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0 This document is confidential and is intended solely for the use and information of the client to whom it is addressed. Beirut, Lebanon May 17, 2007.

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Presentation on theme: "0 This document is confidential and is intended solely for the use and information of the client to whom it is addressed. Beirut, Lebanon May 17, 2007."— Presentation transcript:

1 0 This document is confidential and is intended solely for the use and information of the client to whom it is addressed. Beirut, Lebanon May 17, 2007 Social Inter-Ministerial Committee Progress Report # 1 Presentation

2 1 The objective of this first Social IMC meeting is to share with your Excellencies the GR PCO structure and progress to-date, resolve pending issues, and agree on the prioritization of initiatives Meeting Objectives  Brief your Excellencies on GR PCO structure  Review implementation progress to-date  Outline issues and challenges  Agree on a prioritization methodology for Paris III initiatives (a preliminary draft of the prioritized initiatives will also be shared with you)  Agree on IMC Secretariat (MoSA) role and responsibilities Note: GR PCO stands for Government Reform Program Coordination Office

3 2 The Inter-Ministerial Committees (IMCs) are chaired by the Prime Minister, and will focus initially on Paris III related activities – The GR PCO will liaise with, and support all stakeholders High Level Structure of the Oversight Committee “Natural Owners” M & S Unit Prime Minister’s Office Prime Minister Social IMC Economic & Fiscal IMC  Committees chaired by the Prime Minister  IMC Secretary appointed during IMC first meeting “Natural Owners” M & S Unit “Natural Owners” M & S Unit Parliament Quarterly Progress Reporting on Paris III Initiatives Note: M&S Unit = Monitoring & Support unit reporting to “Natural Owners” (Ministers/ Government Entities Head) to be set-up as needed Council of Ministers Infrastructure & Privatization IMC GR PCO Technical Support Reporting Consolidation Periodic Reporting The PCO will also support (as needed) the MoF in its interaction with Donors Ministerial Initiatives Teams Cross Ministerial Initiatives Teams Ministerial Initiatives Teams Cross Ministerial Initiatives Teams Ministerial Initiatives Teams Cross Ministerial Initiatives Teams GR PCO Structure

4 3 To-date, the team conducted introductory meetings with Ministers and Heads of Government Entities, and initiated the second round of technical meetings with M&S Units where available Meetings with Natural Owners and M&S Units Monitoring and Support UnitMeeting Date Ministry of Social Affairs M&S 29 Mar 2007; 5 April 2007; 24 April 2007; 8 May 2007 Ministry of Health M&S 21 March 2007; 4 April 2007; 10 May 2007 Ministry of Education M&S 29 March 2007; 12 April 2007; 3 May 2007; 17 May 2007 NSSF DG and M&S 26 March 2007; 13 April 2007; 16 April 2007  Technical meetings were conducted with Natural Owners to discuss their understanding of own commitments under Paris III  Most Natural Owners were positive on GR PCO implementation  Follow-up meetings with M&S Units were held  Technical meetings were conducted with Natural Owners to discuss their understanding of own commitments under Paris III  Most Natural Owners were positive on GR PCO implementation  Follow-up meetings with M&S Units were held  Review and analysis of III Paris initiatives  Grouping of initiatives into programs  Preliminary allocation of Paris III initiatives to Natural Owners  Highlight of overlaps and gaps  Initiation of the development of detailed work plans  Review and analysis of III Paris initiatives  Grouping of initiatives into programs  Preliminary allocation of Paris III initiatives to Natural Owners  Highlight of overlaps and gaps  Initiation of the development of detailed work plans Natural OwnerMeeting Date Minister of Social Affairs 6 March 2007; 13 March 2007 Director General of the Ministry of Health13 March 2007 Minister of Education16 March 2007 Director General of the NSSF14 March 2007 Progress To-date

5 4 List of Social IMC Programs As they stand today, the 4 Natural Owners of the Social IMC have a total of 27 programs … Ministry of Social Affairs 1.Restructure the Ministry of Social Affairs 2.Enhance management of social sector 3.Prepare for the implementation of social safety nets programs 4.Implement prioritized Safety Nets action plan Ministry of Health 1.Complete post-war recovery program 2.Upgrade primary healthcare (PHC) services 3.Implement targeted interventions for maternal and child mortality reduction 4.Improve access and coverage of healthcare services 5.Follow up implementation of Quality Assurance program 6.Develop common health insurance standards, procedures and functions 7.Enhance public health functions and programs 8.Improve public health regulations 9.Undertake pharmaceutical reform Ministry of Education 1.Consolidate policy, planning and resource allocation 2.Achieve Universal Basic Education (UBE) for ages 6 to 15 3.Improve efficiency, effectiveness and competence level of the teaching workforce 4.Enhance quality of education 5.Enhance the utilization of educational facilities 6.Rationalize vocational and technical education 7.Develop Quality Assurance in higher education Ministry of Labor/ NSSF 1.Rationalize and expand coverage of social insurance system 2.Strengthen the governance and administration of the NSSF 3.Audit, update and reform NSSF accounts and accounting practices 4.Improve NSSF capacity to collect contributions under current law 5.Reduce cost to achieve financial equilibrium 6.Strengthen income protection policies 7.Streamline labor law and regulation to facilitate access to skills and increase employer flexibility Progress To-date

