Meeting of the President of the Presidential Council with the Undersecretary of the Ministry of Health, Representatives of the Union of The Private Sector and the Director General NCHSR

A meeting was held on the 7th of January between the President of the Presidential Council, Faiz Al-Sarraj, Dr. Essa Al-Amiani, Undersecretary of the Ministry of Health, Dr. Samir Saqr, Director General of NCHSR, and Dr. Mahfouz Qaddour and Dr. Abu Al-Qasim Al-Barouni as representatives of the Union of The Private Sector  to discuss how to localize Medical care and take advantage of the potentials available in the private health sector.

 

In this meeting the president of  Presidential Council requested and asked the attendees to cooperate in the development of the health sector and that the government is ready to support the private sector to ensure patient safety, and also called for standardization of pricing as much as possible between clinics. The Undersecretary of the Ministry of Health also spoke about the program that the Ministry prepared to advance the sector which included Localizing treatment and involving the private sector in providing services.

The Director General of the NCHSR stated that the government is in the process of issuing regulatory decisions for the health sector from an administrative and technical point of view, including setting up regulatory institutions for supervision, organizing licensing of private clinics, and setting the necessary specifications that must be available.

Dr. Mahfouz and Dr. Abu Al-Qasim discussed the problems the private sector faced starting with debts arising from the Ministry of Health, the difficulty in obtaining medical supplies and the lack of access to the nursing and technical resources due to the difficulty in transferring their dues.

The Third Annual Conference of The National Center of Health System Reform

On Thursday, October 3, 2019, The Third Annual Conference of The National Center of Health System Reform was held at the Bab Al-Bahr Hotel – Tripoli under the title Decentralization in Governance, Financing and the Provision of Health Services, under the endorsement of the President of the Presidential Council who opened the conference with his speech indicating that the concept of decentralization is not limited to giving broad powers and greater benifits to satisfy the needs of their people only, but it also means liberating institutions from the state bureaucracy.

The Director General of the Center, Dr. Samir Sager, ended the first section of the conference by talking about the center’s history, plans and accomplishments. He also talked about the center’s ability to plan, coordinate and communicate with international and local experiences to find solutions.

The second section of the conference included presentations of:

1- Dr. Khaled Al-Maghboub – Decentralization in The New Health System.

Dr. Khaled defined in this presentation the specialties of the local health centers, and mentioned the fact that sabotage and disruption of more than 50% of equipment and devices and wasting money in the health system is the reason for change and activating health areas as soon as possible.

2- Dr. Abdel Moneim Al-Kumishi – Health Financing and Cluster Budget.

He presented mechanisms for financing and purchasing services, which included the need for a clear strategy to define the targeted services and estimation of the cost of these services for each citizen.

As for the third section of the conference, it included:

  • Ibrahim Al-Jubail – Health Facilities Re-mapping Committee – Medical Staff Reorganization Committee.

The presentation included a classification of performance rates and an estimate of Libya’s human resource needs and the ideal geographic distribution mechanism of it.

  • Anas Zarmouh – Medical Colleges Curriculum Committee and the Teaching Health Standards and Specifications Committee.

In this presentation, an introduction about the committee, the reason for its establishment, its role and its tasks  was presented. Dr. Anas finished his section with talking about some of the work that has been done so far by the committee.

 

The second and third sections were ended with a discussion, in which some points were appointed and discussed between the participants in the previous presentations and attendance.

The Third Annual Conference of NCHSR

The National Center for Health System Development (NCHSR) is pleased to announce its third annual conference entitled “Decentralization in Governance, Financing and Delivery of Health Service”.

The event will take place on Thursday-3rd October 2019

Bab Al-Bahr hotel – Tripoli – Libya

Electronic Health – NCHSR Meeting

 

The National Centre of Health System Reform manager dr Samir sager had a meeting on the 8th May 2018 with the Director of Planning and Logistics, the Director of Projects and programs, Director of Information management and the Director of Advertisement and Publicity,  to discuss the project of electronic health program by investing the communication technology and using the electronic services for the benefit of developing the health system

Public Private Partnerrship Workshop

On the 1st Jan 2019 the National Centre of Health System Reform had organized the PPP (Public-Private-partnership) Workshop based on the reference of The National Health Strategy Conference 2017, to discuss the basics of the PPP generally and the ability to apply it on the health sector in Libya.

