Abstract
This report provides some recommendations for effective implementation. In this regard, it should be noted that successful health care reforms should be sustainable and implementable. It is clear that there are many reports, workshops, and meetings on needed health reforms in Libya. There is consensus among key stakeholders in the health system in terms of the severity and variability of the problems and their causes. There have been previously developed but unimplemented reforms and ongoing reform activities in Libya. But there appears to be a problem in the policy development, political decision, and implementation stages. For this reason, conscious and planned attempts should be made to put health reforms on the agenda of key policy makers and members of the Libyan parliament. In the long journey of health reform, health reformers or key decision makers seeking to change the health system should follow a concrete agenda that should be created in a participatory manner, and this agenda should be implemented by committed and determined health reform teams for each component. Consistency in supply and demand reforms, increasing benefits of citizens, strong governance and leadership, and support, determination and commitment to reform changes, and rapid implementations are also factors observed in other countries successfully reforming their health systems. To be successful, the implementation of health reform should start from somewhere. It is recommended to start with changing the current Medical Law in Libya. The findings reveal that many problems, especially in health workforce, are related to the current Medical Law and regulations. This creates conflicts between the practices of health professionals, and decreases motivation. Many inefficiencies and problems in the medical supply and technology aspect such as registration, pricing, licensing, etc. are also related to the current Medical Law. Besides, the problems in health service delivery and the decline in user satisfaction of health facilities are also related to the current medical legislation. For this reason, key policy and decision makers must be convinced that current health system regulations and medical law should be changed by providing evidence of the root causes arising from inappropriate health regulations. In this process, it is important to prepare and share reports or the results of workshops or meetings, or to try to convince key decision-makers and members of parliament to participate in the reform of health sector activities.