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North Macedonia

Open Data on Health Programs (MK0100)

Overview

At-a-Glance

Action Plan: Not Attached

Action Plan Cycle: 2016

Status: Inactive

Institutions

Lead Institution: Ministry of Health

Support Institution(s): Ministry of Health; Association for Emancipation, Solidarity and Equality of Women in Macedonia

Policy Areas

Fiscal Transparency, Health, Open Data, Records Management

IRM Review

IRM Report: Macedonia Mid-Term Report 2016-2018

Starred: No

Early Results: Pending IRM Review

Design i

Verifiable: Yes

Relevant to OGP Values: Access to Information

Potential Impact:

Implementation i

Completion:

Description

Status quo or problem addressed by the commitment: Denied access to information on the spending of funds from the budget of the Ministry of Health intended for health programs. Main objective: Continuous disclosure and narrative description of the implementation of health programs. Brief description of commitment: In cooperation with Association for Emancipation, Solidarity and Equality of Women in Macedonia, Ministry of Health will prepare a standardized report format to be used for publication of data from the realization of budget assets by the Ministry of Health intended for preventive and curative health programs. OPG challenge addressed by the commitment: Citizen participation; Reference to the global objectives of sustainable development: Reference to the Objective 16. “Peace, justice and strong institutions” Target 16.6: Development of effective, accountable and transparent institutions at all levels and Objective 4 “Good health and wellbeing” Target 3.8: Achievement of universal health protection including financial risk protection, access to necessary health services and access to secure, effective and quality and affordable basic medicines and vaccines for all. The measures of this commitment contribute for transparency and accountability in spending funds and delivering services aimed for preventive and curative health programs. Relevance: Enhancing fiscal transparency regarding the implementation of health programs. Ambition: Enhancing fiscal transparency regarding the implementation of health programs.

IRM Midterm Status Summary

[Commitments combined.]

5.2 Open data on health programs

The measures of this commitment contribute for transparency and accountability in spending funds and delivering services aimed for preventive and curative health programs. In cooperation with Association for Emancipation, Solidarity and Equality of Women in Macedonia, Ministry of Health will prepare a standardized report format to be used for publication of data from the realization of budget assets by the Ministry of Health intended for preventive and curative health programs.

- Preparation and publication of semi-annual and annual reports on budget and program implementation of 20 programs for preventive and curative health care financed by the budget of the Ministry of Health with technical assistance and support from the ESE

- Campaign for providing citizens with information on these data availability and how they can be of their benefit

(Ministry of Health; Association for Emancipation, Solidarity and Equality of Women in Macedonia. July 2016 – June 2018)

5.7 Strengthen capacities of the Ministry of Health

Title: Increased budgetary fund benefits in preventative and curative health protection for citizens

Spending budgetary funds of the Ministry of Health for services that are not delivered to the citizens. At the same time, differences have been noted between data presented in reports on the program realization in the Ministry of Health and those presented by various executors. Also, differences have been noted between reports and real implementation.

Building capacities in the Ministry of Health for application of the social accountability methodology with a technical assistance and support by a non-government organization authorized and trained for implementation of the methodology recognized and accepted in developed countries.

- The social accountability methodologies provide measurement, monitoring, reporting and performance improvement in public institutions. They allow monitoring of the real implementation and benefits for the citizens provided with the implementation of the Ministry of Health’s programs.

- In order to build capacities for the social accountability methodology implementation, the Ministry of Health with technical assistance by a non-government organization authorized and trained for the methodology implementation, will select 10 people from the Ministry of Health and from public health institutions to attend the social accountability training.

- For piloting one of the social accountability methodologies selected by the MH, the Ministry of Health will select a preventive or curative program and engage the 10 people who have attended the social accountability training to design a plan for the selected methodology piloting and to implement the selected methodology in the selected program.

Citizens’ involvement allowed by this methodology will advance transparency and accountability of the Ministry and other public health institutions, and will contribute for better health resources management.

