GR PCO - IMC - Social_20070706 by xiuliliaofz

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									PRESENTATION




Social Inter-Ministerial Committee
Progress Report # 2

                                                                                                Beirut, Lebanon
                                                                                                    July 6, 2007

   This document is confidential and is intended solely for the use and information of the client to whom it is addressed.




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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




                                                                                                1
                                                                                                                   Progress To-date

 The Paris III implementation planning process is generally on track –
 Delays might occur with NSSF
                                                 Social IMC Progress To-date
                                                 Program
  Natural     Identification Prioritization                 KPIs
                                                 Charters             Natural Owner Review                Immediate Next Steps
  Owner        of Initiatives of Initiatives               Setting
                                               Development
                                                                                                Finalize detailed workplans for
Ministry of                                                          Minister reviewed Program   programs 3 and 4
Social              ✓              ✓               75%      25%       Charters and Technical
                                                                                                Develop KPIs
Affairs                                                                      Assistance

                                                                           Minister reviewed         Finalize development of Program
Ministry of                                                          initiatives prioritization and   Charters for short-term initiatives
Health
                    ✓              ✓               50%
                                                                       DG reviewed Technical         Develop KPIs
                                                                               Assistance
                                                                                                     Finalize KPIs
                                                                     Minister reviewed Program  Finalize “Early Retirement Plan” for
Ministry of                                                                                           teachers with MoF
Education
                    ✓              ✓               ✓        50%        Charters and Technical
                                                                               Assistance            Develop final commitment document
                                                                                                      and obtain Minister of Education
                                                                                                      and Higher Education endorsement
                                                                                                     Develop Program Charters and
                                                                                                      Detailed Workplans for short-term
              List of short-                                                                          initiatives
                   term                                                 NSSF DG involved in          Develop NSSF reform program in
NSSF            initiatives
                                                                        Program development           coordination with Minister of Labor,
                  under
              development                                                                             NSSF Board, NSSF General
                                                                                                      Management and NSSF Technical
                                                                                                      Committee
                                                                                                     Finalize Program Charters (Medium
Ministry of                                                          Minister reviewed Program
Labor
                    ✓              ✓               50%
                                                                                Charters
                                                                                                      and long-term budget)
                                                                                                     Develop KPIs
                                                                                                                                        2
                                                                                                                     Social Affairs
    The Ministry of Social Affairs has developed four main programs
    under Paris III
                                   Ministry of Social Affairs – Program Milestones
                                        Short-Term Milestones                                Medium/Long-Term Milestones
                                         (Pre-November 2007)                                    (Post-November 2007)
1                         Improved procedures for implementation of local           New MoSA mandate endorsed by Social IMC
     Restructure the       development projects at MoSA finalized                     and Council of Ministers
    Ministry of Social    Ministerial decision taken for eligibility criteria of    New MoSA organizational chart enacted by
         Affairs           NGOs and Welfare Institutions wishing to be                Parliament
                           subcontracted by MoSA                                     Processes at MoSA automated
                          Social Inter-Ministerial Committee established            Social strategy action plan endorsed by Council
2                                                                                     of Ministers and implemented
                          Communication Attaché appointed
        Enhance           Social strategy framework developed                       Duplication in delivery of social services and
     Management of        Action plan for eliminating duplicated programs            program implementation eliminated
    the Social Sector      and services endorsed by Council of Ministers             Monitoring / evaluation mechanisms established
                          Mapping of existing local dev. projects completed         Local development guidelines established

                          Proxy Means Testing (PMT) formula finalized               Pilot program for new targeting mechanism
3    Develop New                                                                      launched
                          Decision taken by IMC on the hosting of the PMT
      Targeting            database                                                  New targeting mechanism evaluated and scaled
    Mechanisms for        Implementation plan for new targeting                      up
     Social Safety         mechanism of Social Safety nets programs
    Nets Programs          approved by IMC

                          Coverage of services offered to the disabled              Provision of cash assistance to poor households
4
                           expanded (Rights and Access)                               using new targeting mechanism
       Implement          Proposal finalized for the implementation of free         “Full in house” services to disabled improved
    Prioritized Safety     healthcare/hospitalization for the holders of the         Free healthcare/hospitalization provided for
     Nets Programs         Disability Card                                            targeted segments
                                                                                     Ongoing school food program improved
                                                                                                                                        3
                                                                                                                         Social Affairs
    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 Initiatives                                      Issues

1                            Draft procedures for implementing local                   Could be delayed in the absence of timely
     Restructure the          development project at MoSA prepared                       funding
    Ministry of Social       Draft ministerial decision for eligibility criteria of
         Affairs              Welfare Institutions and NGOs prepared

                             Previous studies and sectoral strategies                  Delay in appointing a Communication attaché for
                              conducted by concerned ministries reviewed                 the Social IMC
                             Development of social strategy launched with
2                             support from experts. Components to be ready
        Enhance               by mid-July 2007
     Management of           Intern recruited to coordinate elimination of
    the Social Sector         duplicated activities between MoSA, MoH and
                              MEHE. Identification to be completed by August
                              2007
                             Consultant appointed (CDR) to undertake
                              mapping of local dev projects
3    Develop New             Analysis of Multi-Purpose Survey and                      Could be delayed in the absence of timely
      Targeting               determination of poverty indicators currently              funding
    Mechanisms for            undertaken
     Social Safety           Targeting mechanisms under development
    Nets Programs             through proxy means testing

4                            Not initiated                                             Could be delayed in the absence of timely
       Implement
                                                                                         funding
    Prioritized Safety
     Nets Programs
                                                                                                                                           4
                                                                                                                    Social Affairs
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)
  Programs                       Milestones                             Budget Items                 Amount       Total Budget
                 New MoSA mandate endorsed by Social  Experts/HR fees (MoSA
                  IMC and Council of Ministers          restructuring)
  Restructure  New MoSA organizational chart enacted
                                                          – Organizational                         $ 2,000
the Ministry of   by Parliament                           – Training                               $ 4,000        $ 14,000
 Social Affairs  Processes at MoSA automated             – Social Development                     $ 6,000
                                                          – Legal                                  $ 2,000
               Social strategy action plan endorsed by          Communication Attaché            $ 15,000
                Council of Ministers and implemented              (6 months)
   Enhance
               Duplication in delivery of social services
Management of   and program implementation eliminated
  the Social   Monitoring / evaluation mechanisms
                                                                                                                   $ 15,000
    Sector      established
               Local develop. guidelines established

 Develop new        Pilot program for new targeting        IT hardware:
                     mechanism launched                        – 2 Servers                         $ 8,000
  targeting         New targeting mechanism evaluated and     – 10 PCs                            $ 15,000
 mechanisms          scaled up                                 – Peripherals
  for Social                                                                                       $ 2,000        $ 25,000
 Safety Nets
  programs
                    Provision of cash assistance to poor        Cost to increase delivery of     $ 1,000,000
                     households using new targeting               proximity services within the     (out of
  Implement          mechanism                                    Rights and Access program         $3,000,000)
  Prioritized       “Full in house” services to disabled         (60,000 handicapped)
  Safety Nets        improved                                                                                     $ 1,000,000
                    Free healthcare/hospitalization provided
   Programs          for targeted segments
                    Ongoing school food program improved
Note: All budgetary requirements should be reviewed and endorsed by the Ministry of Finance                                          5
                                                                                                                     Social Affairs
… And around $ 33.6 million to achieve long term (Post-November
2007) goals
           Ministry of Social Affairs – Medium/ Long Term Technical Assistance Requirements
                                          (Post-November 2007)
  Programs                      Milestones                            Budget Items                   Amount        Total Budget
                 Improved procedures for implementation        Experts fees to assist in the     $ 71,000
                  of local development projects at MoSA          restructuring of MoSA
  Restructure
                  finalized                                     Subcontractor fees to develop     $ 3,521,500
the Ministry of  Ministerial decision taken for eligibility     MIS                                (based on      $ 3,592,500
 Social Affairs   criteria of NGOs and Welfare Institutions                                         detailed
                  wishing to be subcontracted by MoSA                                               proposal)
                 Social IMC established
    Enhance      Communication Attaché appointed
                 Social strategy framework developed
Management of  Action plan for eliminating duplicated
   the Social
                                                                              -                          -               -
                  programs and services endorsed by CoM
     Sector      Mapping of existing local development
                  projects completed
 Develop new  Proxy Means Testing formula finalized            Funding needed to scale up        $ 1,000,000
    targeting    Decision taken by IMC on the hosting of        pilot program and operate it (to
                  the PMT database, and the staff required       assess the performance of the
 mechanisms                                                      targeting mechanism)
   for Social
                  to maintain it                                                                                   $ 1,000,000
                 Implementation plan for new targeting
  Safety Nets     mechanism of Social Safety nets
   programs       programs approved by IMC
                 Coverage of services offered to the           Cash assistance to poor           $ 16,000,000
                  disabled expanded                             Free hospitalization cost         $ 7,000,000
  Implement      Proposal finalized for the implementation     Cost to improve food in public    $ 2,000,000    $ 29,000,000
  Prioritized     of free healthcare/hospitalization for the     schools
  Safety Nets     holders of the Disability Card                Cost to increase delivery of      $ 2,000,000     (depending
                                                                 proximity services                                on targeting)
   Programs                                                     In-house services for disabled    $ 1,000,000
                                                                Services & Exemptions to poor     $ 1,000,000
Note: All budgetary requirements should be reviewed and endorsed by the Ministry of Finance                                           6
                                                                                                                                       Health
The Ministry of Health has identified seven main programs under
Paris III
                                           Ministry of Health Paris III Milestones
                                              Short-Term Milestones                               Medium/Long-Term Milestones
                                               (Pre-November 2007)                                   (Post-November 2007)
1
    Complete Post-War             Special services provided to injured and affected
                                   communities
    Recovery Program

