EGYPTIAN ITALIAN HEALTH COOPERATION

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EGYPTIAN ITALIANHEALTH CO-OPERATION

• Support to the Health Sector Reform in Behera
  and Qena Governorates
• (SHSR)

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SHSR Objective

• To improve the health condition of the population
  in the programme area, contributing to the
  formulation, definition and implementation of the
  Health Sector Reform.

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SHSR Strategy

• Human Resources Development, taking into account
  the expectations of the health personnel and
  population beneficiaries on the reform process
• PHC and Family Health approach
• Management of peripheral health services based on
  Problem Solving Approach
• Sustainability of the activities undertaken
• Decentralization of the decision making
  process.

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SHSR Intervention Area

• Behera Governorate
• Regional level training of health staff and
  technical support for the formulation of the
  Regional Health Plan
• Delengat Pilot District Development and
  implementation of family health model.
• Qena Governorate
• Armant and Deshna Pilot Districts Development
  and implementation of family health model.

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SHSR Time Frame (1)

• Preparatory Phase (6 months)
• Assessment of health staff and beneficiaries
  expectation on the reform process
• Identification of population health needs based
  on community assessments
• Identification health staff training needs based
  on situation analysis and expressed needs
• Definition of a priority list for the
  renovation/reconstruction of infrastructures and
  procurement of medical equipment.

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SHSR Time Frame (2)

• Implementation Phase (30 months)
• Upgrading of health staff managerial skills at
  peripheral and regional levels
• Formulation of FHUs and District Health Plans
• Establishment of Family Health System including
  the BBP and delivery of priority services.
• Support to the School Health Programme

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SHSR Working Methodology in Pilot Districts
F.H.U. Household Enumeration Population
Census Total Examination
School Health Programme
Surveillance System H.I.S.S. G.I.S.
P.H.C. Surveys Interventions (Anaemia,
Xerophth. Others)
SITUATION ANALYSIS FHU District Level
Assessment of Human Material Resources
Decision Makers TRAINING -Basic Epidemiology -
Health Management
Health Sector Reform Providers
Consumers Expectations
DEFINITION of PRIORITY PROBLEMS
Monitoring Evaluation
FHUs HEALTH PLAN
Implementation
DISTRICT HEALTH PLAN
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SHSR Organization Chart
ITALIAN CO-OPERATION P.H. Expert H.R.M. Expert
MoHP PHC Department
SHSR CENTRAL UNIT Executive Programme Officer 8
Support Staff

• BEHERA GOVERNORATE
• Undersecretary for Health
• Director of Departments
• Project Coordinator

• QENA GOVERNORATE
• Undersecretary for Health
• Director of Departments
• Project Coordinator

15 Health Districts DMOs
Delengat Pilot District District Health Team
Armant Pilot District District Health Team
Deshna Pilot District District Health Team
16 FHUs Family Health Teams
19 FHUs Family Health Teams
21FHUs Family Health Teams
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Conclusions

• The programme is a participative bottom up
  approach based on informed decision
• FHUs managers, DMOs and Regional Level will
  actively participate in the definition of the
  health reform process
• Collaboration and exchange of information with
  other Donors and Agencies involved in the health
  sector reform is essential.

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