Working remotely, the short-term experts will approximately work 5 days a week, coming on mission 8 days every 2-3 months in Cairo and in the Phase I governorates (Port Said, Luxor, Assouan etc.). They will work in close collaboration with the full-time project team based in Cairo. To guarantee a better understanding of the context and permanent technical assistance, short-term experts will work hand-in-hand with Egyptian short-term experts on same areas of expertise.
Short-term expertise needs will be precised during a one-month inception phase conducted in January as a start for the project. Required expertise for each component and activity will be identified during this phase and will be selected according to their recognised skills and their extensive experience in link with the activities to carry out.
Considering the different components, we are currently looking for candidates to join a roster of experts in the field of health insurance systems.
Several profiles may be considered for the project to take charge of the main objectives and activities of the project. Considering the different components of the project, special attention will be paid to candidacy of:
- Experts in health insurance systems financing
- Experts in health insurance systems coverage extension
- Experts in health insurance systems (performance) assessment
- Experts in health insurance systems monitoring & evaluation
- Experts in health insurance information systems
In order to engage the Egyptian counterparts, it is proposed to establish a Project Coordination Group (PCG) with the Egyptian relevant authorities. The project coordinator will be responsible for feeding the PCG with and validating with its members the progress reports, the 6-months work plans and any other relevant deliverables. The short-term experts may be asked to participate in the PCG meetings on their area of expertise and specific responsibilities in the project.
The project experts will work in close collaboration with the JICA and the World Bank in order to develop complementary approach and activities. It will be the national project coordinator’s duty, with the project manager at Expertise France’s headquarter (HQ) to develop a close collaboration with the JICA and the World Bank. The project coordinator will especially take place in regular coordination meeting, inform the technical and financial partners (TFP) of the evolution of the work plan and the implementation of the project’s activities, coordinate with the TFP on areas where our intervention may interact and adjust in accordance in the cooperation matrix if needed. The project short-term experts may be punctually asked to participate in coordination meetings with the TFP on their area of expertise and specific responsibilities in the project.
Description of the context of intervention:
The Egyptian Constitution of 2014 provides for the gradual establishment of a universal health insurance system covering the entire population and whose financing would be based on the principle of solidarity, with each citizen contributing according to his or her income to allow access to health care for all. The law promulgated in January 2018 acts of the implementation of this universal health insurance, in six phases (by group of Governorates) that will allow coverage of the entire territory by 2032.
The effective implementation of the Universal Health Insurance System (UHIS) responds to strategic challenges following the 2011 popular uprisings in Egypt. Faced with rapid population growth, declining labor market participation rates, rising prevalence of non-communicable diseases and deteriorating living conditions (rising poverty), and while the authorities are required to rationalize public spending to ensure the country's macroeconomic stability, they have made the UHIS one of the cornerstones of their social justice reform agenda.
In this context, the French Development Agency (AFD), is financing a Social Protection Budget Support operation of 150 million EUR, in parallel to a World Bank financial support. The budget loan aims at (i) supporting the implementation of the Universal Health Insurance System in first phase’s governorates; (ii) improving spending efficiency for social protection through strengthened steering skills of the Economic Justice Unit of the Ministry of Finance.
The budget support loan has been associated with a technical assistance of 2 million euros, directly granted to the Ministry of Finance, to support the implementation of the UHI law and the strengthening of UHIS’ financial sustainability. To complement the technical assistance, AFD awarded a FEXTE (Fonds d’expertise technique et échanges d’expériences) of 1 million euros to support the operationalisation of the UHI reform in Phase I Governorates. AFD has tasked Expertise France to operate the FEXTE and the general agreement with the Government of Egypt has been signed in September 2021 and ratified by the Parliament in April 2022.
The project “Supporting the implementation of the Universal Health Insurance System in Egypt” aims at strengthening the Egyptian government, especially the Ministry of Health and Population and the UHIS stakeholders (the Egyptian Health Authorities, the Universal Health Insurance Authority and the General Authority for Health Accreditation and Regulation) in their efforts towards the implementation of this transformational reform. The Project will mainly consist in improving business processes of the administrations and their coordination, developing monitoring and evaluation approaches and tools to assess the overall performance of the system and capitalizing on the first phase evaluations to delineate guidelines and manuals for the expansion of the system in new governorates. The expertise and exchanges funds (FEXTE) will be starting in December 2022 and is expected to last until December 31th, 2024.