(Ministry of Health; Public health facilities, executors of the preventative and curative health protection programs, Emancipation, Solidarity and Equality (ESE) and Open Society Foundation – Macedonia. July 2016 – ongoing)

Editorial Note: Commitments 5.2 and 5.7 were clustered due to their shared focus on improving preventative and curative health programs. The Ministry of Health is the lead institution responsible for both commitments. The commitment text provided above is a truncated version of the action plan. For the full text, please refer to https://www.opengovpartnership.org/sites/default/files/MK_NAP3_Eng_0.docx

Context and Objectives

In Macedonia, the current system of input financing Financing for health services is pre-approved, and reforms to allocate funding based on outputs is limited. This results in high levels of coverage but allows for little flexibility on the part of facility managers to redirect budget to address shortcomings in service provision. has led to the inefficient provision of health services. FYR Macedonia Public Expenditure Review Fiscal Policy for Growth: Report No. 93913- MK, July 2015, p. 94, http://documents.worldbank.org/curated/en/895641468269982851/pdf/Macedonia-PER-2015-Revised-for-Submission-Final-clean.pdf Although the Health Insurance Fund (HIF) stipulates the agreed quantity of services and budget provided by hospitals and health centers in annual reports, in practice, various studies http://www.esem.org.mk/pdf/Publikacii/2017/ESE%20Analiza%20Zdravje%20majki%20i%20deca.pdf; FYR Macedonia Public Expenditure Review Fiscal Policy for Growth: Report No. 93913- MK, July 2015, p. 94, http://documents.worldbank.org/curated/en/895641468269982851/pdf/Macedonia-PER-2015-Revised-for-Submission-Final-clean.pdf have revealed a disparity in allocated funds and reported spending. The following two commitments specifically focus on improving the transparency and accountability of preventative and curative health programs.

According to a World Bank report, only 13 percent of insured persons received preventive care for cardiovascular diseases and only 13 percent of the target population were screened for colon cancer in 2013, despite incentives given to general practitioners to increase preventative care. FYR Macedonia Public Expenditure Review Fiscal Policy for Growth: Report No. 93913- MK, July 2015, p. 94, http://documents.worldbank.org/curated/en/895641468269982851/pdf/Macedonia-PER-2015-Revised-for-Submission-Final-clean.pdf In order to increase access to information surrounding these programs, commitment 5.2 aims to publish semi-annual reports on the budget and implementation of 20 preventative and curative health programs, as well as launching a campaign on the availability and benefit of such data. If fully implemented, this commitment will have a moderate potential impact due to the current absence of open data in the health sector.

In addition to inefficient budget allocation and spending, differences have also been noted between reports and the actual implementation of the program's goals. ESE, http://esem.org.mk/en/index.php/library.html. The active monitoring and field surveys conducted by the CSOs notes differences between data presented in reports prepared by the Ministry of Health (MoH) and those presented by various executors. Commitment 5.7 aims to train 10 MoH officials on the implementation of social accountability methodologies, which, according to the action plan, provide ways of measuring, monitoring and reporting the performance of program implementation. The commitment also seeks to select a preventative or curative program to pilot the methodologies. If fully implemented, the new commitment should strengthen MoH’s capacities. Ultimately, however, this commitment limits the coverage of its scope since it will be piloted in a single program. The commitment’s relevance to OGP values is unclear because there is no public-facing element (e.g., public disclosure or mechanisms to involve the public in monitoring).

Completion

5.2 Open data on health programs

This commitment is on time, though its completion remains limited according to the government self-assessment report. The two commitment activities are: 1) the preparation and publication of semi-annual and annual reports on budget and program implementation of preventative and curative health programs; and 2) the creation of a campaign to provide citizens with information on new data availability and how they can benefit from it. With regards to the former, the Ministry of Health, in cooperation with ESE Skopje, has begun preliminary work, and developed templates for the preparation of reports on budget and program implementation of 20 programs for preventative and curative healthcare financed by MoH. Harmonization of templates was scheduled to start in September 2017, and the whole process should be completed by the first quarter of 2018. The level of completion is limited since the proposed programs by ESE still need to be approved by the Minister of Health, after which the promotional campaign envisaged as an activity within this commitment shall commence.

5.7 Strengthen capacities of the Ministry of Health

Commitment 5.7 has three listed activities and has started only one. Overall, the completion is limited. The first commitment activity sets out to conduct a training for 10 people from the Ministry of Health (and other health institutions) on implementing social accountability methodologies but has not been started.

