9 سنوات من تنفيذ استراتيجيات ومبادرات النهوض بالمنظومة الصحية.. إنفوجراف

The efforts of the Egyptian state have not stopped over the past nine years to advance the health sector, improve public health and provide comprehensive and distinguished medical care and service, as the state has developed an integrated vision to rehabilitate and develop the health infrastructure, and raise the efficiency of health care and pharmaceutical services in accordance with the latest internationally approved standards and protocols, in addition to… Implementing the comprehensive health insurance system and expanding the launch of various health initiatives, and working to ensure that its services reach all parts of the Republic, while ensuring the intensification of service provision rates in villages and remote areas and the most needy, in a way that reduces the burden on citizens, and contributes to the early detection of diseases, especially chronic and non-chronic diseases. The disease and the ease of treatment, in addition to drawing a clear and integrated health map for the Egyptian society in order to achieve the goals of Egypt’s Vision 2030 to improve the health system, which was reflected in the improvement of the international vision for Egypt and its indicators in this file..

In this regard, the Cabinet Media Center published a report that included infographics highlighting the boom witnessed in medical care and therapeutic services to provide a healthy, safe and dignified life for the Egyptian citizen, in light of 9 years of implementing strategies and initiatives to advance the health system..

The report monitored the positive international vision for the health sector in Egypt, pointing to what the Human Development Report issued by the United Nations in 2021 stated that the Egyptian experience in dealing with “virus C” is one of the leading experiences and models to be emulated in the world, as a national campaign was launched to eliminate On the virus in Egypt since 2014, after it was previously reported in 2010 that hepatitis C virus represents a serious health threat in Egypt, which requires efforts to raise the level of awareness and ensure the presence of a strong program to combat it at the national level..

The report showed a change in the vision of the World Health Organization, as it announced in 2023 that Egypt would be the first country to obtain a gold level certificate to complete the process of eliminating Hepatitis C, after the organization had announced in 2013 that Egypt was suffering from an outbreak of hepatitis C “virus” with no A national plan related to testing and care for those infected with this virus.

The report indicated a change in the vision of the World Bank, as Rekha Menon – Director of the Health Sector for the Middle East and Africa at the World Bank in 2023, expressed her pleasure in working side by side in partnership with the General Authority for Health Care to support comprehensive health insurance in Egypt, praising and congratulating Egypt on the progress of work in this phase. First, it also expressed its aspiration to see governorates entering the second phase of comprehensive health insurance, after the World Bank announced in 2015 that the health sector in Egypt still suffers from lack of spending in terms of providing health care to the most needy groups, and 72% of health care costs are It is covered from the private pockets of citizens.

This comes as UN Women reported that the Egyptian government quickly took measures to control the spread of the Corona virus and mitigate its social and economic impacts, and large sums of money were also allocated to finance the comprehensive response plan and precautionary measures for the Corona virus..

In turn, the United Nations High Commissioner for Refugees praised the launch of a new phase of the 100 Million Health campaign to include foreigners residing in Egypt, including refugees and asylum seekers..

For its part, Forbes considered Egypt’s political will to be one of the main factors that contributed to the success of eliminating the hepatitis C virus. It encouraged its citizens to participate in the program and made the 100 Million Health campaign one of the largest health screening programs in the world.

The report pointed out what was mentioned in the Human Development Report in Egypt 2021 issued by the United Nations regarding Egypt’s launch since 2014 of many health initiatives aimed at achieving the strategic goals of the health sector, and improving the public health of citizens, within a framework of justice and equity, in addition to achieving comprehensive health coverage, especially 100 Million Health initiatives to support Egyptian women, the initiative for early detection of obesity, dwarfism and anemia among school students, and the initiative to eliminate waiting lists..

In a related context, Naima Al-Qaseer, representative of the World Health Organization in Egypt, stated that the 100 Million Health Initiative and comprehensive health coverage is considered a pioneering Egyptian experience, in light of the presence of an integrated picture of the concept of health care..

John Jabour, the former representative of the World Health Organization in Egypt, also praised the efforts of the Egyptian leadership, which was an initiative before the Corona crisis to strengthen public health in Egypt, making the epidemiological surveillance system in Egypt one of the largest surveillance systems in the Eastern Mediterranean region, noting that what Egypt has achieved It cannot happen in any country, especially with the dynamism, efforts and cadres that have been adopted to implement the initiative to eliminate Hepatitis C, adding that for the first time in the world a methodology has been applied that integrates Hepatitis C with non-communicable diseases..