The PPP Workshop day was divided in to two sections, each ended with a discussion and parted by a coffee break:

Section 1

The concept, Basis, Legislations:

  1. Mahmoud Fteasy ………………. The Concept Of Partnership
  2. Badr adeen Al-toumy …………. The Legislations For Partnership Enhancement
  3. Ahmed Zikry …………………….. Partnership Success Requirements
  4. Mohammed Raead ……………. Pros and Cons Of Partnership
  5. Maan Hamada …………………. The Partnership in A Mechanical Scientific Concept

Section 2

 Implication of PPP on Health System:

  1. Aimen Seaf-Annasr ……………. The Reasons for Health System Partnership
  2. Dr . Ali Khaleel ……………………….. Service Charge in Both Public and Private sectors
  3. Talal Ajaj ………………………….. Health Insurance Role
  4. Randa Hamada …………………. Partnership International Attempts
  5. Bdr Adeen AbuHajar …………… Health System Partnership Envision

On behalf of NCHSR  Dr. Hend Msalati had started the event by greeting the attendance after  they listened to verses of the holy Quran and the national anthem and welcomed  Dr. Samir Sagar to give a brief presentation on the Sensible Governance. .By that, the following lecturers have started their speeches of the workshop’s first section.

Ideas in this event were shared and PPP was discussed from different angles and fields. Presenters and guests contributed to the topic with international examples along with many original plans, they also assured that PPP at this point is a necessity not a choice especially when noticing the crisis of the public health system which led the private sector to control and monopolize the health field.

But the main reason behind this partnership is to guarantee luxurious sustainable health service to the patients, and since the partnership shifts the duty of the ministry from offering the service to supervision and observation this will defiantly lead to the precision and speed of projects accomplishment. But it can’t be denied that the limited number of contributors and the cost estimation difficulty are negative sides of this partnership.

The Outlines of the legal basis of the partnership were also laid out in this workshop and the need to empower the Libyan legislations depending on a national policy and plans was explained. As importantly, contributor’s rights such as currency exchange and sensible management should be outlined and guaranteed in this partnership for both parties.

The new perspective discussed in the event suggests that the health sector budget will be reorganized, instead of being government dependant it will receive its main budget from the Health insurance fund, insurance companies and national fund in general, while the 3rd levelled health service will stay directly under the funding of the government.

Even though there is many international examples for PPP such in Britain , France and Canada but the high service cost is still a letdown, and the Libyans both patients and partnership parties should have their country benefit as a apriority and move forward as soon as possible.

 

The workshop’s conversation lead to  a conclusion of the necessity of ending the tense relationship between the private and public sectors and the importance of starting the cooperation between the two sectors in order to develop the health institutions in the country.

Reforming postgraduate training and establishment of Postgraduate Training Board and Regional Deaneries responsible for postgraduate medical training. The Libyan Board with remain the examination and certification body. In addition, it will lead CME programmes and clinical guidelines, etc. (Function like Libyan College of Physicians and Surgeons)

JOB VACANCY

EU-funded Libyan Health System Strengthening Programme (LHSS)
KE2 and Deputy Team Leader

Main Tasks
In close cooperation with the international Key-Expert-1, KE-2 will focus on the implementation of a health care delivery model based on the Essential Package of Health Services (EPHS) a draft of which has already been published and circulated. This involves stakeholder coordination at national level (relevant MOH Directorates, Regional / District Health Offices, Municipality Authorities, Managers and Staff of pilot facilities), management of contributions of national non-key experts (NKE), specifically the pilot site coordinators (working in Souk-al-Jumma, Zliten and probably Benghazi), and monitoring of project progress and reporting (to KE-1). Besides the focus on health service delivery, the expert also needs to support preparation and implementation of activities at the interface between health service delivery and health system strengthening at central (MOH) level with particular attention  aspects of health care financing and health system (institutional and organizational) reform which will be conducted by other national and international (short-term) non-key experts (who are part of the LHSS Technical Assistance Team).

 

Qualification and experience

The expert shall be

  • A medical doctor (preferably GP or specialist in Internal Medicine) with postgraduate degree in Public Health / Health Care Management or equivalent;
  • Experienced with the design / development and implementation of projects aiming at improved performance and quality of health service delivery;

 

The expert shall have

  • A minimum of 10 years of professional work experience in areas related to health service organization and management (at facility level but also at district / regional level);
  • Demonstrated experience in health care delivery and a problem-solving approach in a complex, multi-stakeholder environment;

 

  • Appreciation for systems-level thinking, ability to influence change and a gender and culturally sensitive attitude (having worked in multinational teams);
  • Good verbal and written communication skills in both Arabic and English are precondition; in-depth knowledge of the Libyan context and health sector is a must.

