Egypt : Complete Profile - What is GIS - World Health Organization
Egypt : Complete Profile - What is GIS - World Health Organization
Egypt : Complete Profile - What is GIS - World Health Organization
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<strong>Health</strong> Systems <strong>Profile</strong>- <strong>Egypt</strong> Regional <strong>Health</strong> Systems Observatory- EMRO<br />
Contents<br />
F OREWORD................................................................................................................ 5<br />
1 EXECUTIVE SUMMARY......................................................................................... 7<br />
2 SOCIO ECONOMIC G EOPOLITICAL MAPPING..................................................... 11<br />
2.1 Socio-cultural Factors ................................................................................. 11<br />
2.2 Economy ................................................................................................... 11<br />
2.3 Geography and Climate .............................................................................. 12<br />
2.4 Political/ Admin<strong>is</strong>trative Structure................................................................ 12<br />
3 HEALTH STATUS AND DEMOGRAPHICS .............................................................. 14<br />
3.1 <strong>Health</strong> Status Indicators ............................................................................. 14<br />
3.2 Demography.............................................................................................. 15<br />
4 HEALTH S YSTEM ORGANIZATION ..................................................................... 17<br />
4.1 Brief H<strong>is</strong>tory of the <strong>Health</strong> Care System ....................................................... 17<br />
4.2 Public <strong>Health</strong> Care System .......................................................................... 17<br />
4.3 Private <strong>Health</strong> Care System......................................................................... 20<br />
4.4 Overall <strong>Health</strong> Care System ........................................................................ 21<br />
5 GOVERNANCE/OVERSIGHT................................................................................ 23<br />
5.1 Process of Policy, Planning and management............................................... 23<br />
5.2 Decentralization: Key character<strong>is</strong>tics of principal types ................................. 24<br />
5.3 <strong>Health</strong> Information Systems........................................................................ 27<br />
5.4 <strong>Health</strong> Systems Research............................................................................ 28<br />
5.5 Accountability Mechan<strong>is</strong>ms ......................................................................... 28<br />
6 HEALTH CARE FINANCE AND EXPENDITURE...................................................... 29<br />
6.1 <strong>Health</strong> Expenditure Data and Trends ........................................................... 29<br />
6.2 Tax-based Financing .................................................................................. 32<br />
6.3 Insurance .................................................................................................. 33<br />
6.4 Out-of-Pocket Payments ............................................................................. 40<br />
6.5 External Sources of Finance ........................................................................ 41<br />
6.6 Provider Payment Mechan<strong>is</strong>ms.................................................................... 41<br />
7 HUMAN RESOURCES ......................................................................................... 45<br />
7.1 Human resources availability and creation ................................................... 45<br />
7.2 Human resources policy and reforms over last 10 years................................ 55<br />
8 HEALTH SERVICE DELIVERY..................................................................................... 59<br />
8.1 Service Delivery Data for <strong>Health</strong> services ..................................................... 59<br />
8.2 Package of Services for <strong>Health</strong> Care ............................................................ 63<br />
8.3 Primary <strong>Health</strong> Care ................................................................................... 63<br />
8.4 Non personal Services: Preventive/Promotive Care....................................... 75<br />
8.5 Secondary/Tertiary Care ............................................................................. 77<br />
8.6 Long-Term Care......................................................................................... 90<br />
8.7 Pharmaceuticals ......................................................................................... 89<br />
8.8 Technology...............................................................................................100<br />
9 HEALTH SYSTEM REFORMS.....................................................................................101<br />
9.1 Summary of Recent and planned reforms ...................................................101<br />
10 REFERENCES ...................................................................................................107<br />
11.ANNEXES ................................................................................................................<br />
11.1 Min<strong>is</strong>try of <strong>Health</strong> and Population Organogram.............................................<br />
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