a relevant law exempting companies from delay penalties
NSSF Q2 2007 – Q3 2007
S
The grace period starts from 1/1/2005 until 7/11/2007
Natural Owner S: Short term M: Medium Term L: Long TermIMPLEMENTATION:XXX
NSSF
UNDER DEVELOPMENT
NSSF – Summary of Paris III Programs and Initiatives
50
List of Programs and Initiatives
Sector Reform Programs and Initiatives Stakeholders Preliminary Timeline Implem. Comments
4e.Align the ceiling on covered wages with the ceiling used in new pension system
NSSF Q2 2007 – Q3 2007M
This process will need a presidential decree
4f.Establish a technical unit to develop:
- Requests Handling System for in-patients and out-patients
- Adopt Flat Rates
- Adopt Direct Payment
NSSF Q2 2007 – Q2 2009
M
Within the framework of Phase 2 amendments
Natural Owner S: Short term M: Medium Term L: Long TermIMPLEMENTATION:XXX
NSSF
UNDER DEVELOPMENT
NSSF – Summary of Paris III Programs and Initiatives
51
List of Programs and Initiatives
Sector Reform Programs and Initiatives Stakeholders Preliminary Timeline Implem. Comments
5.Reduce cost to achieve financial equilibrium
5a.Reaffirm compulsory nature of the NSSF NSSF Q2 2007 – Q3 2007
M
Disclose the registered companies and self-employed
This item is related to 4b5b.Close enrolment into “voluntary insurance
programs” permanentlyNSSF Q2 2007 – Q3 2007
M
Will need a presidential decree
Establish a committee within NSSF to consider the status of the voluntary insurance program beneficiaries
5c.Monitor closely those already enrolled in the optional program
NSSF Q2 2007 – Q3 2007M
5d. Introduce medical audit to assess compliance with medical standards and avoid unnecessary and inappropriate care
NSSF Q4 2007 – Q2 2009
M
Medical audit process is contingent on the approval of the joint ministerial health committee
Natural Owner S: Short term M: Medium Term L: Long TermIMPLEMENTATION:XXX
NSSF
UNDER DEVELOPMENT
NSSF – Summary of Paris III Programs and Initiatives
52
List of Programs and Initiatives
Sector Reform Programs and Initiatives Stakeholders Preliminary Timeline Implem. Comments
5e. Increase co-payments rates modestly for admission and hospital services
NSSF Q4 2007 – Q2 2009M
This item will need the implementation of Phase 1
5f.Establish a Utilization Review Unit and implement rapid review of excessive high costs services
NSSF Q2 2007 – Q4 2007
M
This item will need the implementation of Phase 1
5g.Build institutional capacity to implement an actuarial valuation of the NSSF health insurance benefits- Recruit consultant to undertake actuarial valuation of the NSSF health insurance benefit- Develop proposal to bring the system to financial equilibrium- Submit proposal to the cabinet aiming to bring NSSF health insurance fund into financial equilibrium
NSSF Q4 2007 – Q2 2009
L
This item will need the implementation of Phase 1
Natural Owner S: Short term M: Medium Term L: Long TermIMPLEMENTATION:XXX
NSSF
UNDER DEVELOPMENT
NSSF – Summary of Paris III Programs and Initiatives
53
List of Programs and Initiatives
Sector Reform Programs and Initiatives Stakeholders Preliminary Timeline Implem. Comments
6.Strengthen income protection policies
6a.Enact amendments to EOSI law submitted to Parliament as part of the overall package of NSSF reforms
NSSF Q2 2007 – Q3 2007L
6b. Introduce parametric reforms to the family allowance program to eliminate the deficit
NSSF, MoL, CoM Q2 2007 – Q3 2007M
This process will need a law
6c.Estimate the accrued rights of current plan members and assess magnitude of unfunded liabilities
NSSF Q2 2007 – Q3 2007
M
The NSSF has already introduced information pertaining to its members to the database. The information shall be updated and approved.
6d.Establish agreements between the government and the NSSF on a plan to refinance these liabilities
NSSF Q2 2007 – Q3 2007M
6e.Rationalize benefit formulas and financing mechanisms for those who stay in the end of service indemnity program
NSSF Q2 2007 – Q3 2007M
This process will need a law
6f.Assess needs in terms of regulation for the new pension system
NSSF Q2 2007 – Q3 2007
M
This item is contingent on the promulgation of the “retirement and social security law” being studied by the parliamentary commissions
Natural Owner S: Short term M: Medium Term L: Long TermIMPLEMENTATION:XXX
NSSF
UNDER DEVELOPMENT
NSSF – Summary of Paris III Programs and Initiatives
54
List of Programs and Initiatives
NSSF – Summary of Paris III Programs and Initiatives
Sector Reform Programs and Initiatives Stakeholders Preliminary Timeline Implem. Comments
6g.Develop mechanisms for the provision of annuities in the new pension system and approve it by CoM
NSSF Q4 2007 – Q2 2009L
6h.Develop mechanisms for provision and financing of survivorship pensions in the new pension system and approve it by CoM
NSSF Q4 2007 – Q2 2009L
6i.Develop mechanisms for the provision and financing of disability pensions in the new pension system and approve it by CoM
NSSF Q4 2007 – Q2 2009L
6j.Create Social Security Investment authority NSSF Q4 2007 – Q2 2009 L
Natural Owner S: Short term M: Medium Term L: Long TermIMPLEMENTATION:XXX
NSSF
UNDER DEVELOPMENT
55
Appendix
IMC Issues Register
Ministry of Social Affairs
Ministry of Health
Ministry of Education and Higher Education
NSSF
Ministry of Labor
56
Labor
List of Programs and Initiatives
Ministry of Labor – Summary of Paris III Programs and Initiatives
Sector Programs and Initiatives Stakeholders Preliminary Timeline Implem. Comments
7.Modernize Labor Law and upgrade IT and human capabilities within Ministry of Labor to facilitate business7a.Streamline employment and work termination
processesMoL, OMSAR, CoM, Parliament
Q3 2007 – Q3 2008S
7b.Develop IT and human resources in light of streamlined processes
MoL, CoM, Parliament Q4 2008 – Q4 2009M
Natural Owner S: Short term M: Medium Term L: Long TermIMPLEMENTATION:XXX