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Etudes par pays volume 2, PDF, 346 p., 1,4 Mo - Femise

Etudes par pays volume 2, PDF, 346 p., 1,4 Mo - Femise

Etudes par pays volume 2, PDF, 346 p., 1,4 Mo - Femise

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11873_02 Study D2: Poverty, Informal Sector, Health and Labour<br />

The outcome of the large infrastructure of rural and urban health facilities<br />

has been far less than expected. Due to:<br />

- Lack of adequate training for the staff<br />

- Low utilization of services<br />

- Low investment in PHC, and in health in general<br />

- Bad physical status of the health facilities<br />

- Low salaries<br />

- Weak managerial skills, including lack of supervision, follow up and<br />

monitoring<br />

- Lack of effective community <strong>par</strong>ticipation and involvement in health<br />

planning, monitoring, evaluation and utilization<br />

There is a clear need for policy reform, advances in quality assurance,<br />

human resource and systems development, decentralization, improved<br />

resource allocation, and increased private sector and community<br />

<strong>par</strong>ticipation.<br />

Several health challenges are facing Egypt including lack of accessibility to<br />

adequate health care for poor and low insurance coverage among agriculture<br />

workers and unemployed. Another challenge that is due to external factor is<br />

the increasing cost for health care due to deteriorating exchange rate. If the<br />

current population growth rate continues and the economy does not recover,<br />

in the near future health problems will aggravate in the future.<br />

FONDAZIONE CENSIS<br />

15

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