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.
0
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
Natural
Owner
Ministry of
Social
Affairs
Identification Prioritization
of Initiatives of Initiatives
✓
✓
Program
KPIs
Charters
Setting
Development
75%
Ministry of
Health
✓
✓
50%
Ministry of
Education
✓
✓
✓
✓
50%
NSSF
Ministry of
Labor
List of shortterm
initiatives
under
development
✓
25%
50%
Natural Owner Review
Immediate Next Steps
 Finalize detailed workplans for
Minister reviewed Program
programs 3 and 4
Charters and Technical
 Develop KPIs
Assistance
 Finalize development of Program
Minister reviewed
Charters for short-term initiatives
initiatives prioritization and
 Develop KPIs
DG reviewed Technical
Assistance
 Finalize KPIs
Minister reviewed Program  Finalize “Early Retirement Plan” for
teachers with MoF
Charters and Technical
 Develop final commitment document
Assistance
and obtain Minister of Education
and Higher Education endorsement
 Develop Program Charters and
Detailed Workplans for short-term
initiatives
NSSF DG involved in
 Develop NSSF reform program in
Program development
coordination with Minister of Labor,
NSSF Board, NSSF General
Management and NSSF Technical
Committee
 Finalize Program Charters (Medium
Minister reviewed Program
and long-term budget)
Charters
 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
(Pre-November 2007)
1
Restructure the
Ministry of Social
Affairs
 Improved procedures for implementation of local
development projects at MoSA finalized
 Ministerial decision taken for eligibility criteria of
NGOs and Welfare Institutions wishing to be
subcontracted by MoSA
 New MoSA mandate endorsed by Social IMC
and Council of Ministers
 New MoSA organizational chart enacted by
Parliament
 Processes at MoSA automated
Enhance
Management of
the Social Sector
 Social Inter-Ministerial Committee established
 Communication Attaché appointed
 Social strategy framework developed
 Action plan for eliminating duplicated programs
and services endorsed by Council of Ministers
 Mapping of existing local dev. projects completed
 Social strategy action plan endorsed by Council
of Ministers and implemented
 Duplication in delivery of social services and
program implementation eliminated
 Monitoring / evaluation mechanisms established
 Local development guidelines established
Develop New
Targeting
Mechanisms for
Social Safety
Nets Programs
 Proxy Means Testing (PMT) formula finalized
 Decision taken by IMC on the hosting of the PMT
database
 Implementation plan for new targeting
mechanism of Social Safety nets programs
approved by IMC
 Pilot program for new targeting mechanism
launched
 New targeting mechanism evaluated and scaled
up
Implement
Prioritized Safety
Nets Programs
 Coverage of services offered to the disabled
expanded (Rights and Access)
 Proposal finalized for the implementation of free
healthcare/hospitalization for the holders of the
Disability Card
 Provision of cash assistance to poor households
using new targeting mechanism
 “Full in house” services to disabled improved
 Free healthcare/hospitalization provided for
targeted segments
 Ongoing school food program improved
2
3
Medium/Long-Term Milestones
(Post-November 2007)
4
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
Restructure the
Ministry of Social
Affairs
 Draft procedures for implementing local
development project at MoSA prepared
 Draft ministerial decision for eligibility criteria of
Welfare Institutions and NGOs prepared
 Could be delayed in the absence of timely
funding
 Delay in appointing a Communication attaché for
the Social IMC
Enhance
Management of
the Social Sector
 Previous studies and sectoral strategies
conducted by concerned ministries reviewed
 Development of social strategy launched with
support from experts. Components to be ready
by mid-July 2007
 Intern recruited to coordinate elimination of
duplicated activities between MoSA, MoH and
MEHE. Identification to be completed by August
2007
 Consultant appointed (CDR) to undertake
mapping of local dev projects
3
Develop New
Targeting
Mechanisms for
Social Safety
Nets Programs
 Analysis of Multi-Purpose Survey and
determination of poverty indicators currently
undertaken
 Targeting mechanisms under development
through proxy means testing
 Could be delayed in the absence of timely
funding
4
Implement
Prioritized Safety
Nets Programs
 Not initiated
 Could be delayed in the absence of timely
funding
1
2
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
 New MoSA mandate endorsed by Social  Experts/HR fees (MoSA
IMC and Council of Ministers
restructuring)
Restructure  New MoSA organizational chart enacted
– Organizational
the Ministry of
by Parliament
– Training
– Social Development
Social Affairs  Processes at MoSA automated
– Legal
 Social strategy action plan endorsed by
Council of Ministers and implemented
Enhance
 Duplication in delivery of social services
Management of
and program implementation eliminated
the Social
 Monitoring / evaluation mechanisms
established
Sector
 Local develop. guidelines established
Develop new
targeting
mechanisms
for Social
Safety Nets
programs
Implement
Prioritized
Safety Nets
Programs
 Communication Attaché
(6 months)
 $ 2,000
 $ 4,000
 $ 6,000
 $ 2,000
Total Budget
$ 14,000
 $ 15,000
$ 15,000
 Pilot program for new targeting
 IT hardware:
mechanism launched
– 2 Servers
 New targeting mechanism evaluated and
– 10 PCs
scaled up
– Peripherals
 Provision of cash assistance to poor
households using new targeting
mechanism
 “Full in house” services to disabled
improved
 Free healthcare/hospitalization provided
for targeted segments
 Ongoing school food program improved
Amount
 Cost to increase delivery of
proximity services within the
Rights and Access program
(60,000 handicapped)
 $ 8,000
 $ 15,000
 $ 2,000
$ 25,000
 $ 1,000,000
(out of
$3,000,000)
Note: All budgetary requirements should be reviewed and endorsed by the Ministry of Finance
$ 1,000,000
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
 Improved procedures for implementation
of local development projects at MoSA
Restructure
finalized
the Ministry of  Ministerial decision taken for eligibility
Social Affairs
criteria of NGOs and Welfare Institutions
wishing to be subcontracted by MoSA
 Social IMC established
 Communication Attaché appointed
Enhance
 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
 Decision taken by IMC on the hosting of
targeting
the PMT database, and the staff required
mechanisms
to maintain it
for Social
 Implementation plan for new targeting
Safety Nets
mechanism of Social Safety nets
programs approved by IMC
programs
 Coverage of services offered to the
disabled expanded
Implement
 Proposal finalized for the implementation
Prioritized
of free healthcare/hospitalization for the
Safety Nets
holders of the Disability Card
Programs
Budget Items
 Experts fees to assist in the
restructuring of MoSA
 Subcontractor fees to develop
MIS
Amount
 $ 71,000
 $ 3,521,500
(based on
detailed
proposal)
-
-
 Funding needed to scale up
 $ 1,000,000
pilot program and operate it (to
assess the performance of the
targeting mechanism)
 Cash assistance to poor
 Free hospitalization cost
 Cost to improve food in public
schools
 Cost to increase delivery of
proximity services
 In-house services for disabled
 Services & Exemptions to poor
Total Budget
 $ 16,000,000
 $ 7,000,000
 $ 2,000,000
 $ 2,000,000
