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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 />

numbers nationally, governorates such as Sohag and Qena stand out as significantly<br />

below average. It has been the policy (in the case of both nurses and physicians) for<br />

newly qualified staff to spend their “takleef” (two years in the physician’s case, one year<br />

in nursing) in shortage governorates. The staff are, however, recorded in the original<br />

governorates. The evidence <strong>is</strong> that whilst nurses tend to remain for the takleef in<br />

shortage governorates for the year, physicians generally move on. Further analys<strong>is</strong> on<br />

th<strong>is</strong> <strong>is</strong> recommended in order to review the success, or otherw<strong>is</strong>e, of the MOHP policy.<br />

Th<strong>is</strong> major variation, while being very marked, does not show the inevitably much<br />

greater variation between d<strong>is</strong>tricts.<br />

Overall, the most doctors can be found where health status <strong>is</strong> highest, although th<strong>is</strong> <strong>is</strong><br />

less true for the MOHP whose salary package and overall remuneration <strong>is</strong> well below that<br />

paid in the military, HIO, universities and private – the last two of which are<br />

concentrated in urban areas. Th<strong>is</strong> <strong>is</strong> the opposite of the d<strong>is</strong>tribution required in order to<br />

achieve equity in health care. Th<strong>is</strong> situation <strong>is</strong> exacerbated by the d<strong>is</strong>tribution of<br />

physicians employed by other organizations, as indicated below.<br />

Table 7-2 Human Resource Training Institutions for <strong>Health</strong><br />

Type of<br />

Institution<br />

Medical Schools<br />

Postgraduate<br />

training<br />

Institutions<br />

Schools of<br />

Dent<strong>is</strong>try<br />

Schools of<br />

Pharmacy<br />

Nursing Schools<br />

(high)<br />

Midwifery<br />

Schools<br />

Paramedical<br />

Training<br />

Institutes<br />

Schools of<br />

Public <strong>Health</strong><br />

54<br />

Number of<br />

Institutions<br />

23<br />

(18 government<br />

& 5 private)<br />

19<br />

(Government)<br />

13<br />

(10 government<br />

&3 private)<br />

12<br />

(6 government &<br />

6 private)<br />

Y2004<br />

5<br />

(Government)<br />

Current Planned<br />

*Capacity<br />

26,318<br />

Number of<br />

Institutions<br />

Capacity Target<br />

Year<br />

NA<br />

- NA<br />

3,980<br />

Y1996 NA<br />

22,013<br />

6,569<br />

0 -<br />

7<br />

(Government)<br />

1<br />

-<br />

(Government)<br />

*Capacity <strong>is</strong> the annual number of graduates from these institutions.<br />

Source: <strong>Egypt</strong> <strong>Health</strong> Sector Analys<strong>is</strong> and Future Strategy, MOHP.<br />

<strong>Egypt</strong>ian Board Fellowships, Min<strong>is</strong>try of <strong>Health</strong> and Population.<br />

-<br />

NA<br />

NA<br />

NA<br />

NA<br />

NA

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