Transcript IMC Meeting - The Lebanese Ministry of Finance Portal

Presentation
Social Inter-Ministerial Committee
Progress Report # 1
Beirut, Lebanon
May 17, 2007
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The objective of this first Social IMC meeting is to share with your
Excellencies the GR PCO structure and progress to-date, resolve
pending issues, and agree on the prioritization of initiatives
Meeting Objectives
 Brief your Excellencies on GR PCO structure
 Review implementation progress to-date
 Outline issues and challenges
 Agree on a prioritization methodology for Paris III initiatives (a preliminary draft of the
prioritized initiatives will also be shared with you)
 Agree on IMC Secretariat (MoSA) role and responsibilities
Note: GR PCO stands for Government Reform Program Coordination Office
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GR PCO Structure
The Inter-Ministerial Committees (IMCs) are chaired by the Prime
Minister, and will focus initially on Paris III related activities – The
GR PCO will liaise with, and support all stakeholders
High Level Structure of the Oversight Committee
Parliament
The PCO will also
support (as needed) the
MoF in its interaction
with Donors
Council of Ministers
Quarterly Progress Reporting
on Paris III Initiatives
Prime Minister
Periodic
Reporting
Prime Minister’s Office
GR PCO
 Committees chaired by the Prime Minister
 IMC Secretary appointed during IMC first meeting
Reporting
Consolidation
Social IMC
Economic & Fiscal
IMC
Infrastructure &
Privatization IMC
“Natural Owners”
“Natural Owners”
“Natural Owners”
M & S Unit
Ministerial
Initiatives
Teams
Cross
Ministerial
Initiatives
Teams
M & S Unit
Ministerial
Initiatives
Teams
Cross
Ministerial
Initiatives
Teams
Technical
Support
M & S Unit
Ministerial
Initiatives
Teams
Cross
Ministerial
Initiatives
Teams
Note: M&S Unit = Monitoring & Support unit reporting to “Natural Owners” (Ministers/ Government Entities Head) to be set-up as needed
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Progress To-date
To-date, the team conducted introductory meetings with Ministers
and Heads of Government Entities, and initiated the second round of
technical meetings with M&S Units where available
Meetings with Natural Owners and M&S Units
Natural Owner
Meeting Date
Minister of Social Affairs
6 March 2007;
13 March 2007
Director General of the Ministry of Health
13 March 2007
Minister of Education
16 March 2007
Director General of the NSSF
14 March 2007
Monitoring and Support Unit
Ministry of Social Affairs M&S
Meeting Date
29 Mar 2007; 5 April 2007;
24 April 2007; 8 May 2007
 Technical meetings were conducted
with Natural Owners to discuss their
understanding of own
commitments under Paris III
 Most Natural Owners were positive
on GR PCO implementation
 Follow-up meetings with M&S Units
were held
 Review and analysis of III Paris
initiatives
 Grouping of initiatives into programs
Ministry of Health M&S
21 March 2007; 4 April 2007;
10 May 2007
 Preliminary allocation of Paris III
initiatives to Natural Owners
Ministry of Education M&S
29 March 2007; 12 April 2007;
3 May 2007; 17 May 2007
 Highlight of overlaps and gaps
NSSF DG and M&S
26 March 2007; 13 April 2007;
16 April 2007
 Initiation of the development of
detailed work plans
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Progress To-date
As they stand today, the 4 Natural Owners of the Social IMC have a
total of 27 programs …
List of Social IMC Programs
Ministry of Social Affairs
Ministry of Education
1. Restructure the Ministry of Social Affairs
1.Consolidate policy, planning and resource allocation
2. Enhance management of social sector
2.Achieve Universal Basic Education (UBE) for ages 6 to 15
3. Prepare for the implementation of social safety nets
programs
4. Implement prioritized Safety Nets action plan
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
Ministry of Health
7.Develop Quality Assurance in higher education
1. Complete post-war recovery program
2. Upgrade primary healthcare (PHC) services
3. Implement targeted interventions for maternal and
child mortality reduction
4. Improve access and coverage of healthcare services
5. Follow up implementation of Quality Assurance
program
6. Develop common health insurance standards,
procedures and functions
7. Enhance public health functions and programs
8. Improve public health regulations
9. Undertake pharmaceutical reform
Ministry of Labor/ NSSF
1. Rationalize and expand coverage of social insurance
system
2. Strengthen the governance and administration of the
NSSF
3. Audit, update and reform NSSF accounts and accounting
practices
4. Improve NSSF capacity to collect contributions under
current law
5. Reduce cost to achieve financial equilibrium
6. Strengthen income protection policies
7. Streamline labor law and regulation to facilitate access to
skills and increase employer flexibility
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Progress To-date
… And 128 initiatives, representing 39% of the total number of
