Beirut, Lebanon August 23, 2007

1. PRESENTATION Social Inter-Ministerial Committee Progress Report # 3 Beirut, Lebanon August 23, 2007

2. Today’s objective is to update your Excellencies on progress to-date against Commitment Documents completed by respective stakeholders Meeting Objectives • Brief on the status of issues raised in the previous IMC and on progress to-date of GR PCO planning and monitoring activities • Following the last IMC, 14 issues were raised, involving the National Social Security Fund, as well as the ministries of Social Affairs, Health and Education • To-date, 6 issues were resolved, 2 are in progress, and 6 are delayed • Highlight progress and status of implementation of short-term programs for each ministry: • Monthly Progress Report against programs charted in Commitment Documents • New and emerging issues

3. Table of Contents GR PCO Planning & Monitoring Monthly Progress Reports Ministry of Social Affairs Ministry of Education and Higher Education Ministry of Health Ministry of Labor National Social Security Fund Next Steps

4. The Paris III implementation planning process is generally on track, except for delays in the long term planning of the Ministry of Health and the NSSF

5. Table of Contents GR PCO Planning & Monitoring Monthly Progress Reports Ministry of Social Affairs Ministry of Education and Higher Education Ministry of Health Ministry of Labor National Social Security Fund Next Steps

6. Status Implementation Budget KPI • Completed on Time • Completed on Budget • Completed on Target  • On Track • On Budget • On Target • Could be Delayed • Potential Over Budget • Emerging Issues • Delayed • Over Budget • Off Target • Not Started • N/A • N/A NS Monthly progress reports will highlight the status of each program – defined in a Commitment Document – along implementation, budget, and KPI dimensions Status and Budget Performance Definitions

7. Table of Contents GR PCO Planning & Monitoring Monthly Progress Reports Ministry of Social Affairs Ministry of Education and Higher Education Ministry of Health Ministry of Labor National Social Security Fund Next Steps

8. Program Dashboard Program Title: MSA-001: Restructure the Ministry of Social Affairs Natural Owner: Minister of Social Affairs Program Overall Status: Period: July 2007 IMC: Social Achievements Since Last Report Key Issues • Draft ministerial decision for criteria of welfare institutions prepared • Draft procedures for implementation of local development projects prepared New: • Need to recruit full time staff to follow up on restructuring of MoSA • Need to secure budget required (at least till mid 2008 – amounting to $38,500) to initiate work related to MoSA mandate and restructuring Carried Over from Previous IMC: • None Note: (*) Defined in the legend

9.  NS Completed On Track Could be Delayed Delayed Not started NS

10. Program Dashboard Program Title: MSA-002: Enhance Management of the Social Sector Natural Owner: Minister of Social Affairs Program Overall Status: Period: July 2007 IMC: Social Achievements Since Last Report Key Issues • Data on duplicated services and programs between Ministries of Education and Health collected • Mapping of Local Development Project completed and currently reviewed based on comments. Content and structure of database for Local Development Projects initiated. • Draft framework of Social Strategy elaborated – to be discussed with team of experts • Resources for implementation of program were fully mobilized from the Lebanon Recovery Fund New: • Continued cooperation and commitment of Ministries of Education and Health for elimination of duplication (provision of information and delegation of concerned staff to attend bilateral meetings) • Need to reach consensus on best party to undertake the coordination of local development initiatives (database, framework of needs and priorities, etc.) Carried Over from Previous IMC: • Ministries of Education and Health to actively cooperate with MoSA staff for matters related to duplication Note: (*) Defined in the legend

11.  NS Completed On Track Could be Delayed Delayed Not started NS NS NS NS

12.  NS Completed On Track Could be Delayed Delayed Not started NS NS NS NS

13. Program Dashboard Program Title: MSA-003: Develop New Targeting Mechanisms for SSN Programs Natural Owner: Minister of Social Affairs Program Overall Status: Period: July 2007 IMC: Social Achievements Since Last Report Key Issues • Detailed plan for implementing piloting of targeting was completed New: • Need to mobilize resources for piloting the targeting (Proxy Means Testing). Total cost of piloting is $ 814,530 out of which $ 197,900 are made available through a World Bank grant Carried Over from Previous IMC: • PMT database should be hosted at MoSA for technical reasons Note: (*) Defined in the legend