The selection of a preventative or curative program to apply the social accountability methodology is the second listed commitment activity. On 19 December 2016, ESE suggested application of social accountability methodology on all 20 health protection programs. In the period after the meeting, ESE narrowed the selection to two of the presented programs. However, the final decision rests with the Ministry of Health as a decision-making body in this case. Interview with Biljana Veselinovska, Ministry of Health, by IRM researcher, 17 August 2017.

The third activity—designing a pilot plan for the social accountability methodology and its implementation in the selected program—has not been started. Its completion is dependent upon the decision of the Ministry of Health.

Next Steps

The IRM research team recommends both commitments be continued in the remaining period of the action plan cycle. With regard to Commitment 5.2, the government needs to address the challenges faced by the national health administration, including the absence of a leading, implementing structure. The government also needs to widely disseminate information about health sector reform to ensure a broad range of civil society groups are aware and are able to provide feedback.


North Macedonia's Commitments

  1. Awareness-raising about Access to Information Rights

    MK0121, 2018, Capacity Building

  2. Public Access to Central Register of the Republic of Macedonia

    MK0122, 2018, Beneficial Ownership

  3. Mapping homeless and socially endangered families and individuals

    MK0123, 2018, E-Government

  4. Monitoring property status of elected and appointed officials

    MK0124, 2018, Anti-Corruption Institutions

  5. Assessment of anti-corruption legislation

    MK0125, 2018, Anti-Corruption Institutions

  6. Open Treasury

    MK0126, 2018, E-Government

  7. Publishing procurement information

    MK0127, 2018, E-Government

  8. Health Sector Transparency and establish a cost impact assessment mechanism

    MK0128, 2018, Capacity Building

  9. Employment program transparency and impact assessment mechanism

    MK0129, 2018, Capacity Building

  10. Cataloging data sets in state institutions

    MK0130, 2018, E-Government

  11. regional open data initiatives

    MK0131, 2018, Open Data

  12. Financial Transparency Tools

    MK0132, 2018, E-Government

  13. Improvement in Local Public Service Delivery

    MK0133, 2018, Beneficial Ownership

  14. Inclusive local decision-making

    MK0134, 2018, Gender

  15. To resilient Skopje via data availability

    MK0135, 2018, Infrastructure & Transport

  16. Access to Justice Development

    MK0136, 2018, Justice

  17. Improving access to justice for marginalized groups of citizens

    MK0137, 2018, Capacity Building

  18. Awareness-raisinga about Climate Change

    MK0138, 2018, Environment and Climate

  19. national assembly capacity-building

    MK0139, 2018, Capacity Building

  20. Increasing the financial transparency of the Assembly of RM

    MK0140, 2018, Fiscal Transparency

  21. Better Access to Information

    MK0140, 2018, E-Government

  22. Parliamentary TV channel

    MK0141, 2018, E-Government

  23. Citizen participation in Assembly

    MK0142, 2018, Legislature

  24. Creation of open data standards

    MK0089, 2016, Legislation & Regulation

  25. Improvement of the open data platform and its approximation to the citizens

    MK0090, 2016, Capacity Building

  26. Rising awareness of open data

    MK0091, 2016, Capacity Building

  27. Cataloging and categorization of data sets held by state institutions

    MK0092, 2016, E-Government

  28. Open data Linking on the state institutions’ portals

    MK0093, 2016, E-Government

  29. Improvement and facilitation of the access to information

    MK0094, 2016, Capacity Building

  30. Implementation of the Law on Whistle-Blower Protection and raising the awareness for whistle-blowing

    MK0095, 2016, Anti-Corruption Institutions

  31. Open data on property status of elected and appointed persons

    MK0096, 2016, Anti-Corruption Institutions

  32. Promotion of integrity, transparency and accountability on local level and monitoring the progress

    MK0097, 2016, Anti-Corruption Institutions

  33. Promotion of cooperation and increased proactivity in the prevention of corruption and conflict of interests

    MK0098, 2016, Anti-Corruption Institutions

  34. Starred commitment Open budget initiative

    MK0099, 2016, Fiscal Transparency

  35. Open Data on Health Programs

    MK0100, 2016, Fiscal Transparency

  36. Creating a legal obligation for the contracting authorities for mandatory publication of information regarding the public procurement contracts on their websites

