28.07.2013 Views

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

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

<strong>Health</strong> Systems <strong>Profile</strong>- <strong>Egypt</strong> Regional <strong>Health</strong> Systems Observatory- EMRO<br />

providing unit <strong>is</strong> going to be establ<strong>is</strong>hed. Technology assessment <strong>is</strong> mandatory in th<strong>is</strong><br />

respect, and national guidelines and standards will also be crucial.<br />

Planned Reforms in secondary/tertiary care<br />

<strong>Egypt</strong>ian <strong>Health</strong> Sector Reform Program <strong>is</strong> focusing on the primary health care services<br />

in its current phase.<br />

The reform goals for the health facility infrastructure focus on:<br />

A. Developing and institutionalizing systems, policies and procedures to rationalize<br />

investment in health infrastructure and to ensure efficient resource allocation;<br />

and<br />

B. Re-organizing the service delivery infrastructure along the new Family <strong>Health</strong><br />

Model (d<strong>is</strong>cussed under the <strong>Health</strong> Services Section).<br />

(A) Developing and institutionalizing systems, policies and procedures to<br />

rationalize health sector infrastructure<br />

1. Adopting investment planning based on priority population health needs<br />

One of the fundamental bases for reform rests on the ability of the government to have<br />

an institutionalized planning process whereby evolving demographic and health needs of<br />

the population are continuously analyzed and accounted for. Th<strong>is</strong> planning function <strong>is</strong><br />

dependent on two factors:<br />

A strong health information system that has the capacity to integrate demographic,<br />

epidemiological and geographical profiles of the population with data on ex<strong>is</strong>ting<br />

health resources; and<br />

A strong organizational capacity within the MOHP to consolidate and process the<br />

data for purposes of health planning.<br />

Actions<br />

Conduct a national health status survey to identify the epidemiological profile of the<br />

population and to target health needs.<br />

Conduct a national facility survey.<br />

Develop an automated database to consolidate demographic, epidemiological and<br />

census data for health planning.<br />

Conduct an organizational analys<strong>is</strong> of all bodies that have input into the health<br />

planning function (the MOHP stat<strong>is</strong>tics department, the MOHP planning unit, census<br />

department and other relevant bodies) with the intent of consolidating/coordinating<br />

their planning roles where all information from the various units could be routinely<br />

complied and analyzed.<br />

2. Rationalize the development and d<strong>is</strong>tribution of health infrastructure<br />

Mush of the emphas<strong>is</strong> in the next period should be planed on rationalizing available<br />

resources and directing future growth in infrastructure. Th<strong>is</strong> effort <strong>is</strong> imperative to<br />

eliminate the substantial waste in the ex<strong>is</strong>ting health care system and to improve its<br />

efficiency. Th<strong>is</strong> will require the establ<strong>is</strong>hment of a “certification of need” function in the<br />

MOHP to set and impose guidelines for investment in facilities, maintenance and<br />

technology for the whole health sector (MOHP, parastatal and private sectors) so as to<br />

ensure that:<br />

New facility construction and/or expansion <strong>is</strong> based on local community health<br />

needs and rational indicators, such as bed to population ratio.<br />

New capital-intensive technology acqu<strong>is</strong>ition <strong>is</strong> based on need, cost-effectiveness,<br />

affordability and geographic mapping of similar technology.<br />

Maintenance.<br />

85

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!