Egypt : Health Sector Reform and Financing Review

In 1997, the Ministry of Health and Population (MOHP) of the Government of Egypt (GOE) launched a comprehensive Health Sector Reform Program (HSRP) aiming to develop a national health system, based on social insurance that would address existing problems in equity, access, efficiency, quality and financial sustainability. The purpose of the Health Sector Reform and Financing Review is to provide the GOE and its development partners with a critical assessment of experience to date with the reform. At a critical juncture of the program's life, such an assessment is imperative to inform future phases of the reform and to revalidate, modify, or if necessary revisit the model envisioned at the outset. This study is comprised of five sections: the first sets the background for the study by reassessing the health sector problems that triggered the reform efforts; in the second section, the status of implementation of the HSR Pilot Project will be reviewed in relation to the model envisioned at the outset; section four tries to interpret why implementation of the HSR Pilot Project met, exceeded, or fell short of expectations; in section four, short-term and medium-term reform strategies are proposed aimed at expanding and sustaining the HSR Pilot Project; finally section five concludes the study with a summary of main findings and presents a road map for the future of health sector reform in Egypt.

Bibliographic Details

Main Author:	World Bank
Language:	English en_US
Published:	Washington, DC 2004-02
Subjects:	ABILITY TO PAY, ADMINISTRATIVE COSTS, ADMINISTRATIVE EXPENSES, ALLOCATIVE EFFICIENCY, AMBULATORY CARE, AMBULATORY SERVICES, AVERAGE FAMILY SIZE, BASIC HEALTH SERVICES, CAPACITY BUILDING, CAPITATION, CAPITATION PAYMENT, CAPITATION PAYMENTS, CENTER FOR HEALTH, CHILD HEALTH, CHILD HEALTH SERVICES, CHILD MORTALITY, CHILD SURVIVAL, CHRONIC CONDITIONS, CITIZENS, CLINICAL PRACTICE, CLINICS, COMMUNICABLE DISEASES, COST-EFFECTIVENESS, CROWDING, DELIVERY SYSTEM, DELIVERY SYSTEMS, DEMAND FOR HEALTH, DEMAND FOR HEALTH SERVICES, DEPENDENCY RATIO, DESCRIPTION, DEVELOPING COUNTRIES, DIABETES, DIFFERENTIALS IN HEALTH, DISEASE CONTROL, DOCTORS, ECONOMIC GROWTH, EMERGENCY CARE, ESSENTIAL HEALTH SERVICES, EXPENDITURES, FAMILIES, FAMILY HEALTH, FAMILY HEALTH SERVICES, FAMILY PLANNING, FERTILITY, FERTILITY RATE, FINANCIAL BALANCE, FINANCIAL CONTRIBUTIONS, FINANCIAL RISK, FINANCIAL SITUATION, FINANCIAL VIABILITY, GENDER, GENDER DIFFERENTIALS, GENDER INEQUITIES, GROSS DOMESTIC PRODUCT, HEALTH CARE FACILITIES, HEALTH CARE FINANCING, HEALTH CARE MARKETS, HEALTH CARE PROVIDERS, HEALTH CARE SPENDING, HEALTH CARE UTILIZATION, HEALTH CENTERS, HEALTH EXPENDITURE, HEALTH FACILITIES, HEALTH FINANCING, HEALTH