 $ 1,000,000
 $ 1,000,000
Note: All budgetary requirements should be reviewed and endorsed by the Ministry of Finance
$ 3,592,500
-
$ 1,000,000
$ 29,000,000
(depending
on targeting)
6
Health
The Ministry of Health has identified seven main programs under
Paris III
Ministry of Health Paris III Milestones
Short-Term Milestones
(Pre-November 2007)
1
2
3
4
Complete Post-War
Recovery Program
7
 Special services provided to injured and affected
communities
 PHC accreditation program developed and
implemented
 Catchment areas for 120 centers defined and referral
system between centers and hospital designed
 Health card system and IT infrastructure developed
 Disease management guidelines implemented
 Performance based contracting for targeted primary
health care services implemented
 Roll-out of maternal and child mortality reduction
program to 10 cazas completed
 Public hospital accreditation program implemented
and institutionalized
 Clinical practice guidelines developed
Undertake health financing
reform
 Database of eligible beneficiaries integrated across
public funds
 Pilot testing of the visa billing system completed
 National Health Accounts (NHA) updated and
institutionalized
 By-laws of public funds amended to allow for
common procedures
 Insurance functions harmonized and integrated
across funds
 Electronic processing of hospital bills implemented
Enhance Public Health
Functions and Programs
 National expanded immunization program enhanced
 Decentralization of epidemiological surveillance
system completed
 Public health programs strengthened
 Emergency management services provided
 Non-Communicable Diseases programs enhanced
 N/A
 "Carte Sanitaire" system implemented
 Health technology assessment program developed
 Drugs registered from 2000 to 2006 re-priced
 Current drug registration and reference pricing
system reviewed and approved
 Generic drug policies developed and implemented
Upgrade Primary
Healthcare Services
Follow up Implementation
of Quality Assurance
Program
5
6
Medium/Long-Term Milestones
(Post-November 2007)
Improve Public Health
Regulations
Undertake Pharmaceutical
Reform
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
1
Complete Post-War
Recovery Program
 Catchment areas, referral system, health card system
and IT infrastructure not started and under discussion
between MoH and the World Bank during their mission
in July 2007
 Wadi Khalid project roll-out lacking funding
Follow up Implementation
of Quality Assurance
Program
 Public hospital accreditation program funded by MoH
budget of 2007, and implemented by the French
Health Authority through ESA (Project duration of 18
months)
 Public hospital accreditation program contract signed
with ESA in May 2007, waiting for approval of Court of
Accounts
Undertake health financing
reform
 Database of eligible beneficiaries already operational
across public funds
 Pilot testing of the visa billing system conducted inhouse by MoH (To be completed by Nov 2007)
 Currently developing NHA matrices for 2004-2005
 Several initiatives not started and under discussion
between MoH and the World Bank during their mission
in July 2007
 N/A
 National expanded immunization program stopped
because funds were not transferred from MoF to MoH
 Public health programs (AIDS, NCD) stopped because
funds were not transferred from MoF to WHO
 Several initiatives not started, and under discussion
between MoH and the World Bank
 N/A
 N/A
 Documents gathered for re-pricing Category A
pharmaceutical products registered after year 2001
 Pricing of part of Category A pharmaceutical products
reviewed
 N/A
Upgrade Primary
Healthcare Services
4
5
6
7
 Completed
 PHC accreditation program funded by Italian
Cooperation, and started implementation with
Balamand University
2
3
Issues
Enhance Public Health
Functions and Programs
Improve Public Health
Regulations
Undertake Pharmaceutical
Reform
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
Complete Post-War
Recovery Program
Upgrade Primary
Healthcare Services
Follow up
Implementation of
Quality Assurance
Program
Undertake health
financing reform
Enhance Public Health
Functions and
Programs
Improve Public Health
Regulations
Undertake
Pharmaceutical Reform
Milestones
 Special services provided to injured and
affected communities
Budget Items
Amount
Total Budget
-
-
-
 PHC accreditation program developed and
 To be defined
implemented
 Catchment areas for 120 centers defined
 Health card system & IT infrastructure developed
 Public hospital accreditation program
implemented and institutionalized
-
 To be defined
DPL
-
 Database of eligible beneficiaries integrated
 To be defined
across public funds
 Pilot testing of the visa billing system completed
 National Health Accounts (NHA) institutionalized
 To be defined
 Expanded immunization program enhanced  To be defined
 Decentralization of epidemiological
surveillance system completed
 Public health programs strengthened
 N/A
 To be defined
 Drugs registered from 2000 to 2006 re-priced
 IT equipment and staff
Note: All budgetary requirements should be reviewed and endorsed by the Ministry of Finance
DPL
DPL
-
-
 $ 20,000
$ 20,000
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
Complete Post-War
Recovery Program
Upgrade Primary
Healthcare Services
Follow up
Implementation of
Quality Assurance
Program
Undertake health
financing reform
Enhance Public Health
Functions and
Programs
Improve Public Health
Regulations
Undertake
Pharmaceutical Reform
Milestones
 N/A
 Disease management guidelines implemented
 Performance based contracting for targeted
primary health care services implemented
 Roll-out of maternal and child mortality reduction
program to 10 cazas
 Clinical practice guidelines developed
Budget Items
Amount
Total Budget
-
-
-
 Roll-out of maternal
and child mortality
reduction program to
10 cazas
 By-laws of public funds amended to allow for common
procedures
 Insurance functions integrated across funds
 Electronic processing of hospital bills implemented
 To be defined
 Emergency management services provided
 Non-Communicable Diseases programs
enhanced
 To be defined
 “Carte Sanitaire" system implemented
 Health technology assessment program developed
 Current drug registration and reference pricing system
reviewed and approved
 Generic drug policies developed and implemented
 $ 1,300,000
DPL +
$ 1,300,000
-
-
 To be defined
DPL
 To be defined
DPL
-
-
-
-
-
-
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
1
Consolidate Policy,
Planning and
Resources Allocation
2
Achieve Universal
Basic Education (UBE)
for Ages 6 to 15
3 Improve Efficiency,
Effectiveness and
Competence Level of
the Teaching
Workforce
Short-Term Milestones
(Pre-November 2007)
Medium/Long-Term Milestones
(Post-November 2007)
 National education strategy developed
 Policy, planning and Information
Management functions integrated to MEHE
 Contract for delivery of SIS equipment
signed
 Contract signed for organizational structure
and performance budgeting
 New MEHE organization structure
implemented
 Performance-based budget for the education
sector
 EMIS and SIS operational
 Permanent Policy, planning, and Information
Management Unit
 Textbooks for all public school students
distributed
 Free transportation scheme for reallocated
cycle 3 students established
 Compulsory Basic Education Legislations
enacted
 Registration fees for Cycle 3 eliminated