                                  PHC accreditation program developed and                 Catchment areas for 120 centers defined and referral
                                   implemented                                              system between centers and hospital designed
2                                                                                          Health card system and IT infrastructure developed
    Upgrade Primary                                                                        Disease management guidelines implemented
    Healthcare Services                                                                    Performance based contracting for targeted primary
                                                                                            health care services implemented
                                                                                           Roll-out of maternal and child mortality reduction
                                                                                            program to 10 cazas completed

3                                 Public hospital accreditation program implemented       Clinical practice guidelines developed
    Follow up Implementation
                                   and institutionalized
    of Quality Assurance
    Program

                                  Database of eligible beneficiaries integrated across    By-laws of public funds amended to allow for
4                                  public funds                                             common procedures
    Undertake health financing
                                  Pilot testing of the visa billing system completed      Insurance functions harmonized and integrated
    reform                                                                                  across funds
                                  National Health Accounts (NHA) updated and
                                   institutionalized                                       Electronic processing of hospital bills implemented

5                                 National expanded immunization program enhanced         Emergency management services provided
    Enhance Public Health         Decentralization of epidemiological surveillance        Non-Communicable Diseases programs enhanced
    Functions and Programs         system completed
                                  Public health programs strengthened

6                                 N/A                                                     "Carte Sanitaire" system implemented
    Improve Public Health
                                                                                           Health technology assessment program developed
    Regulations


7                                 Drugs registered from 2000 to 2006 re-priced            Current drug registration and reference pricing
    Undertake Pharmaceutical                                                                system reviewed and approved
    Reform                                                                                 Generic drug policies developed and implemented
                                                                                                                                                  7
                                                                                                                                        Health
While MoH has started working on its short-term initiatives, it is
still finalizing its detailed planning with the support of the World
Bank              Ministry of Health – Short Term Initiatives Progress and Issues

                                      Progress on Short-Term Initiatives                                           Issues
1                                 Completed
    Complete Post-War
    Recovery Program

                                  PHC accreditation program funded by Italian               Catchment areas, referral system, health card system
2                                  Cooperation, and started implementation with               and IT infrastructure not started and under discussion
    Upgrade Primary                Balamand University                                        between MoH and the World Bank during their mission
    Healthcare Services                                                                       in July 2007
                                                                                             Wadi Khalid project roll-out lacking funding

3                                 Public hospital accreditation program funded by MoH       Public hospital accreditation program contract signed
    Follow up Implementation
                                   budget of 2007, and implemented by the French              with ESA in May 2007, waiting for approval of Court of
    of Quality Assurance           Health Authority through ESA (Project duration of 18       Accounts
    Program                        months)
                                  Database of eligible beneficiaries already operational    Several initiatives not started and under discussion
4                                  across public funds                                        between MoH and the World Bank during their mission
    Undertake health financing    Pilot testing of the visa billing system conducted in-     in July 2007
    reform                         house by MoH (To be completed by Nov 2007)
                                  Currently developing NHA matrices for 2004-2005
                                  N/A                                                       National expanded immunization program stopped
5                                                                                             because funds were not transferred from MoF to MoH
    Enhance Public Health                                                                    Public health programs (AIDS, NCD) stopped because
    Functions and Programs                                                                    funds were not transferred from MoF to WHO
                                                                                             Several initiatives not started, and under discussion
                                                                                              between MoH and the World Bank
6                                 N/A                                                       N/A
    Improve Public Health
    Regulations

                                  Documents gathered for re-pricing Category A              N/A
7                                  pharmaceutical products registered after year 2001
    Undertake Pharmaceutical
    Reform                        Pricing of part of Category A pharmaceutical products
                                   reviewed
                                                                                                                                                  8
                                                                                                                               Health
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
                        Ministry of Health – Short Term Technical Assistance Requirements
                                               (Pre-November 2007)
     Programs                             Milestones                                Budget Items          Amount          Total Budget

 Complete Post-War         Special services provided to injured and
 Recovery Program           affected communities                                             -                 -               -

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

      Follow up            Public hospital accreditation program
  Implementation of         implemented and institutionalized
  Quality Assurance                                                                          -                 -               -
      Program
                           Database of eligible beneficiaries integrated       To be defined           To be defined
  Undertake health          across public funds
  financing reform         Pilot testing of the visa billing system completed                                               DPL
                           National Health Accounts (NHA) institutionalized
Enhance Public Health      Expanded immunization program enhanced  To be defined                       To be defined
                           Decentralization of epidemiological
   Functions and            surveillance system completed                                                                    DPL
     Programs              Public health programs strengthened
                           N/A
Improve Public Health
    Regulations                                                                              -                 -               -
                           Drugs registered from 2000 to 2006 re-priced      IT equipment and staff    $ 20,000
     Undertake
Pharmaceutical Reform                                                                                                      $ 20,000
  Note: All budgetary requirements should be reviewed and endorsed by the Ministry of Finance                                            9
                                                                                                                                     Health
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
                   Ministry of Health – Medium/Long-Term Technical Assistance Requirements
                                             (Post-November 2007)
     Programs                                 Milestones                               Budget Items             Amount          Total Budget

 Complete Post-War
 Recovery Program
                           N/A                                                                 -                    -               -
                           Disease management guidelines implemented                 Roll-out of maternal    $ 1,300,000
  Upgrade Primary          Performance based contracting for targeted                 and child mortality
                                                                                                                                   DPL +
                            primary health care services implemented                   reduction program to
 Healthcare Services       Roll-out of maternal and child mortality reduction         10 cazas                                 $ 1,300,000
                            program to 10 cazas
      Follow up            Clinical practice guidelines developed
  Implementation of
  Quality Assurance                                                                             -                    -               -
      Program
                           By-laws of public funds amended to allow for common       To be defined           To be defined
  Undertake health          procedures
  financing reform         Insurance functions integrated across funds                                                            DPL
                           Electronic processing of hospital bills implemented
Enhance Public Health      Emergency management services provided                    To be defined           To be defined
                           Non-Communicable Diseases programs
   Functions and            enhanced                                                                                               DPL
     Programs
                           “Carte Sanitaire" system implemented
Improve Public Health      Health technology assessment program developed
    Regulations                                                                                 -                    -               -
                           Current drug registration and reference pricing system
     Undertake              reviewed and approved
Pharmaceutical Reform      Generic drug policies developed and implemented                     -                    -               -
  Note: All budgetary requirements should be reviewed and endorsed by the Ministry of Finance                                                 10
                                                                                                              Education
The Ministry of Education and Higher Education has identified
seven main programs under Paris III
                                 Ministry of Education – Paris III Milestones
                                       Short-Term Milestones                       Medium/Long-Term Milestones
                                        (Pre-November 2007)                           (Post-November 2007)
                             National education strategy developed           New MEHE organization structure
1                            Policy, planning and Information                 implemented
    Consolidate Policy,       Management functions integrated to MEHE         Performance-based budget for the education
    Planning and             Contract for delivery of SIS equipment           sector
    Resources Allocation      signed                                          EMIS and SIS operational
                             Contract signed for organizational structure    Permanent Policy, planning, and Information
                              and performance budgeting                        Management Unit

                             Textbooks for all public school students        Compulsory Basic Education Legislations
2                             distributed                                      enacted
    Achieve Universal        Free transportation scheme for reallocated      Registration fees for Cycle 3 eliminated
    Basic Education (UBE)     cycle 3 students established                    Local society engaged in financing of school
    for Ages 6 to 15                                                           fund
                                                                              100% of cycle 3 reallocated public students
                                                                               receiving free school transportation

                             Training on Leadership Management to 30%        Public school teachers reallocated based on
                              of Public School Principals completed            optimal utilization plan
                                                                              Second Language learning opportunities
                                                                               expanded
3 Improve Efficiency,
                                                                              Recruitment of teachers based on university
  Effectiveness and                                                            degrees
  Competence Level of                                                         Training on Leadership Management to 50%
  the Teaching                                                                 of Public School Principals completed
  Workforce                                                                   Separation packages offered to 2884
                                                                               teachers
                                                                              Professional competence of teaching
                                                                               workforce enhanced
                                                                                                                          11
                                                                                                                  Education
The Ministry of Education and Higher Education has identified
seven main programs under Paris III … (Cont’d)
                                   Ministry of Education – Paris III Milestones
                                         Short-Term Milestones                         Medium/Long-Term Milestones
                                          (Pre-November 2007)                             (Post-November 2007)
                               Examination Generation System,                    New Curriculum developed
                                Examination Management System, and a              Quality and content of the student textbooks
4                               Question Bank System developed                     and teachers guide enhanced
    Enhance Quality of                                                            Learning Achievement enhanced
    Education                                                                     Access to public preschool education in
                                                                                   poor, rural areas expanded
                                                                                  Drop-out Prevention Program implemented
                                                                                  Psycho-social support program expanded

5                              Schools requiring consolidation identification    GIS system to optimize utilization of
    Enhance the Utilization    Consolidation plan ready                           investment implemented
    of Educational             At least 30 non viable schools consolidated       Upgrading of MEHE physical infrastructure
    Facilities                  (within the first year of consolidation plan       initiated
                                implementation)                                   Continuous process of school consolidation

                               VTE teaching tools and methods reviewed           School distribution across Lebanese regions
6                              Plan for elements of quality assurance             rationalized
    Rationalize Vocational      completed                                         Modern learning assessment tools and new
    and Technical                                                                  teaching methods developed and
    Education                                                                      implemented
                                                                                  System for pedagogic orientation and
                                                                                   guidance implemented

