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IMC Meeting

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Social Inter-Ministerial Committee Progress Report # 2 Beirut, Lebanon July 6, 2007 This document is confidential and is intended solely for the use and information ... – PowerPoint PPT presentation

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Title: IMC Meeting


1
PRESENTATION
Social Inter-Ministerial Committee Progress
Report 2
Beirut, Lebanon July 6, 2007
This document is confidential and is intended
solely for the use and information of the client
to whom it is addressed.
2
Todays 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
Progress To-date
The Paris III implementation planning process is
generally on track Delays might occur with NSSF
Social IMC Progress To-date
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
4
The Ministry of Social Affairs has developed four
main programs under Paris III
Social Affairs
Ministry of Social Affairs Program Milestones
Short-Term Milestones (Pre-November 2007)
Medium/Long-Term Milestones (Post-November 2007)
1
  • 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

Restructure the Ministry of Social Affairs
  • 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

2
Enhance Management of the Social Sector
  • 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

3
Develop New Targeting Mechanisms for Social
Safety Nets Programs
  • 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

4
Implement Prioritized Safety Nets Programs
5
Short-term initiatives progress is underway
However budget availability is essential for
future progress
Social Affairs
Ministry of Social Affairs Short Term
Initiatives Progress and Issues
Progress on Short-Term Initiatives
Issues
1
  • 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

Restructure the Ministry of Social Affairs
  • 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

2
Enhance Management of the Social Sector
3
Develop New Targeting Mechanisms for Social
Safety Nets Programs
  • 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

4
Implement Prioritized Safety Nets Programs
  • Not initiated
  • Could be delayed in the absence of timely funding

6
Moving forward, MoSA needs technical assistance
of around 1.05 million to achieve short-term
(Pre-November 2007) goals
Social Affairs
Ministry of Social Affairs Short Term Technical
Assistance Requirements (Pre-November 2007)
Programs
Milestones
Budget Items
Amount
Total Budget
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
  • Experts/HR fees (MoSA restructuring)
  • Organizational
  • Training
  • Social Development
  • Legal
  • 2,000
  • 4,000
  • 6,000
  • 2,000

14,000
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
  • Communication Attaché (6 months)
  • 15,000

15,000
Develop new targeting mechanisms for Social
Safety Nets programs
  • Pilot program for new targeting mechanism
    launched
  • New targeting mechanism evaluated and scaled up
  • IT hardware
  • 2 Servers
  • 10 PCs
  • Peripherals
  • 8,000
  • 15,000
  • 2,000

25,000
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
  • 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
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
Social Affairs
Ministry of Social Affairs Medium/ Long Term
Technical Assistance Requirements (Post-November
2007)
Programs
Milestones
Budget Items
Amount
Total Budget
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
  • Experts fees to assist in the restructuring of
    MoSA
  • Subcontractor fees to develop MIS
  • 71,000
  • 3,521,500 (based on detailed proposal)

3,592,500
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

-
-
-
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
  • Funding needed to scale up pilot program and
    operate it (to assess the performance of the
    targeting mechanism)
  • 1,000,000

1,000,000
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
  • 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

29,000,000 (depending on targeting)
Note All budgetary requirements should be
reviewed and endorsed by the Ministry of Finance
8
The Ministry of Health has identified seven main
programs under Paris III
Health
Ministry of Health Paris III Milestones
Short-Term Milestones (Pre-November 2007)
Medium/Long-Term Milestones (Post-November 2007)
1
Complete Post-War Recovery Program
  • Special services provided to injured and affected
    communities
  • 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

2
Upgrade Primary Healthcare Services
  • Public hospital accreditation program implemented
    and institutionalized
  • Clinical practice guidelines developed

3
Follow up Implementation of Quality Assurance
Program
  • 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

4
Undertake health financing reform
  • National expanded immunization program enhanced
  • Decentralization of epidemiological surveillance
    system completed
  • Public health programs strengthened
  • Emergency management services provided
  • Non-Communicable Diseases programs enhanced

5
Enhance Public Health Functions and Programs
6
  • N/A
  • "Carte Sanitaire" system implemented
  • Health technology assessment program developed

Improve Public Health Regulations
7
  • Drugs registered from 2000 to 2006 re-priced
  • Current drug registration and reference pricing
    system reviewed and approved
  • Generic drug policies developed and implemented

