José Francisco Pacheco Jiménez · 2020-04-30 · 1. Durán, Fabio; Pacheco, José; Muzaffar, Taneem and Elizondo, Hazel (2019) Measuring financing gaps in social protection for

ssinconsulting.com

Social Sector Innovation S.A. +506 2253 - 4431

San José Costa Rica

ssinconsulting.com

José Francisco Pacheco Jiménez

Condominios Bosques de Velarde, Casa 3D. San Francisco de Heredia, Heredia, Costa Rica | Phone: 506-8833-9695 | Email: [email protected]

General Summary I hold a Master degree in Development Economics from the Institute of Social Studies in The Hague and a Licentiate in Economics from the National University of Costa Rica. My professional experience includes positions at both the public and the private sector for about 2 decades. I am a professional with significant expertise in three critical dimensions: technical, quantitative and political. This includes both the understanding of key macroeconomic phenomena (fiscal and monetary) and microeconomic policies (sectoral reforms, especially in the social sector), the application of statistical and econometric models for evidence generation and the formulation of policy recommendations. In the public sector, I was the Vice-minister of Finance of Costa Rica in charge of public expenditures (2014-2017) and the Financial Administration System. As such, I introduced Performance-based budgeting, designed the existing Fiscal Rule, modernized the Public Procurement system, co-formulate the draft Fiscal Reform and prepared several pieces of legislation that were finally approved in Congress. I am currently member of the Board of the Central Bank of Costa Rica where we analyze and adopt decisions on monetary and exchange rate policies. In the private sector, my experience includes 14 years of work as Director of the Consulting Department of Sanigest Internacional and as freelance consultant. My areas of expertise include social protection (health, pensions, childcare), public finances for development, education, poverty and public management in more than 35 countries around the world including Africa, Central Asia, Latin America and Eastern Europe, among other regions.

Professional Experience Member of the Board of Directors of the Central Bank of Costa Rica Central Bank July 2018- The Board, headed by the Executive President of the Central Bank, defines the country´s monetary and exchange rate policies and tracks their evolution and performance during the year. In addition, the Board deals with internal administrative issues and the strategic orientations of the Super-intendencies (Pensions, Insurance, Financial Entities and Securities) Vice minister of Finance of Costa Rica Ministry of Finance May, 2014- May, 2017

Main responsibilities: • Co-responsible of the Fiscal Reform legislation submitted to Congress • Coordinator of the Financial Administration System (National Budget, National Treasury, Public Credit,

National Accounting, Procurement and Budget Authority) • National budget formulation and negotiation (25% of GDP) • Definition of public employment, salaries, budget and investment guidelines for non-Central

Government sector (more than 100 institutions) • Debt management strategies • Representative of the MoF in roughly 25 commissions and boards • Alternate Governor of Costa Rica and/or official representative (WB, IADB, BCIE, IMF and OCDE)

ssinconsulting.com



ssinconsulting.com

• Political and technical relations with Congress and other actors • Intensive contact with media

Economic consultant Sanigest Internacional and Freelance June, 2003- May, 2014 and since June, 2017-

Economic advising to governments and international development organizations (WB, IADB, ILO) in more than 35 countries in Latin America and The Caribbean, Eastern Europe, Central Asia, South Asia and Africa. In total, I participated in 70 projects mostly in the following areas of expertise:

• Healthcare, education and pension reform • Poverty reduction strategies • Social protection financing/fiscal space estimation • Financial (cost estimation) of package of benefits • Public Expenditure Reviews • Program evaluation • Monitoring and evaluation • Quantitative modeling

Academic experience UNA and UNED Universities 1997-to date

• Former Deputy Director of the School of Economics (National University of Costa Rica) between 2012 and 2014.

• Coordinator of the Microeconomics/Industrial Organization chair • Lecturer in Microeconomics and Industrial Organization, Macroeconomics, Business Cycles, Poverty

and Inequality and Applied Quantitative Methods • Researcher and Research Assistant: a) Industrial Competitiveness in Costa Rica; b) Fiscal Assessment

and Reform; c) Macroeconomic Analysis Ministry of Finance (2001 - 2003) Costa Rica Fiscal Analyst, Technical Secretary of the Budgetary Authority Fiscal advising to Minister, Vice-Minister, and Decentralized institutions in fields relating to public finances, employment, wages, and institutional modernization; Besides regular tasks, involved in the evaluation of the institutional modernization project of the National Institute for Cooperatives Development, in the elaboration of a Cost-effectiveness Evaluation of the Pococí Jail Bidding Process (for the Presidency of Costa Rica), and in the assessment of SIFNET, the Ministry’s Project for the organization of Public Sector Information.

ssinconsulting.com



ssinconsulting.com

Countries of professional experience

Latin America and the Caribbean Africa South and Central Asia Europe

Bahamas Botswana Cambodia Albania

Costa Rica Namibia Sri Lanka Bosnia-Herzegovina

Ecuador Mozambique Thailand Slovak Republic

El Salvador South Africa Tajikistan Bulgaria

Belize Burkina Faso Uzbekistan Moldova

Mexico Lesotho Kazakhstan Serbia

Honduras Cape Verde Kyrgyzstan

Jamaica Zambia Nepal

Brazil Swaziland

Guyana São Tomé and Principe

Nicaragua Angola

Peru

Guatemala

Panamá

Saint Lucia

Dominican Republic

Education

• Master of Arts in Development Economics, Institute of Social Studies. The Hague, The Netherlands, 1999-2000. With merit and Best Research Paper Award

• Bachelor and Licentiate in Economics, National University of Costa Rica. Heredia, Costa Rica, 1993-1997. With honors.

Other training

Inter American Development Bank Latin America, 2011 Accredited IDB tutor for the distance learning course on “Fiscal Reality in Latin America” School of Economics, Universidad Nacional Costa Rica, 2009 Applied econometric models Massachusetts Institute of Technology (MIT) United States, 2007 Abdul Latif Jameel Poverty Action Lab’s Evaluating Social Programs Course UNESCO France, 2005 Human Development Association Congress University of Göetting Germany, 2001 Konrad Adenauer Foundation, Summer School on Social Market Economics

ssinconsulting.com



ssinconsulting.com

Languages

Language Writing Speaking Reading Listening

Spanish Native Native Native Native

English Excellent Excellent Excellent Excellent

Portuguese Excellent Excellent Excellent Excellent

French Good Good Excellent Good

Publications

1. Durán, Fabio; Pacheco, José; Muzaffar, Taneem and Elizondo, Hazel (2019) Measuring financing gaps in social protection for achieving SDG target 1.3. Global estimates and strategies for developing countries. ESS – Working Paper No. 73, Social Protection Department of ILO, Geneva

2. Pacheco, José and Elizondo, Hazel (2019) Alternativas para universalizar la Red de Cuido Infantil. Ponencia presentada como investigación base para el Informe Estado de la Nación en Desarrollo Humano Sostenible 2019 (no. 25), Capítulo: Equidad e Integración Social. San José, Costa Rica.

