Escolar Documentos
Profissional Documentos
Cultura Documentos
Av. No. of
(11 -15) or (16 – 20) or From 21 to
daily visits <10 or >36
(33 – 35) (30 – 32) 29
per Physic.
Score/Points
Zero 50% 75% 100%
(% of weight)
Neutral 2.6%
0.5
Morning
Percentage of Respondents
0.4
Afternoon
0.3
Evening
0.2
0.1
0.0
All Users Male Female ALEX MON URBAN RURAL
Source: Management and Service Quality in PHC facilities in Alexandria and Menoufia at the Completion of the
HCM 742: Financing & Insurance Schemes
Health Sector Reform Program; Survey Report – WB, April 2009
Suhag 19/10/2018 20
Spring 2018 - Fourth Semester, Q2 - WE
PBI – impact on efficiency
• In urban areas:
– dense population, high utilization of facilities =
efficient utilization
• In rural areas
– less population density, low utilization rate and
inefficient utilization.
– Overcome through reducing number of staff
• Payment mechanisms
– From PBI to FFS
• Structural/organizational sustainability
through Purchaser Provider Split(PPS)
268.2%
250%
199.0%
200%
163.2%
150%
123.1% 126.6%
120.7%
116.7%
110.2% 108.7% 112.3%
107%
102.6%
100% 86.3%
77.2%
69.9%
46%
50% 40.6% 41.0%
33.9%
29%27% 26.7% 22.9%
18.3%
0.00%
0%
Suez
السويس صندوق صندوق سوهاج
Sohag صندوق المنوفية
Menoufia صندوق قنا
Quena صندوق االسكندرية
Alexandria
Source: The Family Health Fund - Analysis of Current Situation and Future Vision; Central Family Health Fund,
Nov. 2012 HCM 742: Financing & Insurance Schemes
Suhag 19/10/2018 23
Spring 2018 - Fourth Semester, Q2 - WE
Needs for sustainability – Critical
Success Factors
• Restructuring of health sector with necessary
legal changes
• Enhancing the regulatory role of the MoH
• Ensuring sufficient financial resources to cover
services for the poor
Collection
MoSAL
Pooling
Premiums National Health Insurance Fund NHIF Health Taxes
(Bismarkian) (Beveridgian)
Pooling & Allocation of Resources
(Money Follow the Patient)
Purchasing
Purch1 Purch 2
Co-payment
Services
BENEFICIARIES
HCM 742: Financing & Insurance Schemes
Suhag 19/10/2018 25
Spring 2018 - Fourth Semester, Q2 - WE
THANK YOU