 Local society engaged in financing of school
fund
 100% of cycle 3 reallocated public students
receiving free school transportation
 Training on Leadership Management to 30%
of Public School Principals completed
 Public school teachers reallocated based on
optimal utilization plan
 Second Language learning opportunities
expanded
 Recruitment of teachers based on university
degrees
 Training on Leadership Management to 50%
of Public School Principals completed
 Separation packages offered to 2884
teachers
 Professional competence of teaching
workforce enhanced
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
(Pre-November 2007)
4
 Examination Generation System,
Examination Management System, and a
Question Bank System developed
 New Curriculum developed
 Quality and content of the student textbooks
and teachers guide enhanced
 Learning Achievement enhanced
 Access to public preschool education in
poor, rural areas expanded
 Drop-out Prevention Program implemented
 Psycho-social support program expanded
 Schools requiring consolidation identification
 Consolidation plan ready
 At least 30 non viable schools consolidated
(within the first year of consolidation plan
implementation)
 GIS system to optimize utilization of
investment implemented
 Upgrading of MEHE physical infrastructure
initiated
 Continuous process of school consolidation
 VTE teaching tools and methods reviewed
 Plan for elements of quality assurance
completed
 School distribution across Lebanese regions
rationalized
 Modern learning assessment tools and new
teaching methods developed and
implemented
 System for pedagogic orientation and
guidance implemented
 New Laws and Articles for Lebanese
University developed
 Measures undertaken to ensure
administrative, academic, and financial
independence of LU
 Standards for institutional QA implemented
at MEHE
 National structures for quality assurance
established
12
Enhance Quality of
Education
5
Enhance the Utilization
of Educational
Facilities
6
Rationalize Vocational
and Technical
Education
7
Develop Quality
Assurance in Higher
Education
Medium/Long-Term Milestones
(Post-November 2007)
Ministry of Education achieved progress on four programs
Education
Ministry of Education – Short Term Initiatives Progress
1
Consolidate Policy,
Planning and
Resources Allocation
2
Achieve Universal
Basic Education (UBE)
for Ages 6 to 15
3
Improve Efficiency,
Effectiveness and
Competence Level of
the Teaching
Workforce
4
Enhance Quality of
Education
5
Enhance the Utilization
of Educational
Facilities
6
Rationalize Vocational
and Technical
Education
7
Develop Quality
Assurance in Higher
Education
 Three years education strategy developed and its implementation plan is under preparation
 Financial planning team undertaking training
 Tenders for EMIS and SIS launched
 Not started
 Self guided modules and practicum phase currently implemented by 302 school Principals
 Procurement process for the selection of the expert to develop evaluation tools launched
 Examination Generation System developed
 Examination Management System and Question Bank System under development
 Criteria for school consolidation being prepared
 Prioritization of small GE and VTE schools currently underway
 Not started
 Not started
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
 Experts fees to
 National education strategy developed
develop capability at
 Policy, planning and Information Management
Consolidate Policy,
functions integrated to MEHE
MEHE
Planning and Resource
 Contract for delivery of SIS equipment signed
Allocation
 Contract signed for organizational structure and
for performance budgeting
 Cost of implementing
 Textbooks for all public school students
free textbooks
distributed
Achieve Universal Basic
program for year 1
 Free transportation scheme for reallocated cycle
Education for Ages 6 to 15
 Cost for free
3 students established
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
 $ 100,000
 Cost of consolidation
 $ 100,000
Enhance the Utilization of
Educational Facilities
Rationalize Vocational and
Technical Education
Develop Quality
Assurance in Higher
Education
 Schools requiring consolidation identification
 Consolidation plan ready
 At least 30 non viable schools consolidated
 VTE teaching tools and methods reviewed
 Plan for elements of quality assurance
completed
 New Laws and Articles for Lebanese University
developed
Total Budget
$ 100,000
 $ 3,500,000
$ 3,800,000
 $ 300,000
-
-
-
-
$ 100,000
-
-
-
-
-
-
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 (PostNovember 2007) goals
Ministry of Education – Medium/ Long Term Technical Assistance Requirement
(Post-November 2007)
Programs
Consolidate Policy,
Planning and Resource
Allocation
Milestones
 New MEHE organization structure implemented
 Performance-based budget for the education sector
 EMIS and SIS operational
 Permanent Policy, planning, and Information
Management Unit
 Compulsory Basic Education Legislations enacted
 Registration fees for Cycle 3 eliminated
 Local society engaged in financing of school fund
Achieve Universal Basic  100% of cycle 3 reallocated public students receiving
free school transportation
Education for Ages 6 to
15
Improve Efficiency,
Effectiveness &
Competence Level of
the Teaching Workforce
 Public school teachers reallocated based on optimal
utilization plan
 Second Language learning opportunities expanded
 Recruitment of teachers based on university degrees
 Training on Leadership Management to 50% of Public
School Principals completed
 Separation packages offered to 2884 teachers
 Professional competence of teaching workforce
enhanced
Budget Items
Amount
 Cost to
 $ 500,000
connect 100
sites to EMIS
 Experts fees to  $400,000
develop MEHE
capability
 Cost to
eliminate
registration
fees for 2
years
 Cost of
providing free
textbooks for
year 2
 $ 8,600,000
 Cost of
professional
development
for additional
20% of public
school
principals
 Cost of early
retirement to
be determined
by MEHE and
MOF
 $ 400,000
Note: All budgetary requirements should be reviewed and endorsed by the Ministry of Finance
 $ 3,500,000
 TBD
Total Budget
$ 900,000
$ 12,100,000
$ 400,000
+
Early
Retirement
Plan Cost
15
Education
… And around $24 million to achieve medium/ long term (PostNovember 2007) goals … (Cont’d)
Ministry of Education – Medium/ Long Term Technical Assistance Requirement
(Post-November 2007)
Programs
Enhance Quality of
Education
Enhance the Utilization
of Educational Facilities
Rationalize Vocational
and Technical Education
Develop Quality
Assurance in Higher
Education
Milestones
Budget Items
Amount
 New Curriculum developed
 Quality and content of the student textbooks and
teachers guide enhanced
 Learning Achievement enhanced
 Access to public preschool education in poor, rural
areas expanded
 Drop-out Prevention Program implemented
 Psycho-social support program expanded
 Cost of
 $ 4,000,000
Furniture &
equipment
 Cost of Psycho  $ 500,000
Social program
 Cost of Drop
 $ 2,500,000
out program
 GIS system to optimize utilization of investment
implemented
 Upgrading of MEHE physical infrastructure initiated
 Continuous process of school consolidation
 Cost of GIS
 School distribution across Lebanese regions
rationalized
 Modern learning assessment tools and new teaching
methods developed and implemented
 System for pedagogic orientation and guidance
implemented
 Measures undertaken to ensure administrative,