3. Pacheco, José and Elizondo, Hazel (2019) Indicador para medir la calidad del empleo en Costa Rica. Ponencia presentada como investigación base para el Informe Estado de la Nación en Desarrollo Humano Sostenible 2019 (no. 25), Capítulo: Equidad e Integración Social. San José, Costa Rica.

4. Pacheco, Jose Francisco y Gatica, Gustavo (2014) International migration in Costa Rica: challenges from the present context. In: Blanpain, Roger (editor) and Arellano, Pablo; Olivier, Marius and Vonk, Gijsbert (guest editors) Social Security and Migrant Workers: Selected Studies of Cross-Border Social Security Mechanisms. Bulletin of Comparative Labour Relations No. 84. Wolters Kluwer Law and Business, The Netherlands.

5. Pacheco, José Francisco (2013) Desempleo juvenil en Costa Rica: tendencias, determinantes y opciones de política. Ponencia presentada para el Capítulo de Equidad e Integración Social del Decimonoveno Informe del Estado de la Nación

6. Pacheco, José Francisco (2013) Seguimiento al cumplimiento de los derechos laborales del trabajador costarricense: enfoque por sub-sector. Ponencia presentada para el Capítulo de Equidad e Integración Social del Decimonoveno Informe del Estado de la Nación

7. Pacheco, Jose (2013) A estratégia de financiamiento do sector saúde caboverdiano. OIT: Geneva and Praia.

8. Durán, Fábio; Pacheco, José; Borges, Joana (2012) A Protecção Social em Cabo Verde: situação e desafios – Social Protection Expenditure Review. Genebra, OIT.

9. Durán-Valverde, Fabio y Pacheco, José (2012) Fiscal space and the extension of social protection. Lessons learnt from developing countries. Global Campaign on Social Security and Coverage for All, ESS Paper N°33. Social Security Department, International Labour Office. Geneva

10. Cercone, James; Pacheco, Jose and Pinder, Etoile (2010) The macroeconomic impact of HIV in Cambodia. Phnom Pehn, Cambodia: National AIDS Authority/United Nations.

11. Cercone, James, Pinder Etoile, Briceno, Rodrigo y Pacheco, Jose (2011) Impact of the Health Insurance in Health of Costa Rican Population. Brookings Institute.

ssinconsulting.com



ssinconsulting.com

12. Cercone, James and Pacheco, José (2008) Costly Success: An Integrated Health Insurer in Costa Rica. In: Gottret et al (eds) Governing Mandatory Health Insurance: Learning from Experience. Washington: The World Bank.

13. Cercone, James and Pacheco, José (2008) “Good Practice” in Expanding Health Care Coverage – Lessons from Reforms in Low and Middle-Income Countries: The Case of Costa Rica. World Bank, Washington

14. Godinho, J., et al. (2005). Stopping tuberculosis in Central Asia: Priorities for action. World Bank Working Paper No. 56.

15. Pacheco, José. El Ciclo Económico de Costa Rica. Revista Economía y Sociedad, Universidad Nacional, Costa Rica. (2002)

16. Pacheco Jimenez, J. (2001). Poverty Alleviation in Costa Rica during the SAP Period: Polices, achievements, and future challenges. Paper presented at the 2001 Summer School at the University of Göettingen, Germany, September 1-14.

17. Pacheco Jimenez, J. (2001). Business Cycles in Small, Open Economies: The case of Costa Rica. ISS Working Papers Nº 330.

18. Mora, Henry; Sanchez, Marco y Pacheco, José. El Desarrollo Competitivo en los sectores productivos costarricenses. Revista Parlamentaria Nº 8, 2000; Asamblea Legislativa de Costa Rica.

19. Muñoz, Juan José and Pacheco, José (1998) Desempeño industrial durante el ajuste: Políticas, logros y limitaciones. Costa Rica hacia un nuevo XXI: Balance de las Reformas Económicas 1983-1998. Heredia ESEUNA.

20. Pacheco Jimenez, J. (collaborator) (1997). The Netherlands and the Environment: A student perspective. Ministry of International Cooperation, the Netherlands.

Awards and recognitions Sanigest Internacional Consultant of the Year, 2009 (first time awarded by the Firm) Universidad Nacional Autonoma, (UNA) (2003) Distinguished Professional Award University of Goetting (2001) Konrad Adenauer Foundation, Summer School on Social Market Economics Institute of Social Studies (2000) Best Research Paper Award (Board of Trustees) and Research Paper with Distinction Economics Program Institute of Social Studies (2000) MA Degree with Honors Netherlands Organization for International Cooperation in Higher Education (NUFFIC) Scholarship Award (1999-2000) Scholarship to purse MA studies at ISS Universidad Nacional Autonoma, (UNA) (1995 and 1997) Best Student, Economics Faculty

ssinconsulting.com



ssinconsulting.com

Universidad Nacional Autonoma, (UNA) (1994-1997) Best Student by Level Universidad Nacional Autonoma, (UNA) (1995 and 1997) Two times UNA Distinguished Student

ssinconsulting.com



ssinconsulting.com

List of individual experiences in consulting projects

1. Review of public sector health expenditures, including recommendations for efficiency gains and improvements in equity, and development of National Health Accounts

World Bank/Sanigest Internacional St. Lucia January-August 2020 The main objective of the project was established as “to conduct a review of the public sector health expenditures during the period of five years (2013 to 2018) and make recommendations for efficiency gains and improvements in equity and development of national health accounts”. Individually speaking, the key tasks to develop included: a) Establish baseline data and framework for analyzing healthcare expenditure; b) Analyze how healthcare expenditure conformed to budgets and the medium term strategies of government in the context of current account and budget deficits; c) Evaluate the economy, efficiency and effectiveness of healthcare expenditure and any related potential for savings; d) To monitor the allocation expenditure to deliver needed healthcare services to the vulnerable population and d) To address the availability of revenues to meet the resource requirements of the health sector. 2. Preparation of country Project Document for “Improving synergies between social protection and