                               New Laws and Articles for Lebanese                Measures undertaken to ensure
7                               University developed                               administrative, academic, and financial
    Develop Quality                                                                independence of LU
    Assurance in Higher                                                           Standards for institutional QA implemented
    Education                                                                      at MEHE
                                                                                  National structures for quality assurance
                                                                                   established                                12
                                                                                                                 Education
Ministry of Education achieved progress on four programs

                              Ministry of Education – Short Term Initiatives Progress

1   Consolidate Policy,          Three years education strategy developed and its implementation plan is under preparation
    Planning and                 Financial planning team undertaking training
    Resources Allocation         Tenders for EMIS and SIS launched

2   Achieve Universal            Not started
    Basic Education (UBE)
    for Ages 6 to 15

3   Improve Efficiency,          Self guided modules and practicum phase currently implemented by 302 school Principals
    Effectiveness and            Procurement process for the selection of the expert to develop evaluation tools launched
    Competence Level of
    the Teaching
    Workforce
4                                Examination Generation System developed
    Enhance Quality of           Examination Management System and Question Bank System under development
    Education

5   Enhance the Utilization      Criteria for school consolidation being prepared
    of Educational               Prioritization of small GE and VTE schools currently underway
    Facilities

6   Rationalize Vocational       Not started
    and Technical
    Education

7   Develop Quality              Not started
    Assurance in Higher
    Education
                                                                                                                              13
                                                                                                                             Education
 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)

      Programs                                 Milestones                          Budget Items            Amount         Total Budget
                            National education strategy developed             Experts fees to            $ 100,000
                            Policy, planning and Information Management        develop capability at
   Consolidate Policy,       functions integrated to MEHE                       MEHE
 Planning and Resource      Contract for delivery of SIS equipment signed                                                $ 100,000
        Allocation          Contract signed for organizational structure and
                             for performance budgeting
                            Textbooks for all public school students          Cost of implementing       $ 3,500,000
                             distributed                                        free textbooks
 Achieve Universal Basic                                                        program for year 1
Education for Ages 6 to 15
                            Free transportation scheme for reallocated cycle                                             $ 3,800,000
                             3 students established                            Cost for free              $ 300,000
                                                                                transportation
   Improve Efficiency,      Training on Leadership Management to 30% of
     Effectiveness &         Public School Principals completed
Competence Level of the                                                                   -                     -              -
  Teaching Workforce
                            Examination Generation System, Examination
   Enhance Quality of        Management System, and a Question Bank
        Education            System developed
                                                                                          -                     -              -
                              Schools requiring consolidation identification    Cost of consolidation    $ 100,000
Enhance the Utilization of    Consolidation plan ready
  Educational Facilities                                                                                                  $ 100,000
                              At least 30 non viable schools consolidated
                              VTE teaching tools and methods reviewed
Rationalize Vocational and
   Technical Education
                              Plan for elements of quality assurance                      -                    -              -
                               completed
     Develop Quality          New Laws and Articles for Lebanese University
   Assurance in Higher         developed                                                   -                    -              -
       Education
  Note: All budgetary requirements should be reviewed and endorsed by the Ministry of Finance                                            14
                                                                                                                        Education
 … 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)
      Programs                                 Milestones                          Budget Items         Amount        Total Budget
                            New MEHE organization structure implemented            Cost to          $ 500,000
                            Performance-based budget for the education sector       connect 100
  Consolidate Policy,       EMIS and SIS operational                                sites to EMIS
Planning and Resource       Permanent Policy, planning, and Information            Experts fees to  $400,000        $ 900,000
      Allocation             Management Unit                                         develop MEHE
                                                                                     capability
                         Compulsory Basic Education Legislations enacted           Cost to           $ 8,600,000
                         Registration fees for Cycle 3 eliminated                   eliminate
                         Local society engaged in financing of school fund          registration
Achieve Universal Basic  100% of cycle 3 reallocated public students receiving      fees for 2
                          free school transportation                                 years
Education for Ages 6 to                                                                                               $ 12,100,000
          15                                                                        Cost of           $ 3,500,000
                                                                                     providing free
                                                                                     textbooks for
                                                                                     year 2
                            Public school teachers reallocated based on optimal    Cost of           $ 400,000
                             utilization plan                                        professional
                            Second Language learning opportunities expanded         development
                            Recruitment of teachers based on university degrees     for additional                    $ 400,000
   Improve Efficiency,      Training on Leadership Management to 50% of Public      20% of public                         +
     Effectiveness &         School Principals completed
                                                                                     school
  Competence Level of       Separation packages offered to 2884 teachers
                                                                                     principals
                                                                                                                         Early
the Teaching Workforce      Professional competence of teaching workforce                                            Retirement
                                                                                    Cost of early     TBD
                             enhanced
                                                                                     retirement to                    Plan Cost
                                                                                     be determined
                                                                                     by MEHE and
                                                                                     MOF
  Note: All budgetary requirements should be reviewed and endorsed by the Ministry of Finance                                       15
                                                                                                                         Education
 … 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)
      Programs                                   Milestones                           Budget Items        Amount        Total Budget
                             New Curriculum developed                                 Cost of         $ 4,000,000
                             Quality and content of the student textbooks and          Furniture &
                              teachers guide enhanced                                   equipment
                             Learning Achievement enhanced                            Cost of Psycho  $ 500,000
  Enhance Quality of
     Education
                             Access to public preschool education in poor, rural       Social program                  $ 7,000,000
                              areas expanded
                                                                                       Cost of Drop    $ 2,500,000
                             Drop-out Prevention Program implemented
                                                                                        out program
                             Psycho-social support program expanded

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

                             School distribution across Lebanese regions              Cost of          $ 1,000,000
                              rationalized                                              rationalizing
 Rationalize Vocational      Modern learning assessment tools and new teaching         VTE
and Technical Education       methods developed and implemented                                                         $ 1,000,000
                             System for pedagogic orientation and guidance
                              implemented
                             Measures undertaken to ensure administrative,            Cost of          $ 1,500,000
                              academic, and financial independence of LU                implementing
   Develop Quality
                             Standards for institutional QA implemented at MEHE        initiative
 Assurance in Higher         National structures for quality assurance established                                     $ 1,500,000
     Education




  Note: All budgetary requirements should be reviewed and endorsed by the Ministry of Finance                                        16
                                                                                             NSSF
NSSF reform is advancing along two major streams: Short-Term
quick-wins; and a long-Term program in cooperation with the
World Bank
                                        NSSF Reform Plans
 Several plans have been developed for the NSSF, both internally and externally, and some
  accomplishments have been registered on all levels. However, the current situation of the fund
  necessitates a substantial increase in the intensity of reform

 NSSF reform efforts are following two streams:
  – Short-term quick-wins which previously attained preliminary consent from the NSSF BoD,
    and which should attain consensus from all stakeholders
  – Long-term program that will be formulated by the stakeholders, after reviewing existing
    reform studies and initiatives, specifically the plan developed in cooperation with the World
    Bank

 A consensus-building approach must be followed to formulate a long term comprehensive
  reform plan for the NSSF, based on feedback and active participation from all four
  stakeholders:
  – Board of Directors (Decision-making Authority)
  – General Management (Executive Authority)
  – Technical Committee (Compliance and Advisory Authority)
  – Ministry of Labor (Oversight Authority)
     With close support from the Prime Minister and/or Minister of Labor and the GR PCO
                                                                                                    17
                                                                                                                   NSSF
The NSSF has started implementing several short-term quick-wins
aiming at strengthening administration, auditing accounting …

                                   List of NSSF Short Term Initiatives

                     Implementing Phase I of the IT Infrastructure Master Plan:
                      – Bids completed between January and April 2007, and contracts signed with the corresponding
                         companies:
                         •  Hardware & PCs are delivered successively, with delivery completion by May 2007
                         •  LAN installation initiated and will be completed latest by April 2008
                         •  WAN installation initiated and will be completed latest by May 2008
                         •  Software and training contracts to be outsourced to IDS, under a two-year contract, latest by
 Strengthen the             15/7/2007
Administration of     – IT systems (hardware, software, training) to be rolled out to 14 out of 35 centers (representing
    the NSSF             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
  Audit NSSF
                      – Grant Thornton has been selected and the auditing process will be carried out from August 2007
 Accounts and            until early 2009
 Government          Resolve issues related to government dues owed to the NSSF
    Dues
                      – Negotiations need to be carried out between MoF and NSSF

                                                                                                                            18
                                                                                                                      NSSF
 … 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
    Contain
                      Commence “on-call” rotation schemes for doctors during statutory holidays to control hospital admittance
 Administrative
                      Create an oversight committee to oversee open heart, by-pass and “spring” surgeries
Costs and Health      Administer drugs for incurable diseases through the Fund
 Expenditures         Commence recruitment proceeding to employ pharmacists
                      Continuously follow-up and update drug listings and medical supplies

                    Share non confidential information between MoF and NSSF on registered companies
 Improve NSSF       Perform field audit to increase compliance through:
                     – Increasing the number of field auditors (100 additional auditors) to regularly survey companies
   Capacity to       – Forward the employment requisitions to the Minister of Labor to present to the CoM
     Collect        Enhance collection processes:
 Contributions       – Create a supervision & control unit to follow-up on companies that repudiate their NSSF commitments
 under Current       – Exempt the companies which did not pay their dues before 2004 from late penalties, in virtue of the
                        Clemency law
      Law            – Strengthen the Litigation department with lawyers and paralegals and automate it, and request the
                        approval of the CoM to commence paralegal recruitment proceedings

