AIDS Response in Egypt

HIV/AIDS Response in Egypt Management in the Healthcare Sector December 2004 Elisenda Griñó Aznar Thomas Lund Hansen SANIT Report 2/13 Elisenda G...
Author: Gerard Shields
3 downloads 0 Views 115KB Size
HIV/AIDS Response in Egypt Management in the Healthcare Sector December 2004

Elisenda Griñó Aznar Thomas Lund Hansen

SANIT Report

2/13

Elisenda Griño Aznar and Thomas Lund Hansen

Outline Outline............................................................................................................. 2 Executive Summary ........................................................................................ 3 Egypt: Background information ....................................................................... 4 Demographic and Socio-economic .............................................................. 4 Selected national health accounts indicators............................................... 5 Total health expenditure .............................................................................. 5 Sources of public health expenditure........................................................... 5 Private health expenditure ........................................................................... 5 Egypt and HIV/AIDS........................................................................................ 5 Existing HIV/AIDS Initiatives ........................................................................... 6 Current Gaps in HIV/AIDS response ............................................................... 7 Proposal .......................................................................................................... 8 Objectives .................................................................................................... 8 Proposal description .................................................................................... 9 Revision and Approval............................................................................... 10 Funding...................................................................................................... 10 Discussion..................................................................................................... 10 Is the plan addressing relevant issues?..................................................... 10 Cultural challenges on the implementation side ........................................ 11 Political Challenges ................................................................................... 12 Demographical Challenges........................................................................ 12 Abreviations .................................................................................................. 13

SANIT Report

3/13

Elisenda Griño Aznar and Thomas Lund Hansen

Executive Summary The objective of this report is to give a first hand idea to the readers about HIV/AIDS projects, from how they start to how they are implemented. We study a HIV/AIDS project proposed by UNAIDS to improve the NGO infrastructure dedicated to HIV/AIDS in Egypt. In our report initially Egypt is introduced in terms of socio-demographics and its historical approach to AIDS/HIV control. Afterwards we describe the gaps that have been identified in Egypt for the points that need to be addressed and we enter into the particular process of writing, approving and implementing an aid proposal. In this case the proposal has been written by the UNAIDS representatives in Egypt and has been approved. Operations have just started, so we will not be able comment on the results. We will however use other examples of AIDS/HIV projects to comment on the main challenges faced when trying to put in place aids programmes.

SANIT Report

4/13

Elisenda Griño Aznar and Thomas Lund Hansen

Egypt: Background information Demographic and Socio-economic The Arab Republic of Egypt is situated in the Northern part of Africa. It has an estimated total population of 67M people, 42.2% of them living in rural areas (see Fig. 1). The birth mortality rate is 26.5 per 1000 pop.

Fig 1- Map of Egypt with the population density per areas (UNAIDS/WHO Epidemiological Fact Sheet-2004 Update) The life expectancy is 67 years, and the population below poverty line is the 22.9%. Its GDP is 98.3 billion US$ and its GNI per capita is 1490 US$ (EU average GNI = US$ 24,329 per capita). In Fig. 2 there is a summary of some indicators of the Egyptian healthcare system. In the 2000 WHO Health Report ranked Egypt’s overall health performance ranked 63 over 110 countries. (http://www.who.int/whr/2000/en/whr00_annex_en.pdf).

SANIT Report

5/13

Elisenda Griño Aznar and Thomas Lund Hansen

Selected national health accounts indicators Indicator Per capita GDP in international dollars, 2001 Total health expenditure Total expenditure on health as % of GDP, 2001 Public health expenditure General Government expenditure on health as % of total general government expenditure Per capita government expenditure on health at average exchange rate (US$), 2001 Per capita government expenditure on health in international dollars, 2001

Value 3,901 3.9

7.4 22 75

Sources of public health expenditure Social security expenditure on health as % of general government expenditure on health External resources for health as % of total expenditure on health

29.7

Private health expenditure Private expenditure on health as % of total expenditure on health, 2001

51.1

2.0

Fig 2- national Health account indicators http://www3.who.int/whosis/country/indicators.cfm?country=egy

Egypt and HIV/AIDS Egypt has consistently had a low HIV/AIDS prevalence rates1. The mode of transmission among cases reported through June 2001 was 45% heterosexual, 21% men having sex with men (MHSWM), 6% injection drug use, 16% via blood products,