Arab Republic of Egypt : Management and Service Quality in Primary Health Care Facilities in the Alexandria and Menoufia Governorates

This report provides an assessment of the performance of public primary facilities in the Alexandria and Menoufia governorates. The performance is evaluated against the standards introduced with the Health Sector Reform Program; analyzes the quality perceptions, health situation, utilization and economic situation of households living in the catchment areas of the facilities; and examines the management processes of different institutions involved in primary care. Despite Egypt's health sector reform efforts, evidence suggests that issues remain in the quality of service and management in both reformed and non-reformed public primary care facilities, including availability of supplies, correct co-payment exemptions for the poor, and consequently, utilization through the population. There is also increasing evidence that the demand-side empowerment of beneficiaries could improve the governance of health care, which would lead to a quality increase and higher utilization of health care. This suggests the need to explore the potential for demand-side mechanisms to improve service delivery and help ensure improvements in individual and population health.

Bibliographic Details

Main Author:	World Bank
Language:	English en_US
Published:	Washington, DC 2010-06-25
Subjects:	ABILITY TO PAY, ACCESS TO HEALTH SERVICES, AGED, AMBULANCE, ANTENATAL CARE, BASIC EDUCATION, BASIC HEALTH, BASIC HEALTH SERVICES, BASIC INFRASTRUCTURE, BATHROOMS, BEDS, BLOOD SUGAR, CANCER, CHILD CARE, CHILD HEALTH, CHILD HEALTH SERVICES, CHILDBIRTH, CHILDHOOD ILLNESS, CHOLESTEROL, CHRONIC DISEASES, CHRONIC ILLNESS, CHRONIC ILLNESSES, CITIES, CITIZEN, CITIZENS, CLEANLINESS, CLINICS, COMMUNICABLE DISEASES, COMPLICATIONS, CORONARY HEART DISEASE, DENTISTS, DESCRIPTION, DIABETES, DIABETES MELLITUS, DIAGNOSES, DIAGNOSIS, DIAGNOSTICS, DIET, DISEASE TREATMENT, DOCTORS, ECONOMIC GROWTH, ECONOMIC STATUS, EDUCATIONAL ATTAINMENT, ELDERLY, EMERGENCY CARE, EMPLOYMENT, EPIDEMIOLOGICAL TRANSITION, ESSENTIAL DRUGS, ESSENTIAL SUPPLIES, FAMILIES, FAMILY HEALTH, FAMILY HEALTH SERVICES, FAMILY MEMBERS, FAMILY PLANNING, FEMALE, FEMALES, FEVER, FOCUS GROUP DISCUSSIONS, FOLIC ACID, GENDER, GENERAL PRACTITIONERS, GENERIC DRUGS, GOVERNMENT AGENCIES, HEALTH CARE FACILITIES, HEALTH CARE PROVIDER, HEALTH CARE PROVIDERS, HEALTH CARE PROVISION, HEALTH CARE SERVICES, HEALTH CARE SYSTEM, HEALTH CARE UTILIZATION, HEALTH CLINICS, HEALTH EXPENDITURE, HEALTH FACILITIES, HEALTH INSURANCE, HEALTH PROBLEMS, HEALTH PROMOTION, HEALTH SECTOR, HEALTH SECTOR REFORM, HEALTH SERVICE, HEALTH SERVICE DELIVERY, HEALTH SERVICE PROVIDERS, HEALTH SERVICES, HEALTH SPECIALIST, HEALTH STATUS, HEALTH SYSTEM, HEALTH TRAINING, HEALTH WORKERS, HIGH BLOOD PRESSURE, HOME VISITS, HOSPITAL, HOSPITALS, HOUSEHOLD SIZE, HOUSEHOLDS, HOUSING, HR, HUMAN CAPITAL, HUMAN DEVELOPMENT, HUMAN RESOURCE DEVELOPMENT, HUMAN RESOURCES, HYGIENE, HYPERTENSION, ILLNESS, ILLNESSES, IMPLICATIONS FOR HEALTH, INCOME, INDIVIDUAL CHARACTERISTICS, INDIVIDUAL HEALTH, INDIVIDUAL WELFARE, INFANT, INFANTS, INFECTION, INFORMATION MATERIALS, INHABITANTS, INSURANCE, INTERVENTIONS, LABOR FORCE, LABOR MARKET, LACK OF KNOWLEDGE, LOCAL COMMUNITY, MATERNAL AND CHILD HEALTH, MATERNAL HEALTH, MEDICAL EQUIPMENT, MEDICAL PRACTITIONERS, MEDICAL PROFESSIONALS, MEDICAL SUPPLIES, MEDICAL TREATMENT, MEDICINES, MIDWIVES, MINISTRY OF HEALTH, MINORITY, MOBILITY, MOTHER, NATIONAL HEALTH INSURANCE, NEIGHBORHOOD, NURSE, NURSES, NURSING, OLDER ADULTS, OLDER AGE GROUPS, OUTREACH WORKERS, OXYGEN, PATIENT, PATIENT CARE, PATIENT RIGHTS, PATIENTS, PERI-NATAL CARE, PERINATAL CARE, PHARMACIES, PHARMACISTS, PHARMACY, PHYSICIAN, POLICY DEVELOPMENT, PREGNANCY, PREGNANT WOMEN, PREVALENCE, PRIMARY CARE, PRIMARY HEALTH CARE, PRIMARY HEALTH CARE FACILITIES, PRIMARY HEALTH CARE SERVICES, PRIMARY HEALTH FACILITIES, PRIMARY HEALTH SERVICES, PRIMARY SCHOOL, PRIVATE DOCTORS, PROVISION OF SERVICES, PUBLIC ADMINISTRATION, PUBLIC HEALTH, PUBLIC HEALTH CARE, PUBLIC HEALTH CARE SERVICES, PUBLIC HEALTH SERVICES, PUBLIC SERVICE, PUBLIC SERVICES, PUBLIC TRANSPORTATION, QUALITY ASSURANCE, QUALITY IMPROVEMENT, QUALITY OF CARE, QUALITY OF HEALTH, QUALITY OF HEALTH CARE, QUALITY OF SERVICES, RELIGIOUS INSTITUTIONS, REPRODUCTIVE HEALTH, RESPECT, RURAL AREAS, RURAL HEALTH UNITS, SAFETY, SANITARY SUPPLIES, SCARCE RESOURCES, SECONDARY EDUCATION, SECONDARY SCHOOL, SELF-SUFFICIENCY, SERVICE PROVIDER, SERVICE PROVISION, SERVICE QUALITY, SMOKERS, SMOKING, SOCIAL HEALTH INSURANCE, SOCIAL RESEARCH, SOCIAL SECTORS, SOCIAL SERVICE, SOCIAL WORKERS, SURGEONS, SYRINGES, TECHNICAL INFORMATION, THERAPY, TOBACCO PRODUCTS, TRADITIONAL HEALERS, TRANSPORT SYSTEMS, ULCER, URBAN AREAS, USE OF HEALTH CARE SERVICES, VACCINATION, VACCINATION CAMPAIGN, VULNERABLE GROUPS, WALKING, WASTE, WORKERS, WORKFORCE, YOUTH,
Online Access:	http://documents.worldbank.org/curated/en/2010/06/16332545/egypt-management-service-quality-primary-health-care-facilities-alexandria-menoufia-governorates https://hdl.handle.net/10986/13060
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