In a related context, Jeremy Hopkins, representative of UNICEF in Egypt, confirmed that there is remarkable progress in combating malnutrition in Egypt, and this is evident with the significant decline in the rates of stunting, underweight and obesity among children under the age of five..

The report pointed out what Bruno Maes, the former representative of UNICEF in Egypt, said that health indicators have witnessed an improvement in the recent period and that the organization believes that the initiatives that the Egyptian government is working to implement are capable of improving the situation in Egypt..

The report monitored the improvement of international indicators for the health sector, as Egypt’s total score in the comprehensive health care coverage index improved by 5 points, to become 70 points in 2021 compared to 65 points in 2015, in addition to Egypt advancing 39 places in the index of access to health services to come in 72nd place in 2021. Compared to 111th place in 2019.

The report showed a decrease in maternal deaths per 100,000 live births to reach 17 deaths in 2020 compared to 33 deaths in 2015, in addition to a decrease in the neonatal mortality rate per 1,000 live births to record 10 deaths in 2021 compared to 13 deaths in 2014..

In addition to the above, according to the report, the prevalence of stunting among children under the age of five decreased to record 20.4% in 2022 compared to 22.3% in the period from 2005 to 2015, in addition to a decrease in liver cancer deaths per 100,000 people to record 24.5 deaths in 2019 compared to 27.6 deaths in 2014.

The report stated that stroke deaths per 100,000 people decreased to record 43.8 deaths in 2019 compared to 46.3 deaths in 2014. Deaths resulting from cardiovascular diseases, cancer, diabetes, and chronic heart diseases also decreased between 30 and 70 years of age, to record 28% in 2019. Compared to 29.2% in 2014.

In terms of the improvement of local indicators for the health sector, the report indicated that spending on the health sector increased by about 5-fold, to record 147.9 billion pounds according to the draft budget for 2023/2024, compared to 30.8 billion pounds in 2013/2014, while the costs of treatment at the state’s expense at home increased by about 6 times, to record 17 billion pounds in 2022/2023, compared to 3 billion pounds in 2013/2014..

The number of citizens who were treated at state expense at home increased more than two-fold, to record 2.2 million citizens in 2022/2023, compared to 0.96 million citizens in 2013/2014, in addition to increasing drug allocations five-fold to record 14.6 billion pounds, according to a draft budget. 2023/2024 compared to 2.9 billion pounds in 2013/2014.

In a related context, the report indicated that the cost of health insurance increased by about 7 times, to record 45.8 billion pounds in 2023 compared to 6.7 billion pounds in 2014. The number of individuals benefiting from health insurance also increased by 27.8%, to record 69 million beneficiaries in 2023 compared to 54 million beneficiaries in 2014.

The report reviewed the most prominent health projects, pointing out that 1,135 projects have been implemented and are being implemented to establish, develop, and raise the efficiency of infrastructure in the health sector at a cost of 98.5 billion pounds, as the total number of hospitals increased by 19.5%, to record 2,000 hospitals in 2023 compared to 1,673 hospitals in 2014..

This comes as the number of nurseries increased by 30.8%, to record 3,729 nurseries in 2023, compared to 2,850 nurseries in 2014, while the number of dialysis centers increased by 120.2%, to record 753 centers in 2023, compared to 342 centers in 2014..

The report added that the number of primary care units and centers was increased by 17.8%, to record 5,426 units and centers in 2023, compared to 4,607 units and centers in 2014, while ambulance stationing units increased by 58.6%, to record 1,715 units in 2023, compared to 1,081 units in 2014..

The report discussed the comprehensive health insurance system, which aims to improve the health of all citizens through comprehensive health insurance coverage within the framework of justice and quality, and is implemented through 6 stages. The first stage of the system was implemented in the governorates of (Port Said, Luxor, Ismailia, Aswan, and Suez). , South Sinai), at a cost amounting to 51.2 billion pounds,

The report explained the most important achievements achieved by the system so far, as 6 million citizens were registered in the governorates of the first phase, and more than 450,000 surgical operations were performed under the umbrella of comprehensive health insurance in all surgical specialties, in addition to providing the facilities of the Health Care Authority in the governorates of the first phase to more than Of the 31 million medical and therapeutic services, more than 3,000 medical and therapeutic packages are provided under the umbrella of comprehensive health insurance..