14.  NS Completed On Track Could be Delayed Delayed Not started NS NS NS NS NS NS NS

15. Program Dashboard Program Title: MSA-004: Implement Prioritized Safety Nets Programs Natural Owner: Minister of Social Affairs Program Overall Status: Period: July 2007 IMC: Social Achievements Since Last Report Key Issues • Proposal for expanding proximity services to the disabled was submitted to the Lebanon Recovery Fund • Initiated assessment of alternatives for providing free health care/ hospitalization to the disabled New: • Safety Net programs that are directly linked to targeting (Cash assistance, exemptions to elderly, free hospitalization) cannot be initiated before completion of Program 3 • Implementation of the other Safety Net programs are linked to either availability of funds or human resources (Scale up of in-house care for the disabled, expansion of proximity services, school food program) Carried Over from Previous IMC: • MoSA requirements for budget to implement Safety Net program related to expanding proximity services. (Current required budget is $3M. If LRF approves $1.3M for MoSA then the required budget for this Safety Net will be $1.7M) Note: (*) Defined in the legend (1) The complementary budget for Safety Nets programs is based on the Paris III Social Action Plan estimations, and would be refined later according to targeting outcome

16.  NS Completed On Track Could be Delayed Delayed Not started NS NS

18. Table of Contents GR PCO Planning & Monitoring Monthly Progress Reports Ministry of Social Affairs Ministry of Education and Higher Education Ministry of Health Ministry of Labor National Social Security Fund Next Steps

19. Program Dashboard Program Title: EDU-001: Consolidate policy, planning and resource allocation Natural Owner: Minister of Education Program Overall Status: Period: July 2007 IMC: Social Achievements Since Last Report Key Issues • Draft of contract for Organizational Restructuring completed by MEHE • Currently finalizing TOR for TA assignment related to develop model for performance based budgeting • Decree issued to establish a committee responsible to develop a shadow budget • TOR for Education Management Information System (EMIS) connectivity developed • Contract for delivery of School Information System (SIS) equipment completed by CDR and signed New: • No funds available to recruit consultants to develop capacity at MEHE to assist in the implementation of reform initiatives Carried Over from Previous IMC: • None Note: (*) Defined in the legend

20.  NS Completed On Track Could be Delayed Delayed Not started NS NS NS NS

21. Program Dashboard Program Title: EDU-002: Achieve Universal Basic Education (UBE) for ages 6 to 15 Natural Owner: Minister of Education Program Overall Status: Period: July 2007 IMC: Social Achievements Since Last Report Key Issues • None New: • No funds available to provide free textbooks to public school students Carried Over from Previous IMC: • None Note: (*) Defined in the legend

22.  NS Completed On Track Could be Delayed Delayed Not started NS

23. Program Dashboard Program Title: EDU-003: Improve efficiency, effectiveness and competence level of the teaching workforce Natural Owner: Minister of Education Program Overall Status: Period: July 2007 IMC: Social Achievements Since Last Report Key Issues • Remaining 300 out of 450 school principals have completed Leadership Development Program • 16,500 public school teachers already undergone professional training • Committee for institutionalization launched and preparation for legal procedures underway between MEHE and Faculty of Pedagogy for the training of the selected third promotion of 150 school principals during 2007-2008 under the same methodologies used for the previous two promotions • TA consultant selected to develop evaluation tools for Continuous Instructors Development Program New: • None Carried Over from Previous IMC: • None Note: (*) Defined in the legend

24.  NS Completed On Track Could be Delayed Delayed Not started NS

25. Program Dashboard Program Title: EDU-004: Enhance quality of education Natural Owner: Minister of Education Program Overall Status: Period: July 2007 IMC: Social Achievements Since Last Report Key Issues • New Curriculum developed by ECRD for preschool and cycle 1 • Phase 4 of development of evaluation glossary in English and French completed • Phase 1 of Exam Management System (EMS) development completed (Assessment of Current Situation - work plan) • Phase 1 of Question Bank System (QBS) development completed ( Inception report) • QBS to be tested on second session of official exams New: • None Carried Over from Previous IMC: • None Note: (*) Defined in the legend

26.  NS Completed On Track Could be Delayed Delayed Not started

27. Program Dashboard Program Title: EDU-005: Enhance the utilization of educational facilities Natural Owner: Minister of Education Program Overall Status: Period: July 2007 IMC: Social Achievements Since Last Report Key Issues • Criteria for school consolidation established and priority unviable and receiving schools identified for consolidation • Draft decree issued by Minister for consolidation of 30 unviable schools New: • None Carried Over from Previous IMC: • None Note: (*) Defined in the legend

