beirut, lebanon july 6, 2007

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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)


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



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



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



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)


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


“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


Affairs

Enhance Management of the

Social Sector


Social Sector

Develop New Targeting

Mechanisms for Social Safety Nets

Programs



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


Affairs


Affairs


Social Sector


Social Sector



Programs



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


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





Not initiated Not initiated Could be delayed in the absence of timely funding


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Social Affairs

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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


Social Affairs







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


the Social Sector



Monitoring / evaluation mechanisms established

Local develop. guidelines established



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








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




“Full in house” services to disabled improved

Free healthcare/hospitalization provided for targeted segments

Ongoing school food program improved


“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



Social Affairs


Social Affairs





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


the Social Sector


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

-- -- --







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



Coverage of services offered to the disabled expanded


Coverage of services offered to the disabled expanded


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


Ministry of Social Affairs – Medium/ Long Term Technical Assistance Requirements(Post-November 2007)

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The Ministry of Health has identified seven main programs under Paris III

Health

Ministry of Health Paris III MilestonesShort-Term Milestones(Pre-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


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


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


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


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


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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)


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


Upgrade Primary Healthcare ServicesUpgrade Primary Healthcare Services

Follow up Implementation of Quality Assurance ProgramFollow up Implementation of Quality Assurance Program


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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Health

Ministry of Health – Short Term Technical Assistance Requirements(Pre-November 2007)




Special services provided to injured and affected communities -- -- --

Upgrade Primary Healthcare Services



Catchment areas for 120 centers defined Health card system & IT infrastructure developed


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


Program



-- -- --



Pilot testing of the visa billing system completed National Health Accounts (NHA) institutionalized


Pilot testing of the visa billing system completed National Health Accounts (NHA) institutionalized


DPLDPL

Enhance Public Health Functions and

Programs


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


DPLDPL

Improve Public Health Regulations


N/A N/A

-- -- --

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


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Health

Ministry of Health – Medium/Long-Term Technical Assistance Requirements(Post-November 2007)

ProgramsPrograms





Program


Program



Programs


Programs





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

-- -- --


Insurance functions integrated across funds Electronic processing of hospital bills implemented


Insurance functions integrated across funds Electronic processing of hospital bills implemented


DPLDPL

Emergency management services provided Non-Communicable Diseases programs

enhanced

Emergency management services provided Non-Communicable Diseases programs

enhanced


DPLDPL

“Carte Sanitaire" system implemented Health technology assessment program developed

“Carte Sanitaire" system implemented Health technology assessment program developed -- -- --




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


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)




Consolidate Policy, Planning and Resources Allocation


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


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



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


Public school teachers reallocated based on optimal utilization plan

Second Language learning opportunities expanded

Recruitment of teachers based on university degrees


Separation packages offered to 2884 teachers

Professional competence of teaching workforce enhanced


Second Language learning opportunities expanded

Recruitment of teachers based on university degrees


Separation packages offered to 2884 teachers

Professional competence of teaching workforce enhanced

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Education

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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)




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


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)


(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


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


VTE teaching tools and methods reviewed Plan for elements of quality assurance

completed


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




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


Standards for institutional QA implemented at MEHE

National structures for quality assurance established

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Education

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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



Ministry of Education achieved progress on four programs

Ministry of Education – Short Term Initiatives Progress







Enhance Quality of EducationEnhance Quality of Education


Rationalize Vocational and Technical EducationRationalize Vocational and Technical Education



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44

55

66

77

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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


MilestonesMilestones Budget ItemsBudget Items AmountAmount Total BudgetTotal Budget

Consolidate Policy, Planning and Resource

Allocation


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





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




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

Enhance the Utilization of Educational Facilities



Cost of consolidation Cost of consolidation $ 100,000 $ 100,000

$ 100,000$ 100,000

Rationalize Vocational and Technical Education

Rationalize Vocational and Technical Education


completed


completed-- -- --

Develop Quality Assurance in Higher

Education


Education


New Laws and Articles for Lebanese University developed -- -- --

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… 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



Allocation


Allocation

Achieve Universal Basic Education for Ages 6 to

15

Achieve Universal Basic Education for Ages 6 to

15





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


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


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

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… 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




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



Upgrading of MEHE physical infrastructure initiated Continuous process of school consolidation


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


Education


Education








Standards for institutional QA implemented at MEHE National structures for quality assurance established


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


Follow up on 2nd round of IMC meetings

Review and approve natural Owners funding/ TA requests


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 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


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


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 Health


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




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


Social Affairs

31




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)


Social Affairs

32



Source: (*) “Final Social Action Plan: Towards Strengthening Social Safety Nets and Access to Basic Social Services” (Republic of Lebanon, January 2007)


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.


4f. Implement free healthcare/hospitalization for the holders of the Disability Card (Law # 220)

MoSA, MoH Q1 2007 – Q4 2007S


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


Social Affairs

33

Appendix

IMC Issues Register


Ministry of Health


NSSF

Ministry of Labor

34


Ministry of Health – Summary of Paris III Programs and Initiatives


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


Health

35




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


Health

36




4.Undertake health financing reform

4a.Amend by-laws of public funds to allow for common procedures

MoH, NSSF Q2 2008 – Q2 2009M



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



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


Health

37




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


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


Health

38




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


Health

39

Appendix

IMC Issues Register


Ministry of Health


NSSF

Ministry of Labor

40


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


Education

41




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


Education

42




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


Education

43



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


6f. Adopt a system for pedagogic orientation and guidance

MEHE, DGVTE Jul 2007 – Nov 2009M

6g. Develop standards for institutional quality assurance


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


Education

44

Appendix

IMC Issues Register


Ministry of Health


NSSF

Ministry of Labor

45


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


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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


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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


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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


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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


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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


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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


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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


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



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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


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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


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Appendix

IMC Issues Register


Ministry of Health


NSSF

Ministry of Labor

56

Labor


Ministry of Labor – Summary of Paris III Programs and Initiatives


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