Public Finance Management” ILO-UNICEF Angola January-February 2020 The two-month task included a desk review and a field visit to prepare and submit the Project Document (PRODOC) of the European Union funded project. The general objective was defined as “to increase the population's universal social protection coverage in partner countries preferably but not limited to those benefiting from EU funded budget support operations”. In this regard, the consultancy gathered documentary information and interviewed a series of stakeholders to identify key interventions, expected targets and potential risks, among other components of the PRODOC. 3. Social health insurance expert mission for the Health Insurance Board of Nepal ILO-GIZ Nepal December, 2019 This was an exploratory mission with four objectives in mind. The first one was to present the rationale for conducting an actuarial valuation of a social health insurance scheme, the prerequisites and the possible policy use of the results to the national stakeholders. This included presenting the specific process and ILO tools used to conduct an actuarial valuation of social health insurance. Second, to rapidly assess the architecture and administration of the social health insurance scheme (key functions – affiliation, revenue collection, pooling, purchasing) and identify processes or bottlenecks which have a likely impact on the current cost structure. The third objective consisted in assessing the availability of data and agree with national counterparts on the process and schedule for data collection. Finally, the assignment requested the preparation of a work plan to conduct the actuarial valuation of the social health insurance scheme and suggest concrete entry points for the facilitation of the relative policy process. 4. Update of entry fees to Protected Wild Areas Biofin/UNDP and the National System for Wild Areas Costa Rica November, 2019-May, 2020 The consultancy aims at updating admission fees to Wild Areas in Costa Rica. To proceed, a team of experts would conduct a fieldwork for data collection at the park level in order to later estimate the willingness to pay by foreign and national visitors. Besides this, the team has three additional tasks: 1) an assessment of existing administrative revenue collection mechanisms that the National System has in place to facilitate visitors payments; 2) a methodological proposal to calculate fees for the Permits of Use in National Heritage Areas; 3) an update of the methodology for pricing the cost of administrative services that allow the delivery of special permits, registries, publications, certifications and similar products. 5. Pension systems in Latin America: reducing economic and social gaps. Case of Costa Rica

ssinconsulting.com



ssinconsulting.com

Economic Commission for Latin America and the Caribbean Costa Rica October, 2019-April, 2020 The assignment consisted in the preparation of a Costa Rican case study on the recent performance of its contributory pension regimen. As such, the document contemplated three sections: a) the institutional framework of the Costa Rican pension system; b) public spending in pensions and c) sustainability and financial projections of the Costa Rican models. 6. Development of a copayment model for the Network of Care EuroSocial and Technical Secretariat of the Network of Care Costa Rica October 2019- March 2020 The project aims at developing a copayment scheme to allow the Government of Costa Rica subsidy care services to non-poor families. In addition, the technical assistance included a cost estimation (from public and private sources) of covering an initial 18,000 children, a review of international experiences dealing with the same situation (i.e. preparation of a copayment model) and the definition of a series of topics to streghten the governance model. 7. Resource Mobilization and donor relations UNESCO Costa Rica and Guatemala July 2019-February, 2020 The consultant is expected to contribute to the mobilization of resources and partnerships building efforts by UNESCO San Jose and UNESCO Guatemala, with a focus on mobilizing funds for the implementation of the action plan on migration developed by both offices. This includes collecting donor intelligence about funding opportunities for Central America in the area of migration, advising the Director and the Head of Office on decentralized funding opportunities, ensuring the quality of project proposals and providing backstopping on the negotiation of funding agreements. 8. Social Protection Performance and Expenditure Review in Belize ILO/UNICEF/Ministry of Human Development and Poverty Belize May-August 2019 The objective of the consultancy is to conduct a Social Protection Performance and Expenditure Review (SPER) of Belize based on the ILO methodology. The main objectives of the SPER are: a) to identify the scope of social protection in terms of risks and needs covered as well as existing gaps in coverage (risks and needs not covered or insufficiently covered); b) to establish the costs in terms of annual expenditure and financing structures (i.e. the composition of the “income” of the social protection sector from different sources, such as social security contributions/general taxation, financing at different levels of the general government and private financing, domestic versus foreign financing) and c) to analyse the effectiveness of the performance of the existing social protection schemes in terms of its coverage. Coverage will be analysed both in terms of the proportion of the relevant population covered and in terms of the levels/quality of coverage (replacement rates etc.). 9. Measuring financing gaps for achieving 2030 Agenda in Social Protection at the country and regional

level (SDG Target 1.3) ILO Worldwide April-July 2019 The overall objective of the project is to develop a methodology and create a database to estimate the financial gaps for achieving SDG 1.3 of the 2030 Agenda for Sustainable Development for a total of 80 countries in Africa, Asia and Latin America and the Caribbean. The methodology, data collection and the database, will be based on an assessment of the cost of a given social protection floor package, as well as public expenditures currently allocated to financing the floor. A set of variables, indicators and parameters for applying the methodology will be collected and used to perform the necessary calculations. 10. Design of a Costing Exercise of the Network of Care and Infant Development and its implementation

strategy UCR Foundation and Technical Secretariat of the Network of Care and Infant Development Costa Rica December 2018-March 2019

ssinconsulting.com



ssinconsulting.com

The project has two broad components, say, the definition of service delivery mechanisms through which the country may achieve universal coverage and a review of the different costing models (and the corresponding rates) currently in place. 11. Technical assistance to strengthen COSEFIN´s Public Budgets Working Group (GTPP) for the

regional discussion on the formulation of program-based, performance-oriented budgets and the implementation of financial instruments in the medium and long runs.

COSEFIN Central America and Dominican Republic November 2018- June 2019 The key objective of the work is to strengthen the work of the GTPP in order to promote the adoption, design and implementation of Performance-Based Budgets. In these regards, the consultancy includes an initial diagnosis of the current situation of PBB models in Central America and Dominican Republic, a literature review of successful cases in Latin America and Europe and the preparation of a step-by-step guide for the implementation of PBB. 12. Feasibility study for the establishment of a pension regime of the compulsory social protection

system to maritime workers Cape Verde INPS October 2018-January 2019 The aim of this work was the preparation of a financial feasibility analysis for the establishment of a special pension regime for maritime workers. The consultancy included a literature review, the preparation of a health profile to compare with other workers and the development of the financial model. 13. Preparation of financial scenarios for a better allocation of the benefits that the Fundo Mutualista

received Cape Verde ILO May-July 2018 The consultant La asignación tuvo como objetivo la preparación de una serie de escenarios de política que permita a los hacedores de política y a organismos internacionales replantear el funcionamiento del Fundo o la asignación monetaria del beneficio. 14. Proposal of essential healthcare packages, fundamental inputs for the actuarial assessments of a

health insurance scheme and next steps for the establishment of a universal health insurance in Mozambique

Mozambique ILO September-December 2018 The main objective of the consultancy is the preparation of one or several packages of health services in a context of financial sustainability. As such, it includes the assessment of Mozambique´s health profile, the definition of different package of services using a Life Cycle Approach, the cost estimation of such alternatives, a fiscal space assessment and the delivery of two workshops for discussing theoretical foundations and policy recommendations. 15. Improving social security coverage to the self-employed in Belize Belize ILO-SSB August-December, 2018 The key objective of the project is to identify a series of policy recommendations aimed at improving pension coverage among Belizean self-employed workers. Specific objectives include: 1) To analyze the legal framework of the self-employed pension; 2) To describe the main characteristics of the self-employed workers in Belize; 3) To assess administrative/institutional barriers for the enrolment, contribution payment and business opening among self-employed; 4) To analyze the feasibility of implementing a monotax system in Belize; 5) To identify need and constraints among target workers and establish their priority needs and 6) To define a list of policy measures to improve coverage among self-employed and promote social dialogue.