28.  NS Completed On Track Could be Delayed Delayed Not started NS  NS

29. Program Dashboard Program Title: EDU-006: Rationalize vocational and technical education Natural Owner: Minister of Education Program Overall Status: Period: July 2007 IMC: Social Achievements Since Last Report Key Issues • None New: • No Capacity recruited to assist MEHE in implementing program • No funds available to launch initiatives related to the program Carried Over from Previous IMC: • None Note: (*) Defined in the legend

30.  NS Completed On Track Could be Delayed Delayed Not started NS

31.  NS Completed On Track Could be Delayed Delayed Not started NS

32. Program Dashboard Program Title: EDU-007: Develop Quality Assurance in higher education Natural Owner: Minister of Education Program Overall Status: Period: July 2007 IMC: Social Achievements Since Last Report Key Issues • None New: • No Capacity recruited to assist MEHE in implementing program • No funds available to launch initiatives related to the program Carried Over from Previous IMC: • None Note: (*) Defined in the legend

33.  NS Completed On Track Could be Delayed Delayed Not started NS

35. Table of Contents GR PCO Planning & Monitoring Monthly Progress Reports Ministry of Social Affairs Ministry of Education and Higher Education Ministry of Health Ministry of Labor National Social Security Fund Next Steps

36. Program Dashboard Program Title: HEA-002: Upgrade Primary Healthcare (PHC) Services Natural Owner: Ministry of Health DG Program Overall Status: Period: July 2007 IMC: Social Achievements Since Last Report Key Issues • Desk research on quality assurance and performance improvement and respective measurement tools were undertaken by Balamand University • 10 pilot health centers that will participate in the development process of the QAPI pilot program were identified by MOH and communicated to Balamand university • An action plan was prepared between Balamand University and MoH to start the consensus building process through a work group including representatives from MoH, Balamand, AUB, St Joseph University, and Lebanese University. The roles for each stakeholder were clarified according to the action plan • Number of contracted centers in the PHC network have increased to 125 from 85 New: • None Carried Over from Previous IMC: • None  Note: (*) Defined in the legend

37.  NS Completed On Track Could be Delayed Delayed Not started     NS NS

38. Program Dashboard Program Title: HEA-003: Follow-up Implementation of Quality Assurance Program Natural Owner: Ministry of Health DG Program Overall Status: Period: July 2007 IMC: Social Achievements Since Last Report Key Issues • Contract with Ecole Superieure des Affaires (ESA) has been finalized and approved by the Court of Accounts • Discussions on mobilization plan and schedule of activities have started in collaboration with the Haute Autorite de la Sante (HAS) and ESA to launch project activities by early September • Draft documents have been communicated informally by the HAS regarding training programs for public hospitals and the new accreditation procedure • A project committee has been formed at the MoH to coordinate and follow up implementation of the accreditation project activities New: • Ability to mobilization of French experts in due time Carried Over from Previous IMC: • None Note: (*) Defined in the legend

39.  NS Completed On Track Could be Delayed Delayed Not started  NS NS

40. Program Dashboard Program Title: HEA-004: Undertake Health Financing Reform Natural Owner: Ministry of Health DG Program Overall Status: Period: July 2007 IMC: Social Achievements Since Last Report Key Issues • Testing of the billing system in Daher el Bashek initiated and ongoing in Lebanese Canadian hospital (Stopped at Beirut University hospital) • Develop program to establish link between claims submitted by hospitals, bills audited and payments done by the accounting department at the MOH • 5 COOP centers have been linked to beneficiary database at MoH • Discussions with the Army underway to start linking 6 Army centers to the beneficiary database at the MOH • Negotiations with the World Bank were launched to finance activities related to rationalization and control of health expenditures through a grant from the Trust Fund for Lebanon • Matrices for 2004-2005 NHA under construction • Data from NSSF, ISF and Army forwarded to MoH for NHA 2004-2005 matrices New: • NSSF database is still incomplete. The MoH sent an official letter in this respect. The main issues relate to the information regarding the mother and father of NSSF main beneficiaries, families of the voluntary insurance beneficiaries and families of taxi drivers • Launching of the activities under the emergency social protection implementation support project financed by a World Bank grant are pending in light of the current negotiations with the NSSF • Data in public funds for NHA purposes is still manual • No sharing of information for NHA from private hospitals • Data on household expenditures for 2004 still not released by Central Administration of Statistics (CAS) Note: (*) Defined in the legend