General description of the project:
As the FEXTE aims at strengthening the Egyptian institutions both in the roll-out of the UHIS reform and in the monitoring of the universal health insurance system, the project will mainly assist the Egyptian Health Authority (EHA), as the public healthcare provider. EHA, UHIA and GAHAR represent key health system functions that are interdependent and need to be well balanced and aligned for good performance of health system. In order to transform the health system in an efficient and coordinated manner across the key stakeholders, UHIA and GAHAR will receive technical assistance in a complimentary manner, especially in the areas where the respective responsibilities of the administrations interact.
The project is expected to assist the Egyptian government in evaluating the 1st phase of the reform, on the 6 Phase I Governorates, and in drafting an action plan for the roll-out of the following phases of the UHIS reform (Component 1). First, the project will review existing evaluations of the 1st phase of the reform and distil these into comprehensive sets of lessons learned that could be used to refine and adjust reform implementation in the reform expansion to the next governorates. Second, based on the lessons learned from the existing evaluations, the project will develop an updated action plan, manuals and checklists to delineate activities and actions to be completed by the UHIS stakeholders for smooth implementation of the UHIS in the next governorates.
The project will also support the development of data- and evidence-based performance improvement approaches for the UHIS (Component 2). To help ensuring the financial sustainability, efficiency and quality of services of the UHIS, the project will support the system stakeholders in reviewing and developing monitoring and evaluation processes. To feed the monitoring and evaluation processes, the project will support the development of a standardized reporting and data collection system from health facilities and from the main UHIS stakeholders. The first two activities of this component will allow the technical assistance team to support the creation of a national health system (performance) assessment approach that could be used to systematically assess UHI reform impact and overall performance of the health system, thus evaluating how the reform allows Egypt to move toward the achievement of universal health coverage goals.
The technical assistance (TA) will eventually assist the UHIS institutions for the roll-out of the new system (Component 3). The strengthening of the administrations will start by study visits to the kick start long-term cooperation relationship and provide opportunity for peer-to-peer exchange with relevant partners in France or other European countries for hands-on experience on UHI-like systems. Based on the UHIS administrations requests, the technical assistance will then support them in improving their business processes, their coordination and efficiency. With a hands-on approach, the TA would analyse the existing business processes of the different stakeholders involved in the reform to identify potential roadblocks and untapped synergies and overpass them.
The project team will consist of a team in Cairo:
- 1 Egyptian project coordinator
- 1 Project assistant
- Support / backstopping from Expertise France HQ (Paris)
The project team will be supported in their missions by a team of short-term experts in health insurance systems to provide hands-on technical assistance to the Egyptian partners on:
- Evaluating the 1st phase of the UHI reform, consolidating lessons learned and developing an action plan for the following phases of the reform
- Developing a data- and evidence-based performance improvement approaches for the UHIS
- Rolling-out the new system and improving business processes to ensure coordination and efficiency between the main stakeholders of UHIS
- University Degree in Economics, Social Sciences, Health, International cooperation or other relevant diplomas;
- At least 10 years’ experience in the field of social protection and health insurance systems;
- Computer proficiency in MS office, in particular MS Word, MS Excel, MS PowerPoint, MS Outlook, and of messaging and videoconferencing tools;
- Fluency in English (both oral and written) required;
- Knowledge of Arabic and French (written and oral) would be an advantage;
- Good interpersonal skills;
- Organisational skills;
- Passionate and engaged;
- Capacity to work independently;
- Team spirit;
- Ready to work in a multicultural environment.
The following experience and skills will be considered as an asset:
- Knowledge of the social protection system of Egypt
- 3 to 5 years of relevant experience at the national or international level;
- Experience of participation in international projects dealing with social reform.
Application deadline: 15/02/2023
Starting date: February 2023
Expected duration of assignment: Until December 31th, 2024.
Location: Cairo, remotely
Salary: gross monthly salary depending on experience
Short-term position with regular missions to Egypt (10 days every 3 months)
Interviews are scheduled to be held in January through Skype. Please send your skype ID with your application. We thank you very much for your application!
The Egyptian healthcare system is pluralistic, comprising a variety of healthcare providers from the public as well as the private sector. The government ensures basic universal health coverage, although private services are also available for those with the ability to pay.
Universal health coverage means that all people have access to the health services they need, when and where they need them, without financial hardship. It includes the full range of essential health services, from health promotion to prevention, treatment, rehabilitation, and palliative care.
The Universal Health Insurance Scheme was launched on a countrywide basis in July 2003 with an objective to provide health care to poorest section of the society. The scheme was open to BPL and Non-BPL families.
The Universal Health Insurance Scheme was introduced by Ministry of health and family welfare as part of its proposed Universal Health Assurance Mission (UHAM). The present insurance reach is about 25% of the population.
Egyptian citizens are able to obtain insurance coverage through private insurers with government support. The CCO contracts with individuals and companies to provide private inpatient and outpatient care as well. Private healthcare facilities consist of nonprofit organizations and for-profit hospitals and clinics.