 

Duration & location

The position shall be filled for a period of one year with Tripoli being the place of residence and main place of work. The expert shall organise regular visits to the project pilot sites (Soik-al-Jumma, Zliten and possibly Benghazi). More detailed ToR are available on request.

 

Info@nchsr.gov.ly

job vacancies

The EU-Libya Health System Strengthening Programme (LHSS)

Institutional Design Expert for General Healthcare Council
(GHCC)
Background of the Mission
The Libya Health System Strengthening Programme (LHSS) is an EU-funded programme and was relaunched in 2017.
The overall objective of the LHSS programme is to improve efficiency, effectiveness and quality of health service delivery in Libya. Its purpose is to strengthen strategic planning, financing as well as management and quality of health service delivery through targeted reforms and pilot interventions.
The EU-LHSS programme’s 2nd Phase is articulated around three result areas:
Result One: Strategic Planning, Health Financing and Capacity Strengthened
Result Two: Health Service Delivery and Quality of Health Care Improved
Result Three: Workforce Planning, Development and Management Strengthened
During phase one EU-LHSS, the Human Resources for Health Work group agreed to explore the possibility of establishing a regulatory body for the health work force. The prime objective is to ensure that all health care professionals are competent and well equipped with the necessary qualifications, competencies and set of skills necessary to care for patient competently and safely.
The work of the EU-LHSS was advanced to the next step during the beginning of phase 2 when the proposal was presented to the Presidential Council of the Government of National Accord and the proposal was adopted by the council. Presidential Decree 853 was passed in September 2107 to establish the General Healthcare Council- GHCC with the following functions:
1. Establishment of registers for all health care professionals permitted to practice in Libya
2. Provide guidance and issues national guidelines on processional standards and ethical issues related to these professions.
3. Assess fitness of health professionals to practice when questions about their competencies are raised through complaints or referrals.
4. Regulation of training of health professionals at all levels including undergradate and postgraduate education.
Objective of the Mission
The newly appointed Management Board of the General Health Care Council (GHCC) and the National Centre for Health System Reform (NCHSR) requested that the EU-LHSS continue their support in establishment of the GHCC and building its institutions, including the following:
a. Institutional design including detailed proposal for structure (organogram), job descriptions for its cadre, and salary scale.
b. Development of operational policies and implementation strategy.
c. Assistance in learning from international experience especially from courtiers in the MENA region and developing countries.
The Non-Key Expert in Institutional Design will assist the GHCC management Board and the NCHSR to establish this body through defining its policies and processes including development of management structure and organogram, propose salary scale for its employees and collaborators, defining the human workforce capacity and expertise needed for its tasks.
Specific tasks of the Expert
1. Formalization of the vision and values of the General Health Care Council
2. Development of detailed organogram for the GHCC outlining structure and functions of various directorates and offices with clear separation of responsibilities while maintaining integrated approach and team work.
3. Development of operational policies that ensures the council will meet its obligations and functions.
4. Development of Job specifications for key positions within the GHCC.

5. Propose remuneration package and salary scale for the GHCC cadre.

Management of the mission
• The work language is English and Arabic
• Up to 30 Working Days from March 2018

• The assignment is based in Tripoli

Profile of the expert – Required qualifications, competences and experience
Qualifications and Skills
• Graduate degree in Management, business administration, or other relevant field.
• Postgraduate degree in Business Administration / Management or other relevant field is advantage (e.g. MBA)
• Knowledge of the Libyan public sector/governmental landscape at national and local level desirable.
• Fluency in written and spoken Arabic and English.
Specific Professional Experience
• A minimum of 10 years progressively responsible professional work experience in public sector related research, Management, and system re-design.
• Previous experience in strategic planning, business development and project/Programme management.
• Excellent communication skills and computer skills.
• Track record in management of change and Continuous quality Improvement in management.
• Previous experience in Human Resource Management and planning is an advantage.

• Previous experience in the field of work force regulation is advantage.

For any inquiries contact Dr. Murad muradghrew@gmail.com