    MK0101, 2016, Fiscal Transparency

  37. Involving representatives of associations and foundations, as well as other civil society organizations, in transparent and objective manner in sector working groups for planning and programming of IPA 2

    MK0102, 2016, Public Participation

  38. Publication of data on signed contracts and received assistance through Infrastructure Development Program (ORIO) Netherlands

    MK0103, 2016, Aid

  39. Introduction of a publicly accessible register of concession contracts

    MK0104, 2016, E-Government

  40. Increased budgetary fund benefits in preventive and curative health protection for citizens

    MK0105, 2016, Capacity Building

  41. Publication of data on planned and realized domestic and foreign assistance for rural development and agriculture on a quarterly basis

    MK0106, 2016, Aid

  42. Determination of data on state assistance to be published and their publication

    MK0107, 2016, Aid

  43. Developing standards for transparency and open data on local level

    MK0108, 2016, Capacity Building

  44. Establishment of new tools to improve financial transparency and accountability of Local self-government units

    MK0109, 2016, Capacity Building

  45. Improvement of the institutional consultation mechanism at the local level

    MK0110, 2016, Capacity Building

  46. Capacity strengthening for cooperation between the local self-government units and civil organizations

    MK0111, 2016, Capacity Building

  47. Monitoring and evaluation of service quality at the local level

    MK0112, 2016, Capacity Building

  48. Improvement of the local level social services

    MK0113, 2016, Capacity Building

  49. Improvement of disabled people social inclusion at the local level

    MK0114, 2016, E-Government

  50. Improvement of the local level communal services

    MK0115, 2016, Capacity Building

  51. More information for the citizens on the Ombudsman institution

    MK0116, 2016, Anti-Corruption Institutions

  52. Favorable legal environment for social contracts

    MK0117, 2016, Civic Space

  53. Developing climate policies at national level in a transparent and participatory manner

    MK0118, 2016, Environment and Climate

  54. Open data on climate change at national and local level

    MK0119, 2016, Capacity Building

  55. Ensuring private sector accountability and involvement in national climate change action

    MK0120, 2016, E-Government

  56. Advancement of the consultation process with stakeholders in the policy creating process

    MK0087, 2016, E-Government

  57. Cooperation advancement with the civil sector

    MK0088, 2016, Capacity Building

  58. Enhancement of the ENER portal and optimization of the process of public consultation

    MK0036, 2014, E-Government

  59. Implementation of the measures from the Strategy for Cooperation of the Government with the Civil Society (2012-2017)

    MK0037, 2014, E-Government

  60. Strengthening the rules for work and use of ENER

    MK0038, 2014, E-Government

  61. Publication of the results of using ENER - " Mirror of the Government "

    MK0039, 2014, E-Government

  62. Monitoring of openness of government institutions in the processes of policy making and law drafting "Mirror of the Government: public participation in the process of law drafting" Annual Report – assessment of:

    MK0040, 2014, Public Participation

  63. Capacity building of civil society organizations to monitor the implementation of policies

    MK0041, 2014, Capacity Building

  64. Raising the awareness about the benefits of Open Government Partnership:

    MK0042, 2014, Capacity Building

  65. Greater public awareness and use of participatory policy making through the internet portal e-democracy by the institutions, companies, chambers, civil society and citizens

    MK0043, 2014, E-Government

  66. Starred commitment Establishing of an advisory body to promote cooperation, dialogue and encourage the development of the civil society, composed of representatives of the Government, administrative bodies and civil society organizations

    MK0044, 2014, Public Participation

  67. Improved implementation of the Code of Good Practice for the participation of civil society in the policy making process

    MK0045, 2014, Capacity Building

  68. Open data of the bodies and public sector institutions according to their technical features which they create in exercise of their powers that will be made available for use

    MK0046, 2014, Open Data

  69. Setting of technical standards for the data format and the manner of its publication prescribed by the Minister of Information Society and Administration.

    MK0047, 2014, Open Data

  70. Establishing a Central catalog of public sector data published for use based on a catalog of data from the bodies and the institutions of the public sector www.otvorenipodatoci.gov.mk (opendata.gov.mk)

    MK0048, 2014, E-Government

  71. Establishing a database for the contact person in the bodies and institutions of the public sector where a contact person shall be appointed responsible for the technical adaptation and publishing of data for use, their publication on the website of the authority and responsibilities for the accuracy of the catalog data www.opendata.gov.mk.

