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EGYPT’S HEALTH SECTOR REFORM ANDFINANCING REVIEW
This report was prepared by a team composed of Sameh El-Saharty, Sr. Health Policy Specialist and Task TeamLeader, Joseph Antos, Health Financing Advisor, and Nihal Hafez Afifi, Health Systems ManagementConsultant, and the oversight of George Schieber, Sector Manager, Health and Social Protection, MNSHD. Thereport was peer reviewed by Jan Bultman, Lead Health Specialist, East and Central Asia Region, and PabloGottret, Senior Health Economist, HDNHE. The findings, interpretations, and conclusions expressed in thispaper are entirely those of the authors and should not be attributed to the World Bank, its affiliatedorganizations, or members of its Board of Executive Directors, or the countries they represent.
Currency Unit = Egyptian Pound (EGP)Exchange Rate1999 US$ 1.00 = EGP 3.402000 US$ 1.00 = EGP 3.412001
US$ 1.00 = EGP 3.86
BBP Basic Benefits PackageCDTSP Ministry’s Central Department for Technical Support and ProjectsCIS Clinic Information SystemDDM Data for Decision-Making Project (USAID/Harvard School of Public Health)EC European CommissionFH Family HealthFHC Family Health CenterFHF Family Health FundFHP Family Health PlanFHU Family Health UnitGDP Gross Domestic ProductGIS Geographic Information SystemGOE Government of EgyptGPCC Governorate Program Coordination CommitteeHHUES Household Health Utilization and Expenditure SurveyHIO Health Insurance OrganizationHPF Health Policy ForumHSR Health Sector ReformHSRP Health Sector Reform ProgramMIS Management Information SystemMOF Ministry of FinanceMOHE Ministry of Higher EducationMOHP Ministry of Health and PopulationNICHP National Information Center for Health and PopulationNHA National Health AccountsNHIF National Health Insurance FundNGO Non-governmental OrganizationPHC Primary Health CarePHR Partnerships for Health Reform ProjectPNO Provider Network OrganizationPPMC Program Planning and Monitoring CommitteeQA Quality AssuranceQI Quality ImprovementTSO Technical Support OfficeTST Technical Support TeamUSAID United States Agency for International DevelopmentWB World Bank - iii -
The authors would like to express their gratitude to H.E. Prof. Awad Tag El-Din, Minister of Healthand Population, for his interest in conducting this study.We would like to thank Dr. Hanem Zaher, First Undersecretary of Technical Support and Projects,and her staff for the valuable time, support, and feedback provided to us throughout the report writingand on the final draft.We also feel indebted to Dr. Moustafa Abdel Aty, HIO Chairman, for the invaluable data andinformation that he contributed to this report on HIO.We would also like to thank Mr. Momtaz El-Said, Undersecretary for Budget, at the Ministry of Finance, and his staff for the valuable data that we received on public expenditures in the healthsector.Finally, our thanks are extended to Darcy Gallucio, Editor, for editing the report; Ms. Sahar Hegazy,Research Assistant, for coordinating data compilation and document research; and Ms. Ximena Pinell,Team Assistant, for providing assistance in editing in the report.
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