initiatives, thereby emphasizing the social aspect of the Paris III
reform program
Distribution of Paris III Initiatives on Natural Owners
HCP
Energy/
EDL
CDR
17
Social
Affairs
35
28
Telecom
Justice
Education
39%
18
OMSAR 8
7
BDL
45
Labor/
NSSF
24
# of
Initiatives
% of Total
Initiatives
Social
128
39%
Economic
129
39%
Infrastructure
74
22%
TOTAL
331
100%
IMC
32
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Economy
& Trade
Health
9 16
72
Finance
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Issues and Challenges
From the initial round of meetings, some issues emerged related
to initiatives ownership, M&S units engagement, staffing and
NSSF reform plan
Issues Facing the Social IMC
Natural Owner
Sector Strategy Issues
Natural Owner/ M&S
Engagement Issues
Initiative Ownership
Issues
Staffing Issues
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 2 initiatives related to 5
“providing healthcare
MoSA requires
services to poor and
recruitment of
disabled citizens” have
additional M&S staff
yet to be allocated either
to MoSA or to MoH
Ministry of
Social Affairs
(MOSA)
Ministry of
Labor / NSSF(*)
(MoL/ NSSF)
1 The Minister of Labor
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 Incomplete reform
has not been engaged tostrategy: NSSF reform plan
date, and the Ministry’s
is under development in
initiatives (non-NSSF) have
coordination with the World
not been finalized
Bank, which is delaying the
planning process
Ministry of
Health(*)
(MoH)
 Recent shift in priorities: 2
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MoH has identified initiatives
to be performed under Paris
III, however continuous shift Minister of Health not
engaged to-date, however
in focus as a result of
the DG is actively involved
ongoing discussions with the
through the M&S Unit
World Bank is delaying the
planning process
(*) Natural Owner’s programs were developed in coordination with the World Bank
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MoL and NSSF
require urgent
mobilization of new
M&S recruits
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Issues and Challenges
One labor program consisting of 5 initiatives is directly
dependent on the Ministry of Labor (not engaged to-date)
MoL/ NSSF Current List of Programs
Ministry of Labor/ NSSF
1. Rationalize and expand coverage of social
insurance system
2. Strengthen the governance and administration of
the NSSF
3. Audit, update and reform NSSF accounts and
accounting practices
4. Improve NSSF capacity to collect contributions
under current law
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Programs Totally Dependent on the Ministers’ Engagement
Sector Reform Programs and Initiatives
Preliminary
Timeline
7. Streamline labor law and regulation to
facilitate access to skills and increase
employer flexibility
7a. Streamline work permit procedures for skilled
foreign workers and remove duplicative preapproval by Ministry of Labor
Q2 2007 – Q3 2007
7b. Eliminate social security quietus for exports and
provide alternatives
Q2 2007 – Q3 2007
7c. Eliminate taxation of foreign employees who do
Q2 2007 – Q3 2007
not benefit from social security, as per NSFF draft
law
5. Reduce cost to achieve financial equilibrium
Q2 2007 – Q3 2007
6. Strengthen income protection policies
7d. Revise labor law to facilitate employment of
temporary and seasonal workers, youth labor
7. Streamline labor law and regulation to facilitate
access to skills and increase employer flexibility
7e. Change procedure for termination of employment Q2 2007 – Q3 2007
agreements to allow simple notification, remove
MoL approval and investigation
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Issues and Challenges
Two initiatives relating to healthcare services remain without
clear Natural Owner
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Initiatives to Be Owned by MoH or MoSA
Sector Reform Programs and Initiatives
Preliminary Timeline
1. Provide healthcare services to poor and
disabled citizens
1a. Assure free hospitalization for the poor
Q1 2007 – Q4 2007
1b. Implement free health care system for the
holders of the Disability Card (Law # 220)
Q1 2007 – Q4 2007
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Issues and Challenges
NSSF/ MoL and MoSA require urgent mobilization of new M&S
recruits
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M&S Unit for NSSF/MoL and MoSA
 Currently the NSSF does not have the needed resources to prepare program charters and
the necessary GR PCO reporting
 At least two recruits are needed to work with the NSSF Director for NSSF initiatives, and
the Minister of Labor for the Ministry’s initiatives
 Similarly, MoSA needs additional resources (1-2 recruits) as the staff currently doing the
work has other activities at the Ministry
 A request was made to the Prime Minister’s Office for speedy engagement of the M&S
Units for the NSSF/ MoL, as well as MoSA
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Prioritization of Initiatives
