PHN 1991 Sector Review 60 include: (i) rehabilitating, upgrading, and expanding the health network and developing a maintenance program for facilities and biomedical equipment; (ii) providing equipment, furniture, vehicles, and basic medical supplies; (iii) hiring, reassigning, and regarding personnel to flt the PASSPA program; (iv) improving the supervision system and technical training for professional and auxiliary health staff; and (v) producing and distributing operational manuals and materials; and (b) Institutional Development Component (11 percent of total project cost). At the federal level, it would: (i) provide assistance to facilitate the decentralization process; (ii) conduct operational research to improve services delivery, to set policies and priorities, to mobilize additional resources for basic health care, and to carry out operational research and impact evaluation; and (iii) strengthen management information systems to improve planning, analysis, and management capacities. At the state level, this component would assist in improving: (i) the management, administration, and planning capacities of the State Health Authorities; (ii) personnel policies and management; and (iii) training opportunities in management and administration for managers and administrative staff.

# _Venuel - Social Development Project_

The objective of the proposed project is to assist the Government of Venezuela (GOV) in developing a social sector strategy to redirect its social expenditures into well-targeted and efficient programs, by financing high priority activities, within the framework of its Social Sectors Action Program. It aims to: (a) improve living conditions of a large and poor segment of the population, especially pregnant and lactating women, and children under six years of age, while mitigating the potential adverse impact of the adjustment program; (b) replace indirect subsidies with targeted social programs, while improving their efficiency and rationalizing their distribution; and (c) promote institutional development by improving the planning and management capacity in the Ministries of Health and Education, as well as the capacity to target, develop and monitor social programs in the Ministry of the Family. The GOV has drawn up a set of policies and actions to be undertaken (Social Sectors Action Program), which, together with the project components to be financed, will effectively implement its basic objectives and strategy for the social sectors. The project would support: (a) rehabilitation and development of the primary health care network, including provision of basic health and nutrition services for pregnant and nursing women and children under six years of age; (b) development and expansion of pre-school education, focused on the lower-income urban and rural areas; (c) information, education and communications services for health, nutrition, and education promotion; and (d) improvement of the GOVs capacity to design, plan and implement social programs and to monitor the effect of such programs. A technical coordinating office attached to the MINFAM would liaise with implementing agencies on project planning, budgeting, and implementation. Autonomous agencies attached to the MOE and MOH would be in charge of day to day administration of the project; technical supervision would be carried out by regular ministry staff. Special attention wouid be given to strengthening implementation and coordination capacity in the various institutions involved.