academic, and financial independence of LU
 Standards for institutional QA implemented at MEHE
 National structures for quality assurance established
 Cost of
rationalizing
VTE
 $ 1,000,000
 Cost of
implementing
initiative
 $ 1,500,000
Total Budget
$ 7,000,000
 $ 1,000,000
$ 1,000,000
Note: All budgetary requirements should be reviewed and endorsed by the Ministry of Finance
$ 1,000,000
$ 1,500,000
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
Strengthen the
Administration of
the NSSF
 Implementing Phase I of the IT Infrastructure Master Plan:
– Bids completed between January and April 2007, and contracts signed with the corresponding
companies:
•
Hardware & PCs are delivered successively, with delivery completion by May 2007
•
LAN installation initiated and will be completed latest by April 2008
•
WAN installation initiated and will be completed latest by May 2008
•
Software and training contracts to be outsourced to IDS, under a two-year contract, latest by
15/7/2007
– IT systems (hardware, software, training) to be rolled out to 14 out of 35 centers (representing
over 60% of NSSF capacity) from August to November 2007
– Completion of Phase I of the IT Infrastructure Mater Plan by July 2008
 Contracting 4 consultants, pursuant to recruitment tests organized by the Civil Services Board:
– IT and computerization experts
– Actuarial statistician
– Managerial accountant
– Financial economist
Audit NSSF
Accounts and
Government
Dues
 Perform 2001 to 2005 audits by an international firm
– Grant Thornton has been selected and the auditing process will be carried out from August 2007
until early 2009
 Resolve issues related to government dues owed to the NSSF
– Negotiations need to be carried out between MoF and NSSF
18
NSSF
… containing administrative expenditures, improving capacity to
collect contributions, and determining NSSF liabilities and
securing funding
NSSF Medium Term Initiatives
Contain
Administrative
Costs and Health
Expenditures
Improve NSSF
Capacity to
Collect
Contributions
under Current
Law
Determine NSSF
Liabilities &
Secure its
Funding and
Funding
Continuity







Implement the new grade and salary structures
Terminate contracts with hospitals not accredited by the Ministry of Health
Commence “on-call” rotation schemes for doctors during statutory holidays to control hospital admittance
Create an oversight committee to oversee open heart, by-pass and “spring” surgeries
Administer drugs for incurable diseases through the Fund
Commence recruitment proceeding to employ pharmacists
Continuously follow-up and update drug listings and medical supplies
 Share non confidential information between MoF and NSSF on registered companies
 Perform field audit to increase compliance through:
– Increasing the number of field auditors (100 additional auditors) to regularly survey companies
– Forward the employment requisitions to the Minister of Labor to present to the CoM
 Enhance collection processes:
– Create a supervision & control unit to follow-up on companies that repudiate their NSSF commitments
– Exempt the companies which did not pay their dues before 2004 from late penalties, in virtue of the
Clemency law
– Strengthen the Litigation department with lawyers and paralegals and automate it, and request the
approval of the CoM to commence paralegal recruitment proceedings
 Perform an actuarial study for the Health and Maternity insurance branch:
– Assess the financial situation of the Fund until 2020
– Propose scenarios related to recipients benefits and financing modes
– Study completed and delivered to NSSF by August 2007
 Perform an actuarial study for the End of Service Indemnities branch:
– Perform an actuarial assessment to determine available and needed funds to establish deficit or
surplus amounts
– Study completed and delivered to NSSF by September 2007
19
NSSF
In parallel to short-term quick-wins, the NSSF is formulating a longterm reform plan in cooperation with the World Bank
NSSF Long Term Programs
Expand
Coverage of
Social Insurance
System
Improve
Financial
Continuity of the
NSSF
Strengthen
Income
Protection
Policies
Strengthen the
Administration
of the NSSF
Audit, Update
and Reform
NSSF Accounts
and Accounting
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
IMC Meetings
 Review progress, and resolve escalated issues
 1st Social IMC: 17 May 2007
 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
Third Round of IMC
Meetings
 Review and approve natural Owners funding/ TA
requests
 3rd Social IMC: 21 August 2007
 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 ID
001
002
003
004
Issue
Level
H
H
H
H
Issue Description
Raised by
Date
2 initiatives related to
“providing healthcare
services to poor and disabled
citizens” have yet to be
allocated either to MoSA or
to MoH
Minister of
Health /
Minister of
Social
Affairs
17/05/2007
Unavailability of the
Household Survey database
to the social targeting
mechanism that MoSA is
currently undertaking with
the World Bank
NSSF reform plan is still
under development in
coordination with the World
Bank. This is delaying the
planning process
Minister of
Social
Affairs
17/05/2007
BAH
17/05/2007
MoH has identified initiatives
to be performed under Paris
III, however continuous shift
in focus as a result of
ongoing discussions with the
World Bank is delaying the
planning process
BAH
17/05/2007
Assigned
to
Minister of
Social
Affairs
Actions Needed
MoSA will be the primary natural owner,
working towards identifying the eligibility
criteria for the following two initiatives:
– “Assure free hospitalization for the
poor”
– “Implement free health care system
for the holders of the Disability Card”
Once eligibility criteria are determined, the
delivery of the service could be made by
the MoH or outsourced to a third party
Deadline
Status
25/05/2007
Completed
Initiatives
integrated
into MoSA
Paris III
program
Prime Minister to facilitate release of the
Household Survey database from CAS and
UNDP to MoSA and the World Bank
01/06/2007
Minister of
Labor/
NSSF DG
Quickly identify short-term initiatives and
programs and start developing Program
Charters for the short-listed programs
30/06/2007
(Revised
deadline)
MoH
Quickly freeze a list of short-term initiatives
and programs and start developing
Program Charters for the short-listed
initiatives and programs
01/06/2007
Prime
Minister
Completed
Database
released on
11/06/2007
Completed
NSSF M&S
started to
develop
Charters
Completed
MoH M&S
started to
develop
Charters
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 ID
Issue
Level
Issue Description
Communication of social
aspects of Paris III is
deficient
005
008
009
BAH based 17/05/2007
on Press
Monitoring
Minister of
Social
Affairs
15/05/2007
H
MoL/NSSF requires
recruitment of additional
M&S staff
007
Date
Assigned
to
Actions Needed
Deadline
Status
Social IMC
Members
 Prime Minister and all members of the
Social IMC to stress the social aspect of the
Paris III Program in the press
On-going
In progress
GR PCO
 Appointment of a press attaché for the
Social IMC
15/06/2007
Delayed
Minister of
Finance
 Minister of Finance will arrange for financing
the recruitment of M&S staff from UNDP or 30/06/2007
World Bank fund
Delayed
Booz Allen
 Booz Allen to send Job Descriptions for the
M&S Staff to the Ministries of Finance and
Social Affairs
Minister of
Finance
 Minister of Finance will arrange for financing 30/06/2007