41.  NS Completed On Track Could be Delayed Delayed Not started NS NS NS NS

42.  NS Completed On Track Could be Delayed Delayed Not started NS NS NS

43. Program Dashboard Program Title: HEA-005: Enhance Public Health Functions and Programs Natural Owner: Ministry of Health DG Program Overall Status: Period: July 2007 IMC: Social Achievements Since Last Report Key Issues • Reach Every District (RED) approach initiated in Bint Jbeil district and will be launched in Baalbeck on Aug. 17 and Hermel on Aug. 25 • Hepatitis B zero dose campaign was organized in collaboration with all private hospitals • KAP survey initiated with the support of UNICEF: NGO partner identified questionnaire developed and to be launched mid august • Delivery of 27 vehicles for EPI from UNICEF • A WHO consultant conducted an assessment on 9 laboratories in different regions to evaluate their needs and capacities to support epidemiological surveillance in case of outbreaks • A new database on Access for the National Cancer Registry has been developed using national and international standardized codes. • Program budgeting have been developed by MOH and presented to MOF for 2008 budget for programs related to: EPI, PHC, Epidemiological surveillance and school and oral health New: • RED approach initiation delayed in Akkar, Minieh and Denniyeh due to the current political situation. Cold chain equipment for EPI could not be delivered to these areas • To help implement program budgeting a workshop must be organized by the Finance Institute on subject and must include representatives of MoF, MoH and Court of Accounts Carried Over from Previous IMC: • Ministry of Health to determine clear eligibility criteria for services delivery – Eligibility criteria shall be determined by MoSA Note: (*) Defined in the legend

44.  NS Completed On Track Could be Delayed Delayed Not started

45. Program Dashboard Program Title: HEA-007: Undertake Pharmaceutical Reform Natural Owner: Ministry of Health DG Program Overall Status: Period: July 2007 IMC: Social Achievements Since Last Report Key Issues • 30% of drug files in category A have been reviewed • Average decrease in drug prices resulting from this review is around 19% New: • The closing of the central laboratory is a major and serious problem for drug registration Carried Over from Previous IMC: • None Note: (*) Defined in the legend

46.  NS Completed On Track Could be Delayed Delayed Not started NS

48. Table of Contents GR PCO Planning & Monitoring Monthly Progress Reports Ministry of Social Affairs Ministry of Education and Higher Education Ministry of Health Ministry of Labor National Social Security Fund Next Steps

49. وزير العمل المسؤول عن البرنامج: LAB-001: تطوير قوانين العمل لتسهيل الاستخدام عنوان البرنامج: وضعية البرنامج الشاملة: تموز 2007 المدة الزمنية: الاجتماعية اللجنة الوزارية: المشاكل الرئيسية جديدة: • عدم القدرة على تحديد كلفة البرنامج منذ اللجنة السابقة: • غير موجود غير محددة بعد الموازنةالأوّلية غير موجود الموازنة المُعدّلة غير موجود الموازنة التي تم صرفها غير موجود تقديرالموازنة المطلوبة غير موجود الوضعية ملخّص برنامج الانجازات منذ التقرير الاخير • تم استرداد مشروع تعديل قانون العمل • تم التحضير لتشكيل لجنة ثلاثية الاطراف لإعادة النظر بالتعديل (الكتاب رقم 1876/3 تاريخ 25/7/2007 أداء الموازنة الوضعية الهدف (اقرب مدة زمنية) الوضع الحالي الوضع الحالي(تموز 2007) مؤشرات الأداء الرئيسية الصيغة النهائية لتعديلات القانون محالة الى الوزير (12/2007) استرداد تعديل قانون العمل استرداد تعديل قانون العمل قياس سير العمل في برنامج ”تطوير قوانين العمل لتسهيل الاستخدام“ شهران (12/2008) ثلاثة أشهر ثلاثة أشهر متوسط المدة الزمنية لانجاز معاملة انهاء الاستخدام لأسباب اقتصادية خمسة (5) إجراءات (12/2008) سبعة (7) إجراءات سبعة (7) إجراءات عدد الاجراءات اللازمة لانجاز معاملة الحصول على اجازة عمل

50.  NS أنجز قيد التنفيذ قد يتأخّر تأخّر لم يبدأ  NS