ssinconsulting.com



ssinconsulting.com

16. Team coordinator to develop a proposal of a bill to tax single-use plastic in Costa Rica Costa Rica UNDP July-October, 2018 The project aims at developing a bill proposal to tax single-use plastic consumption in Costa Rica. Among the key activities to consider, the consultancy included: a) literature review on international experiences in the taxation of plastic-related products; b) estimation of potential revenues from the tax; c) legal, trade and political feasibility of the project; d) design of a mechanism of payments for environmental services and their corresponding fees/tariffs; e) preparation of the project for presentation in Congress. 17. Restructuring proposal of the external evacuations program: diagnosis and recommendations for a

better adequacy Cape Verde ILO-MFIS September-November, 2018 The project has three parts: 1) the preparation of a profile of the beneficiaries of the external evacuations program, including current situation and needs; 2) the assessment of the program´s financial tendencies; 3) recommendations for the improvement of the overall program organization and 4) legal recommendations

18. Strengthening and extension of the National Network of Care and Infant Development (REDCUDI) Costa Rica Asociación Programa Centroamericano para la Sostenibilidad Democrática-IDB February 2018-May 2018 The project consists in the preparation of an Excel-based model for costing the policy objective of increasing coverage of the REDCUDI (Early Childhood Development Network) among children aged 0-12 years old. The estimations considered expansion of the CEN-CINAI (Nutritional and Integral Care Centers) and private sector facilities in 95 districts of high or very high socioeconomic priority during 5 years. The results yielded a 6,500 coverage increase with a cumulative financial effect equivalent to 0.02% of GDP during the define time span. 19. Regional Study on Budget Rigidities (Chapter Costa Rica) Costa Rica World Bank March, 2018-June, 2018 The World Bank commissioned two case studies (Colombia and Costa Rica) on the characteristics and effects of budget inflexibility in the management of the fiscal policy. The document included related topics as the main sources of budget rigidities in Costa Rica, existing fiscal rules, characteristics of the mandatory spending, effects in fiscal policy decisions and alternative policy options to enhance flexibility. 20. Institutional Management Assessment of EsSalud Peru ILO April 2018-September 2018 This is a two-part study aimed at evaluating the managerial condition of EsSalud, the social health insurance scheme of Peru. The first part of the consult ancy developed an assessment of the management model of EsSalud using a three-dimension methodology: macro, meso and micro management. Then, the second part collaborated with ILO-Geneva in the design and development of an actuarial model to estimate financial scenarios of the insurance for the next decade. This actuarial model, at the time, was intended to be a pilot tool to prepare projections online. 21. Preparation of scenarios to improve the allocation of benefits of the Fundo Mutualista dos

Pensionistas da Pensão Social in Cape Verde Cape Verde ILO May 2018-July 2018 The main objective of the work was the preparation of a series of policy scenarios aimed at providing information to assess the increment of the benefits or to improve the allocation of existing resources in the Fundo Mutualista of Cape Verde. The final products include a document with the corresponding scenarios and a database with information and assumptions for the effect estimations.

ssinconsulting.com



ssinconsulting.com

22. Support to Presidential Council Working Groups Costa Rica Presidency of the Republic November, 2017-May, 2018 The consultancy provides technical support to the Presidential Council and its corresponding working groups in order to develop a strategic proposal that integrates and articulates the agenda of the different bodies in the course of the following years. Specifically, the idea is to create a mechanism to coordinate the work between the Competitiveness Council and the Human Talent and Innovation Council and between them and the different working groups. 23. The Nordic Model: lessons for Costa Rica Costa Rica Horizonte Positivo NGO November, 2017-January, 2018 The paper prepares a data analysis and literature review on the evolution, development, current status, policies and challenges of the five Nordic countries (Denmark, Finland, Iceland, Norway and Sweden). As part of the analysis, the assessment considers options and opportunities for Costa Rica, both in economic and political terms. 24. Public employment analysis in Costa Rica: current situation and policy options Costa Rica World Bank August-December 2017 The consultancy describes, in detail, the current organization of the public employment model in Costa Rica, emphasizing the situation in the Central Government. Both legal and institutional aspects are assessed. Other key components of the work include the assessment of the fiscal implications of the payroll in the past decade as well as the correlation between efficiency and equity with remunerations. Potential reform options were also considered. 25. Knowledge products and technical assistance in the fields of public finances and fiscal space Home-based International Labor Organization, Switzerland August, 2017-December, 2017 The consultancy defines three key products. Product 1 consisted in the finalization of the “Fiscal Space for the Extension of Social Protection” guidebook aimed at reviewing and discussing a wide range of fiscal space alternatives currently in the policy agenda. Under Product 2, the consultant reviews and develops a set of short policy papers on finance issues, especially ODA for social protection, targeting, pension sustainability and tax wedges, among others. Finally, Product 3 prepares a policy paper on pension reforms. 26. Development Finance Assessment for Costa Rica Costa Rica United Nations Program for Development October 2017-June 2018 This work implements the Development Finance Assessment methodology to the particular case of Costa Rica. In this regards, the objective is to analyze current and expected/required financing flows to fulfill the demands of the Agenda 2030 on Sustainable Development Goals (SDGs). The consultancy has two stages, say, a first one for the preparation of the report and a second one to discuss with key authorities and stakeholders the main outcomes and expectations of the implemented method. 27. “Regional Course on Social Protection in Health: Pathway to Universal Coverage” Cape Verde ILO September 2017 The course has 4 modules that comprise topics regarding the design and financing of health systems. In detail, it includes: a- design of a universal health system; b- financing mechanisms; c- resource allocation and d- health service delivery. Target population of the course is the PALOPS (Países Africanos de Língua Oficial Portuguesa) and Timor Leste.

ssinconsulting.com



ssinconsulting.com

28. Feasibility study for the establishment of a universal health system in Sao Tomé and Principe São Tomé e Príncipe ILO July-October 2017 The consultancy has two parts. In the first one, the consulting team assesses the functioning of Sao Tome´s health system and proposes a set of measures to reform the architecture of the sector in terms of access and financing. A draft basic package of services is part of the outcomes. Second, the study conducts a cost analysis of the package and assesses the fiscal space available, this in a context of increased copayments and high external dependence. 29. Public spending and human rights: assessing the fulfillment of citizen’s rights to health, education

and employment Costa Rica United Nations Development Programme July-October 2017 The work aims at assess the relationship between public spending allocations and the fulfillment of human rights in Costa Rica. It selects three areas: health, education and access to employment. To proceed, the work adopted the methodological approach of Villagomez (2014) and evaluated human rights performance following six-point criteria: non-regression, non-discrimination, progressivity, maximum resource use, obligation of result and obligation of conduct. 30. Effects of automation on labor market: literature review and perspectives for Costa Rica Costa Rica Horizonte+ NGO July-August 2017 This one-month consulting work has two parts. First, it conducts a literature review on the impact of automation in the labor market, with a special emphasis on Artificial Intelligence. Second, it analyzes, with information of the Household Survey 2016, the most important features of the Costa Rican labor force and its vulnerability to automation in the near future. 31. Development of 10-year Strategic Plan for the Ministry of Health Jamaica IOS Partners – Ministry of Health – IDB June-September 2017 As a Team Leader of the project, the main objective was to coordinate the main activities of a group of three additional consultants in the fields of health financing, equipment and infrastructure and public health. Three main products are considered here: the development of a ten-year strategic plan, the preparation of a M&E Metrics for the 10-year Strategic Plan and the development of a three-year implementation plan. 32. ILO-Sida Partnership: National Employment Policies and Youth Employment Switzerland, Sri Lanka, Zambia and El Salvador International Labor Organization February-March 2014 The project assesses the ILO/Sida partnership’s National Employment Policy and Youth Employment components intervention and their linkages, focusing on what has worked, what has not worked, and why this was the case. 33. Assessment of the Health Care Delivery System in Preparation for the Implementation of the Essential