the recruitment of M&S staff from UNDP or
World Bank fund
Booz Allen
 Booz Allen to send Job Descriptions for the
M&S Staff to the Ministries of Finance and
Labor
H
MoSA requires recruitment
of additional M&S staff
006
Raised by
NSSF
15/05/2007
H
L
L
18/05/2007 Completed
Delayed
18/05/2007 Completed
Minister of Labor not
engaged
Social IMC
17/05/2007
Minister of
Labor / BAH
 BAH to meet with Minister of Labor, in order 08/06/2007 Completed
Meeting
to agree on Ministry’s initiatives that could
held on
be started at this stage
25/05/2007
Minister of Health not
engaged
Social IMC
17/05/2007
Minister of
Social
Affairs
 Minister of Social Affairs will aim to invite
the Minister of Health for a meeting with
BAH at her residence
25/05/2007 Completed
Meeting
held on
25/05/2007
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
of Social Affairs
MoSA, OMSAR
Q4 2007- Q4 2009
M
1b. Develop new organizational structure for the
MoSA, OMSAR
Ministry of Social Affairs
1c. Undertake process re-engineering and automation MoSA, OMSAR
of the Ministry of Social Affairs
Q3 2007 – Q4 2008
L
Q4 2008 – Q4 2009
L
XXX
Natural Owner
IMPLEMENTATION:
S: Short term
M: Medium Term
 Re-organization review
project done by OMSAR
 To be efficiently restructured,
local development depends
on national coordination of all
local development efforts
 Reorganizing the Care
program depends on
completing the targeting
mechanisms
 Depend on initiative (1a)
 Depend on initiative (1b)
 Automation of MoSA should
start when restructuring of
components and procedures
at MoSA is completed
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
Committee supported by a technical secretariat
and a Communication Attaché
2b. Formulate a comprehensive social strategy
Q1 2007 – Q4 2007
MoSA
S
Q2 2007 – Q4 2007
MoSA, Social IMC
S
2c. Eliminate duplication and increase coordination in
the delivery of social services and implementation
of programs between the ministries of Social
Affairs, Education and Health
MoSA, MEHE, MoH, Social
IMC
Q2 2007 – Q4 2008
S
2d. Establish monitoring and evaluation mechanism
for social programs across the ministries of Social
Affairs, Education and Health
XXX
Natural Owner
MoSA, MEHE, MoH, Social
IMC
IMPLEMENTATION:
 Need to appoint a
Communication Attaché
 Previous studies undertaken
by concerned ministries have
been reviewed e.g. findings
of sectoral strategies
 Social IMC is in the process
of developing the social
strategy with support from a
team of experts.
Components of the strategy
should be ready by mid-July
 MoSA has recruited an intern
to coordinate with Ministries
on the elimination of
duplications
 Minister of Social Affairs sent
a memo to MEHE and MoH
requesting cooperation on
this effort
 Identification of duplicated
activities should be
completed by end of July
2007
Q1 2008 – Q3 2008
S: Short term
M
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
2e. Create a coordination mechanism for the
implementation of local development projects
Stakeholders
MoSA, Social IMC
Preliminary Timeline Implem.
Q1 2007 – Q1 2008
S
Comments
 Consultant appointed (CDR)
 Mapping of local dev projects
in progress
 Data analysis and workshop
organization could be
undertaken on the short-term
 Development need
framework would be defined
on the medium term
3. Develop new targeting mechanisms for Social
Safety Nets programs
3a. Establish targeting mechanism (through proxy
means testing) for implementing Safety Net
programs
MoSA, Social IMC
Q2 2007 – Q4 2008
S
MoSA, Social IMC
Q2 2007 – Q4 2007
3c. Develop detailed procedures, implementation
MoSA, Social IMC
plans, and evaluation mechanisms for Safety Nets
programs
Q1 2008 – Q2 2009
3b. Review and identify Safety Nets programs
XXX
Natural Owner
IMPLEMENTATION:
M
 Analysis of Multi-Purpose
Survey and determination of
poverty indicators are being
undertaken
 Development of targeting
mechanisms would be done
through proxy means testing
 Depend on initiative (3a)
 Depend on initiative (3b)
L
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
headed households, poor families (more than 7)
with at least one drop-out child working underage,
poor elderly, and to poor disabled people
4b. Assure free hospitalization for the poor elderly and MoSA, MoH
children under 5 years
Q4 2008 – ongoing
4c. Identify services and exemptions to be provided to MoSA
elderly through electronic Identification Cards
4d. Expand the coverage of services offered to the
MoSA
disabled
Q3 2007 – Q4 2007
L
Q1 2007 – Q4 2007
M
M
Q2 2007 – Q4 2007
S
4e. Scale up and improve the quality of existing “full in MoSA
house” services to the disabled
Q2 2007 – Q4 2007
M
4f. Implement free healthcare/hospitalization for the
MoSA, MoH
holders of the Disability Card (Law # 220)
4g. Improve the ongoing school food program in public MoSA
schools
Q1 2007 – Q4 2007
 Safety nets categories would
be reviewed after finalizing
the targeting mechanisms
 Sustainability not ensured
 Safety nets categories would
be reviewed after finalizing
the targeting mechanisms
 Sustainability not ensured
S
Q4 2007 – Q3 2008
M
 Increase delivery of proximity
services within “Rights and
Access” program
 Sustainability depends on
fund availability
 Examples would be to offer
electric chairs, sophisticated
beds, etc.
 Sustainability depends on
fund availability
 Sustainability depends on
fund availability
 School food program was
limited to 6 schools
 Need to assess the feasibility
of rolling out the program to
all public schools
Source: (*) “Final Social Action Plan: Towards Strengthening Social Safety Nets and Access to Basic Social Services” (Republic of Lebanon, January 2007)
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
communities
MoH, WHO
Q1 2007 – Q2 2007
 Completed
2. Upgrade primary healthcare (PHC) services
2a. Define catchment areas for 120 centers and
MoH, World Bank
design a referral system between these centers
and public hospitals in the same areas
2b. Revise and enhance the PHC package of services MoH, World Bank
for 120 catchments areas
2c. Develop health card system
MoH, World Bank
Q3 2007 – Q1 2008
2d. Initiate health card initiative for eligible MoH
beneficiaries of 120 catchments areas
2e. Expand IT infrastructure of 120 catchments areas
MoH, World Bank
Q3 2007 - Q4 2009
MoH, World Bank
Q3 2007 - Q4 2009
2f. Develop and implement PHC accreditation
program
MoH
Q2 2007 – Q4 2009
2g. Develop and implement disease management
guidelines
2h. Introduce performance based contracting for
targeted primary health care services; Revise
current PHC contracts with NGOs based on
recently issued decree and enhance the
monitoring capacity of the MoH to manage those
contracts
MoH
Q4 2007 – Q4 2009
MoH
Q4 2007 – Q4 2009
XXX
Natural Owner
S
Q3 2007 - Q4 2009
Q3 2007 – Q1 2008
M
S
M
S
S
IMPLEMENTATION:
 Not started
 To be discussed with the
World Bank during their
mission in July 2007
 Initiatives would provide
access to magnetic cards
 Contact: Ms. Randa
Hamadeh (MoH)
 Funded by the Italian
Cooperation
 Implemented in cooperation
with Balamand University
L
M
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
2i. Undertake targeted interventions for maternal and
child mortality reduction by rolling out
implementation of Wadi Khalid project (Akkar), in
collaboration with the public hospitals in the areas
of Tripoli, Daniyeh, Baalbeck, Hermel, Rachaya,
Hasbaya, Marjeyoun, Bint-Jbeil, and Nabatiyeh
MoH, World Bank
Preliminary Timeline Implem.