Undertake Pharmaceutical Reform
9
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
Progress on Short-Term Initiatives
Issues
1
  • Completed

Complete Post-War Recovery Program
  • 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

2
Upgrade Primary Healthcare Services
  • 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

3
Follow up Implementation of Quality Assurance
Program
  • 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

4
Undertake health financing reform
  • 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

5
Enhance Public Health Functions and Programs
6
  • N/A
  • N/A

Improve Public Health Regulations
  • Documents gathered for re-pricing Category A
    pharmaceutical products registered after year
    2001
  • Pricing of part of Category A pharmaceutical
    products reviewed
  • N/A

7
Undertake Pharmaceutical Reform
10
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
Health
Ministry of Health Short Term Technical
Assistance Requirements (Pre-November 2007)
Programs
Milestones
Budget Items
Amount
Total Budget
Complete Post-War Recovery Program
  • Special services provided to injured and affected
    communities

-
-
-
Upgrade Primary Healthcare Services
  • PHC accreditation program developed and
    implemented
  • Catchment areas for 120 centers defined
  • Health card system IT infrastructure developed
  • To be defined
  • To be defined

DPL
Follow up Implementation of Quality Assurance
Program
  • Public hospital accreditation program implemented
    and institutionalized

-
-
-
Undertake health financing reform
  • 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

DPL
Enhance Public Health Functions and Programs
  • Expanded immunization program enhanced
  • Decentralization of epidemiological surveillance
    system completed
  • Public health programs strengthened
  • To be defined
  • To be defined

DPL
Improve Public Health Regulations
  • N/A

-
-
-
Undertake Pharmaceutical Reform
  • Drugs registered from 2000 to 2006 re-priced
  • IT equipment and staff
  • 20,000

20,000
Note All budgetary requirements should be
reviewed and endorsed by the Ministry of Finance
11
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
Health
Ministry of Health Medium/Long-Term Technical
Assistance Requirements (Post-November 2007)
Programs
Milestones
Budget Items
Amount
Total Budget
Complete Post-War Recovery Program
  • N/A

-
-
-
Upgrade Primary Healthcare Services
  • 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
  • 1,300,000

DPL 1,300,000
Follow up Implementation of Quality Assurance
Program
  • Clinical practice guidelines developed

-
-
-
Undertake health financing reform
  • 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

DPL
Enhance Public Health Functions and Programs
  • Emergency management services provided
  • Non-Communicable Diseases programs enhanced
  • To be defined
  • To be defined

DPL
Improve Public Health Regulations
  • Carte Sanitaire" system implemented
  • Health technology assessment program developed

-
-
-
Undertake Pharmaceutical Reform
  • Current drug registration and reference pricing
    system reviewed and approved
  • Generic drug policies developed and implemented

-
-
-
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
Education
Ministry of Education Paris III Milestones
Short-Term Milestones (Pre-November 2007)
Medium/Long-Term Milestones (Post-November 2007)
  • 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

1
Consolidate Policy, Planning and Resources
Allocation
  • 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

2
Achieve Universal Basic Education (UBE) for Ages
6 to 15
  • 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

3
Improve Efficiency, Effectiveness and Competence
Level of the Teaching Workforce
13
The Ministry of Education and Higher Education
has identified seven main programs under Paris
III (Contd)
Education
Ministry of Education Paris III Milestones
Short-Term Milestones (Pre-November 2007)
Medium/Long-Term Milestones (Post-November 2007)
  • 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

4
Enhance Quality of Education
5
  • 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

Enhance the Utilization of Educational Facilities
  • 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

6
Rationalize Vocational and Technical Education
  • 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

7
Develop Quality Assurance in Higher Education
14
Ministry of Education achieved progress on four
programs
Education
Ministry of Education Short Term Initiatives
Progress
1
  • Three years education strategy developed and its
    implementation plan is under preparation
  • Financial planning team undertaking training
  • Tenders for EMIS and SIS launched

Consolidate Policy, Planning and Resources
Allocation
2
  • Not started

Achieve Universal Basic Education (UBE) for Ages
6 to 15
3
Improve Efficiency, Effectiveness and Competence
Level of the Teaching Workforce
  • 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

4
Enhance Quality of Education
5
  • Criteria for school consolidation being prepared
  • Prioritization of small GE and VTE schools
    currently underway