6 5 IMC # of Initiatives % of Total Initiatives Social12839% Economic12939% Infrastructure7422% TOTAL331100% Progress To-date … And 128 initiatives, representing 39% of the total number of initiatives, thereby emphasizing the social aspect of the Paris III reform program Distribution of Paris III Initiatives on Natural Owners Finance Labor/ NSSF Education Health Social Affairs CDR HCP Energy/ EDL Telecom OMSAR BDL Economy & Trade Justice 39%

7 6 Natural OwnerSector Strategy Issues Natural Owner/ M&S Engagement Issues Initiative Ownership Issues Staffing Issues Ministry of Social Affairs (MOSA)  2 initiatives related to “providing healthcare services to poor and disabled citizens” have yet to be allocated either to MoSA or to MoH  MoSA requires recruitment of additional M&S staff Ministry of Labor / NSSF (*) (MoL/ NSSF)  Incomplete reform strategy: NSSF reform plan is under development in coordination with the World Bank, which is delaying the planning process  The Minister of Labor has not been engaged to- date, and the Ministry’s initiatives (non-NSSF) have not been finalized Ministry of Health (*) (MoH)  Recent shift in priorities: 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  Minister of Health not engaged to-date, however the DG is actively involved through the M&S Unit  MoL and NSSF require urgent mobilization of new M&S recruits From the initial round of meetings, some issues emerged related to initiatives ownership, M&S units engagement, staffing and NSSF reform plan Issues Facing the Social IMC (*) Natural Owner’s programs were developed in coordination with the World Bank Issues and Challenges

8 7 One labor program consisting of 5 initiatives is directly dependent on the Ministry of Labor (not engaged to-date) Sector Reform Programs and Initiatives Preliminary Timeline 7.Streamline labor law and regulation to facilitate access to skills and increase employer flexibility 7a.Streamline work permit procedures for skilled foreign workers and remove duplicative pre- approval by Ministry of Labor Q – Q b.Eliminate social security quietus for exports and provide alternatives Q – Q c.Eliminate taxation of foreign employees who do not benefit from social security, as per NSFF draft law Q – Q d.Revise labor law to facilitate employment of temporary and seasonal workers, youth labor Q – Q e.Change procedure for termination of employment agreements to allow simple notification, remove MoL approval and investigation Q – Q Ministry of Labor/ NSSF 1.Rationalize and expand coverage of social insurance system 2.Strengthen the governance and administration of the NSSF 3.Audit, update and reform NSSF accounts and accounting practices 4.Improve NSSF capacity to collect contributions under current law 5.Reduce cost to achieve financial equilibrium 6.Strengthen income protection policies 7.Streamline labor law and regulation to facilitate access to skills and increase employer flexibility MoL/ NSSF Current List of ProgramsPrograms Totally Dependent on the Ministers’ Engagement 4 4 Issues and Challenges

9 8 Two initiatives relating to healthcare services remain without clear Natural Owner Sector Reform Programs and InitiativesPreliminary Timeline 1.Provide healthcare services to poor and disabled citizens 1a.Assure free hospitalization for the poorQ – Q b.Implement free health care system for the holders of the Disability Card (Law # 220) Q – Q Initiatives to Be Owned by MoH or MoSA Issues and Challenges 5 5

10 9 NSSF/ MoL and MoSA require urgent mobilization of new M&S recruits  Currently the NSSF does not have the needed resources to prepare program charters and the necessary GR PCO reporting  At least two recruits are needed to work with the NSSF Director for NSSF initiatives, and the Minister of Labor for the Ministry’s initiatives  Similarly, MoSA needs additional resources (1-2 recruits) as the staff currently doing the work has other activities at the Ministry  A request was made to the Prime Minister’s Office for speedy engagement of the M&S Units for the NSSF/ MoL, as well as MoSA M&S Unit for NSSF/MoL and MoSA 6 6 Issues and Challenges