Determine NSSF      Perform an actuarial study for the Health and Maternity insurance branch:
                     – Assess the financial situation of the Fund until 2020
  Liabilities &      – Propose scenarios related to recipients benefits and financing modes
   Secure its        – Study completed and delivered to NSSF by August 2007
 Funding and        Perform an actuarial study for the End of Service Indemnities branch:
    Funding          – Perform an actuarial assessment to determine available and needed funds to establish deficit or
                        surplus amounts
   Continuity        – Study completed and delivered to NSSF by September 2007
                                                                                                                             19
                                                                                     NSSF
In parallel to short-term quick-wins, the NSSF is formulating a long-
term reform plan in cooperation with the World Bank

                               NSSF Long Term Programs



                                           Expand
                                         Coverage of
                                       Social Insurance
                                           System

              Improve
                                                                    Strengthen the
              Financial
                                                                    Administration
           Continuity of the
                                                                     of the NSSF
                NSSF




                                                           Audit, Update
                          Strengthen
                                                            and Reform
                            Income
                                                          NSSF Accounts
                          Protection
                                                          and Accounting
                           Policies
                                                             Practices


                                                                                            20
                                                                                            Labor
The Ministry of Labor has planned one program aiming at
“Modernizing the Labor Law” and “Enhancing Service Delivery” of
the Ministry
                           Overview of Ministry of Labor Paris III Program

 The MoL has identified and planned one program aiming at:
  – Facilitating the employment of temporary, seasonal and young workers within Lebanon
  – Facilitating the import of highly skilled workers and managers into Lebanon
  – Streamlining contract termination proceedings
  – Upgrading the 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
                                                                                                     21
                                                                                  Next Steps
Going forward, Natural Owners should resolve pending issues,
finalize short-term Technical Assistance requirements, and
endorse Paris III Commitment Documents
                                      Actions Required

  All Natural Owners of the Social Sector require timely funding in order to advance on
   their implementation plans
  Finalize development of Program Charters and KPIs for:
   – Ministry of Social Affairs
   – Ministry of Health
   – Ministry of Education and Higher Education
   – Ministry of Labor
  NSSF:
   – Develop Program Charters and Detailed Workplans for short-term initiatives
  Review and approve funding and TA requests, and finalize short-term requirements
  Endorse/ Sign Paris III Commitment Documents with Natural Owners




                                                                                               22
                                                                                                           Next Steps
An additional IMC meeting should take place to finalize programs,
timelines, KPIs and funding, with steady-state implementation
progress reporting starting in August
                             IMC Engagement Schedule – May to August 2007
                                        Meeting Objectives                                       Dates


                      Appoint Secretary to the IMC and agree on his/her role
  First Round of
                      Review progress, and resolve escalated issues
                                                                                 1st Social IMC: 17 May 2007
  IMC Meetings        Review initiative and program allocation, and resolve
                       overlaps



                      Follow up on 1st round of IMC meetings
Second Round of       Endorse initiatives and program allocation
                                                                                 2nd Social IMC: 6 July 2007
  IMC Meetings        Endorse cross ministerial initiative teams

                      Resolve escalated issues


                      Follow up on 2nd round of IMC meetings

                      Review and approve natural Owners funding/ TA
Third Round of IMC
                       requests                                                  3rd Social IMC: 21 August 2007
     Meetings
                      Endorse/ Sign Paris III Commitment Documents with
                       Natural Owners


                                                                                                                        23
Appendix

 IMC Issues Register

 Ministry of Social Affairs

 Ministry of Health

 Ministry of Education and Higher Education

 NSSF

 Ministry of Labor




                                               24
                                                                                                                                     Update on Previous IMC
  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                                                                Assigned
Issue ID                Issue Description           Raised by        Date                                  Actions Needed                       Deadline       Status
           Level                                                                   to
                   2 initiatives related to         Minister of   17/05/2007   Minister of   MoSA will be the primary natural owner,
                   “providing healthcare            Health /                   Social         working towards identifying the eligibility       25/05/2007   Completed
                   services to poor and disabled    Minister of                Affairs        criteria for the following two initiatives:
                   citizens” have yet to be         Social                                      – “Assure free hospitalization for the                        Initiatives
                   allocated either to MoSA or      Affairs                                         poor”                                                    integrated
  001       H      to MoH                                                                       – “Implement free health care system                         into MoSA
                                                                                                    for the holders of the Disability Card”                    Paris III
                                                                                             Once eligibility criteria are determined, the                    program
                                                                                              delivery of the service could be made by
                                                                                              the MoH or outsourced to a third party

                   Unavailability of the            Minister of   17/05/2007   Prime         Prime Minister to facilitate release of the       01/06/2007   Completed
                   Household Survey database        Social                     Minister       Household Survey database from CAS and
                   to the social targeting          Affairs                                   UNDP to MoSA and the World Bank                                 Database
  002       H
                   mechanism that MoSA is                                                                                                                    released on
                   currently undertaking with                                                                                                                11/06/2007
                   the World Bank
                   NSSF reform plan is still        BAH           17/05/2007   Minister of   Quickly identify short-term initiatives and       30/06/2007   Completed
                   under development in                                        Labor/         programs and start developing Program              (Revised
                   coordination with the World                                 NSSF DG        Charters for the short-listed programs             deadline)   NSSF M&S
  003       H      Bank. This is delaying the                                                                                                                 started to
                   planning process                                                                                                                            develop
                                                                                                                                                              Charters
                   MoH has identified initiatives   BAH           17/05/2007   MoH           Quickly freeze a list of short-term initiatives   01/06/2007   Completed
                   to be performed under Paris                                                and programs and start developing
                   III, however continuous shift                                              Program Charters for the short-listed                          MoH M&S
  004       H      in focus as a result of                                                    initiatives and programs                                       started to
                   ongoing discussions with the                                                                                                               develop
                   World Bank is delaying the
                                                                                                                                                             Charters
                   planning process

                                                                                                                                                                      25
                                                                                                                                Update on Previous IMC
  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
                                                         Social IMC Issues Register
           Issue                                                           Assigned
Issue ID                Issue Description      Raised by        Date                                   Actions Needed                     Deadline       Status
           Level                                                              to
                   Communication of social     BAH based 17/05/2007       Social IMC     Prime Minister and all members of the           On-going     In progress
                   aspects of Paris III is     on Press                   Members         Social IMC to stress the social aspect of the
                   deficient                   Monitoring                                 Paris III Program in the press
  005       H
                                                                          GR PCO         Appointment of a press attaché for the          15/06/2007    Delayed
                                                                                          Social IMC

                   MoSA requires recruitment   Minister of   15/05/2007   Minister of    Minister of Finance will arrange for financing
                   of additional M&S staff     Social                     Finance         the recruitment of M&S staff from UNDP or 30/06/2007          Delayed
                                               Affairs                                    World Bank fund
  006       H
                                                                          Booz Allen     Booz Allen to send Job Descriptions for the
                                                                                                                                          18/05/2007 Completed
                                                                                          M&S Staff to the Ministries of Finance and
                                                                                          Social Affairs

                   MoL/NSSF requires           NSSF          15/05/2007   Minister of    Minister of Finance will arrange for financing 30/06/2007     Delayed
                   recruitment of additional                              Finance         the recruitment of M&S staff from UNDP or
                   M&S staff                                                              World Bank fund
  007       H
                                                                          Booz Allen     Booz Allen to send Job Descriptions for the
                                                                                                                                          18/05/2007 Completed
                                                                                          M&S Staff to the Ministries of Finance and
                                                                                          Labor

                   Minister of Labor not       Social IMC    17/05/2007   Minister of    BAH to meet with Minister of Labor, in order 08/06/2007 Completed
                   engaged                                                Labor / BAH     to agree on Ministry’s initiatives that could            Meeting
  008       L                                                                                                                                       held on
                                                                                          be started at this stage
                                                                                                                                                  25/05/2007
                   Minister of Health not      Social IMC    17/05/2007   Minister of    Minister of Social Affairs will aim to invite   25/05/2007 Completed
                   engaged                                                Social          the Minister of Health for a meeting with                   Meeting
  009       L
                                                                          Affairs         BAH at her residence                                         held on
                                                                                                                                                     25/05/2007
                                                                                                                                                             26
Appendix

 IMC Issues Register

 Ministry of Social Affairs

 Ministry of Health

 Ministry of Education and Higher Education

 NSSF

 Ministry of Labor




                                               27
                                                                                                                              Social Affairs

Ministry of Social Affairs – Summary of Paris III Programs and
Initiatives
                                                    List of 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   MoSA, OMSAR              Q4 2007- Q4 2009                Re-organization review
        of Social Affairs                                                                                           project done by OMSAR
                                                                                                                   To be efficiently restructured,
                                                                                                                    local development depends
                                                                                                                    on national coordination of all
                                                                                                           M
                                                                                                                    local development efforts
                                                                                                                   Reorganizing the Care
                                                                                                                    program depends on
                                                                                                                    completing the targeting
                                                                                                                    mechanisms
    1b. Develop new organizational structure for the    MoSA, OMSAR                Q3 2007 – Q4 2008               Depend on initiative (1a)
                                                                                                           L
        Ministry of Social Affairs
    1c. Undertake process re-engineering and automation MoSA, OMSAR                Q4 2008 – Q4 2009               Depend on initiative (1b)
        of the Ministry of Social Affairs                                                                          Automation of MoSA should
                                                                                                           L        start when restructuring of
                                                                                                                    components and procedures
                                                                                                                    at MoSA is completed




                     XXX    Natural Owner            IMPLEMENTATION:    S: Short term     M: Medium Term       L: Long Term
                                                                                                                                                28
                                                                                                                                      Social Affairs