Q3 2007 -Q4 2009
M
Comments
 Not started yet
 Wadi Khalid project is
currently managed by
Makassed
 Require a budget of LL 2
billion to roll out the project to
10 cazas
 Contact: Ms. Randa
Hamadeh (MoH)
3. Follow up implementation of Quality Assurance
program
3a. Implement and institutionalize public hospital
accreditation program
MoH, French Health Authority Q3 2007 – Q4 2008
S
3b. Develop clinical practice guidelines
XXX
Natural Owner
MoH, Order of Physicians,
World Bank
IMPLEMENTATION:
Q4 2007 – Q4 2009
S: Short term
L
M: Medium Term
 Funded by MoH budget of
2007
 Implemented by the French
Health Authority through
ESA (Project duration of 18
months)
 Contract signed with ESA in
May 2007, pending approval
of Court of Accounts
 Low priority initiative
 Depends on availability of
funding
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
common procedures
4b. Re-commission the work on the standardization of
codes, forms, and payment methods across the
funds
4c. Revisit the eligibility policies, contribution rates,
covered benefits of the insurance funds
4d. Integrate database of eligible beneficiaries across
public funds
MoH, NSSF
Q2 2008 – Q2 2009
MoH, NSSF
Q3 2007 – Q4 2008
M
S
MoH, NSSF
Q3 2007 – Q4 2008
MoH, NSSF
Q3 2007 – Q4 2007
L
S
4e. Integrate Health Management Information System MoH, NSSF
(HMIS) across funds
Q3 2007 - Q4 2008
M
4f. Harmonize and integrate insurance functions
across funds
4g. Pilot a common Third Party Administrator (TPA)
for public funds (Interface Resource Body IRB)
XXX
Natural Owner
MoH, MoET
Q3 2007 – Q4 2008
MoH
Q3 2008 – Q4 2009
IMPLEMENTATION:
S: Short term
M: Medium Term
 Not started
 To be discussed with the
World Bank during their
mission in July 2007
L
 The database of eligible
beneficiaries is already
operational across public
funds. The HMIS would
assign the list of services to
each beneficiary
 Not started
 To be discussed with the
World Bank during their
mission in July 2007
 Depend on initiative (4b)
 Depend on initiatives (4b)
and (4c)
L
L: Long Term
35
Health
Ministry of Health – Summary of Paris III Programs and Initiatives
List of Programs and Initiatives
Sector Programs and Initiatives
4h. Complete the pilot testing of the visa billing
system
Stakeholders
MoH, WHO
Preliminary Timeline Implem.
Q1 2007 – Q4 2007
S
4i. Implement electronic transfer and processing of
hospital bills
MoH
4j. Update and institutionalize the National Health
Accounts (NHA)
MoH
Q1 2008 – Q1 2009
M
Q1 2007 - Q4 2008
S
Comments
 Ongoing project to transfer
bills electronically to MoH
(part of World Bank project)
 Pilot testing of the visa billing
system is conducted inhouse by MoH and expected
to be completed by Nov 2007
 Development, training and
implementation to be
completed in one year
 Currently developing NHA
matrices for 2004-2005
 Prepare to institutionalize
data collection from public
funds for 2006-2007
 TA provided by WHO to
organize the NHA team and
install software & templates
5. Enhance public health functions and programs
5a. Enhance national expanded immunization
program
MoH, UNICEF, MoF
Q1 2007 – Q4 2009
S
5b. Complete the decentralization of epidemiological MoH
surveillance system
5c. Support emergency management services
MoH, WHO
Q3 2007 – Q4 2009
5d. Strengthen public health programs (Injury
prevention, HIV -AIDS, School health)
5e. Enhance Non-Communicable Diseases
programs
MoH, WHO
Q3 2007 – Q4 2009
MoH, WHO
Q3 2007 – Q4 2009
XXX
Natural Owner
IMPLEMENTATION:
Q3 2007 – Q4 2009
S: Short term
M: Medium Term
S
M
 Depend on the MoF contract
with UNICEF (MoF should
release contract fund)
 To be discussed with the
World Bank during their
mission in July 2007
S
M
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
Q3 2007 – Q4 2009
MoH
L
6b. Develop health technology assessment
program
Q1 2008 – Q4 2009
MoH
L
 Infrastructure is ready
(Health plan through GIS
system)
 Implementation depends on
the adoption of Law
(currently at the Council of
Ministers)
 Proposal to evaluate new
technologies and upgrade
existing ones
 Not a priority
7. Undertake pharmaceutical reform
7a. Re-price all drugs registered from 2000 to 2006
MoH, Order of Pharmacists
Q3 2007 – Q4 2007
S
7b. Review and improve current registration system
7c. Review and improve current reference pricing
system
7d. Adopt code of ethics for marketing and
promotion of drugs
7e. Develop and implement generic drug policies
7f. Develop prescribing and dispensing guide for
physicians and pharmacists regarding generic
substitution
XXX
Natural Owner
MoH, MoET, Order of
Pharmacists
MoH, MoET, Order of
Pharmacists
MoH, Order of Pharmacists,
Drug companies
MoH, MoET, Order of
Pharmacists
MoH, Order of Pharmacists,
Order of Physicians
IMPLEMENTATION:
Q1 2008 – Q4 2009
Q1 2008 – Q4 2009
Q1 2008 – Q4 2009
Q1 2008 – Q4 2009
 To be completed by October
2007
 Contact: Rita Karam
L
L
L
L
Q1 2008 – Q4 2009
S: Short term
L
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
strategy
MEHE, EDP, WB
1b. Develop a new MEHE organization structure
MEHE, EDP, CoM,
Parliament
Jun 2007 – May 2007
S
Sep 2006 – Dec 2009
M
Jul 2007 – Dec 2009
1c. Develop capability at MEHE to assist in the
implementation of Paris III initiatives
MEHE, EDP
1d. Integrate and implement policy, planning, and
information management functions at MEHE
1e. Develop and disseminate model performance
based budget for 2008-2009
MEHE
Jul 2007 – Feb 2010
MEHE, EDP, MoF
Mar 2007 – Nov 2011
1f. Implement EMIS in MEHE, and SIS at schools
MEHE, CDR, EDP, IMU
S
S
S
Mar 2005 – Nov 2010
S
XXX
Natural Owner
IMPLEMENTATION:
S: Short term
M: Medium Term
 Strategy completed
 Implementation plan under
preparation
 EDP has launched the
procurement process for the
selection of the TA
Consultant
 MEHE Technical Committee
is currently finalizing the
technical evaluation
 Commencement of services
expected by end of June
2007
 EDP is currently nominating
the staff to fill in the key
positions to H.E. the minister
 To be done in coordination
between MEHE and MoF
 A pilot budget would be
developed on the short-term
 SIS should be installed in
1,500 schools by September
2007
 EMIS contract should be
signed in September 2007
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
and enact compulsory education at age 15
2b. Prepare, ratify and implement law to eliminate
registration fees at third cycle (Grades 7-9)
2c. Engage participation of local society in the
financing of school fund
2d. Provide free textbooks to public schools students
through revolving textbooks program
MEHE, CoM, Parliament,
CDR, EDP, ECU
MEHE, CoM, Parliament,
Ministry of Finance