    MK0049, 2014, Open Data

  72. Introducing the possibility for submission of a request by the interested parties for new datasets for use.

    MK0050, 2014, Open Data

  73. Establishing a platform for data mashing (pilot 11 institutions)

    MK0051, 2014, E-Government

  74. Trainings for implementation of the Law on Use of Data from the Public Sector

    MK0052, 2014, Capacity Building

  75. Raising public awareness about the right to free access to public information through the created and conducted media presentations and educational campaign

    MK0053, 2014, Capacity Building

  76. Establishing of inter-sector working group for determining the compliance with the Convention of the Council of Europe for access to public documents and setting national legal requirements for accession to the Convention

    MK0054, 2014, Public Participation

  77. Educating officers and officials at the information holders (Commission for Protection of the Right to Free Access to Public Information)

    MK0055, 2014, Capacity Building

  78. Making a new web site of the Commission (Ministry of Information Society and Administration)

    MK0056, 2014, E-Government

  79. Regular posting and updating the list of information holders

    MK0057, 2014, Capacity Building

  80. Availability of all public information on the web sites of the information holders (all holders)

    MK0058, 2014, Capacity Building

  81. Improving the financial and human resources of the Commission (Ministry of Finance, the Commission for Protection of the Right to Free Access to Public Information and the Ministry of Information Society and Administration)

    MK0059, 2014, Capacity Building

  82. Increasing the cooperation of the Commission with associations and foundations and municipalities in RM through Memorandum of Cooperation

    MK0060, 2014, Capacity Building

  83. Publishing information about budget and program implementation of health budgets, with particular focus on the budgetary and financial implementation of preventive programs of the Ministry of Health, obtained through a procedure of access to public information www.esem.org.mk

    MK0061, 2014, E-Government

  84. Amending the Law on Free Access to Public Information (Ministry of Justice)

    MK0062, 2014, Legislation & Regulation

  85. Starred commitment Adoption of amendments to the Law on Prevention of Corruption in the direction of:

    MK0063, 2014, Anti-Corruption Institutions

  86. Implementation of activities to raise awareness of public administration and citizens to report corruption and other unlawful and impermissible actions

    MK0064, 2014, Anti-Corruption Institutions

  87. Introducing guidelines to the integrity system and their further piloting in the municipalities and central level institutions

    MK0065, 2014, Capacity Building

  88. Defining a methodology for assessing the risks of corruption by updating the concept of integrity

    MK0066, 2014, Anti-Corruption Institutions

  89. Developing a methodology for monitoring the progress of implementation of integrity systems (integrity index) for local self governments

    MK0067, 2014, Anti-Corruption Institutions

  90. Developing a methodology for monitoring progress in implementation of integrity systems by the civil society (through tools for social responsibility)

    MK0068, 2014, Anti-Corruption Institutions

  91. Continuously promote the use of IT tools for social responsibility in the municipalities and other institutions

    MK0069, 2014, Capacity Building

  92. Building the capacity of civil society organizations to monitor anti-corruption practices at the local level through research and a LOTOS study

    MK0070, 2014, Anti-Corruption Institutions

  93. Defining the scope of the elected and appointed persons who are obliged to submit declarations of assets and interests statement - Preparation of the Register

    MK0071, 2014, Asset Disclosure

  94. Implementation of the Open Budget Initiative

    MK0072, 2014, Fiscal Transparency

  95. Starred commitment Public procurement

    MK0073, 2014, Open Contracting and Procurement

  96. Foreign aid and foreign investment

    MK0074, 2014, Aid

  97. Developing capacities at local level for the implementation of mechanisms for proactive communication with citizens

    MK0075, 2014, Capacity Building

  98. Establish an electronic platform (dashboard) with indicators for the budget and delivery of local services

    MK0076, 2014, E-Government

  99. Improving local services through direct collaboration with citizens

    MK0077, 2014, Public Participation

  100. Transforming the part of local services in e- services

    MK0078, 2014, E-Government

  101. Participatory policy making at the local level- obligatory consultations with citizens in drafting/amending of the most important acts and documents in the local government (budget, strategies, urban plans, statute)

