World Bank2013-03-292013-03-292010-06-25https://hdl.handle.net/10986/13060This report provides an assessment of the performance of public primary facilities in the Alexandria and Menoufia governorates. The performance is evaluated against the standards introduced with the Health Sector Reform Program; analyzes the quality perceptions, health situation, utilization and economic situation of households living in the catchment areas of the facilities; and examines the management processes of different institutions involved in primary care. Despite Egypt's health sector reform efforts, evidence suggests that issues remain in the quality of service and management in both reformed and non-reformed public primary care facilities, including availability of supplies, correct co-payment exemptions for the poor, and consequently, utilization through the population. There is also increasing evidence that the demand-side empowerment of beneficiaries could improve the governance of health care, which would lead to a quality increase and higher utilization of health care. This suggests the need to explore the potential for demand-side mechanisms to improve service delivery and help ensure improvements in individual and population health.en-USCC BY 3.0 IGOABILITY TO PAYACCESS TO HEALTH SERVICESAGEDAMBULANCEANTENATAL CAREBASIC EDUCATIONBASIC HEALTHBASIC HEALTH SERVICESBASIC INFRASTRUCTUREBATHROOMSBEDSBLOOD SUGARCANCERCHILD CARECHILD HEALTHCHILD HEALTH SERVICESCHILDBIRTHCHILDHOOD ILLNESSCHOLESTEROLCHRONIC DISEASESCHRONIC ILLNESSCHRONIC ILLNESSESCITIESCITIZENCITIZENSCLEANLINESSCLINICSCOMMUNICABLE DISEASESCOMPLICATIONSCORONARY HEART DISEASEDENTISTSDESCRIPTIONDIABETESDIABETES MELLITUSDIAGNOSESDIAGNOSISDIAGNOSTICSDIETDISEASE TREATMENTDOCTORSECONOMIC GROWTHECONOMIC STATUSEDUCATIONAL ATTAINMENTELDERLYEMERGENCY CAREEMPLOYMENTEPIDEMIOLOGICAL TRANSITIONESSENTIAL DRUGSESSENTIAL SUPPLIESFAMILIESFAMILY HEALTHFAMILY HEALTH SERVICESFAMILY MEMBERSFAMILY PLANNINGFEMALEFEMALESFEVERFOCUS GROUP DISCUSSIONSFOLIC ACIDGENDERGENERAL PRACTITIONERSGENERIC DRUGSGOVERNMENT AGENCIESHEALTH CARE FACILITIESHEALTH CARE PROVIDERHEALTH CARE PROVIDERSHEALTH CARE PROVISIONHEALTH CARE SERVICESHEALTH CARE SYSTEMHEALTH CARE UTILIZATIONHEALTH CLINICSHEALTH EXPENDITUREHEALTH FACILITIESHEALTH INSURANCEHEALTH PROBLEMSHEALTH PROMOTIONHEALTH SECTORHEALTH SECTOR REFORMHEALTH SERVICEHEALTH SERVICE DELIVERYHEALTH SERVICE PROVIDERSHEALTH SERVICESHEALTH SPECIALISTHEALTH STATUSHEALTH SYSTEMHEALTH TRAININGHEALTH WORKERSHIGH BLOOD PRESSUREHOME VISITSHOSPITALHOSPITALSHOUSEHOLD SIZEHOUSEHOLDSHOUSINGHRHUMAN CAPITALHUMAN DEVELOPMENTHUMAN RESOURCE DEVELOPMENTHUMAN RESOURCESHYGIENEHYPERTENSIONILLNESSILLNESSESIMPLICATIONS FOR HEALTHINCOMEINDIVIDUAL CHARACTERISTICSINDIVIDUAL HEALTHINDIVIDUAL WELFAREINFANTINFANTSINFECTIONINFORMATION MATERIALSINHABITANTSINSURANCEINTERVENTIONSLABOR FORCELABOR MARKETLACK OF KNOWLEDGELOCAL COMMUNITYMATERNAL AND CHILD HEALTHMATERNAL HEALTHMEDICAL EQUIPMENTMEDICAL PRACTITIONERSMEDICAL PROFESSIONALSMEDICAL SUPPLIESMEDICAL TREATMENTMEDICINESMIDWIVESMINISTRY OF HEALTHMINORITYMOBILITYMOTHERNATIONAL HEALTH INSURANCENEIGHBORHOODNURSENURSESNURSINGOLDER ADULTSOLDER AGE GROUPSOUTREACH WORKERSOXYGENPATIENTPATIENT CAREPATIENT RIGHTSPATIENTSPERI-NATAL CAREPERINATAL CAREPHARMACIESPHARMACISTSPHARMACYPHYSICIANPOLICY DEVELOPMENTPREGNANCYPREGNANT WOMENPREVALENCEPRIMARY CAREPRIMARY HEALTH CAREPRIMARY HEALTH CARE FACILITIESPRIMARY HEALTH CARE SERVICESPRIMARY HEALTH FACILITIESPRIMARY HEALTH SERVICESPRIMARY SCHOOLPRIVATE DOCTORSPROVISION OF SERVICESPUBLIC ADMINISTRATIONPUBLIC HEALTHPUBLIC HEALTH CAREPUBLIC HEALTH CARE SERVICESPUBLIC HEALTH SERVICESPUBLIC SERVICEPUBLIC SERVICESPUBLIC TRANSPORTATIONQUALITY ASSURANCEQUALITY IMPROVEMENTQUALITY OF CAREQUALITY OF HEALTHQUALITY OF HEALTH CAREQUALITY OF SERVICESRELIGIOUS INSTITUTIONSREPRODUCTIVE HEALTHRESPECTRURAL AREASRURAL HEALTH UNITSSAFETYSANITARY SUPPLIESSCARCE RESOURCESSECONDARY EDUCATIONSECONDARY SCHOOLSELF-SUFFICIENCYSERVICE PROVIDERSERVICE PROVISIONSERVICE QUALITYSMOKERSSMOKINGSOCIAL HEALTH INSURANCESOCIAL RESEARCHSOCIAL SECTORSSOCIAL SERVICESOCIAL WORKERSSURGEONSSYRINGESTECHNICAL INFORMATIONTHERAPYTOBACCO PRODUCTSTRADITIONAL HEALERSTRANSPORT SYSTEMSULCERURBAN AREASUSE OF HEALTH CARE SERVICESVACCINATIONVACCINATION CAMPAIGNVULNERABLE GROUPSWALKINGWASTEWORKERSWORKFORCEYOUTHWorld Bank10.1596/13060