MEHE, CoM, Parliament,
Ministry of Economy
MEHE, ECRD
2e. Provide free school transportation for cycle 3
public students arising from their reallocation,
where necessary
MEHE, Ministry of Transport
Aug 2007 – May 2011
Aug 2007 – Dec 2009
Sep 2007 – Dec 2009
L
L
L
Nov 2007 – Nov 2009
S
Aug 2007 – Jun 2008
S
 Books could be provided in
September 2007, if the
budget of $4 million per year
is made available
 A percentage of students in
consolidated schools would
need transportation
 Require a budget of $0.5M
3. Improve efficiency, effectiveness and
competence level of the teaching workforce
Sep 2004 – Dec 2009
3a. Continue implementation of Leadership
Development Program for school principals and
institutionalize the program within MEHE and LU
MEHE, EDP, LU
3b. Enhance the professional competence of the
teaching workforce
MEHE, EDP, ECRD, AFD
S
Jan 2006 – Dec 2009
S
XXX
Natural Owner
IMPLEMENTATION:
S: Short term
M: Medium Term
 302 school Principals are
currently implementing the
self guided modules and
practicum phase
 EDP has launched the
procurement process for the
selection of the TA
Consultant to develop
evaluation tools
 Technical Committee has
finalized the technical
evaluation
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
Jun 2007 – Dec 2009
3c. Enhance the efficiency of teacher work-force
utilization
MEHE
3d. Develop and implement an early retirement
program
MEHE, MoF, CoM
Mar 2008 – Oct 2009
4a. Review and update curriculum
MEHE, ECRD
Jul 2007 – Dec 2009
4b. Enhance the quality and content of the student
textbooks and teachers guide
4c. Enhance Learning Achievement
MEHE, ECRD
Jul 2007 – Nov 2007
MEHE, EDP, ECRD,
Department of Examinations
May 2006 – Dec 2009
M
L
4. Enhance quality of education
4d. Expand access to public preschool education in
MEHE, ECRD, CDR, ECU
poor, rural areas
4e. Introduce “Drop-out Prevention Program” targeting MEHE, ECRD, EDP
pedagogical reasons behind drop-out and
repetition problem
M
M
S
Sep 2007 – Dec 2009
 Examination Generation
System (EGS) and Question
Bank System should be
ready before November 2007
L
Jul 2007 – Dec 2010
L
5. Enhance the utilization of educational facilities
5a. Upgrade the physical requirement of schools
MEHE, CDR, ECU, EDP, IMU Jul 2007 – Mar 2010
M
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
 EDP has launched the
procurement process for the
recruitment of a TA
Consultant to undergo a GIS
professional Development
study
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,
specializations and delivery modules
6b. Institutionalize relationship and partnership
between VTE institutions (administration,
educational institutions, civil and economic
councils)
6c. Revise VTE school distribution through the usage
of VTE school mapping system
6d. Upgrade VTE curriculum teaching methods and
tools, equipment requirements, and learning
assessment tools
6e. Develop VTE human resources and provide new
human resources according to needs
6f. Adopt a system for pedagogic orientation and
guidance
6g. Develop standards for institutional quality
assurance
MEHE, DGVTE, DGHE, MoL, Jun 2007 – Dec 2009
CoM, Parliament
MEHE, DGVTE
Jun 2007 – Dec 2009
L
L
MEHE, DGVTE, CDR
Jul 2007 – Dec 2009
MEHE, DGVTE
Jul 2007 – Dec 2009
L
L
MEHE, DGVTE
Jul 2007 – Dec 2009
MEHE, DGVTE
Jul 2007 – Nov 2009
MEHE, DGVTE
Jul 2007 – Dec 2009
MEHE, DGHE, LU, CoM,
Parliament
MEHE, DGHE, CoM,
Parliament
MEHE, DGHE, CoM,
Parliament
Aug 2007 – Dec 2009
L
M
L
7. Develop Quality Assurance in higher education
7a. Enact the Lebanese University law
7b. Develop standards for institutional quality
assurance
7c. Establish national structure for quality assurance
XXX
Natural Owner
IMPLEMENTATION:
Aug 2007 – Dec 2009
Jul 2007 – Dec 2009
S: Short term
M: Medium Term
L
L
L
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
Policy and standardize the health systems within
the framework of a comprehensive policy
1b. Develop a coordinated framework for the social
security insurance policy and draw up designs and
provisions for a private health insurance system
1c. Establish 5 technical committees to standardize
the agenda of the medical, laboratory and
radiology issues and approve the medical needs
NSSF, MoH, Public Servants
Cooperative,
Q2 2007 – Q3 2007
NSSF, MoH, MoSA, SubCommittee for Health
Insurance Policy
NSSF, MoH, Sub-Committee
for Health Insurance Policy
Q4 2007 – Q2 2009
M
M
Q2 2007 – Q3 2007
M
XXX
Natural Owner
IMPLEMENTATION:
 As a part the Inter-ministerial
Committee for Social Policy
S: Short term
M: Medium Term
The issues to be addressed are:
 Design and implementation
of health insurance plans
 Financing mechanisms
 Pricing and contracting
arrangements
 Billing and payment systems
 Quality control processes
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
- Establish a directorate level IT department
- Recruit internal and external skills
2b. Implement Phase 1 of the Master Plan and ensure NSSF
consistency with envisaged reforms in the health
insurance and end-of-service indemnity branches
- Recruit a technical management team within the
NSSF to oversee the implementation of the master
plan
- Assess core business processes and systems in
the context of the reform of the health insurance
and end-of-service indemnity systems
2c. Implement Phase 2 of the Master Plan
NSSF
- Prepare TORs and bidding documents for
implementation
- Identify necessary adjustments to the Phase 2 of
the Master Plan
- Contract consultancy companies to implement
the action plan
XXX
Natural Owner
IMPLEMENTATION:
Q2 2007 – Q3 2007
S
Q2 2007 – Q3 2007
S
Q2 2007 – Q3 2007
L
S: Short term
M: Medium Term
 The plan is being
implemented
 Bids (Hardware, Software,
LAN, WAN) carried out
between January and April
2007
 Outsource Software &
training to IDS (15/7/2007)
 Develop work methods
 Develop systems
 Estimated budget = 8-10
Million Dollars
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
assets, Bank deposits dormant accounts,
receivables and payables
- Decide, in light of Committee’s outcome, whether
or not to engage auditor to reconcile differences
- Agree with MoF on refinancing plan of
documented arrears and liquidate nondocumented 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
Firm
Q2 2007 – Q3 2007
3c. Normalize the payment schedule for government
dues to the NSSF according to the law
3d. Normalize the payment schedule for government
dues to the NSSF according to the law
NSSF
Q4 2007 – Q2 2009
NSSF
Q4 2007 – Q2 2009
XXX
Natural Owner
IMPLEMENTATION:
 Negotiations between MoF
and NSSF required
S
Q2 2007 – Q3 2007
S
S: Short term
M: Medium Term
 Grant Thornton selected.