Despite the public healthcare services being free of charge for Egyptians, they tend to opt for private healthcare facilities. It is due to the long waiting queues, outdated medical equipment, and poor hygiene in the public sector. On the contrary, private healthcare services in Egypt maintain a high standard.
- Socialized medicine. In this case, all hospitals would be owned by the government and all doctors and nurses would be government employees. ...
- Single-payer system. The second solution is to have a single-payer system, like Canada. ...
- Private insurance.
In 1965, the first public insurance programs, Medicare and Medicaid, were enacted through the Social Security Act, and others followed. Medicare. Medicare ensures a universal right to health care for persons age 65 and older.
Beyond individual and federal costs, other common arguments against universal healthcare include the potential for general system inefficiency, including lengthy wait-times for patients and a hampering of medical entrepreneurship and innovation [3,12,15,16].
The terms are often used interchangeably, but they are not synonymous. Free Healthcare means that all citizens receive health care without having to pay for services. Universal Healthcare means there is a health care system that provides coverage to a high percentage of citizens.
Premium Payment for Universal Health insurance Scheme:
365/- per annum. For Families with not more than five members consisting of Insured, Spouse and first 3 dependent children the premium to be paid is Rs.
They argue that a right to health care would stop medical bankruptcies, improve public health, reduce overall health care spending, help small businesses, and that health care should be an essential government service.
Who will benefit from the UHC Act? All Filipinos will benefit from the UHC Act. The government will ensure that the wellbeing and health needs of all Filipinos, especially those of the vulnerable population, will be addressed. 3.
Universal health care is a system that provides quality medical services to all citizens. Services are either provided directly by the government or funded through government programs.
Elements of a universal life insurance policy. Similar to whole life insurance, universal life has two main parts: a death benefit and an investment or savings account called the cash value.
- Medical insurance prices in Egypt.
- AXA Egypt: AXA Egypt provides some of the best medical insurance services in Egypt. ...
- Royal Insurance: Royal is one of the top insurance companies in Egypt. ...
- Orient Medical Insurance for Individuals: ...
- Sarwa Insurance Company:
Types of Health Insurance Plans: HMO, PPO, HSA, Fee for Service, POS.
- HEALTH MAINTENANCE ORGANIZATION (HMO) ...
- PREFERRED PROVIDER ORGANIZATION (PPO) ...
- HIGH-DEDUCTIBLE HEALTH PLAN (HDHP) WITH A HEALTH SAVINGS ACCOUNT (HSA)
What are the contribution rates for state health insurance? You will have to make a contribution of 5% of your monthly income, with a maximum of 7% if family members are included. Egyptians working abroad and self-employed citizens must pay an additional 3% per month if their wives are not working.
Egypt Healthcare Spending 2000-2022.
|Egypt Healthcare Spending - Historical Data|
|Year||Per Capita (US $)||% of GDP|
Travel insurance isn't a legal requirement when you visit Egypt, but it is still something you should strongly consider. This is because Egypt's public healthcare is generally poor outside large cities and private healthcare is incredibly expensive.
Universal health care (also called universal health coverage, universal coverage, or universal care) is a health care system in which all residents of a particular country or region are assured access to health care.
Four ways of providing healthcare
Let's take a closer look at the four key types of healthcare systems and how they aim to meet the medical needs of populations. They are known as the Beveridge Model, the Bismarck Model, the National Health Insurance Model, and the Out-of-Pocket Model.
- Mental health care.
- Dental care.
- Laboratory and diagnostic care.
- Substance abuse treatment.
- Preventative care.
- Physical and occupational therapy.
- Nutritional support.
- Pharmaceutical care.
A universal health care system may limit costly services that have a low probability of success. This may eliminate access to care that could potentially save a person's life, because of the large possibility that it could fail and the associated cost.
The main challenges related to UHC concerning delivering services, as shown in Figure 5, are unregulated and fragmented healthcare delivery systems [16,19,22,23,25]; inadequate care and services in terms of quality [1,29,33]; the aging of the population, which increases the risk of geriatric health issues [23,27,35]; ...
- United Kingdom.
- PRO: Make It Easier for Patients to Seek Treatment. ...
- CON: Doctors Have Less Flexibility in Negotiating Rates. ...
- Must Read: What Does Universal Healthcare Means for Medical Practices. ...
- PRO: It Could Increase Demand for Medical Services.
On average, life expectancy at birth and healthy life expectancy was significantly higher (p < 0.001) in countries that have achieved UHC (HALE 68.92 ± 4.04 and LEAB 78.07 ± 4.13) than in countries that are yet to achieve UHC (HALE 58.23 ± 7.66 and LEAB 66.77 ± 8.59).