INFRASTRUCTURE, HEALTH INSURANCE, HEALTH INSURANCE FUNDS, HEALTH INSURANCE PROGRAM, HEALTH INSURANCE SYSTEM, HEALTH MANPOWER, HEALTH NEEDS, HEALTH OUTCOMES, HEALTH PLAN, HEALTH PLANS, HEALTH POLICY, HEALTH PROBLEMS, HEALTH REFORM, HEALTH RISKS, HEALTH SECTOR, HEALTH SECTOR REFORM, HEALTH SERVICE, HEALTH SERVICE UTILIZATION, HEALTH SERVICES, HEALTH SPECIALIST, HEALTH STATUS, HEALTH STRATEGY, HEALTH SYSTEM, HEALTH SYSTEMS, HEALTH SYSTEMS MANAGEMENT, HEALTH WORKFORCE, HOLISTIC APPROACH, HOSPITAL, HOSPITAL BEDS, HOSPITAL CARE, HOSPITAL SERVICES, HOSPITALS, HOUSEHOLDS, HUMAN RESOURCE MANAGEMENT, HYPERTENSION, ILLITERACY, ILLNESS, INCENTIVE SCHEMES, INCOME, INFANT, INFANT HEALTH, INFANT MORTALITY, INFANT MORTALITY RATE, INFANTS, INFORMATION SYSTEM, INFORMATION SYSTEMS, INFRASTRUCTURE INVESTMENT, INJURIES, INPATIENT CARE, INSTITUTIONAL CAPACITY, INSURANCE PLAN, INTEGRATION, INTERMEDIARIES, INTERVENTIONS, LAWS, LEGAL STATUS, LIMITED RESOURCES, LIVE BIRTH, LIVE BIRTHS, MANAGEMENT SYSTEMS, MATERNAL MORTALITY, MATERNAL MORTALITY RATE, MATERNAL MORTALITY RATES, MEDICAL RECORDS, MINISTRY OF HEALTH, MORTALITY, MOTHER, NATIONAL HEALTH, NATIONAL HEALTH INSURANCE, NATIONAL HEALTH INSURANCE FUND, NATIONAL HEALTH SPENDING, NATIONAL HEALTH SYSTEM, NEONATAL CARE, NURSE, NURSES, OCCUPANCY, OCCUPANCY RATES, OUTPATIENT CARE, OUTPATIENT SERVICES, PATIENT, PATIENT DEMAND, PATIENT SATISFACTION, PATIENTS, PHARMACIES, PHYSICIAN, PHYSICIANS, POCKET PAYMENTS, POLITICAL SUPPORT, POPULATION GROUPS, POPULATION GROWTH RATES, POPULATION SIZE, PRESCRIPTION DRUGS, PRESIDENTIAL DECREE, PRIMARY CARE, PRIMARY HEALTH CARE, PRIMARY HEALTH CARE FACILITIES, PRIMARY HEALTH CARE SERVICES, PRIVATE DOCTORS, PRIVATE SECTOR, PRIVATE SPENDING, PROVIDER INCENTIVES, PROVIDER PAYMENT, PROVISION OF CARE, PUBLIC HEALTH, PUBLIC HEALTH PROGRAMS, PUBLIC PROVIDERS, PUBLIC SERVICE, PUBLIC SPENDING, QUALITY ASSURANCE, QUALITY IMPROVEMENT, QUALITY OF CARE, QUALITY OF SERVICES, QUALITY SERVICES, RAPID POPULATION GROWTH, REFERRAL SYSTEM, REHABILITATION, RESOURCE NEEDS, RESPECT, RISK SHARING, RURAL AREAS, RURAL POPULATIONS, SCARCE RESOURCES, SCHOOL CHILDREN, SCHOOL HEALTH, SERVICE DELIVERY, SERVICE DELIVERY SYSTEMS, SERVICE PROVIDERS, SERVICE PROVISION, SHARE OF HEALTH SPENDING, SOCIAL AFFAIRS, SOCIAL HEALTH INSURANCE, SOCIAL INSURANCE, SOCIAL INSURANCE SYSTEM, SOCIAL VULNERABILITY, TEACHING HOSPITALS, TECHNICAL ASSISTANCE, TECHNICAL CAPACITIES, TRANSPORTATION, UNDER-FIVE MORTALITY, UNEMPLOYMENT, UNIVERSAL HEALTH INSURANCE COVERAGE, USER FEES, VULNERABLE GROUPS, VULNERABLE POPULATIONS,
Online Access:	http://documents.worldbank.org/curated/en/2004/02/8530918/egypt-health-sector-reform-financing-review https://hdl.handle.net/10986/14355
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