Auditing process will start as
of August 2007 until July, 30,
2008
L
L
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
3e. Reform accounting unit within NSSF
NSSF
Q4 2007 – Q2 2009
3f. Adopt ”ring fenced” system and practice where
payables can be recorded to facilitate cash
projection and cash management
3g. Develop NSSF accounting practices to full accrual
basis and prepare a balance sheet following
acceptable accounting standards
3h. Prepare and submit to parliament detailed receipts
and expenditures budget for the forthcoming fiscal
year together with a statement of component fund
asset and liability, and a regular state budget
3i. Secure commitment to the NSSF to work on the
control issues identified by the audit
NSSF
Q2 2007 – Q3 2007
XXX
Natural Owner
Implem.
Comments
M
 Develop accounting design
M-L
NSSF
Q4 2007 – Q2 2009
M-L
NSSF
 This process is implemented
as a part of the first phase
Q4 2007 – Q2 2009
L
NSSF
IMPLEMENTATION:
Q2 2007 – Q3 2007
S: Short term
M: Medium Term
M
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
Ministry of Finance and NSSF on registered
companies and self employed
NSSF, Chamber of Industry
and Commerce, MoF, MoL:
Foreign Workers Committee
Q2 2007 – Q3 2007
S
Q2 2007 – Q3 2007
4b. Increase the number of field auditors (100
additional auditors) to regularly survey companies
NSSF
4c. Perform field audit to increase compliance
NSSF
Q2 2007 – Q3 2007
4d. Enhance collection process:
NSSF
Q2 2007 – Q3 2007
S
 Financial and economic
organizations shall provide
the NSSF with the registered
companies and self
employed documented in the
Chamber of Industry and
Commerce registers
 Await the approval of CoM
on the increase of the field
auditors number
S
 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
4e. Align the ceiling on covered wages with the ceiling NSSF
used in new pension system
4f. Establish a technical unit to develop:
NSSF
Preliminary Timeline
Q2 2007 – Q3 2007
Implem.
M
Q2 2007 – Q2 2009
- Requests Handling System for in-patients and
out-patients
Comments
 This process will need a
presidential decree
 Within the framework of
Phase 2 amendments
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
M
5b. Close enrolment into “voluntary insurance
programs” permanently
NSSF
 This item is related to 4b
 Will need a presidential
decree
Q2 2007 – Q3 2007
M
5c. Monitor closely those already enrolled in the
NSSF
optional program
5d. Introduce medical audit to assess compliance with NSSF
medical standards and avoid unnecessary and
inappropriate care
XXX
Natural Owner
IMPLEMENTATION:
Q2 2007 – Q3 2007
M
M: Medium Term
 Establish a committee within
NSSF to consider the status
of the voluntary insurance
program beneficiaries
M
Q4 2007 – Q2 2009
S: Short term
 Disclose the registered
companies and selfemployed
 Medical audit process is
contingent on the approval of
the joint ministerial health
committee
L: Long Term
50
NSSF
NSSF – Summary of Paris III Programs and Initiatives
List of Programs and Initiatives
Sector Reform Programs and Initiatives
Stakeholders
5e. Increase co-payments rates modestly for
admission and hospital services
5f. Establish a Utilization Review Unit and implement
rapid review of excessive high costs services
NSSF
Q4 2007 – Q2 2009
NSSF
Q2 2007 – Q4 2007
5g. Build institutional capacity to implement an
NSSF
actuarial valuation of the NSSF health insurance
benefits
- Recruit consultant to undertake actuarial
valuation of the NSSF health insurance benefit
- Develop proposal to bring the system to financial
equilibrium
- Submit proposal to the cabinet aiming to bring
NSSF health insurance fund into financial
equilibrium
XXX
Natural Owner
Preliminary Timeline
IMPLEMENTATION:
Implem.
M
M
Q4 2007 – Q2 2009
Comments
 This item will need the
implementation of Phase 1
 This item will need the
implementation of Phase 1
 This item will need the
implementation of Phase 1
L
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
Parliament as part of the overall package of NSSF
reforms
6b. Introduce parametric reforms to the family
NSSF, MoL, CoM
allowance program to eliminate the deficit
6c. Estimate the accrued rights of current plan
NSSF
members and assess magnitude of unfunded
liabilities
Q2 2007 – Q3 2007
6d. Establish agreements between the government
and the NSSF on a plan to refinance these
liabilities
6e. Rationalize benefit formulas and financing
mechanisms for those who stay in the end of
service indemnity program
6f. Assess needs in terms of regulation for the new
pension system
Q2 2007 – Q3 2007
NSSF
L
Q2 2007 – Q3 2007
M
Q2 2007 – Q3 2007
M
Natural Owner
 The NSSF has already
introduced information
pertaining to its members to
the database. The
information shall be updated
and approved.
M
NSSF
Q2 2007 – Q3 2007
This process will need a law
M
NSSF
Q2 2007 – Q3 2007
M
XXX
 This process will need a law
IMPLEMENTATION:
S: Short term
M: Medium Term
This item is contingent on the
promulgation of the
“retirement and social
security law” being studied
by the parliamentary
commissions
L: Long Term
52
NSSF
NSSF – Summary of Paris III Programs and Initiatives
List of Programs and Initiatives
Sector Reform Programs and Initiatives
Stakeholders
Preliminary Timeline
6g. Develop mechanisms for the provision of annuities NSSF
in the new pension system and approve it by CoM
Q4 2007 – Q2 2009
6h. Develop mechanisms for provision and financing
NSSF
of survivorship pensions in the new pension
system and approve it by CoM
6i. Develop mechanisms for the provision and
NSSF
financing of disability pensions in the new pension
system and approve it by CoM
6j. Create Social Security Investment authority
NSSF
Q4 2007 – Q2 2009
XXX
Natural Owner
IMPLEMENTATION:
Implem.
Comments
L
L
Q4 2007 – Q2 2009
L
Q4 2007 – Q2 2009
S: Short term
M: Medium Term
L
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
processes
7b. Develop IT and human resources in light of
streamlined processes
XXX
Natural Owner
MoL, OMSAR, CoM,
Parliament
MoL, CoM, Parliament
IMPLEMENTATION:
Q3 2007 – Q3 2008
Q4 2008 – Q4 2009
S: Short term
M: Medium Term
S
M
L: Long Term
55