Enhance the Utilization of Educational Facilities
6
  • Not started

Rationalize Vocational and Technical Education
7
  • Not started

Develop Quality Assurance in Higher Education
15
The MEHE needs technical assistance of around 4
million to achieve short-term (Pre-November 2007)
goals
Education
Ministry of Education Short Term Technical
Assistance Requirement (Pre-November 2007)
Programs
Milestones
Budget Items
Amount
Total Budget
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
  • Experts fees to develop capability at MEHE
  • 100,000

100,000
Achieve Universal Basic Education for Ages 6 to 15
  • 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
  • 3,500,000
  • 300,000

3,800,000
Improve Efficiency, Effectiveness Competence
Level of the Teaching Workforce
  • Training on Leadership Management to 30 of
    Public School Principals completed

-
-
-
Enhance Quality of Education
  • Examination Generation System, Examination
    Management System, and a Question Bank System
    developed

-
-
-
Enhance the Utilization of Educational Facilities
  • Schools requiring consolidation identification
  • Consolidation plan ready
  • At least 30 non viable schools consolidated
  • Cost of consolidation
  • 100,000

100,000
Rationalize Vocational and Technical Education
  • VTE teaching tools and methods reviewed
  • Plan for elements of quality assurance completed

-
-
-
Develop Quality Assurance in Higher Education
  • New Laws and Articles for Lebanese University
    developed

-
-
-
Note All budgetary requirements should be
reviewed and endorsed by the Ministry of Finance
16
And around 24 million to achieve medium/ long
term (Post-November 2007) goals
Education
Ministry of Education Medium/ Long Term
Technical Assistance Requirement (Post-November
2007)
Programs
Milestones
Budget Items
Amount
Total Budget
Consolidate Policy, Planning and Resource
Allocation
  • New MEHE organization structure implemented
  • Performance-based budget for the education sector
  • EMIS and SIS operational
  • Permanent Policy, planning, and Information
    Management Unit
  • Cost to connect 100 sites to EMIS
  • Experts fees to develop MEHE capability
  • 500,000
  • 400,000

900,000
Achieve Universal Basic Education for Ages 6 to 15
  • 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 eliminate registration fees for 2 years
  • Cost of providing free textbooks for year 2
  • 8,600,000
  • 3,500,000

12,100,000
Improve Efficiency, Effectiveness Competence
Level of the Teaching Workforce
  • 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
  • 400,000
  • TBD

400,000 Early Retirement Plan Cost
Note All budgetary requirements should be
reviewed and endorsed by the Ministry of Finance
17
And around 24 million to achieve medium/ long
term (Post-November 2007) goals (Contd)
Education
Ministry of Education Medium/ Long Term
Technical Assistance Requirement (Post-November
2007)
Programs
Milestones
Budget Items
Amount
Total Budget
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
  • Cost of Furniture equipment
  • Cost of Psycho Social program
  • Cost of Drop out program
  • 4,000,000
  • 500,000
  • 2,500,000

7,000,000
Enhance the Utilization of Educational Facilities
  • GIS system to optimize utilization of investment
    implemented
  • Upgrading of MEHE physical infrastructure
    initiated
  • Continuous process of school consolidation
  • Cost of GIS
  • 1,000,000

1,000,000
Rationalize Vocational and Technical 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
  • Cost of rationalizing VTE
  • 1,000,000

1,000,000
Develop Quality Assurance in Higher Education
  • 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 implementing initiative
  • 1,500,000

1,500,000
Note All budgetary requirements should be
reviewed and endorsed by the Ministry of Finance
18
NSSF reform is advancing along two major streams
Short-Term quick-wins and a long-Term program in
cooperation with the World Bank
NSSF
NSSF Reform Plans
  • 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

19
The NSSF has started implementing several
short-term quick-wins aiming at strengthening
administration, auditing accounting
NSSF
List of NSSF Short Term Initiatives
  • 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

Strengthen the Administration of the 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

Audit NSSF Accounts and Government Dues
20
containing administrative expenditures,
improving capacity to collect contributions, and
determining NSSF liabilities and securing funding
NSSF
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

Contain Administrative Costs and Health
Expenditures
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

Determine NSSF Liabilities Secure its Funding
and Funding Continuity
  • 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