Health Care Package Swaziland MoH and World Bank May-September 2013 The main objective of the consultancy is to assess the current public health care delivery network in order to prepare the implementation of EHCP launched in February 2012. Among the main tasks to be developed, the consultant will prepare a data collection tool, collaborate in the definition of the sample of facilities, implement a 2-week field work and develop 17 individual assessment reports for each one of the facilities covered in the fieldwork. In addition, the consultant would prepare an Implementation Plan using a Logframe approach regarding the next steps to be considered to implement the package.

ssinconsulting.com



ssinconsulting.com

34. Health Financing Modernization Project: analysis and redesign of the health financing model Caja Costarricense del Seguro Social March-August 2013 PAHO and CCSS The consultant coordinates a group of four additional professionals to develop diagnostic reports and tools in the following areas: health financing trends, estimation of recurrent costs, best practices among healthcare facilities, estimation of contribution evasion and definition of policies to improve revenue collection among independent workers. In addition, the consultancy includes the preparation of a publication and the organization of a workshop to discuss the results of the project jointly with the Panamerican Health Organization. 35. Coordinator, State of the Nation 2010 Report, Chapter on Equity and Social Integration. Costa Rica February-August, 2011 February-August, 2012 Definition of the methodological approach, definition and selection of the network of consultants, preparation of specific sections of the report and final preparation of the chapter, using all the inputs prepared by the network. The chapter evaluates, from a Human Development perspective, the situation of Costa Rica in terms of health, education, housing, security, poverty and inequality and social public spending. 36. Final Independent Evaluation of the ILO/EC project “Improving social protection and promoting

employment” INT/09/06/EEC Burkina Faso, Cambodia, Honduras, Belgium and Switzerland November 2012-March 2013 ILO The independent evaluation aimed at assessing the ILO/EC Project in terms of its progress, its implementation arrangements, partnerships, achievements, challenges, good practices, and lessons learned from the implementation of the project. Evaluation activities had to be carried out in Brussels and Geneva and then in the form of field trips to the three countries of the sample. 37. Health Financing Strategy Cape Verde May-August ILO This assignment was organized around 5 areas of work in the field of health financing: a) to assess the flow of funds in the health sector, including sources of money and destinations; b) identification and assessment of current packages of benefits in relation to the Cape Verdean epidemiologic profile; c) estimation of main costs; d) calculation of the future gap of resources to achieve universal coverage and e) definition of policy options. 38. Health financing sustainability and health sector reform to improve efficiency, efficacy and quality of

care in Jamaica Jamaica April-October 2012 The main objective of the consultancy is to provide technical support to the Government of Jamaica in the definition of health policies that will orient strategic decisions regarding health financing. In this line, three critical deliveries were prepared: a) review and redefinition of the package of benefits; b) cost-estimation of the gap between current and expected monetary allocations given universal coverage; c) identification of potential sources of funds and d) Action Plan. 39. Social Protection Expenditure and Performance Review Cape Verde September-December 2011 International Labor Organization The assignment comprises a detail analysis of the social protection expenditure in Cape Verde in the past years, emphasizing the discussion around certain programs like contributory and social pensions, school programs, housing and labor market programs. In addition, the study was interested in assessing institutional processes, regulatory conditions and the performance of the initiatives in terms of coverage and efficiency.

ssinconsulting.com



ssinconsulting.com

40. Socioeconomic impact of the Proyecto Geotermico de Miravalles in its surrounding communities Costa Rican Electricity Institute (October 2010-October 2011) Costa Rica The project aimed at estimating the specific impact on local development and individual welfare of the Miravalles Geothermic Project. The assignment included the development of a questionnaire, the identification and estimation of the sample framing (591 workers of which 224 work at the ICE and 367 in other places) and the organization of the fieldwork. In addition, the report comprises descriptive statistics and the estimation of a Welfare Index. 41. Costing of Package of Services, Mesoamérica 2015 Belize May 2011-August 2011 IADB- Bill and Melinda Gates Foundation Slim Foundation The main objective of this Project is the estimation of both the unit cost and the total cost of each intervention that the Plan would finance in Belize. In addition, a cost-benefit analysis will be conducted. Finally, the consultant will provide recommendation on the more cost-effective methods to deliver the different services, based on the information collected and the corresponding estimations. To proceed, the consultant paid a field visit to Belize to collect health utilization and cost data from both government agencies and health facilities. Intensive literature review also supports the formulation of the interventions and the cost per DALY calculations. 42. Fiscal Space and Social Protection Coverage: Cases of Study and Lessons (June-November, 2010) International Labor Organization Africa, Latin America and Asia Preparation of 7 cases of study on the creation of fiscal space for social protection purposes. The task included literature desk review and basic statistical analysis about the mechanisms implemented by the countries to enhance fiscal space for such objectives. The list of countries includes Botswana, Mozambique, South Africa, Namibia, Lesotho, Thailand and Costa Rica. 43. Strengthening of the coherence between macro and social policies in an integrated framework. Nicaragua February 2012-June 2012 UNDP The consultant was requested to prepare econometric models on the determinants of net primary school intake rate, child mortality, maternal mortality, sanitation and water in Costa Rica, making some special reference to the link between public investments and changes in the previously defined variables. 44. Strengthening of the coherence between macro and social policies in an integrated framework. Costa Rica February 2012-June 2012 UNDP The consultant was requested to prepare econometric models on the determinants of net primary school intake rate, child mortality, maternal mortality, sanitation and water in Costa Rica, making some special reference to the link between public investments and changes in the previously defined variables. 45. Data Quality Audit Guyana November-December 2011 Conseil Santé/Global Fund The project aims at implementing a data quality audit tool prepared by the Global Fund to analyze in-place data generation practices and the quality of the results presented by the country. The audit covers 3 indicators for the period going from October 2010-March 2011. A total 21 sites were included in the sample. 46. Support to the Ministry of Education in the Implementation of the Financing Reform Belize June, 2011- December, 2013 The project includes technical assistance to the MoE of Belize in the preparation of seven key inputs for the consolidation of the reform implemented during 2010: business rules, restructuring plans guidelines, restructured schools sample selection method for pilot, M&E plan, training sessions for MoE and MoF staff, guided lectures to high school officials and financial estimations of the reform.

