Egypt : Complete Profile - What is GIS - World Health Organization

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Health Systems Profile- Egypt Regional Health Systems Observatory- EMRO Figure 4. Distribution of physicians and nurses by governorate per 100,000 population (2005) 9,000 8,000 7,000 6,000 5,000 4,000 3,000 2,000 1,000 0 North Sinai Port Said Matroh Aswan Al dakahlia Sues Alexandria Kafr al shekh Cairo Al Shrkia Al bhera Al menia Bany suif Source: NICHP This confirms that the highest physicians to population ratios are generally found in the sparsely populated frontier governorates. This is also reflected in most cases in the nursing to population ratios. However, in these areas the total number of physicians and nurses are relatively small. In Upper Egypt, the ratio is generally much lower in both groups and it is in this region that health status is least good. The comment made in 1997 about the striking difference in physician numbers between the least well served governorate (Qena in 2001, Beni Suef in 1997) and the best served (South Sinai in 2001 and Red Sea in 1997) still stands. Even allowing for the significant increase in nursing Kena 53
Health Systems Profile- Egypt Regional Health Systems Observatory- EMRO numbers nationally, governorates such as Sohag and Qena stand out as significantly below average. It has been the policy (in the case of both nurses and physicians) for newly qualified staff to spend their “takleef” (two years in the physician’s case, one year in nursing) in shortage governorates. The staff are, however, recorded in the original governorates. The evidence is that whilst nurses tend to remain for the takleef in shortage governorates for the year, physicians generally move on. Further analysis on this is recommended in order to review the success, or otherwise, of the MOHP policy. This major variation, while being very marked, does not show the inevitably much greater variation between districts. Overall, the most doctors can be found where health status is highest, although this is less true for the MOHP whose salary package and overall remuneration is well below that paid in the military, HIO, universities and private – the last two of which are concentrated in urban areas. This is the opposite of the distribution required in order to achieve equity in health care. This situation is exacerbated by the distribution of physicians employed by other organizations, as indicated below. Table 7-2 Human Resource Training Institutions for Health Type of Institution Medical Schools Postgraduate training Institutions Schools of Dentistry Schools of Pharmacy Nursing Schools (high) Midwifery Schools Paramedical Training Institutes Schools of Public Health 54 Number of Institutions 23 (18 government & 5 private) 19 (Government) 13 (10 government &3 private) 12 (6 government & 6 private) Y2004 5 (Government) Current Planned *Capacity 26,318 Number of Institutions Capacity Target Year NA - NA 3,980 Y1996 NA 22,013 6,569 0 - 7 (Government) 1 - (Government) *Capacity is the annual number of graduates from these institutions. Source: Egypt Health Sector Analysis and Future Strategy, MOHP. Egyptian Board Fellowships, Ministry of Health and Population. - NA NA NA NA NA
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Egypt : Complete Profile - What is GIS - World Health Organization

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