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Impact Evaluation of the Egyptian Health Sector Reform Project : Pilot Phase

AILMENTS ANTENATAL CARE ANTENATAL VISITS AVERAGE FAMILY SIZE BIRTHS CHILD HEALTH CITIZENS CONTRACEPTION COST EFFECTIVENESS DEATH RATE DEATHS DENTAL SERVICES DENTIST DENTISTS DEPENDENCY RATIO DESCRIPTION DISTRICTS DOCTOR DOCTORS ESSENTIAL DRUGS FAMILIES FAMILY HEALTH FAMILY PLANNING FEMALE GENERAL PRACTICE GYNECOLOGY HEALTH CARE FACILITIES HEALTH CARE REFORM HEALTH CENTERS HEALTH FACILITIES HEALTH INDICATORS HEALTH INFRASTRUCTURE HEALTH INSURANCE HEALTH PROVIDERS HEALTH SECTOR HEALTH SECTOR REFORM HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEMS HEALTH TRAINING HEALTH TRENDS HOSPITAL HOSPITALS HOUSEHOLD LEVEL HOUSEHOLD SURVEYS HOUSING HOUSING CENSUS HUMAN DEVELOPMENT HUMAN RESOURCE DEVELOPMENT HUMAN RESOURCES HUMAN RESOURCES DEVELOPMENT HYGIENE ILLITERACY IMMUNIZATION INCIDENCE ANALYSIS INCOME INFANT INFANT MORTALITY INFANT MORTALITY RATE INFRASTRUCTURE DEVELOPMENT INFRASTRUCTURE INVESTMENT INTEGRATION INTEREST GROUPS INTERVENTION INTERVENTIONS LABOR MARKET MATERNAL CARE MATERNAL HEALTH MATERNAL MORTALITY MATERNAL MORTALITY RATE MATERNAL MORTALITY RATES MEASLES MEDICAL EQUIPMENT MEDICAL RECORDS MEDICAL STAFF MEDICAL TREATMENT MEDICINE MINISTRY OF HEALTH MODERN CONTRACEPTION MODERN FAMILY MODERN FAMILY PLANNING MORTALITY MOTHERS NATIONAL HEALTH SYSTEM NATIONAL PRIORITY NUMBER OF PEOPLE NURSES NUTRITION OLD PEOPLES HOMES OUTPATIENT SERVICES OUTREACH ACTIVITIES PARENTING PATIENT PATIENT SATISFACTION PATIENTS PHARMACISTS PHYSICIAN PHYSICIANS POLICY MAKERS POPULATION SIZE PRACTITIONERS PRIMARY CARE PRIMARY HEALTH CARE PRIMARY HEALTH SERVICES PROFESSIONAL CARE PSYCHIATRY PUBLIC HEALTH QUALITY ASSURANCE QUALITY OF CARE RADIO REFORM EFFORT REPRODUCTIVE AGE RESIDENCY RURAL AREAS SCHOOL CHILDREN SERVICE DELIVERY SERVICE QUALITY SKILL LEVEL SOCIAL VULNERABILITY SOCIAL WORKERS SPECIALIST SPECIALISTS SPONSORS STERILIZATION TECHNICAL TRAINING UNEMPLOYMENT VACCINATION VILLAGES VULNERABILITY YOUNG CHILDREN
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World Bank, Washington, DC
Middle East and North Africa | Egypt, Arab Republic of
2013-05-30T18:01:12Z | 2013-05-30T18:01:12Z | 2006-08

In 1997, the Government of Egypt (GoE) launched the Health Sector Reform Program (HSRP). Under the program, persistent needs in maternal and child health were addressed through an emphasis on primary health care, as well as through the introduction of the family health model as the principle of primary care. The World Bank, in co-operation with the Technical Support Office (TSO) of the HSRP at the Ministry of Health (MoH), has conducted an impact evaluation of the different interventions under the reform, focusing on the service delivery component. The evaluation has examined the impact of the HSRP on targeting those in need; coverage and utilization of primary health care, its quality of service and maternal and child health. It has also compared costs and benefits of the interventions and derived lessons for policy going forward. Key suggestions include: 1) human resource development should be extended to include staffing mechanisms, 2) supervision of Quality of Care could be strengthened locally through empowering citizens, 3) a co-payment can support a shift towards primary care, if designed carefully, and 4) the lack of impact of the HSRP on antenatal and natal care warrants re-thinking the focus of outreach activities.

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