First state to achieve universal access to healthcare coverage. The California Blueprint will provide a full expansion of Medi-Cal access to all eligible Californians regardless of immigration status, including an estimated 764,000 undocumented immigrants.
Term is the most basic life insurance and it expires after a specified number of years. It will cover policyholders during the years when it's most needed and dollar for dollar, it provides a bigger death benefit than universal.
Whole life and universal life (UL) insurance are both types of permanent life insurance. Whole life insurance offers consistent premiums and guaranteed cash value accumulation. Universal policies provide flexible premiums and death benefits but have fewer guarantees.
With universal life insurance, you have permanent coverage for life—your coverage does not end after a certain period.
Improving the patient experience of care (including quality and satisfaction); Improving the health of populations; and. Reducing the per capita cost of health care.
Article 25 of the United Nations Universal Declaration of Human Rights lists medical care as a basic human right.
Households' health insurance premiums would be eliminated, and their out-of-pocket (OOP) health care costs would decline. Administrative expenses in the health care sector would decline, freeing up productive resources for other sectors and ultimately increasing economywide productivity.
- The proportion of a population that can access essential quality health services (SDG 3.8. ...
- The proportion of the population that spends a large amount of household income on health (SDG 3.8. 2).
- Life Insurance. Life insurance provides for your family or some other named beneficiaries on your death. ...
- Health Insurance. ...
- Disability Insurance. ...
- Homeowner's Insurance. ...
- Automobile Insurance. ...
- Other Liability Insurance.
Most experts agree that life, health, long-term disability, and auto insurance are the four types of insurance you must have.
Universal life insurance offers lifelong coverage, provides flexibility when it comes to paying premiums and choices for how the policy's cash value is invested. A standard universal life insurance policy's cash value grows according to the performance of the insurer's portfolio and can be used to pay premiums.
Private Healthcare in Egypt
In Egypt, private hospitals are of high quality and have around the clock medical specialty. English communication is not an issue as the staff at these private healthcare providers are good at speaking Engilsh and cater to the specific medical requirements of expats.
|Country||LPI 2020 Ranking||LPI 2019 Ranking|
|Attainment of goals / Health / Overall goal attainment||110|
|Health expenditure per capita in international dollars||115|
|Performance / On level of health||43|
|Performance / Overall health system performance||63|
Ancient Egyptian doctors were called 'Swnw'. The first Ancient Egyptian physician in recorded history was called Hesy-Ra. He was known as the Chief of Dentists and Physicians to King Djoser in the 27th century BC.
Egypt includes 15 million citizens in health insurance system.
- 8 - Singapore. ...
- 7 - Australia. ...
- 6 - Sweden. ...
- 5 - Switzerland. ...
- 4 - Japan. ...
- 3 - Iceland. Iceland is next up on the list. ...
- 2 - Italy. Italy comes in second place on the list thanks to an efficient healthcare system and a reputation for having a hearty diet. ...
- 1 - Spain. Coming in at number one is Spain.
- Sweden. #1 in Quality of Life. #5 in Best Countries Overall. ...
- Denmark. #2 in Quality of Life. #10 in Best Countries Overall. ...
- Canada. #3 in Quality of Life. ...
- Switzerland. #4 in Quality of Life. ...
- Norway. #5 in Quality of Life. ...
- Finland. #6 in Quality of Life. ...
- Germany. #7 in Quality of Life. ...
- Netherlands. #8 in Quality of Life.
The average salary in Egypt ranges from 2,330 EGP per month (USD 148) to 41,100 EGP (USD 2,615) per month — with 2,330 EGP being the lowest average salary and 41,100 EGP being the maximum salary (actual maximum salary is higher).
Family of four estimated monthly costs are 1,077$ (26,386EG£) without rent. A single person estimated monthly costs are 302$ (7,413EG£) without rent. Cost of living in Egypt is, on average, 70.31% lower than in United States. Rent in Egypt is, on average, 91.07% lower than in United States.
Egypt is an excellent place to consider staying longer term, with sizable expat communities in various cities. In addition, it boasts a low cost of living with many luxurious housing options available for a low price compared to Europe and the USA.
- Countries with the best healthcare systems in the world in 2022. The following 10 countries have been seen as providing the best healthcare for their population. ...
- Singapore. ...
- Australia. ...
- Switzerland. ...
- The Netherlands.
For 2022, Egypt is ranked 12 of 142 out of the countries considered for the annual GFP review. It holds a PwrIndx* score of 0.1869 (a score of 0.0000 is considered 'perfect').