Ministry of Social Affairs – Summary of Paris III Programs and
Initiatives
                                                       List of Programs and Initiatives
        Sector Programs and Initiatives                             Stakeholders           Preliminary Timeline Implem.            Comments
 2. Enhance management of the social sector
   2a. Establish and activate a Social Inter-ministerial     MoSA                          Q1 2007 – Q4 2007               Need to appoint a
       Committee supported by a technical secretariat                                                              S        Communication Attaché
       and a Communication Attaché
   2b. Formulate a comprehensive social strategy             MoSA, Social IMC              Q2 2007 – Q4 2007               Previous studies undertaken
                                                                                                                            by concerned ministries have
                                                                                                                            been reviewed e.g. findings
                                                                                                                            of sectoral strategies
                                                                                                                           Social IMC is in the process
                                                                                                                   S
                                                                                                                            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    MoSA, MEHE, MoH, Social       Q2 2007 – Q4 2008               MoSA has recruited an intern
       the delivery of social services and implementation    IMC                                                            to coordinate with Ministries
       of programs between the ministries of Social                                                                         on the elimination of
       Affairs, Education and Health                                                                                        duplications
                                                                                                                           Minister of Social Affairs sent
                                                                                                                            a memo to MEHE and MoH
                                                                                                                   S
                                                                                                                            requesting cooperation on
                                                                                                                            this effort
                                                                                                                           Identification of duplicated
                                                                                                                            activities should be
                                                                                                                            completed by end of July
                                                                                                                            2007
   2d. Establish monitoring and evaluation mechanism         MoSA, MEHE, MoH, Social       Q1 2008 – Q3 2008
       for social programs across the ministries of Social   IMC                                                   M
       Affairs, Education and Health


                     XXX     Natural Owner                 IMPLEMENTATION:      S: Short term     M: Medium Term       L: Long Term
                                                                                                                                                        29
                                                                                                                                  Social Affairs

Ministry of Social Affairs – Summary of Paris III Programs and
Initiatives
                                                      List of Programs and Initiatives
        Sector Programs and Initiatives                       Stakeholders             Preliminary Timeline Implem.            Comments
   2e. Create a coordination mechanism for the           MoSA, Social IMC              Q1 2007 – Q1 2008               Consultant appointed (CDR)
       implementation of local development projects                                                                    Mapping of local dev projects
                                                                                                                        in progress
                                                                                                                       Data analysis and workshop
                                                                                                               S        organization could be
                                                                                                                        undertaken on the short-term
                                                                                                                       Development need
                                                                                                                        framework would be defined
                                                                                                                        on the medium term
 3. Develop new targeting mechanisms for Social
    Safety Nets programs
   3a. Establish targeting mechanism (through proxy      MoSA, Social IMC              Q2 2007 – Q4 2008               Analysis of Multi-Purpose
       means testing) for implementing Safety Net                                                                       Survey and determination of
       programs                                                                                                         poverty indicators are being
                                                                                                               S        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      MoSA, Social IMC               Q1 2008 – Q2 2009               Depend on initiative (3b)
       plans, and evaluation mechanisms for Safety Nets                                                        L
       programs




                    XXX    Natural Owner              IMPLEMENTATION:       S: Short term     M: Medium Term       L: Long Term
                                                                                                                                                    30
                                                                                                                                          Social Affairs

Ministry of Social Affairs – Summary of Paris III Programs and
Initiatives
                                                      List of Programs and Initiatives
          Sector Programs and Initiatives                            Stakeholders         Preliminary Timeline Implem.                 Comments
 4. Implement prioritized Safety Nets programs*
    4a. Provide cash assistance to the poorest female        MoSA                         Q4 2008 – ongoing                    Safety nets categories would
        headed households, poor families (more than 7)                                                                          be reviewed after finalizing
                                                                                                                       L
        with at least one drop-out child working underage,                                                                      the targeting mechanisms
        poor elderly, and to poor disabled people                                                                              Sustainability not ensured
    4b. Assure free hospitalization for the poor elderly and MoSA, MoH                    Q1 2007 – Q4 2007                    Safety nets categories would
        children under 5 years                                                                                                  be reviewed after finalizing
                                                                                                                      M
                                                                                                                                the targeting mechanisms
                                                                                                                               Sustainability not ensured
    4c. Identify services and exemptions to be provided to MoSA                           Q3 2007 – Q4 2007
                                                                                                                      M
        elderly through electronic Identification Cards
    4d. Expand the coverage of services offered to the     MoSA                           Q2 2007 – Q4 2007                    Increase delivery of proximity
        disabled                                                                                                                services within “Rights and
                                                                                                                       S        Access” program
                                                                                                                               Sustainability depends on
                                                                                                                                fund availability
    4e. Scale up and improve the quality of existing “full in MoSA                        Q2 2007 – Q4 2007                    Examples would be to offer
        house” services to the disabled                                                                                         electric chairs, sophisticated
                                                                                                                      M         beds, etc.
                                                                                                                               Sustainability depends on
                                                                                                                                fund availability
    4f. Implement free healthcare/hospitalization for the MoSA, MoH                       Q1 2007 – Q4 2007                    Sustainability depends on
                                                                                                                       S
        holders of the Disability Card (Law # 220)                                                                              fund availability
    4g. Improve the ongoing school food program in public MoSA                            Q4 2007 – Q3 2008                    School food program was
        schools                                                                                                                 limited to 6 schools
                                                                                                                      M        Need to assess the feasibility
                                                                                                                                of rolling out the program to
                                                                                                                                all public schools
Source: (*) “Final Social Action Plan: Towards Strengthening Social Safety Nets and Access to Basic Social Services” (Republic of Lebanon, January 2007)

                     XXX     Natural Owner             IMPLEMENTATION:         S: Short term      M: Medium Term           L: Long Term
                                                                                                                                                           31
Appendix

 IMC Issues Register

 Ministry of Social Affairs

 Ministry of Health

 Ministry of Education and Higher Education

 NSSF

 Ministry of Labor




                                               32
                                                                                                                                              Health

Ministry of Health – Summary of Paris III Programs and Initiatives

                                                       List of Programs and Initiatives
         Sector Programs and Initiatives                            Stakeholders           Preliminary Timeline Implem.             Comments
 1. Complete post-war recovery program
    1a. Provide special services for injured and affected     MoH, WHO                     Q1 2007 – Q2 2007                Completed
        communities
 2. Upgrade primary healthcare (PHC) services
    2a. Define catchment areas for 120 centers and     MoH, World Bank                     Q3 2007 – Q1 2008                Not started
        design a referral system between these centers                                                              S       To be discussed with the
        and public hospitals in the same areas                                                                               World Bank during their
    2b. Revise and enhance the PHC package of services MoH, World Bank                     Q3 2007 - Q4 2009                 mission in July 2007
                                                                                                                    M       Initiatives would provide
        for 120 catchments areas
    2c. Develop health card system                     MoH, World Bank                     Q3 2007 – Q1 2008                 access to magnetic cards
                                                                                                                    S
                                                                                                                            Contact: Ms. Randa
    2d. Initiate health card initiative for eligible MoH      MoH, World Bank              Q3 2007 - Q4 2009                 Hamadeh (MoH)
                                                                                                                    M
        beneficiaries of 120 catchments areas
    2e. Expand IT infrastructure of 120 catchments areas      MoH, World Bank              Q3 2007 - Q4 2009        S
    2f. Develop and implement PHC accreditation               MoH                          Q2 2007 – Q4 2009                Funded by the Italian
        program                                                                                                              Cooperation
                                                                                                                    S
                                                                                                                            Implemented in cooperation
                                                                                                                             with Balamand University
    2g. Develop and implement disease management              MoH                          Q4 2007 – Q4 2009
                                                                                                                    L
        guidelines
    2h. Introduce performance based contracting for           MoH                          Q4 2007 – Q4 2009
        targeted primary health care services; Revise
        current PHC contracts with NGOs based on
                                                                                                                    M
        recently issued decree and enhance the
        monitoring capacity of the MoH to manage those
        contracts




                      XXX    Natural Owner                  IMPLEMENTATION:     S: Short term      M: Medium Term       L: Long Term
                                                                                                                                                         33
                                                                                                                                                  Health

Ministry of Health – Summary of Paris III Programs and Initiatives

                                                         List of Programs and Initiatives
         Sector Programs and Initiatives                             Stakeholders            Preliminary Timeline Implem.             Comments
    2i. Undertake targeted interventions for maternal and      MoH, World Bank               Q3 2007 -Q4 2009                Not started yet
        child mortality reduction by rolling out                                                                             Wadi Khalid project is
        implementation of Wadi Khalid project (Akkar), in                                                                     currently managed by
        collaboration with the public hospitals in the areas                                                                  Makassed
        of Tripoli, Daniyeh, Baalbeck, Hermel, Rachaya,                                                              M       Require a budget of LL 2
        Hasbaya, Marjeyoun, Bint-Jbeil, and Nabatiyeh                                                                         billion to roll out the project to
                                                                                                                              10 cazas
                                                                                                                             Contact: Ms. Randa
                                                                                                                              Hamadeh (MoH)
 3. Follow up implementation of Quality Assurance
    program
   3a. Implement and institutionalize public hospital          MoH, French Health Authority Q3 2007 – Q4 2008                Funded by MoH budget of
       accreditation program                                                                                                  2007
                                                                                                                             Implemented by the French
                                                                                                                              Health Authority through
                                                                                                                     S        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,     Q4 2007 – Q4 2009               Low priority initiative
                                                               World Bank                                            L       Depends on availability of
                                                                                                                              funding




                      XXX    Natural Owner                IMPLEMENTATION:         S: Short term     M: Medium Term       L: Long Term
                                                                                                                                                             34
                                                                                                                                              Health