ssinconsulting.com



ssinconsulting.com

47. Impact Evaluation of the PATH Program Jamaica November 2010- April 2011 Consultant and project manager A team of Sanigest experts is conducting an impact evaluation assessment of the PATH Program in Jamaica (Conditional Cash Transfers Program). The whole assignment consists in the design of the impact evaluation, the estimation of the final sample, two rounds of data collection and the preparation of the corresponding reports. In addition, two training sessions will be part of the regular activities and a supply-side assessment of the public services related with the conditionalities of the program will also be prepared. 48. Training to staff members of the Ministry of Public Health of Afghanistan on contracting and public-

private partnerships Afghanistan and Dubai July-August 2010 Four-day training course to MPH staff on the basics of purchasing cycle, contracting and PPP mechanisms. Preparation of materials for key trainer and preparation of Action Plan for the establishment of a Purchasing Unit in the MPH. 49. Twining Arrangement for Investment Planning in the Health Sector Kazakhstan Consultant July 2010-April 2011 The 3-year project comprises the definition of planning parameters for the whole network of hospitals and the collection and analysis of information of the 1,000-facility network in the country. The ultimate objective of the assignment is the definition and development of a master plan to modernize the sector. 50. Technical support to assist in the implementation of the reform on the new resource allocation at the

secondary level Belize Consultant February 2010-December 2010 The assignment aims at supporting the MoE of Belize in the implementation of the recently designed resource allocation formula. The task includes the selection of the final financing model, the preparation of a communication plan for consensus seeking, the development of a training plan and the definition and implementation of a pilot test. 51. Study of the Socio-Economic Impact of HIV-AIDS Epidemic at Household Level in Cambodia (October

2008-September 2010) Cambodia Consultant The project consisted in the design and implementation of a socioeconomic impact study on the effects of HIV-AIDS on Cambodian households. The analysis comprised several main activities. First, the design, test and implementation of a questionnaire in a sample of over 3,000 households. Second, the analysis of the information using basic quantitative methods and econometric models. Third, the design and estimation of a macroeconomic model to estimate the impact of HIV in output, investment, consumption and fiscal expenditures. Finally, there was a process of dissemination and discussion jointly with UNDP and key stakeholders followed the estimation of results. 52. Technical Assistance for Hospital Management (June 2009-March 2011) Albania Consultant The main objective of the project was to support hospital directors in the implementation of a wide range of institutional and legal amendments that have been promoted by the Ministry of Health as part of a broader hospital reform process. The project included the preparation of Business Plans for a sample of 3 hospitals, the development of a hospital manual, governance organization and a training program. 53. Consultancy to Analyze Double Dipping in the system and to update capitation rate Belize November 2010-April 2011

ssinconsulting.com



ssinconsulting.com

The assignment consists of two parts. The first one aims at identifying the potential sources of double dipping in the health sector, that is, the existence of a double allocation of funds to cover the same spending. Then, during the second part of the work, the objective is to update the capitation rate that the National Health Insurance of Belize pays to the Southern Region providers. In this line, the assignment involved a review of the current package of services and to incorporate a new nutritional component as part of next year’s contracting process. 54. Capacity Building Workshops for the Implementation of the Organic Law of the National Health

System of Ecuador and Related Laws to the Sector, with regard to the National Health System Reform Ecuador (June 2008 – February 2009) Consultant Within the framework of the health sector reform in Ecuador, the objective of this project is to boost the reform of the sector through a process of decentralization of the reform policies, the diffusion of the process and the capacity building of institutional and civil society actors within their sectoral reform and its related laws (Organic Law of the National Health System, Free Maternity and Child Care Law, Health Act, and Essential Roles of Public Health). The project focuses on the provinces and cantons of PASSE’s intervention within the selected provinces of Quito, Bolívar, Cotopaxi, and Chimborazo. 55. Study to define sustainable financing options for universal health coverage February-September 2009 El Salvador Consultant The project, sponsored by the Interamerican Development Bank, was part of the Bank´s efforts to improve the Program of Support of the Social Agenda in El Salvador. The main objective of the project was the definition of economically sustained financing options to universally expand healthcare coverage. The work comprised the establishment of different policy scenarios, the estimation of each scenarios’ cost and the definition of roughly 10 different sources of new resources. Finally, the MoH budget was reviewed and a preliminary action plan was considered. 56. Study to estimate the effects of the Ministry of Education Equity Programs: Transportation,

Scholarships and Students’ Dining Rooms, during 2003-2007, in order to improve internal efficiency and investment targeting

Costa Rica Project Director The main objective of the study is the estimation of the net effects of the three social investment programs of the Ministry of Education in their direct beneficiaries in terms of dropout reduction. As part of the consultancy, the team of experts prepared 7 different products: A) two econometric models that measure the relationship between dropout (at school and household levels) and the investments; B) a 8,000 survey applied among school and high school students to evaluate the perception that the students have about the services rendered; C) a survey applied at 450 school Dinning Rooms to measure the fulfillment of international nutritional and hygienic standards; D) three qualitative studies to gather information about the perception of indigenous, populations at risk and high school scholarship beneficiaries on how the incentives are assigned; E) an assessment of the administrative processes and a proposal to unify the three programs into one single process of benefit assignment; F) an Index of Vulnerability to improve targeting and G) a panel of indicators for monitoring and evaluation purposes. 57. Rolling-out the National Health Insurance (NHI) of Belize (2007 – 2011) Belize Senior consultant The main objective of the project was to provide technical support to the Government of Belize to implement, roll-out and monitoring NHI at the national level for a period of two years. The task included the consolidation of the financing model, the contracting system, the organizational restructuring processes previously undertaken, the human resources recruitment plan and the Monitoring and Evaluation (M&E) system design.

58. Developing a Catalogue of Health Benefits, Contracting and Payment Systems for Health Services Providers (2007)

Bahamas The project focused in the development of technical support and operational details in four key areas of the recently approved National Health Insurance: definition of a basic benefit package, revision and update of benefit

ssinconsulting.com



ssinconsulting.com

package costing estimates, elaboration of provider payment mechanisms by level of care and assessment of contracting system.

