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Title: Egyptian health sector reform : an exploration
Author: Metwally, El-sayed
ISNI:       0000 0004 2674 4462
Awarding Body: University of Aberdeen
Current Institution: University of Aberdeen
Date of Award: 2008
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In 1996, the Egyptian government, through the Egyptian Ministry of Health and Population (MOHP) introduced the Egyptian Health Sector Reform Programme (EHSRP).  It was stated that the EHSRP was introduced to overcome problems of the Egyptian health care system including issues with health outcomes, access, efficiency, quality, and clinical effectiveness and consumer satisfaction (MOHP, 2003). The MOHP piloted the EHSRP in three governorates: Monofia; Alexandria; and Sohag.  Based on piloting results, the intention is to roll-out the EHSRP to other governorates.  Actual implementation of reform in pilot governorates did not start until 2000/2001 due to delay in the preparation of action plans (Master Plans). The first stage of the EHSRP focused on improving the quality of PHC services (MOHP, 2003).  The EHSRP aims to introduce the Family Medicine Approach (FMA) that relies on the Family Doctor (FD).  Financing health sector reform in Egypt is supported by a number of foreign donors including: the World Bank; the European Commission (EC); the United States Agency for International Development (USAID); and the African Development Bank (ADB). The study aimed to explore motivations for and attitudes to health care reform in Egypt, to explore the change process and make suggestions about enhancements and improvements.  A qualitative research strategy was employed using a multiple-embedded case approach.  Studying reform implementation in the pilot governorates suggested that implementation of the FHM was associated with many challenges and difficulties.  This makes it essential to look for possible solutions to improve the implementation of FHM.  Other implementation problems were related to the management level and communication between different stakeholders.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available