Ministry of Health – Summary of Paris III Programs and Initiatives

                                                        List of Programs and Initiatives
         Sector Programs and Initiatives                             Stakeholders         Preliminary Timeline Implem.             Comments
 4. Undertake health financing reform
   4a. Amend by-laws of public funds to allow for              MoH, NSSF                  Q2 2008 – Q2 2009                Not started
                                                                                                                   M
       common procedures                                                                                                   To be discussed with the
   4b. Re-commission the work on the standardization of        MoH, NSSF                  Q3 2007 – Q4 2008                 World Bank during their
       codes, forms, and payment methods across the                                                                S        mission in July 2007
       funds
   4c. Revisit the eligibility policies, contribution rates,   MoH, NSSF                  Q3 2007 – Q4 2008
                                                                                                                   L
       covered benefits of the insurance funds
   4d. Integrate database of eligible beneficiaries across     MoH, NSSF                  Q3 2007 – Q4 2007                The database of eligible
       public funds                                                                                                         beneficiaries is already
                                                                                                                            operational across public
                                                                                                                   S
                                                                                                                            funds. The HMIS would
                                                                                                                            assign the list of services to
                                                                                                                            each beneficiary
   4e. Integrate Health Management Information System          MoH, NSSF                  Q3 2007 - Q4 2008                Not started
       (HMIS) across funds                                                                                                 To be discussed with the
                                                                                                                   M        World Bank during their
                                                                                                                            mission in July 2007
                                                                                                                           Depend on initiative (4b)
   4f. Harmonize and integrate insurance functions             MoH, MoET                  Q3 2007 – Q4 2008                Depend on initiatives (4b)
                                                                                                                   L
       across funds                                                                                                         and (4c)
   4g. Pilot a common Third Party Administrator (TPA)          MoH                        Q3 2008 – Q4 2009
                                                                                                                   L
       for public funds (Interface Resource Body IRB)




                      XXX    Natural Owner                IMPLEMENTATION:      S: Short term      M: Medium Term       L: Long Term
                                                                                                                                                        35
                                                                                                                                              Health

Ministry of Health – Summary of Paris III Programs and Initiatives

                                                          List of Programs and Initiatives
         Sector Programs and Initiatives                         Stakeholders          Preliminary Timeline Implem.             Comments
    4h. Complete the pilot testing of the visa billing     MoH, WHO                   Q1 2007 – Q4 2007                Ongoing project to transfer
        system                                                                                                          bills electronically to MoH
                                                                                                                        (part of World Bank project)
                                                                                                                S      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    MoH                        Q1 2008 – Q1 2009                Development, training and
        hospital bills                                                                                          M       implementation to be
                                                                                                                        completed in one year
    4j. Update and institutionalize the National Health    MoH                        Q1 2007 - Q4 2008                Currently developing NHA
        Accounts (NHA)                                                                                                  matrices for 2004-2005
                                                                                                                       Prepare to institutionalize
                                                                                                                        data collection from public
                                                                                                                S
                                                                                                                        funds for 2006-2007
                                                                                                                       TA provided by WHO to
                                                                                                                        organize the NHA team and
                                                                                                                        install software & templates
 5. Enhance public health functions and programs
    5a. Enhance national expanded immunization             MoH, UNICEF, MoF           Q1 2007 – Q4 2009                Depend on the MoF contract
        program                                                                                                 S       with UNICEF (MoF should
                                                                                                                        release contract fund)
    5b. Complete the decentralization of epidemiological MoH                          Q3 2007 – Q4 2009                To be discussed with the
                                                                                                                S
        surveillance system                                                                                             World Bank during their
    5c. Support emergency management services            MoH, WHO                     Q3 2007 – Q4 2009         M       mission in July 2007

    5d. Strengthen public health programs (Injury          MoH, WHO                   Q3 2007 – Q4 2009
                                                                                                                S
        prevention, HIV -AIDS, School health)
    5e. Enhance Non-Communicable Diseases                  MoH, WHO                   Q3 2007 – Q4 2009
                                                                                                                M
        programs

                       XXX     Natural Owner              IMPLEMENTATION:     S: Short term    M: Medium Term       L: Long Term
                                                                                                                                                        36
                                                                                                                                          Health

Ministry of Health – Summary of Paris III Programs and Initiatives

                                                     List of Programs and Initiatives
         Sector Programs and Initiatives                         Stakeholders           Preliminary Timeline Implem.            Comments
 6. Improve public health regulations
     6a. Implement "Carte Sanitaire" system                MoH                          Q3 2007 – Q4 2009               Infrastructure is ready
                                                                                                                         (Health plan through GIS
                                                                                                                         system)
                                                                                                                L       Implementation depends on
                                                                                                                         the adoption of Law
                                                                                                                         (currently at the Council of
                                                                                                                         Ministers)
     6b. Develop health technology assessment              MoH                          Q1 2008 – Q4 2009               Proposal to evaluate new
         program                                                                                                         technologies and upgrade
                                                                                                                L
                                                                                                                         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 2007               To be completed by October
                                                                                                                S        2007
                                                                                                                        Contact: Rita Karam
     7b. Review and improve current registration system    MoH, MoET, Order of          Q1 2008 – Q4 2009
                                                                                                                L
                                                           Pharmacists
     7c. Review and improve current reference pricing      MoH, MoET, Order of          Q1 2008 – Q4 2009
                                                                                                                L
         system                                            Pharmacists
     7d. Adopt code of ethics for marketing and            MoH, Order of Pharmacists,   Q1 2008 – Q4 2009
                                                                                                                L
         promotion of drugs                                Drug companies
     7e. Develop and implement generic drug policies       MoH, MoET, Order of          Q1 2008 – Q4 2009
                                                                                                                L
                                                           Pharmacists
     7f. Develop prescribing and dispensing guide for      MoH, Order of Pharmacists,   Q1 2008 – Q4 2009
         physicians and pharmacists regarding generic      Order of Physicians                                  L
         substitution



                     XXX    Natural Owner               IMPLEMENTATION:      S: Short term     M: Medium Term       L: Long Term
                                                                                                                                                    37
Appendix

 IMC Issues Register

 Ministry of Social Affairs

 Ministry of Health

 Ministry of Education and Higher Education

 NSSF

 Ministry of Labor




                                               38
                                                                                                                                         Education

Ministry of Education – Summary of Paris III Programs and
Initiatives
                                                       List of Programs and Initiatives
         Sector Programs and Initiatives-                        Stakeholders                Timeline           Implem.            Comments
 1. Consolidate policy, planning and resource
    allocation
   1a. Develop and implement three year education         MEHE, EDP, WB                Jun 2007 – May 2007                 Strategy completed
       strategy                                                                                                   S        Implementation plan under
                                                                                                                            preparation
   1b. Develop a new MEHE organization structure          MEHE, EDP, CoM,              Sep 2006 – Dec 2009                 EDP has launched the
                                                          Parliament                                                        procurement process for the
                                                                                                                            selection of the TA
                                                                                                                            Consultant
                                                                                                                           MEHE Technical Committee
                                                                                                                  M
                                                                                                                            is currently finalizing the
                                                                                                                            technical evaluation
                                                                                                                           Commencement of services
                                                                                                                            expected by end of June
                                                                                                                            2007
    1c. Develop capability at MEHE to assist in the       MEHE, EDP                    Jul 2007 – Dec 2009                 EDP is currently nominating
        implementation of Paris III initiatives                                                                   S         the staff to fill in the key
                                                                                                                            positions to H.E. the minister
   1d. Integrate and implement policy, planning, and      MEHE                         Jul 2007 – Feb 2010
                                                                                                                  S
       information management functions at MEHE
   1e. Develop and disseminate model performance          MEHE, EDP, MoF               Mar 2007 – Nov 2011                 To be done in coordination
       based budget for 2008-2009                                                                                           between MEHE and MoF
                                                                                                                  S
                                                                                                                           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                 SIS should be installed in
                                                                                                                            1,500 schools by September
                                                                                                                  S         2007
                                                                                                                           EMIS contract should be
                                                                                                                            signed in September 2007


                     XXX     Natural Owner             IMPLEMENTATION:      S: Short term      M: Medium Term         L: Long Term
                                                                                                                                                        39
                                                                                                                                             Education

Ministry of Education – Summary of Paris III Programs and
Initiatives
                                                          List of Programs and Initiatives
        Sector Programs and Initiatives-                           Stakeholders                  Timeline           Implem.            Comments
 2. Achieve Universal Basic Education (UBE) for
    ages 6-15
   2a. Ensure equitable school access for all students       MEHE, CoM, Parliament,        Aug 2007 – May 2011
                                                                                                                      L
       and enact compulsory education at age 15              CDR, EDP, ECU
   2b. Prepare, ratify and implement law to eliminate        MEHE, CoM, Parliament,        Aug 2007 – Dec 2009
                                                                                                                      L
       registration fees at third cycle (Grades 7-9)         Ministry of Finance
   2c. Engage participation of local society in the          MEHE, CoM, Parliament,        Sep 2007 – Dec 2009
                                                                                                                      L
       financing of school fund                              Ministry of Economy
   2d. Provide free textbooks to public schools students     MEHE, ECRD                    Nov 2007 – Nov 2009                 Books could be provided in
       through revolving textbooks program                                                                                      September 2007, if the
                                                                                                                      S
                                                                                                                                budget of $4 million per year
                                                                                                                                is made available
   2e. Provide free school transportation for cycle 3        MEHE, Ministry of Transport   Aug 2007 – Jun 2008                 A percentage of students in
       public students arising from their reallocation,                                                                         consolidated schools would
                                                                                                                      S
       where necessary                                                                                                          need transportation
                                                                                                                               Require a budget of $0.5M
 3. Improve efficiency, effectiveness and
    competence level of the teaching workforce
   3a. Continue implementation of Leadership                 MEHE, EDP, LU                 Sep 2004 – Dec 2009                 302 school Principals are
       Development Program for school principals and                                                                            currently implementing the
                                                                                                                      S
       institutionalize the program within MEHE and LU                                                                          self guided modules and
                                                                                                                                practicum phase
   3b. Enhance the professional competence of the            MEHE, EDP, ECRD, AFD          Jan 2006 – Dec 2009                 EDP has launched the
       teaching workforce                                                                                                       procurement process for the
                                                                                                                                selection of the TA
                                                                                                                                Consultant to develop
                                                                                                                      S
                                                                                                                                evaluation tools
                                                                                                                               Technical Committee has
                                                                                                                                finalized the technical
                                                                                                                                evaluation