    MK0079, 2014, Legislation & Regulation

  102. Increasing accountability and promoting the concept of informed consumers and citizens, service users and rights through:

    MK0080, 2014, Capacity Building

  103. Publication of the results of the projects for evaluation of public administration

    MK0081, 2014, Capacity Building

  104. Inclusive elementary and secondary education for persons with disabilities

    MK0082, 2014, Education

  105. Enforcement activities of the Center for Safer Internet Action Plan in accordance with (Inhope Macedonia)

    MK0083, 2014, Capacity Building

  106. Analysis of the results obtained in field research at the national level to implement the program

    MK0084, 2014, Capacity Building

  107. Informing women on the rights and the services available to them with the Programme

    MK0085, 2014, Capacity Building

  108. Increasing responsibilities and promote the concept of environmental protection (DEM – AD Treska, Makedonski Brod and other stakeholders):

    MK0086, 2014, Environment and Climate

  109. ENER on line participatory tool in legislation drafting; 1)Publishing draft laws; 2)ENER usage data

    MK0001, 2012, Public Participation

  110. www.e-demokratija.gov.mk - on line tool for participatory policy making

    MK0002, 2012, E-Government

  111. Introduction of online petitions

    MK0003, 2012,

  112. Implementation of the Strategy for Cooperation of the Government with the Civil Society Sector

    MK0004, 2012, Public Participation

  113. Code of Best Practices for NGO Involvement

    MK0005, 2012, Capacity Building

  114. www.opendata.gov.mk

    MK0006, 2012, E-Government

  115. Development of business model for open data

    MK0007, 2012, Open Data

  116. Prioritizing opening of data

    MK0008, 2012, Open Data

  117. Use of inter-operable services as guidance in opening data

    MK0009, 2012, Open Data

  118. Plan and monitor the implementation of the plans for opening the state institutions information.

    MK0010, 2012, Open Data

  119. Analyses of the legal framework enabling open data.

    MK0011, 2012, Legislation & Regulation

  120. Improving services through www.uslugi.gov.mk

    MK0012, 2012, E-Government

  121. Integration of Citizen Logs, their update and publishing

    MK0013, 2012, E-Government

  122. ‘Traffic light’ project for citizens’ evaluation of the administration.

    MK0014, 2012, Public Participation

  123. Provision of the Government services through cloud computing.

    MK0015, 2012, E-Government

  124. Introduction of one-off request for the information from the citizens.

    MK0016, 2012, Legislation & Regulation

  125. Use of harm test. and 2. Publication of information gathered through the Free Access Law

    MK0017, 2012, Right to Information

  126. Publication of easy to search public information.

    MK0018, 2012, Right to Information

  127. Ratification of the Council of Europe Convention on Access to Public Documents.

    MK0019, 2012, Legislation & Regulation

  128. Electronic submission of requests for access to public character information.

    MK0020, 2012, E-Government

  129. Training of access to information officers.

    MK0021, 2012, E-Government

  130. Identification of low interest areas for business investments. 2.Publication of research.

    MK0022, 2012, Education

  131. Scientific and research cooperation through the Internet.

    MK0023, 2012, E-Government

  132. Publication of information from the State Statistical Office for further scientific purposes.

    MK0024, 2012, Education

  133. Available information about the Inspectorates

    MK0025, 2012, Justice

  134. Introduce integrity systems for anticorruption policies in the public administration.

    MK0026, 2012, Capacity Building

  135. Open Budget initiative

    MK0027, 2012, Fiscal Transparency

  136. Public Procurements

    MK0028, 2012, E-Government

  137. Foreign assistance and foreign investments

    MK0029, 2012, Aid

  138. Opening of information by the Municipalities

    MK0030, 2012, Open Data

  139. Free access to information training local self-government officials

    MK0031, 2012, Capacity Building

  140. Integrity system on local level.1. Established methodology. 2. Piloting in 10 municipalities.

    MK0032, 2012, Conflicts of Interest

  141. Promotion of consumers information in selected areas.

    MK0033, 2012, Gender

  142. Availability of information related to: roads safety, air quality, safety of workers

    MK0034, 2012, E-Government

  143. Public health information

    MK0035, 2012, Health