Arab Republic of Egypt : Management and Service Quality in Primary Health Care Facilities in the Alexandria and Menoufia Governorates

World Bank

Washington, DC

关键词: ABILITY TO PAY;    ACCESS TO HEALTH SERVICES;    AGED;    AMBULANCE;    ANTENATAL CARE;   

RP-ID  :  69345

学科分类：社会科学、人文和艺术（综合）

来源: World Bank Open Knowledge Repository

【 摘 要 】

This report provides an assessment ofthe performance of public primary facilities in theAlexandria and Menoufia governorates. The performance isevaluated against the standards introduced with the HealthSector Reform Program; analyzes the quality perceptions,health situation, utilization and economic situation ofhouseholds living in the catchment areas of the facilities;and examines the management processes of differentinstitutions involved in primary care. Despite Egypt'shealth sector reform efforts, evidence suggests that issuesremain in the quality of service and management in bothreformed and non-reformed public primary care facilities,including availability of supplies, correct co-paymentexemptions for the poor, and consequently, utilizationthrough the population. There is also increasing evidencethat the demand-side empowerment of beneficiaries couldimprove the governance of health care, which would lead to aquality increase and higher utilization of health care. Thissuggests the need to explore the potential for demand-sidemechanisms to improve service delivery and help ensureimprovements in individual and population health.