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

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Health Systems Profile- Egypt Regional Health Systems Observatory- EMRO An important feature of the way in which health personnel are employed is dual or multiple employments. However, dual employment does mean that the numbers given above for employment by the MOHP and HIO do not imply that the personnel are employed only by MOHP or HIO: they may also be employed by other agencies. Public/private, modern/traditional balance of provision The public sector in Egypt cannot provide all health care services because of the continuous increase of health services cost. The intention is to provide a hybrid model of both public and private sector provision. The aim is to encourage private sector investment where the local market conditions make it sustainable. The Health Sector Reform Program, through the Governorate’s plans, is preparing to cover 35 - 40% of the urban population through MOHP health services, while the rest will be covered by private/NGO. Partnership with private/NGO will give the opportunity for HSRP to enable the coverage of underserved areas with family health model and basic benefits package. Having a contract with the private sector will maintain the implementation of the national quality standards among different types of health service providers. On the other side, this will provide an equity dimension for both of public and private sectors patients. Primary care delivery settings and principal providers of services; new models of provision over last 10 years Over the period of piloting the Family Health Model in at the first five Governorates, number of standards has been developed through the Health Sector Reform and in coordination with Quality Improvement Department and vertical programs at the MOHP, this includes: • Standard criteria of accreditations • Basic Benefits Package (BBP) • Standard staff pattern • Standard list of training programs • Family Folder • Standard equipment and furniture • Building design and patent flow • Clinical guidelines for Basic Benefits Package • Essential Drug List (EDL) • Referral system Quality improvement Department has developed Accreditation Standards. Health facility accreditation is mandatory prior contract with Family Health Fund. The Primary Assessment of the facility, through the Quality Improvement Department, is to evaluate the current situation and the required needs to fulfill the accreditation program. This is followed by training of the staff on quality improvement, infection control, leadership, accreditation program, and clinical guidelines. The third step is the pre-accreditation through on-job training to evaluate the current performance and to set the improvement plan, where the Technical Support Team in each governorate is responsible to follow up the implementation of the improvement plan. Final accreditation is based on measuring eight categories. Each category includes several measures that focus on the key processes, the activities and the outcomes that facilities should achieve. During the accreditation survey, facilities are assessed to determine their compliance with standards in each of the eight categories. These eight categories are: patient rights, patient care, management of the facility, management of 67
Health Systems Profile- Egypt Regional Health Systems Observatory- EMRO human resources, management of support services, management of information, quality improvement program and infection control program. Public sector: Package of Services at PHC facilities The Health Sector Reform Program launched by the Ministry of Health and Population has defined as an essential corner stone a set of health services that the Government of Egypt would like to offer to the general population, with a special emphasis on the poorest and the low-incomes categories. This core set of health services delivered by the reformed health system is called "the Basic Benefit Package". It is the masterpiece of the Family Model, which has been chosen as a strategic model in the new service delivery. Child health services Family Health Unit Family Health Center Referral Hospital I . M . C . I . 68 Neonatal care A1 * Management of young infant A2 * ( 0-2 months) Immunization services and vitamin A supplementation A3 * Monitoring of Growth and Development A4 * Management of Childhood Illness A5 * (2 months – 5 years) Management of rheumatic fever and complications A6 * . Assess and identify cases of jaundice, infections or congenital abnormalities . Refer complication to Hosp. . Early detection of hypothyroidism by blood sampling (during 1 st week of life) . referral of positive cases to Hosp. . Management of possible serious bacterial infection and referral to Hospital . Management of local bacterial infection and non-bacteriological infection. Follow up, and referral if needed. . Early detection of congenital anomalies and referral to Hosp. . Counseling (incl. Breastfeeding) BCG 0 – 3 m. OPV 2, 4, 6, 9, 18 months DPT 2, 4, 6, 18 months Hep. B 2, 4, 6 months Measles 9 months MMR 18 months DT 6 and 9 years (school Health) . Vitamin A supplementation (9-18 m) . Missed opportunities tracing . Counseling mother on family planning . Assessment of developmental status . Assessment of nutritional status and nutrition counseling (incl. breastfeeding / weaning) . Iron supplementation in Anemia . Identification and referral of rickets and severely malnourished to FHC/Hospital . Assessment, classification and treatment of ARI/ wheezing, Diarrhea, Malnutrition, Ear / Eye problems, Sore Throat, Fevers (Measles). . Counseling on home care. . Follow up visits. . Referral of severe cases to FHC or Hospital. . Assessment, treatment of acute simple cases . Refer chronic and complicated cases (rheumatic heart disease, nephritis, arthritis) to Hospital/ Specialist . Counseling * Intervention with available national guideline/protocol * Stabilization = pre-referral treatment Assess and refer complication to Hospital . Early detection of hypothyroidism by blood sampling (during 1 st week of life) . Referral of positive cases to Hosp. . Management of possible serious bacterial infection . Treatment of local infection . Referral to Hospital if needed. . Diagnosis and treatment of recurrent and resistant cases . Management of child with serious infection. . Emergency treatment (airway, oxygen, IV, convulsion) . Referral to Hospital if needed. . Assess and manage complications (e.g. jaundice), asphyxia, and hypothermia. . Management of hypothyroidism cases . Management of complicated cases of serious bacterial infections . Management of serious cases of rickets, kwashiorkor or marasmus . Management of severe anemia . Emergency treatment (airway, oxygen, IV, treat convulsion, continued problem-based assessment and treatment) . Management of rheumatic heart disease, nephritis, arthritis complications . Counseling
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