Publication: Impact Evaluation of the Egyptian Health Sector Reform Project : Pilot Phase
Date
2006-08
ISSN
Published
2006-08
Author(s)
Grun, Rebekka
Ayala, Javier
Abstract
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.
Citation
“Grun, Rebekka; Ayala, Javier. 2006. Impact Evaluation of the Egyptian Health Sector Reform Project : Pilot Phase. Health, Nutrition and Population (HNP)
discussion paper;. © World Bank, Washington, DC. http://openknowledge.worldbank.org/entities/publication/b4c40260-03a7-5275-8567-a6a8bcfc52a9 License: CC BY 3.0 IGO.”