                      XXX    Natural Owner                IMPLEMENTATION:       S: Short term      M: Medium Term         L: Long Term
                                                                                                                                                           40
                                                                                                                                          Education

Ministry of Education – Summary of Paris III Programs and
Initiatives
                                                         List of Programs and Initiatives
         Sector Programs and Initiatives-                          Stakeholders                Timeline           Implem.           Comments
    3c. Enhance the efficiency of teacher work-force        MEHE                         Jun 2007 – Dec 2009
        utilization                                                                                                 M

    3d. Develop and implement an early retirement           MEHE, MoF, CoM               Mar 2008 – Oct 2009
                                                                                                                    L
        program
 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      MEHE, ECRD                   Jul 2007 – Nov 2007
                                                                                                                    M
        textbooks and teachers guide
    4c. Enhance Learning Achievement                        MEHE, EDP, ECRD,             May 2006 – Dec 2009                 Examination Generation
                                                            Department of Examinations                                        System (EGS) and Question
                                                                                                                    S
                                                                                                                              Bank System should be
                                                                                                                              ready before November 2007
    4d. Expand access to public preschool education in    MEHE, ECRD, CDR, ECU           Sep 2007 – Dec 2009
                                                                                                                    L
        poor, rural areas
    4e. Introduce “Drop-out Prevention Program” targeting MEHE, ECRD, EDP                Jul 2007 – Dec 2010
        pedagogical reasons behind drop-out and                                                                     L
        repetition problem
 5. Enhance the utilization of educational facilities
    5a. Upgrade the physical requirement of schools         MEHE, CDR, ECU, EDP, IMU Jul 2007 – Mar 2010                     EDP has launched the
                                                                                                                              procurement process for the
                                                                                                                              recruitment of a TA
                                                                                                                    M
                                                                                                                              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

                      XXX    Natural Owner               IMPLEMENTATION:      S: Short term      M: Medium Term         L: Long Term
                                                                                                                                                       41
                                                                                                                                     Education

Ministry of Education – Summary of Paris III Programs and
Initiatives
                                                       List of Programs and Initiatives
         Sector Programs and Initiatives                         Stakeholders                Timeline           Implem.          Comments
 6. Rationalize vocational and technical education
   6a. Restructure VTE Program framework,                   MEHE, DGVTE, DGHE, MoL, Jun 2007 – Dec 2009
                                                                                                                  L
       specializations and delivery modules                 CoM, Parliament
   6b. Institutionalize relationship and partnership        MEHE, DGVTE             Jun 2007 – Dec 2009
       between VTE institutions (administration,
                                                                                                                  L
       educational institutions, civil and economic
       councils)
   6c. Revise VTE school distribution through the usage     MEHE, DGVTE, CDR           Jul 2007 – Dec 2009
                                                                                                                  L
       of VTE school mapping system
   6d. Upgrade VTE curriculum teaching methods and          MEHE, DGVTE                Jul 2007 – Dec 2009
       tools, equipment requirements, and learning                                                                L
       assessment tools
   6e. Develop VTE human resources and provide new          MEHE, DGVTE                Jul 2007 – Dec 2009
                                                                                                                  L
       human resources according to needs
   6f. Adopt a system for pedagogic orientation and         MEHE, DGVTE                Jul 2007 – Nov 2009
                                                                                                                  M
       guidance
   6g. Develop standards for institutional quality          MEHE, DGVTE                Jul 2007 – Dec 2009
                                                                                                                  L
       assurance
 7. Develop Quality Assurance in higher education
   7a. Enact the Lebanese University law                    MEHE, DGHE, LU, CoM,       Aug 2007 – Dec 2009
                                                                                                                  L
                                                            Parliament
   7b. Develop standards for institutional quality          MEHE, DGHE, CoM,           Aug 2007 – Dec 2009
                                                                                                                  L
       assurance                                            Parliament
   7c. Establish national structure for quality assurance   MEHE, DGHE, CoM,           Jul 2007 – Dec 2009
                                                                                                                  L
                                                            Parliament




                     XXX    Natural Owner               IMPLEMENTATION:     S: Short term      M: Medium Term         L: Long Term
                                                                                                                                                 42
Appendix

 IMC Issues Register

 Ministry of Social Affairs

 Ministry of Health

 Ministry of Education and Higher Education

 NSSF

 Ministry of Labor




                                               43
                                                                                                                                               NSSF

NSSF – Summary of Paris III Programs and Initiatives

                                                     List of Programs and Initiatives
    Sector Reform Programs and Initiatives                       Stakeholders            Preliminary Timeline Implem.             Comments
 1. Rationalize and expand coverage of social
    insurance system on a fixed basis
   1a. Create a Sub-Committee for Health Insurance         NSSF, MoH, Public Servants    Q2 2007 – Q3 2007               As a part the Inter-ministerial
       Policy and standardize the health systems within    Cooperative,                                           M       Committee for Social Policy
       the framework of a comprehensive policy
   1b. Develop a coordinated framework for the social      NSSF, MoH, MoSA, Sub-         Q4 2007 – Q2 2009
       security insurance policy and draw up designs and   Committee for Health                                   M
       provisions for a private health insurance system    Insurance Policy
   1c. Establish 5 technical committees to standardize     NSSF, MoH, Sub-Committee      Q2 2007 – Q3 2007              The issues to be addressed are:
       the agenda of the medical, laboratory and           for Health Insurance Policy                                   Design and implementation
       radiology issues and approve the medical needs                                                                     of health insurance plans
                                                                                                                         Financing mechanisms
                                                                                                                  M      Pricing and contracting
                                                                                                                          arrangements
                                                                                                                         Billing and payment systems
                                                                                                                         Quality control processes




                     XXX    Natural Owner             IMPLEMENTATION:         S: Short term      M: Medium Term       L: Long Term
                                                                                                                                                       44
                                                                                                                                              NSSF

NSSF – Summary of Paris III Programs and Initiatives

                                                    List of Programs and Initiatives
     Sector Reform Programs and Initiatives                      Stakeholders          Preliminary Timeline    Implem.            Comments
 2. Strengthen the governance and administration of
    the NSSF
   2a. Build a strong IT capacity                         NSSF                        Q2 2007 – Q3 2007
       - Establish a directorate level IT department                                                             S
       - Recruit internal and external skills
   2b. Implement Phase 1 of the Master Plan and ensure NSSF                           Q2 2007 – Q3 2007                   The plan is being
       consistency with envisaged reforms in the health                                                                    implemented
       insurance and end-of-service indemnity branches                                                                    Bids (Hardware, Software,
       - Recruit a technical management team within the                                                                    LAN, WAN) carried out
       NSSF to oversee the implementation of the master                                                          S         between January and April
       plan                                                                                                                2007
       - Assess core business processes and systems in                                                                    Outsource Software &
       the context of the reform of the health insurance                                                                   training to IDS (15/7/2007)
       and end-of-service indemnity systems
   2c. Implement Phase 2 of the Master Plan               NSSF                        Q2 2007 – Q3 2007                   Develop work methods
       - Prepare TORs and bidding documents for                                                                           Develop systems
       implementation                                                                                                     Estimated budget = 8-10
       - Identify necessary adjustments to the Phase 2 of                                                        L         Million Dollars
       the Master Plan
       - Contract consultancy companies to implement
       the action plan




                    XXX    Natural Owner             IMPLEMENTATION:        S: Short term     M: Medium Term         L: Long Term
                                                                                                                                                         45
                                                                                                                                              NSSF

NSSF – Summary of Paris III Programs and Initiatives

                                                   List of Programs and Initiatives
     Sector Reform Programs and Initiatives                     Stakeholders          Preliminary Timeline    Implem.             Comments
 3. Audit, update and reform NSSF accounts and
    accounting practices
   3a. Resolve issues related to government dues, NSSF NSSF, MoF                     Q2 2007 – Q3 2007                   Negotiations between MoF
       assets, Bank deposits dormant accounts,                                                                            and NSSF required
       receivables and payables
       - Decide, in light of Committee’s outcome, whether
       or not to engage auditor to reconcile differences
                                                                                                                S
       - 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
   3b. Perform 2001 and 2005 audits by an international NSSF, MoF                    Q2 2007 – Q3 2007                   Grant Thornton selected.
       Firm                                                                                                               Auditing process will start as
                                                                                                                S
                                                                                                                          of August 2007 until July, 30,
                                                                                                                          2008
   3c. Normalize the payment schedule for government     NSSF                        Q4 2007 – Q2 2009
                                                                                                                L
       dues to the NSSF according to the law
   3d. Normalize the payment schedule for government     NSSF                        Q4 2007 – Q2 2009
                                                                                                                L
       dues to the NSSF according to the law




                    XXX    Natural Owner               IMPLEMENTATION:     S: Short term     M: Medium Term         L: Long Term
                                                                                                                                                      46
                                                                                                                                                NSSF