The report mentioned the most prominent medical services provided by the system for the first time, which are open-heart surgeries, Whipple surgeries to remove pancreatic tumors, corneal transplant surgeries, cardiac and cerebral catheterizations, and repair of spinal deformities and curvatures..

The report reviewed the most prominent presidential health initiatives, including the initiative to detect Hepatitis C and non-communicable diseases, which was launched in the period from 2015 to 2023, during which 63 million citizens across the republic were examined and 4.6 million citizens were treated, at a cost amounting to 3.8 billion pounds..

The report referred to the initiative to follow up and treat chronic diseases and early detection of kidney disease, which was launched in September 2021, and targets those with chronic diseases over the age of 35 years, during which 11.2 million citizens were examined, at a cost amounting to 858 million pounds, while the initiative was launched. Combating the causes of weakness and loss of vision, “Noor Hayat” in January 2019, at a cost of one billion pounds, during which 2 million citizens were examined and 45,000 cataract surgeries and 5,000 glaucoma surgeries were performed so far..

In the same context, the report stated that in July 2018, an initiative was launched to eliminate waiting lists for critical interventions, during which about 2 million surgical interventions were performed, at a cost of 15.8 billion pounds, while an initiative to treat malnutrition diseases among school children was launched. In January 2019, during which 44.8 million children were surveyed and 6.7 million children were referred for follow-up and evaluation, at a cost of 741 million pounds..

The initiative to support Egyptian women’s health was also launched in July 2019, during which 42.5 million women have been examined so far, at a cost of 1.4 billion pounds, while in September 2019, the initiative for early detection and treatment of hearing loss and weakness in newborns was launched, during which a hearing survey was conducted for 5.4 million people. One million children, providing drug treatment and examinations for 12.2 thousand children, installing hearing aids for 10.1 thousand children, and cochlear implants for 506, at a cost of 113 million pounds. The initiative to support maternal and fetal health was also launched in March 2020, during which 2.3 million pregnant women were examined, at a cost of 103 million pounds.

The report referred to the initiative to treat patients with muscular dystrophy, which was launched in July 2021. The total number of visitors to the clinics reached 19.6 thousand children, and 46 cases were injected with the genetic drug Zolingesma, and its cost amounted to 28 million pounds without treatment. The initiative to care for the elderly was also launched in October. 2021, during which 950,000 elderly citizens were surveyed, and 40.6 thousand cases were referred for treatment and follow-up, at a cost of 54 million pounds..

The report added that the initiative to screen those about to get married was launched in February 2023, during which 877.2 thousand young men and women about to get married were screened, at a cost borne by the beneficiaries amounting to 436 million pounds. Likewise, in June 2023, the initiative for early detection and treatment of cancerous tumors (lung, prostate) was launched. , colon, cervix), at a cost of 111 million pounds, and the number of electronic questionnaires affiliated with the initiative reached 1.5 million questionnaires in the first 9 governorates, to facilitate the process of diagnosis and treatment in health units..

The report revealed the most prominent health campaigns, pointing out that the 100 Health Days campaign was launched in June 2023, during which 48.5 million free services were provided to citizens. It includes all 100 Million Health initiatives, and seeks to expand the provision of public health initiative services and ensure the availability of services. Free of charge and with the required quality for all target groups.

The report touched on the polio vaccination campaign, which targets children residing in Egypt, whether Egyptian or non-Egyptian, from the age of one day to 5 years, free of charge, and is implemented in all governorates of the Republic at seasonal intervals, where vaccination is carried out through fixed teams in health offices and units. Health facilities, medical centres, major squares, train, metro and bus stations, gathering places, next to mosques, churches, clubs, in markets, travel car parks and public parks..

It is worth noting that the last case of polio was recorded in Egypt in 2004, and the World Health Organization declared Egypt free of the disease in 2006..

The report pointed to vaccination campaigns against the Corona virus, noting that the state provided several types of vaccines to immunize citizens from the virus, and the total number of recipients of the Corona vaccine reached about 42.9 million citizens, noting that a Vaxera factory was established to produce vaccines, and Egypt is the first country in the East. Al-Awsat issues an emergency registration license for molonpiravir.