11 10 Initiatives Prioritization Criteria Current initiatives can be prioritized according to several criteria including the extent to which they could translate into “quick-wins” and have a noticeable impact on the concerned sector reform  Should have a noticeable impact before November 2007  The impact should affect a large part of the population  The impact on the concerned sector reform should be easily communicated to the public  Should have a noticeable impact before November 2007  The impact should affect a large part of the population  The impact on the concerned sector reform should be easily communicated to the public Short-term Impact  Can be implemented without the need for legislation enactment  Requires long preparations (more than 5 months) before being submitted to the Parliament  Could be implemented with alternatives to legislation  Can be implemented without the need for legislation enactment  Requires long preparations (more than 5 months) before being submitted to the Parliament  Could be implemented with alternatives to legislation Absence of legislative barriers  Already progressing and requires minimal budget  Budget already allocated through other sources  Already progressing and requires minimal budget  Budget already allocated through other sources Budget availability / Ongoing activity Prioritization of Initiatives

12 11 List of Programs and Initiatives Ministry of Social Affairs – Short-term Paris III Programs and Initiatives Sector Reform Programs and InitiativesStakeholdersPreliminary TimelineComments 2.Enhance management of social sector 2a.Establish and activate an Inter-ministerial Committee for Social Policy (ICSP) supported by a technical secretariat MoSAQ  Completed 2b.Formulate a comprehensive social strategyMoSA, ICSPQ – Q c.Eliminate duplication and increase coordination in the delivery of social services and implementation of programs between the ministries of Education, Health and Social Affairs MoSA, ICSPQ – Q e.Create a coordination mechanism for the implementation of local development projects MoSA, ICSPQ – Q  Initiative already started 3.Prepare for the implementation of social safety nets programs 3a.Establish an put in place targeting mechanism (through proxy means testing) for implementing Safety Net programs MoSA, ICSPQ – Q Implement prioritized Safety Nets action plan 4b.Expand services offered to the disabled - Scale up and improve the already existing “full in house service” MoSAQ – Q PRELIMINARY Prioritization of Initiatives

13 12 List of Programs and Initiatives Ministry of Health – Short-term Paris III Programs and Initiatives Sector Reform Programs and InitiativesStakeholdersPreliminary TimelineComments 2.Upgrade Primary Healthcare (PHC) services 2a.Revise and enhance the PHC package of services for 120 catchments areas; Define catchment areas for 120 centers and establish a referral system between these centers and public hospitals in the same areas MoH, World BankQ Q b.Initiate health card initiative for eligible MoH beneficiaries of 120 catchments areas MoH, World BankQ Q c.Expand IT infrastructure of 120 catchments areasMoH, World BankQ Q d.Develop and implement PHC accreditation program MoHQ – Q  Funded by Italian Cooperation 4.Improve access and coverage of healthcare services 4b.Establish voucher distribution system for poor patients suffering from key chronic conditions (e.g. diabetes, HIV-AIDs, mental illness) MoHQ – Q  Ongoing 4c.Develop targeting methods to better evaluate the coverage provided by the Ministry of Health MoHQ – Q  Ongoing 5.Follow up implementation of Quality Assurance program 5a.Continue implementation of hospital accreditation program MoH, French Health AuthorityQ – Q  No funding needed  Covered through French Government Assistance PRELIMINARY Prioritization of Initiatives

14 13 List of Programs and Initiatives Ministry of Health – Short-term Paris III Programs and Initiatives … (Cont’d) Sector Reform Programs and InitiativesStakeholdersPreliminary TimelineComments 6.Develop common health insurance standards, procedures and functions 6b.Re-commission the work on the standardization of codes, forms, and payment methods across the funds MoH, NSSFQ – Q f.Complete the visa billing systemMoHQ – Q  Development, testing, training and implementation to be completed in one year 6g.Integrate Health Management Information System (HMIS) across funds MoH, NSSFQ Q  Depends on discussions with NSSF 6h.Update and institutionalize the National Health Accounts (NHA) MoHQ Q Enhance public health functions and programs 7a.Enhance national expanded immunization program MoH, UNICEF, MoFQ – Q b.Strengthen epidemiological surveillanceMoHQ – Q d.Strengthen public health programsMoH, WHOQ – Q PRELIMINARY Prioritization of Initiatives