• The health benefits catalogue; • Revision of costing estimates; • The provider payments system; • The terms for contracts between the NHI agency and health providers, including the definition of

performance indicators 59. Health Sector Reconfiguration Strategy (2006 - 2007) Republic of Serbia Senior Consultant Analysis of the Serbian health system, elaboration of National Health Policy Guidelines, and the Health Sector Reconfiguration Strategy, which includes the establishment of a new clinical network, Health Service Development Plans, and Roadmaps for future implementation. 60. Slovakia Health Reform Project: Provider Payment Mechanism Project (2004 - 2006) Slovakia Consultant Elaboration of inception report; Elaboration of contracting guidelines to be used by Health Insurance Companies and the Health Care Surveillance Authority; Development of PHC funding formulas based on performance and characteristics of the region; Review of payment mechanisms options that can be applied in Slovakia and proposal of new schemes by level of care; International benchmarking and background evaluation of the health sector in Slovakia; definition of performance indicators for M&E activities; Training and workshop organization to HICs and HCSA. 61. Slovakia Health Reform Project: Technical Assistance Health Restructuring Fund (2004 - 2006) Slovakia Senior Consultant Elaboration of inception report; Design and application of a 110-question survey to all public hospitals and some non-public facilities (63 in total), jointly with a staff of almost 35 people; Analysis of survey results, by hospital, hospital category, and national level; Elaboration of governance and Business Plan guidelines; Ex-ante evaluation of the Health Restructuring Plan; Master Plan elaboration and analysis of scenarios and policy options. 62. Consulting services to develop a monitoring and evaluation system for the inspection, risk

surveillance and sanitary control of food services, water for human consumption and low and mid complexity health services, specially focused on those using equipment that produce ionizating radiation (January 2008-December 2008)

Costa Rica Consultant The Project continues a preceding effort of the project that developed the ISC Methodology, prepared by Sanigest previously for the Ministry of Health. The current project included the preparation of 3 deliverables. First, elaboration of a Baseline in all Regional Offices and Health Areas (49 in total). Second, design of the monitoring and evaluation system, including indicators definition. Finally, the third deliverable is the design and implementation of an informatics tool that followed the guidelines of the System previously established. 63. Diagnosis and recommendations to improve the impact of the health and nutrition components of

the Oportunidades Program in Urban Zones (July 2008-September 2009) Mexico Consultant The study was prepared for the Inter American Development Bank to diagnose the demand and supply factors that affect access to health services under the Oportunidades Program. In addition, the consultancy estimated the direct and indirect costs that beneficiary families must bear in order to continue in the scheme. Finally, the study analyses the effects that the coexistence of other similar benefits (like the Seguro Popular program) may have in the efficiency of Oportunidades. Policy recommendations were developed. 64. Impact of Health Insurance on Access to Health Services, Health Services Use, and Health Status in

the Developing World: the case of Costa Rica (April-October 2008) Costa Rica Consultant

ssinconsulting.com



ssinconsulting.com

The study, developed for The Brookings Institute, aimed at expanding the evidence base of the impact of health insurance on access, utilization of care, financial protection and health outputs/outcomes in low/middle income countries. The research consisted in the preparation of qualitative, descriptive data and econometric models to show the impact of the Costa Rican health insurance scheme on the population. 65. Benchmarking the HIV/AIDS Response in ECA countries (November 2007-March 2008) Former Soviet Union countries Senior Consultant The World Bank requested technical assistance to prepare a benchmark index to analyze the responsiveness of FSU countries to HIV-AIDS epidemics. Two main tasks were developed: a data collection exercise and the development of the index itself. The aim of this data collection exercise was to gather comprehensive and detailed data relating to a set of key indicators, which were later used to benchmark the performance of FSU nations. 66. Reform of Resource Allocation at the Secondary Level Belize Consultant May-August 2008 The overall objective of the Consultancy was to support the Ministry of Education in the development of a reform proposal for more equitable distribution of public resources at the secondary level. In this regard, the Consultancy consisted of three mutually reinforcing components: a) a cost-data analysis; b) a review of international experiences; and c) a development of the reform proposal. The reform proposal included an assessment of the costing of the application of the Caribbean Certificate of Secondary Level Competence (CCSLC) and Caribbean Secondary Education Certificate (CSEC), a related cost-analysis of the per capita resources that will be available and the likely impact of the financing reform on enrollment rates in urban and rural areas and the quality of education. 67. Feasibility Study and Opportunity Assessment for Private Health Insurance Co.: Phase I Central America (6 countries) Project Director The work was made for a private client aimed at establishing a prepaid medical insurance in Central America. The assignment had two parts. During the first part, the team collected information about the macroeconomic and business conditions of each country, its epidemiologic and population profiles and health financing aspects. Also, data about the existing social security schemes, the industrial organization of the insurance market and. All the information was analyzed using an integrated methodology that ranks countries. The second part of the work consisted in the collection of costs of medical procedures and detailed information about prepaid schemes in the region. A methodology to evaluate desirability of investing was constructed. 68. DRG Feasibility Latin America and The Caribbean, Middle East and Eastern Europe Countries Project Director The assignment aimed at preparing a pre-feasibility study to analyze the possibility of introducing DRG’s system in the target nations. Indicators at three levels (macro and business conditions, sectoral and micro-hospital level indicators) were collected. 69. Advising on Options for Improving GP Referral and Hospital Admissions Practices Bulgaria Senior Consultant The Government of Bulgaria required the implementation of specific incentives and control mechanisms to encourage providers (GPs and specialists) to reduce the number of referrals to tertiary care facilities and to motivate hospitals and emergency units to modify their admission policies. In this regard, the consultancy consisted in the preparation of options of incentives and regulatory controls to reduce unnecessary hospitalizations and increased costs. 70. Cambodia Health Sector Note: Status of Health Sector Financing (October 2007) Cambodia The study aimed at evaluating current financing patterns in the healthcare sector of Cambodia. Four tasks were critical. First, an assessment and update of IFAPER 2003. Second, the exploration of the roles and future prospects of equity funds, community based health insurance and social health insurance initiatives that have been piloted before. Third, the development of options of incentives to healthcare workers and demand side

ssinconsulting.com



ssinconsulting.com

policies in order to improve funds allocation. Fourth, the review of health sector financing from ongoing cross-sectoral initiatives such as Public Finance Management Reform that focuses on timely and appropriate level of public financing of health service delivery units as well as fiduciary aspects of public financial management. 71. Building up Social Capital and Inclusion in Latin America (2007) Costa Rica and Colombia (training and methodological discussion) Sponsor and Senior Consultant The project belonged to the field of experimental economics and consisted in the implementation of a set of pre-defined games to 500 persons living in San José’s Metropolitan Area. Besides, a survey was applied to each participant covering their opinion in certain related areas (discrimination, exclusion, poverty, etc). The results of the project were an input for the elaboration of the Latin America Social and Economic Report prepared by the Inter American Development Bank and was applied in other 5 countries (Argentina, Uruguay, Peru, Venezuela and Colombia). 72. Feasibility Study to evaluate Clinic in Liberia (October – December 2006) Costa Rica Senior Consultant Feasibility Study and Business plan for the establishment of a clinic of medium complexity in the city of Liberia. Financial estimations, demand projections and development of a strategic frame for its installation. 73. “Good Practice” in Expanding Health Care Coverage, Lessons from Reforms in Low and Middle

