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

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Health Systems Profile- Egypt Regional Health Systems Observatory- EMRO Tables 8.1.4, 8.1.5: Comparison of specialists 2005 Specialty House officers Specialists Total specialists + house officers % of specialists Ratio/beneficiaries General surgery 2,473 616 3,089 13.8 4.4 Plastic surgery 48 8 56 0.2 0.1 Chest and cardiac surgery 68 35 103 0.5 0.1 Neurosurgery 26 8 34 0.2 0.0 Urology 814 212 1,026 4.6 1.5 Orthopedics 800 352 1,152 5.1 1.6 ENT 837 297 1,134 5.1 1.6 Obstetrics and gynecology 2,857 1,218 4,075 18.2 5.8 Ophthalmology 801 292 1,093 4.9 1.5 Internal medicine 1,951 573 2,524 11.2 3.6 Cardiology 238 91 329 1.5 0.5 Psychiatry 364 66 430 1.9 0.6 Pediatrics 1,922 661 2,583 11.5 3.7 Chest 669 182 851 3.8 1.2 Dermatology Source: NICHP 785 369 1,154 5.1 1.6 Specialty House officers Laboratory (clinical pathology) Specialists 2005 Total specialists + house officers % of specialists Ratio/beneficiaries 785 369 1,154 5.1 1.6 Endocrinology 14 10 24 0.1 0.0 Endemic (tropical medicine) 522 191 713 3.2 1.0 Anesthesia 738 257 995 4.4 1.4 Diagnostic radiology 267 120 387 1.7 0.5 Curative radiology 51 43 94 0.4 0.1 Physiotherapy 415 178 593 2.6 0.8 TOTAL 16,660 5,779 22,439 100.0 31.8 Source: NICHP The main features of the data in the table above are as follows. 65
Health Systems Profile- Egypt Regional Health Systems Observatory- EMRO • The data refer only to physicians employed by the MOHP. When the whole of the health workforce is considered, the proportion of specialists is even higher. The 1995 Provider Survey showed that 88% of private physicians are specialists. • Family physicians would be treated as specialists in primary care and therefore do not register on this table. • Ministerial decree NO 62/2004 stated that :the physicians who attend the family medicine fellowship course should be treated as specialist There are two dominant employers of health personnel in Egypt, the MOHP and the HIO. In addition, other organizations and ministries (notably the Ministry of Higher Education [MOHE]) employ health personnel, as do the military, public organizations such as Egypt Air, Curative Care Organizations (CCOs), General Organization for Hospitals and Teaching Institutes, NGOs, and private hospitals. There are also significant numbers of self-employed doctors, dentists and pharmacists. The numbers employed by the two main organizations are given in Table 8.1.6, below. Table 8.1.6: comparison of MOHP and HIO personnel (2005) Health Personnel 66 Reg 2005 MOHP In post 2005 % Reg 2005 HIO In post 2005 Physicians 68,499 46,160 67.39 7,288 5,830 79.99 Dentists 9,367 7,092 75.71 1,882 1,569 83.37 Pharmacists 10,083 7,561 74.99 2,661 2,335 87.75 Graduate Nurses 4,420 3,497 79.12 1,126 996 88.45 Nurse technicians 2,308 2,096 90.81 Diploma Nurses 98,248 87,465 89.02 19,390 18,117 93.43 Nursing(other) 4,397 4,137 94.09 1,306 1,301 99.62 Subtotal, all nurse Technicians 109,373 97,195 88.87 21,822 20,414 93.55 32,079 28,075 87.52 3,011 2,661 88.38 Assistant Technicians Source: NICHP 1,150 10,474 The main features of the data in the table above are as follows. The two main employers together only employ just less than half of the health workforce. Other ministries and the private sector are also major employers of health personnel. Hence, if the MOHP wishes to control the distribution of the health workforce it can only partially do this through its own employment or deployment procedures: it must also exert control through the regulation of other employers. The HIO are marginally more successful in retaining their staff, probably due to the better terms and conditions offered. %
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Egypt : Complete Profile - What is GIS - World Health Organization

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