NSSF – Summary of Paris III Programs and Initiatives

                                                      List of Programs and Initiatives
     Sector Reform Programs and Initiatives                        Stakeholders          Preliminary Timeline    Implem.            Comments
  3e. Reform accounting unit within NSSF                    NSSF                        Q4 2007 – Q2 2009          M
  3f. Adopt ”ring fenced” system and practice where         NSSF                        Q2 2007 – Q3 2007                   Develop accounting design
       payables can be recorded to facilitate cash                                                                M-L
       projection and cash management
  3g. Develop NSSF accounting practices to full accrual     NSSF                        Q4 2007 – Q2 2009                   This process is implemented
       basis and prepare a balance sheet following                                                                M-L        as a part of the first phase
       acceptable accounting standards
  3h. Prepare and submit to parliament detailed receipts    NSSF                        Q4 2007 – Q2 2009
       and expenditures budget for the forthcoming fiscal
                                                                                                                   L
       year together with a statement of component fund
       asset and liability, and a regular state budget
   3i. Secure commitment to the NSSF to work on the         NSSF                        Q2 2007 – Q3 2007
                                                                                                                   M
       control issues identified by the audit




                     XXX    Natural Owner              IMPLEMENTATION:        S: Short term     M: Medium Term         L: Long Term
                                                                                                                                                         47
                                                                                                                                                NSSF

NSSF – Summary of Paris III Programs and Initiatives

                                                       List of Programs and Initiatives
      Sector Reform Programs and Initiatives                       Stakeholders          Preliminary Timeline    Implem.            Comments
 4. Improve NSSF capacity to collect contributions
    under current law
   4a. Share non confidential information between           NSSF, Chamber of Industry   Q2 2007 – Q3 2007                   Financial and economic
       Ministry of Finance and NSSF on registered           and Commerce, MoF, MoL:                                          organizations shall provide
       companies and self employed                          Foreign Workers Committee                                        the NSSF with the registered
                                                                                                                   S         companies and self
                                                                                                                             employed documented in the
                                                                                                                             Chamber of Industry and
                                                                                                                             Commerce registers
   4b. Increase the number of field auditors (100           NSSF                        Q2 2007 – Q3 2007                   Await the approval of CoM
       additional auditors) to regularly survey companies                                                          S         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:                          NSSF                        Q2 2007 – Q3 2007                   The grace period starts from
                                                                                                                             1/1/2005 until 7/11/2007
      - Implement financial penalties on arrears and
      apply this procedure on companies which dues
      were not paid after 1/1/2005
                                                                                                                   S
      - Exempt the companies which dues were not paid
      before 2004 from penalties in virtue of a relevant
      law exempting companies from delay penalties




                     XXX     Natural Owner              IMPLEMENTATION:       S: Short term     M: Medium Term         L: Long Term
                                                                                                                                                        48
                                                                                                                                              NSSF

NSSF – Summary of Paris III Programs and Initiatives

                                                      List of Programs and Initiatives
    Sector Reform Programs and Initiatives                       Stakeholders          Preliminary Timeline    Implem.            Comments
  4e. Align the ceiling on covered wages with the ceiling NSSF                        Q2 2007 – Q3 2007                   This process will need a
                                                                                                                 M
      used in new pension system                                                                                           presidential decree
  4f. Establish a technical unit to develop:              NSSF                        Q2 2007 – Q2 2009                   Within the framework of
                                                                                                                           Phase 2 amendments
     - Requests Handling System for in-patients and
     out-patients
                                                                                                                 M
     - Adopt Flat Rates

     - Adopt Direct Payment




                    XXX    Natural Owner              IMPLEMENTATION:       S: Short term     M: Medium Term         L: Long Term
                                                                                                                                                      49
                                                                                                                                              NSSF

NSSF – Summary of Paris III Programs and Initiatives

                                                   List of Programs and Initiatives
      Sector Reform Programs and Initiatives                    Stakeholders          Preliminary Timeline    Implem.             Comments
 5. Reduce cost to achieve financial equilibrium
   5a. Reaffirm compulsory nature of the NSSF          NSSF                          Q2 2007 – Q3 2007                   Disclose the registered
                                                                                                                          companies and self-
                                                                                                                M         employed

                                                                                                                         This item is related to 4b
   5b. Close enrolment into “voluntary insurance       NSSF                          Q2 2007 – Q3 2007                   Will need a presidential
       programs” permanently                                                                                              decree

                                                                                                                M        Establish a committee within
                                                                                                                          NSSF to consider the status
                                                                                                                          of the voluntary insurance
                                                                                                                          program beneficiaries
   5c. Monitor closely those already enrolled in the     NSSF                        Q2 2007 – Q3 2007
                                                                                                                M
       optional program
   5d. Introduce medical audit to assess compliance with NSSF                        Q4 2007 – Q2 2009                   Medical audit process is
       medical standards and avoid unnecessary and                                                                        contingent on the approval of
       inappropriate care                                                                                       M         the joint ministerial health
                                                                                                                          committee




                     XXX    Natural Owner           IMPLEMENTATION:        S: Short term     M: Medium Term         L: Long Term
                                                                                                                                                       50
                                                                                                                                             NSSF

NSSF – Summary of Paris III Programs and Initiatives

                                                     List of Programs and Initiatives
     Sector Reform Programs and Initiatives                      Stakeholders          Preliminary Timeline    Implem.            Comments
  5e. Increase co-payments rates modestly for             NSSF                        Q4 2007 – Q2 2009                   This item will need the
                                                                                                                 M
      admission and hospital services                                                                                      implementation of Phase 1
  5f. Establish a Utilization Review Unit and implement   NSSF                        Q2 2007 – Q4 2007                   This item will need the
      rapid review of excessive high costs services                                                                        implementation of Phase 1
                                                                                                                 M


  5g. Build institutional capacity to implement an        NSSF                        Q4 2007 – Q2 2009                   This item will need the
      actuarial valuation of the NSSF health insurance                                                                     implementation of Phase 1
      benefits
      - Recruit consultant to undertake actuarial
      valuation of the NSSF health insurance benefit
                                                                                                                 L
      - Develop proposal to bring the system to financial
      equilibrium
      - Submit proposal to the cabinet aiming to bring
      NSSF health insurance fund into financial
      equilibrium




                    XXX    Natural Owner              IMPLEMENTATION:       S: Short term     M: Medium Term         L: Long Term
                                                                                                                                                       51
                                                                                                                                                NSSF

NSSF – Summary of Paris III Programs and Initiatives

                                                         List of Programs and Initiatives
      Sector Reform Programs and Initiatives                      Stakeholders          Preliminary Timeline    Implem.             Comments
 6. Strengthen income protection policies
   6a. Enact amendments to EOSI law submitted to         NSSF                          Q2 2007 – Q3 2007
       Parliament as part of the overall package of NSSF                                                          L
       reforms
   6b. Introduce parametric reforms to the family        NSSF, MoL, CoM                Q2 2007 – Q3 2007                   This process will need a law
                                                                                                                  M
       allowance program to eliminate the deficit
   6c. Estimate the accrued rights of current plan       NSSF                          Q2 2007 – Q3 2007                   The NSSF has already
       members and assess magnitude of unfunded                                                                             introduced information
       liabilities                                                                                                          pertaining to its members to
                                                                                                                  M
                                                                                                                            the database. The
                                                                                                                            information shall be updated
                                                                                                                            and approved.
   6d. Establish agreements between the government         NSSF                        Q2 2007 – Q3 2007
       and the NSSF on a plan to refinance these                                                                  M
       liabilities
   6e. Rationalize benefit formulas and financing          NSSF                        Q2 2007 – Q3 2007                  This process will need a law
       mechanisms for those who stay in the end of                                                                M
       service indemnity program
   6f. Assess needs in terms of regulation for the new     NSSF                        Q2 2007 – Q3 2007                  This item is contingent on the
       pension system                                                                                                        promulgation of the
                                                                                                                             “retirement and social
                                                                                                                  M
                                                                                                                             security law” being studied
                                                                                                                             by the parliamentary
                                                                                                                             commissions




                     XXX    Natural Owner                IMPLEMENTATION:     S: Short term     M: Medium Term         L: Long Term
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                                                                                                                                            NSSF

NSSF – Summary of Paris III Programs and Initiatives

                                                    List of Programs and Initiatives
     Sector Reform Programs and Initiatives                       Stakeholders          Preliminary Timeline    Implem.          Comments
  6g. Develop mechanisms for the provision of annuities NSSF                           Q4 2007 – Q2 2009
      in the new pension system and approve it by CoM                                                             L

  6h. Develop mechanisms for provision and financing       NSSF                        Q4 2007 – Q2 2009
       of survivorship pensions in the new pension                                                                L
       system and approve it by CoM
   6i. Develop mechanisms for the provision and            NSSF                        Q4 2007 – Q2 2009
       financing of disability pensions in the new pension                                                        L
       system and approve it by CoM
   6j. Create Social Security Investment authority         NSSF                        Q4 2007 – Q2 2009          L




                    XXX    Natural Owner              IMPLEMENTATION:        S: Short term     M: Medium Term         L: Long Term
                                                                                                                                                   53
Appendix

 IMC Issues Register

 Ministry of Social Affairs

 Ministry of Health

 Ministry of Education and Higher Education

 NSSF

 Ministry of Labor




                                               54
                                                                                                                                  Labor

Ministry of Labor – Summary of Paris III Programs and Initiatives


                                                     List of Programs and Initiatives


        Sector Programs and Initiatives                     Stakeholders           Preliminary Timeline Implem.            Comments
 7. Modernize Labor Law and upgrade IT and
    human capabilities within Ministry of Labor to
    facilitate business
   7a. Streamline employment and work termination      MoL, OMSAR, CoM,            Q3 2007 – Q3 2008
                                                                                                            S
       processes                                       Parliament
   7b. Develop IT and human resources in light of      MoL, CoM, Parliament        Q4 2008 – Q4 2009
                                                                                                            M
       streamlined processes




                    XXX    Natural Owner             IMPLEMENTATION:     S: Short term     M: Medium Term       L: Long Term
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