Income Countries (2006) Costa Rica Senior Consultant Analysis of the recent experience of Costa Rica in expanding health care coverage and providing effective financial protection against high out-of-pocket expenditures; Formulation of policy recommendations for policymakers and health care analysts working in lower and middle income countries. 74. Moldova Public Expenditure Review (2006) Moldova Senior Consultant Evaluation of public health spending and revenue pooling; efficiency, equity, and cost-benefit analysis; Elaboration of policy recommendations; Evaluation of current progress toward fulfillment of the health MDG. 75. Strengthening of the SIS Health Insurance Program (2006) Peru Senior Consultant Econometric evaluation of determinants of enrollment, access, use of services, and out-of-pocket expenses; Poverty Assessment, Poverty Profile analysis, and Targeting Evaluation; Institutional analysis and proposal of the restructuring of SIS. Benefit Incidence Analysis; Fiscal Impact of SIS insurance schemes. 76. The World Bank Governance in Mandatory Health Insurance: the Case of Costa Rica (2006) Costa Rica Senior Consultant Evaluation of governance mechanisms that exist in the Caja Costarricense del Seguro Social, the most important health insurance institution in the country; Hypothesis testing on the link between current governance mechanisms and the performance of the CCSS. 77. Poverty and Education in Costa Rica, 2000-2004 (2005 - 2006) The World Bank Costa Rica Senior Consultant Report elaborated for the World Bank as part of the Poverty Assessment Evaluation; International comparison, evaluation of recent education reforms, performance evaluation of the system in terms of resource availability and access, coverage, efficiency, quality, and equity by gender, residence, region, and income status; Evaluation of education related Millennium Development Goals for 2005-2015, including an estimation of the future trend of the key education variables in the next 10 years to achieve the MDG; Analysis of the impact of migration and population changes in the education sector and the likely impact of the World Bank’s loan on selected number of rural variables.

ssinconsulting.com



ssinconsulting.com

78. Poverty and Health in Costa Rica, 2000 – 2004 (2005 - 2006) The World Bank Costa Rica Consultant Report elaborated for the World Bank as part of the Poverty Assessment Evaluation; International comparison, evaluation of the Health Reform (1994-2005), assessment of financial indicators, and equity and efficiency evaluation of health outcomes; evaluation of the nutritional situation of the country; Assessment of health related Millennium Development Goals for 2005-2015, and estimation of the expected evolution of key indicators in the next 10 years; policy options. 79. Globalization and the Adoption of Information and Communication Technologies in Developing

Countries: A Cross-country Analysis (2004 – 2005) Costa Rica Consultant Report elaborated for INTECH-United Nations; Elaboration of the historical background of SMEs in Costa Rica, and evolution and importance in the economy in terms of production, employment, salaries, and exports; Description of the Government institutional support to promote SME development; Application of a survey to 65 firms on the use, advantages, and disadvantages of ICTs in Costa Rica; Elaboration of three case studies; policy options. 80. Developing Policy Framework for Social Insurance Component (2004) Bosnia and Herzegovina Consultant for Social Insurance Administration Advisors Development of policy options for improving social health insurance both in the Federation of Bosnia Herzegovina and in the Republic of Srpska; Analysis and options of new administrative arrangements to organize the health insurance; Evaluation of the primary problems and constraints in improving compliance on health insurance, payroll tax payment, and sanction enforcement; Design and application of administrative survey to all Cantons and the RS; Review of the flow of funds of the health insurance; Analysis and recommendations for improving the reporting system; Training and workshop organization. 81. Assessment of TB Programs in Central Asia (2004) Kazakhstan, Uzbekistan, Tajikistan, Kyrgyzstan Senior Consultant Financial assessment of TB programs in Central Asia, one analysis per country; Evaluation included resource allocation at different levels, input-outcome analysis, regional disparities, and cost-benefit analysis of the interventions. 82. General Assessment of National Health Policy, 1997 – 2002 (2004) Nicaragua Senior Consultant Assessment of the Health Policy in terms of inputs, processes, and outcomes generated with the implementation of the Plan; Analysis done at the regional level and including issues regarding coverage, hospital efficiency, equity, and achievement of objectives. 83. Cost-Effectiveness Analysis of Essential Health Care Package (2004) Nepal Senior Consultant Cost-benefit and cost-effectiveness analysis of 16 health interventions included in the Basic Health Package of the Kingdom of Nepal including mother and child interventions, HIV-AIDS, leprosy and other promotion and prevention measures. It included a ranking of the most cost-effective interventions, a recommendation on how to allocate resources, and the fiscal impact of expanding the package; Evaluation of health related Millennium Development Goals, and analysis of how the new package of benefits will improve health progress toward MDG. 84. Workshop on Models of Management and Financing of Health Services (2003) Honduras Consultant Training in topics regarding contracting, negotiation, monitoring and evaluation, and health management.

ssinconsulting.com



ssinconsulting.com

85. General Assessment of ASEMECO –Public-private Partnership- Performance (2003) Costa Rica Quantitative and qualitative assessment of ASEMECO partnership with the Costa Rican health insurance institute by program; policies options development. 86. Colimodio Multiclinic Network Economic Analysis, Feasibility Study, and Business Plan (2003) Dominican Republic Senior Consultant Financial analysis of proposed project; Estimation of market supply and demand for medical services; Elaboration of strategic issues for project implementation; Business Plan definition and steps for implementation; Scenario development and risk-analysis. 87. VIGISUS II Project: Epidemiological Surveillance Cost Benefit Analysis and Indigenous Health

Program Evaluation (2003) Brazil Senior Consultant Assessment of the SUS/FUNASA Indigenous Health Program; Input-outcome analysis and distribution of resources and changes in epidemiologic and health profiles; Evaluation of contracts and the administrative processes of the Indigenous Program; Action Plan elaboration. 88. Evaluation of TB and HIV/AIDS Program (2003) Kazakhstan Senior Consultant Financial assessment of the TB and HIV health programs; Analysis of resource allocation, inequality of distribution, and input-outcome evaluation. 89. Toward the Strengthening of the Costa Rican Educational System (2003) Costa Rica Senior Consultant Industrial organization analysis of the education sector in Costa Rica; International benchmarking of the inputs and outputs of the education sector vis-à-vis the situation in other countries; Econometric analysis of the output-input situation of the Costa Rican education sector. 90. Ministry of Justice of Costa Rica (2004) Costa Rica Consultant Estimation of unit costs in the Costa Rican Penitentiary System by disaggregating the production function of the penitentiary system by group of inmates; Policy recommendations for improving Ministry’s allocation of resources. 91. Costa Rican Electricity Institute (2002) Costa Rica Consultant, “Telecommunications and their impact in the Costa Rican Economy” Review of recent performance of the telecommunications sector in Costa Rica; International benchmark on the relationship between level of development of the country and different telecommunications indicators; Econometric analysis of the long-run impact of the telecommunications company in GDP growth. 92. CAT Special Commission, Congress of Costa Rica (1999) Costa Rica Independent Consultant Export analysis and the impact of incentives in the promotion of international trade; Elaboration of a proposal of new incentives to improve competitiveness and export growth.

Documents

José Francisco Pacheco Jiménez · 2020-04-30 · 1. Durán, Fabio; Pacheco, José; Muzaffar, Taneem and Elizondo, Hazel (2019) Measuring financing gaps in social protection for