15 14 List of Programs and Initiatives Ministry of Education – Short-term Paris III Programs and Initiatives Sector Reform Programs and Initiatives-StakeholdersPreliminary TimelineComments 1.Consolidate policy, planning and resource allocation 1a.Implement three-year education reform strategy which aims at achieving universal basic education MEHEQ – Q  Strategy completed  Implementation plan under preparation 2.Achieve Universal Basic Education (UBE) for ages 6 to 15 2e.Provide free textbooks to public schools students through revolving textbooks program MEHE, ECRD, UNICEFQ – Q f.Provide free school transportation for cycle 3 public students arising from their reallocation MEHE, Ministry of TransportQ – Q Improve efficiency, effectiveness and competence level of the teaching workforce 3a.Continue implementation of Leadership Development Program for school principals and institutionalize the program within MEHE and LU MEHE, EDP, LUQ – Q  302 school Principals are currently implementing the self guided modules and practicum phase 3b.Enhance the professional competence of the teaching workforce EDP, ECDRQ – Q  EDP launched procurement process for selection of TA Consultant to develop evaluation tools  Technical Committee has finalized the technical evaluation 3c.Enhance the efficiency of teacher work-force utilization MEHEQ – Q PRELIMINARY Prioritization of Initiatives

16 15 List of Programs and Initiatives Ministry of Labor / NSSF – Short-term Paris III Programs and Initiatives Sector Reform Programs and InitiativesStakeholdersPreliminary TimelineComments 2.Strengthen the governance and administration of the NSSF 2c.Build strong IT capacity - Establish a directorate level IT department - Recruit a mix of internal and external skills NSSFQ – Q Audit, update and reform NSSF accounts and accounting practices 3a.Resolve issues relating to government dues, NSSF assets, Bank deposits dormant accounts, receivables and payables - Setup committee from NSSF and MoF to reconcile differences - Decide, in light of Committee’s outcome, whether or not to engage auditor to reconcile differences NSSF, MoFQ – Q b.Perform 2001 and 2006 audits by an international Firm NSSF, MoFQ – Q Improve NSSF capacity to collect contributions under current law 4a.Share non confidential information between Ministry of Finance and NSSF on registered companies and self employed NSSFQ – Q b.Increase the number of field auditors to regularly survey companies NSSFQ – Q c.Perform field audit to increase complianceNSSFQ – Q d.Enforce current penalties on late paymentsNSSFQ – Q PRELIMINARY Prioritization of Initiatives

17 16 MoSA is ensuring the Secretariat role for the Social IMC and will be providing administrative support Functions of the IMC Secretary  Provide overall administrative support  Prepare agenda and circulate it before the meeting  Receive contribution of the IMC members and compile them  Distribute documentation to IMC members before the meeting  Prepare and distribute minutes of meetings Next Steps

18 17 Overall, four IMC meetings need to take place to finalize programs, timelines, KPIs and funding, with steady-state implementation progress reporting starting in August IMC Engagement Schedule – First Six Months  Appoint Secretary to the IMC and agree on his/her role  Review progress, and resolve escalated issues  Endorse initiative and program allocation, and resolve overlaps  Appoint Secretary to the IMC and agree on his/her role  Review progress, and resolve escalated issues  Endorse initiative and program allocation, and resolve overlaps  1 st Social IMC: 17 May 2007  Follow up on 1 st round of IMC meetings  Endorse cross ministerial initiative teams  Review and discuss program charters, plans and milestones  Start filtering funding / TA requirements  Resolve escalated issues  Follow up on 1 st round of IMC meetings  Endorse cross ministerial initiative teams  Review and discuss program charters, plans and milestones  Start filtering funding / TA requirements  Resolve escalated issues  2 nd Social IMC: 13 June 2007  Approve natural Owners funding/ TA requests  Endorse program charters including action plans, KPIs and milestones  Sign Paris III Commitment Documents with Natural Owners  Approve natural Owners funding/ TA requests  Endorse program charters including action plans, KPIs and milestones  Sign Paris III Commitment Documents with Natural Owners  3 rd Social IMC: 9 July 2007  Follow up on 3 nd round of IMC meetings  Resolve issues arising out of funding requests and other items  Review monthly progress of implementation  Start steady-state implementation progress reporting  Follow up on 3 nd round of IMC meetings  Resolve issues arising out of funding requests and other items  Review monthly progress of implementation  Start steady-state implementation progress reporting  4 th Social IMC: 13 August 2007 First Round of IMC Meetings First Round of IMC Meetings Meeting ObjectivesDates Second Round of IMC Meetings Second Round of IMC Meetings Third Round of IMC Meetings Third Round of IMC Meetings Steady-State Implementation Progress Reporting Next Steps

19 18 Going forward, Natural Owners should finalize and prioritize their list of initiatives, and follow up on the development of Program Charters with their respective M&S Units Actions Required  Review and finalize programs and initiatives ownership: -Quickly finalize NSSF and MoH reform initiatives currently being developed in coordination with the World Bank -Decide whether MoSA or MoH should own the provisioning of healthcare to poor and disabled citizens -Engage MoL and identify its initiatives accordingly  Review and agree on short term initiatives prioritization  Identify the need for, and assign specific ministerial or inter-ministerial initiative teams  Follow-up on progress in development of Program Charters with M&S Units Next Steps


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