Current initiatives can be prioritized according to several criteria
including the extent to which they could translate into “quick-wins”
and have a noticeable impact on the concerned sector reform
Initiatives Prioritization Criteria
Short-term
Impact
 Should have a noticeable impact before November 2007
 The impact should affect a large part of the population
 The impact on the concerned sector reform should be easily communicated
to the public
Absence of
legislative
barriers
 Can be implemented without the need for legislation enactment
 Requires long preparations (more than 5 months) before being submitted
to the Parliament
 Could be implemented with alternatives to legislation
Budget
availability /
Ongoing
activity
 Already progressing and requires minimal budget
 Budget already allocated through other sources
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Prioritization of Initiatives
Ministry of Social Affairs – Short-term Paris III Programs and
Initiatives
List of Programs and Initiatives
Sector Reform Programs and Initiatives
Stakeholders
Preliminary Timeline
Comments
2. Enhance management of social sector
2a. Establish and activate an Inter-ministerial
Committee for Social Policy (ICSP) supported by
a technical secretariat
2b. Formulate a comprehensive social strategy
MoSA
Q1 2007
MoSA, ICSP
Q2 2007 – Q4 2008
2c. Eliminate duplication and increase coordination in
the delivery of social services and implementation
of programs between the ministries of Education,
Health and Social Affairs
2e. Create a coordination mechanism for the
implementation of local development projects
MoSA, ICSP
Q2 2007 – Q4 2008
MoSA, ICSP
Q1 2007 – Q1 2008
MoSA, ICSP
Q2 2007 – Q4 2008
 Completed
 Initiative already started
3. Prepare for the implementation of social safety
nets programs
3a. Establish an put in place targeting mechanism
(through proxy means testing) for implementing
Safety Net programs
4. Implement prioritized Safety Nets action plan
4b. Expand services offered to the disabled - Scale up MoSA
and improve the already existing “full in house
service”
Q2 2007 – Q4 2007
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Prioritization of Initiatives
Ministry of Health – Short-term Paris III Programs and Initiatives
List of Programs and Initiatives
Sector Reform Programs and Initiatives
Stakeholders
Preliminary Timeline
Comments
2. Upgrade Primary Healthcare (PHC) services
2a. Revise and enhance the PHC package of services MoH, World Bank
for 120 catchments areas; Define catchment areas
for 120 centers and establish a referral system
between these centers and public hospitals in the
same areas
2b. Initiate health card initiative for eligible MoH
MoH, World Bank
beneficiaries of 120 catchments areas
2c. Expand IT infrastructure of 120 catchments areas MoH, World Bank
Q1 2007 - Q4 2009
2d. Develop and implement PHC accreditation
program
MoH
Q4 2007 – Q4 2009
4b. Establish voucher distribution system for poor
MoH
patients suffering from key chronic conditions (e.g.
diabetes, HIV-AIDs, mental illness)
4c. Develop targeting methods to better evaluate the MoH
coverage provided by the Ministry of Health
Q1 2007 – Q4 2007
 Ongoing
Q1 2007 – Q4 2007
 Ongoing
Q1 2007 - Q4 2009
Q1 2007 - Q4 2009
 Funded by Italian Cooperation
4. Improve access and coverage of healthcare
services
5. Follow up implementation of Quality Assurance
program
5a. Continue implementation of hospital accreditation
program
MoH, French Health Authority Q2 2007 – Q4 2007
 No funding needed
 Covered through French
Government Assistance
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Prioritization of Initiatives
Ministry of Health – Short-term Paris III Programs and Initiatives …
(Cont’d)
List of Programs and Initiatives
Sector Reform Programs and Initiatives
Stakeholders
Preliminary Timeline
Comments
6. Develop common health insurance standards,
procedures and functions
6b. Re-commission the work on the standardization of MoH, NSSF
codes, forms, and payment methods across the
funds
6f. Complete the visa billing system
MoH
Q1 2007 – Q4 2008
6g. Integrate Health Management Information System MoH, NSSF
(HMIS) across funds
6h. Update and institutionalize the National Health
MoH
Accounts (NHA)
Q1 2007 - Q4 2008
Q1 2007 – Q1 2008
 Development, testing, training and
implementation to be completed in
one year
 Depends on discussions with
NSSF
Q1 2007 - Q4 2008
7. Enhance public health functions and programs
7a. Enhance national expanded immunization
program
7b. Strengthen epidemiological surveillance
MoH, UNICEF, MoF
Q1 2007 – Q4 2009
MoH
Q1 2007 – Q4 2009
7d. Strengthen public health programs
MoH, WHO
Q1 2007 – Q4 2009
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Prioritization of Initiatives
Ministry of Education – Short-term Paris III Programs and
Initiatives
List of Programs and Initiatives
Sector Reform Programs and Initiatives-
Stakeholders
Preliminary Timeline
Comments
1. Consolidate policy, planning and resource
allocation
1a. Implement three-year education reform strategy