21
In parallel to short-term quick-wins, the NSSF is
formulating a long-term reform plan in
cooperation with the World Bank
NSSF
NSSF Long Term Programs
Expand Coverage of Social Insurance System
Strengthen the Administration of the NSSF
Improve Financial Continuity of the NSSF
Projects under study and development in
cooperation with the World Bank
Audit, Update and Reform NSSF Accounts and
Accounting Practices
Strengthen Income Protection Policies
22
The Ministry of Labor has planned one program
aiming at Modernizing the Labor Law and
Enhancing Service Delivery of the Ministry
Labor
Overview of Ministry of Labor Paris III Program
  • 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 Ministrys 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

23
Next Steps
Going forward, Natural Owners should resolve
pending issues, finalize short-term Technical
Assistance requirements, and endorse Paris III
Commitment Documents
Actions Required
  • 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

24
Next Steps
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
Meeting Objectives
Dates
  • 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

First Round of IMC Meetings
  • 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

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
  • 3rd Social IMC 21 August 2007

Third Round of IMC Meetings
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
Update on Previous IMC
Social IMC Issues Register
Issue ID Issue Level Issue Description Raised by Date Assigned to Actions 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 MS 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 MS started to develop Charters
27
The appointment of a press attaché for the Social
IMC, and the recruitment of MS staff for MoSA
and MoL/NSSF have been delayed
Update on Previous IMC
Social IMC Issues Register
Issue ID Issue Level Issue Description Raised by Date Assigned to Actions 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 MS staff Minister of Social Affairs 15/05/2007 Minister of Finance Booz Allen Minister of Finance will arrange for financing the recruitment of MS staff from UNDP or World Bank fund Booz Allen to send Job Descriptions for the MS 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 MS staff NSSF 15/05/2007 Minister of Finance Booz Allen Minister of Finance will arrange for financing the recruitment of MS staff from UNDP or World Bank fund Booz Allen to send Job Descriptions for the MS 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 Ministrys initiatives that could be started at this stage 08/06/2007 Completed Meeting 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 Completed Meeting held on 25/05/2007
28
Appendix
  • IMC Issues Register
  • Ministry of Social Affairs
  • Ministry of Health
  • Ministry of Education and Higher Education
  • NSSF
  • Ministry of Labor

29
Ministry of Social Affairs Summary of Paris III
Programs and Initiatives
Social Affairs
List of Programs and Initiatives
Sector Programs and Initiatives Sector Programs and Initiatives Sector Programs and Initiatives Stakeholders Preliminary Timeline Implem. Comments
1. Restructure the Ministry of Social Affairs 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 2008 L 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
30
Ministry of Social Affairs Summary of Paris III
Programs and Initiatives
Social Affairs
List of Programs and Initiatives
Sector Programs and Initiatives Sector Programs and Initiatives Sector Programs and Initiatives Stakeholders Preliminary Timeline Implem. Comments
2. Enhance management of the social sector 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 2007 S 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 2008 M
31
Ministry of Social Affairs Summary of Paris III
Programs and Initiatives
Social Affairs
List of Programs and Initiatives
Sector Programs and Initiatives Sector 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 programs Develop new targeting mechanisms for Social Safety Nets programs
3a. 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 2009 L Depend on initiative (3b)
32
Ministry of Social Affairs Summary of Paris III
Programs and Initiatives
Social Affairs
List of Programs and Initiatives
Sector Programs and Initiatives Sector Programs and Initiatives Sector Programs and Initiatives Stakeholders Preliminary Timeline Implem. Comments
4. Implement prioritized Safety Nets programs 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 ensured
4b. Assure free hospitalization for the poor elderly and children under 5 years MoSA, MoH Q1 2007 Q4 2007 M Safety nets categories would be reviewed after finalizing the targeting mechanisms Sustainability not ensured
4c. Identify services and exemptions to be provided to elderly through electronic Identification Cards MoSA 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 2007 S 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
Source () Final Social Action Plan Towards
Strengthening Social Safety Nets and Access to
Basic Social Services (Republic of Lebanon,
January 2007)
33
Appendix
  • IMC Issues Register
  • Ministry of Social Affairs
  • Ministry of Health
  • Ministry of Education and Higher Education
  • NSSF
  • Ministry of Labor

