Impact Evaluation of the Egyptian Health Sector Reform Project : Pilot Phase
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World Bank, Washington, DC
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In 1997, the Government of Egypt (GoE)
launched the Health Sector Reform Program (HSRP). Under the
program, persistent needs in maternal and child health were
addressed through an emphasis on primary health care, as
well as through the introduction of the family health model
as the principle of primary care. The World Bank, in
co-operation with the Technical Support Office (TSO) of the
HSRP at the Ministry of Health (MoH), has conducted an
impact evaluation of the different interventions under the
reform, focusing on the service delivery component. The
evaluation has examined the impact of the HSRP on targeting
those in need; coverage and utilization of primary health
care, its quality of service and maternal and child health.
It has also compared costs and benefits of the interventions
and derived lessons for policy going forward. Key
suggestions include: 1) human resource development should be
extended to include staffing mechanisms, 2) supervision of
Quality of Care could be strengthened locally through
empowering citizens, 3) a co-payment can support a shift
towards primary care, if designed carefully, and 4) the lack
of impact of the HSRP on antenatal and natal care warrants
re-thinking the focus of outreach activities.
Palabras clave
AILMENTS, ANTENATAL CARE, ANTENATAL VISITS, AVERAGE FAMILY SIZE, BIRTHS, CHILD HEALTH, CITIZENS, CONTRACEPTION, COST EFFECTIVENESS, DEATH RATE, DEATHS, DENTAL SERVICES, DENTIST, DENTISTS, DEPENDENCY RATIO, DESCRIPTION, DISTRICTS, DOCTOR, DOCTORS, ESSENTIAL DRUGS, FAMILIES, FAMILY HEALTH, FAMILY PLANNING, FEMALE, GENERAL PRACTICE, GYNECOLOGY, HEALTH CARE FACILITIES, HEALTH CARE REFORM, HEALTH CENTERS, HEALTH FACILITIES, HEALTH INDICATORS, HEALTH INFRASTRUCTURE, HEALTH INSURANCE, HEALTH PROVIDERS, HEALTH SECTOR, HEALTH SECTOR REFORM, HEALTH SERVICES, HEALTH STATUS, HEALTH SYSTEM, HEALTH SYSTEMS, HEALTH TRAINING, HEALTH TRENDS, HOSPITAL, HOSPITALS, HOUSEHOLD LEVEL, HOUSEHOLD SURVEYS, HOUSING, HOUSING CENSUS, HUMAN DEVELOPMENT, HUMAN RESOURCE DEVELOPMENT, HUMAN RESOURCES, HUMAN RESOURCES DEVELOPMENT, HYGIENE, ILLITERACY, IMMUNIZATION, INCIDENCE ANALYSIS, INCOME, INFANT, INFANT MORTALITY, INFANT MORTALITY RATE, INFRASTRUCTURE DEVELOPMENT, INFRASTRUCTURE INVESTMENT, INTEGRATION, INTEREST GROUPS, INTERVENTION, INTERVENTIONS, LABOR MARKET, MATERNAL CARE, MATERNAL HEALTH, MATERNAL MORTALITY, MATERNAL MORTALITY RATE, MATERNAL MORTALITY RATES, MEASLES, MEDICAL EQUIPMENT, MEDICAL RECORDS, MEDICAL STAFF, MEDICAL TREATMENT, MEDICINE, MINISTRY OF HEALTH, MODERN CONTRACEPTION, MODERN FAMILY, MODERN FAMILY PLANNING, MORTALITY, MOTHERS, NATIONAL HEALTH SYSTEM, NATIONAL PRIORITY, NUMBER OF PEOPLE, NURSES, NUTRITION, OLD PEOPLES HOMES, OUTPATIENT SERVICES, OUTREACH ACTIVITIES, PARENTING, PATIENT, PATIENT SATISFACTION, PATIENTS, PHARMACISTS, PHYSICIAN, PHYSICIANS, POLICY MAKERS, POPULATION SIZE, PRACTITIONERS, PRIMARY CARE, PRIMARY HEALTH CARE, PRIMARY HEALTH SERVICES, PROFESSIONAL CARE, PSYCHIATRY, PUBLIC HEALTH, QUALITY ASSURANCE, QUALITY OF CARE, RADIO, REFORM EFFORT, REPRODUCTIVE AGE, RESIDENCY, RURAL AREAS, SCHOOL CHILDREN, SERVICE DELIVERY, SERVICE QUALITY, SKILL LEVEL, SOCIAL VULNERABILITY, SOCIAL WORKERS, SPECIALIST, SPECIALISTS, SPONSORS, STERILIZATION, TECHNICAL TRAINING, UNEMPLOYMENT, VACCINATION, VILLAGES, VULNERABILITY, YOUNG CHILDREN