MEHE
which aims at achieving universal basic education
Q1 2007 – Q4 2009
 Strategy completed
 Implementation plan under
preparation
2. Achieve Universal Basic Education (UBE) for
ages 6 to 15
MEHE, ECRD, UNICEF
Q2 2007 – Q4 2009
MEHE, Ministry of Transport
Q2 2007 – Q4 2009
3a. Continue implementation of Leadership
Development Program for school principals and
institutionalize the program within MEHE and LU
3b. Enhance the professional competence of the
teaching workforce
MEHE, EDP, LU
Q2 2007 – Q4 2009
EDP, ECDR
Q2 2007 – Q4 2009
3c. Enhance the efficiency of teacher work-force
utilization
MEHE
Q2 2007 – Q4 2009
2e. Provide free textbooks to public schools students
through revolving textbooks program
2f. Provide free school transportation for cycle 3
public students arising from their reallocation
3. Improve efficiency, effectiveness and
competence level of the teaching workforce
 302 school Principals are currently
implementing the self guided
modules and practicum phase
 EDP launched procurement
process for selection of TA
Consultant to develop evaluation
tools
 Technical Committee has finalized
the technical evaluation
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Prioritization of Initiatives
Ministry of Labor / NSSF – Short-term Paris III Programs and
Initiatives
List of Programs and Initiatives
Sector Reform Programs and Initiatives
Stakeholders
Preliminary Timeline
Comments
2. Strengthen the governance and administration of
the NSSF
2c. Build strong IT capacity
- Establish a directorate level IT department
- Recruit a mix of internal and external skills
NSSF
Q2 2007 – Q3 2007
3. Audit, update and reform NSSF accounts and
accounting practices
3a. Resolve issues relating to government dues,
NSSF, MoF
NSSF assets, Bank deposits dormant accounts,
receivables and payables
- Setup committee from NSSF and MoF to
reconcile differences
- Decide, in light of Committee’s outcome, whether
or not to engage auditor to reconcile differences
3b. Perform 2001 and 2006 audits by an international NSSF, MoF
Firm
Q2 2007 – Q3 2007
Q2 2007 – Q3 2007
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
4b. Increase the number of field auditors to regularly
survey companies
4c. Perform field audit to increase compliance
NSSF
Q2 2007 – Q3 2007
NSSF
Q2 2007 – Q3 2007
NSSF
Q2 2007 – Q3 2007
4d. Enforce current penalties on late payments
NSSF
Q2 2007 – Q3 2007
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Next Steps
MoSA is ensuring the Secretariat role for the Social IMC and will be
providing administrative support
Functions of the IMC Secretary
Provide overall administrative support
Prepare agenda and circulate it before the meeting
Receive contribution of the IMC members and compile them
Distribute documentation to IMC members before the meeting
Prepare and distribute minutes of meetings
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Next Steps
Overall, four IMC meetings need to take place to finalize programs,
timelines, KPIs and funding, with steady-state implementation
progress reporting starting in August
IMC Engagement Schedule – First Six Months
Meeting Objectives
First Round of
IMC Meetings
Second Round of
IMC Meetings
Third Round of
IMC Meetings
Steady-State
Implementation
Progress Reporting
Dates
 Appoint Secretary to the IMC and agree on his/her role
 Review progress, and resolve escalated issues
 Endorse initiative and program allocation, and
resolve overlaps
 1st Social IMC: 17 May 2007
 Follow up on 1st round of IMC meetings
 Endorse cross ministerial initiative teams
 Review and discuss program charters, plans and
milestones
 Start filtering funding / TA requirements
 Resolve escalated issues
 2nd Social IMC: 13 June 2007
 Approve natural Owners funding/ TA requests
 Endorse program charters including action plans, KPIs
and milestones
 Sign Paris III Commitment Documents with Natural
Owners
 3rd Social IMC: 9 July 2007
 Follow up on 3nd round of IMC meetings
 Resolve issues arising out of funding requests and other
items
 Review monthly progress of implementation
 Start steady-state implementation progress reporting
 4th Social IMC: 13 August 2007
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Next Steps
Going forward, Natural Owners should finalize and prioritize their
list of initiatives, and follow up on the development of Program
Charters with their respective M&S Units
Actions Required
Review and finalize programs and initiatives ownership:
- Quickly finalize NSSF and MoH reform initiatives currently being developed in
coordination with the World Bank
- Decide whether MoSA or MoH should own the provisioning of healthcare to poor and
disabled citizens
- Engage MoL and identify its initiatives accordingly
Review and agree on short term initiatives prioritization
Identify the need for, and assign specific ministerial or inter-ministerial initiative teams
Follow-up on progress in development of Program Charters with M&S Units
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