Universal Health Insurance in Egypt
5 days ago
Expertise France is the public agency of French international technical cooperation.The agency operates around four priorities:
- democratic, economic and financial governance;
- security and stability of countries in crisis/post-crisis situations;
- sustainable development;
- strengthening health systems, social protection and employment.
In these areas, Expertise France carries out engineering and implementation missions for capacity building projects, mobilizes technical expertise and acts as an aggregator of projects involving public expertise and private know-how.
With an activity volume of 233 million euros, more than 400 projects in portfolio in 80 countries, and 63,000 days of expertise, **Expertise France** focuses its action towards Frances solidarity policy, influence and economic diplomacy.
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.
- 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 coordinators duty, with the project manager at Expertise Frances 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 projects 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 phases 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
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