34
Ministry of Health Summary of Paris III
Programs and Initiatives
Health
List of Programs and Initiatives
Sector Programs and Initiatives Sector Programs and Initiatives Sector Programs and Initiatives Stakeholders Preliminary Timeline Implem. Comments
1. Complete post-war recovery program 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 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 2008 S 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 2009 M 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)
2c. Develop health card system MoH, World Bank Q3 2007 Q1 2008 S 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)
2d. Initiate health card initiative for eligible MoH beneficiaries of 120 catchments areas MoH, World Bank Q3 2007 - Q4 2009 M 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)
2e. Expand IT infrastructure of 120 catchments areas MoH, World Bank Q3 2007 - Q4 2009 S 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)
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 2009 L
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
35
Ministry of Health Summary of Paris III
Programs and Initiatives
Health
List of Programs and Initiatives
Sector Programs and Initiatives Sector 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 program Follow up implementation of Quality Assurance program
3a. Implement and institutionalize public hospital accreditation program MoH, 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 2009 L Low priority initiative Depends on availability of funding
36
Ministry of Health Summary of Paris III
Programs and Initiatives
Health
List of Programs and Initiatives
Sector Programs and Initiatives Sector Programs and Initiatives Sector Programs and Initiatives Stakeholders Preliminary Timeline Implem. Comments
4. Undertake health financing reform Undertake health financing reform
4a. Amend by-laws of public funds to allow for common procedures MoH, NSSF Q2 2008 Q2 2009 M 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 2008 S Not started To be discussed with the World Bank during their mission in July 2007
4c. Revisit the eligibility policies, contribution rates, covered benefits of the insurance funds MoH, NSSF Q3 2007 Q4 2008 L Not started To be discussed with the World Bank during their mission in July 2007
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 funds MoH, 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 Depend on initiatives (4b) and (4c)
37
Ministry of Health Summary of Paris III
Programs and Initiatives
Health
List of Programs and Initiatives
Sector Programs and Initiatives Sector 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 2009 M 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 programs Enhance public health functions and programs
5a. Enhance national expanded immunization program MoH, 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 2009 S To be discussed with the World Bank during their mission in July 2007
5c. Support emergency management services MoH, WHO Q3 2007 Q4 2009 M To be discussed with the World Bank during their mission in July 2007
5d. Strengthen public health programs (Injury prevention, HIV -AIDS, School health) MoH, WHO Q3 2007 Q4 2009 S To be discussed with the World Bank during their mission in July 2007
5e. Enhance Non-Communicable Diseases programs MoH, WHO Q3 2007 Q4 2009 M To be discussed with the World Bank during their mission in July 2007
38
Ministry of Health Summary of Paris III
Programs and Initiatives
Health
List of Programs and Initiatives
Sector Programs and Initiatives Sector Programs and Initiatives Sector Programs and Initiatives Stakeholders Preliminary Timeline Implem. Comments
6. Improve public health regulations 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 Undertake pharmaceutical reform
7a. Re-price all drugs registered from 2000 to 2006 MoH, Order of Pharmacists Q3 2007 Q4 2007 S To be completed by October 2007 Contact Rita Karam
7b. Review and improve current registration system MoH, MoET, Order of Pharmacists Q1 2008 Q4 2009 L
7c. Review and improve current reference pricing system MoH, MoET, Order of Pharmacists Q1 2008 Q4 2009 L
7d. Adopt code of ethics for marketing and promotion of drugs MoH, Order of Pharmacists, Drug companies Q1 2008 Q4 2009 L
7e. Develop and implement generic drug policies MoH, MoET, Order of Pharmacists Q1 2008 Q4 2009 L
7f. Develop prescribing and dispensing guide for physicians and pharmacists regarding generic substitution MoH, Order of Pharmacists, Order of Physicians Q1 2008 Q4 2009 L
39
Appendix
  • IMC Issues Register
  • Ministry of Social Affairs
  • Ministry of Health
  • Ministry of Education and Higher Education
  • NSSF
  • Ministry of Labor

40
Ministry of Education Summary of Paris III
Programs and Initiatives
Education
List of Programs and Initiatives
Sector Programs and Initiatives- Sector Programs and Initiatives- Sector Programs and Initiatives- Stakeholders Timeline Implem. Comments
1. Consolidate policy, planning and resource allocation Consolidate policy, planning and resource allocation
1a. Develop and implement three year education strategy MEHE, EDP, WB Jun 2007 May 2007 S Strategy completed Implementation plan under preparation
1b. Develop a new MEHE organization structure MEHE, EDP, CoM, Parliament Sep 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 2009 S EDP is currently nominati
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