| Financier | Commitments |
|---|---|
| Borrower/Recipient | 2437.00 |
| International Bank for Reconstruction and Development | 400.00 |
Supporting Egypt’s Universal Health Insurance System
Abstract*
The development objective of the Supporting Egypt’s Universal Health Insurance System Project for Egypt is to: (i) increase the coverage of Egypt’s universal health insurance system (UHIS) in first phase governorates, (ii) strengthen UHIS-related governance and institutions, and (iii) provide temporary financial protection against high out of pocket health expenditures for vulnerable populations outside first phase governorates. The project comprises... Show More
Development Objective
To (i) increase the coverage of Egypt’s Universal Health Insurance System in Phase I Governorates, (ii) strengthen UHIS-related governance and institutions, and (iii) provide temporary financial protection against high out of pocket health expenditures for vulnerable populations outside Phase I Governorates.
Key Details
Project Details
P172426
Active
Ayodeji Ajiboye , Avril Kaplan
Arab Republic of Egypt
December 13, 2019
(as of board presentation)
June 16, 2020
August 29, 2021
US$ 2837.00 million
Ministry of Finance
2020
US$ 400.00 million
N/A
January 30, 2024
September 30, 2026
No
BANK APPROVED
Finances
Financing Plan (US$ Millions)
Total Project Financing (US$ Millions)
| Product Line | IBRD/IDA |
|---|---|
| IBRD Commitment | 400.00 |
| IDA Commitment | N/A |
| IBRD + IDA Commitment | 400.00 |
| Lending Instrument | |
|---|---|
| Grant Amount | N/A |
| Total Project Cost** | 2837.00 |
Summary Status of World Bank Financing (US$ Millions) as of March 31, 2025
No data available.
| Period | Financier | Transaction Type | Amount (US$) |
|---|---|---|---|
| Jun 16, 2020 | IBRD-91320 | Loan Commitment | 400,000,000.00 |
| Aug 29, 2021 | IBRD-91320 | Loan Disb | 1,000,000.00 |
| Aug 29, 2021 | IBRD-91320 | Fee Charges | 1,000,000.00 |
| Feb 16, 2022 | IBRD-91320 | Loan Disb | 97,280,432.00 |
| Jan 11, 2022 | IBRD-91320 | Loan Disb | 2,000,000.00 |
| Mar 1, 2022 | IBRD-91320 | Int Charges | 446,554.78 |
| Mar 1, 2022 | IBRD-91320 | Int Charges | 118.33 |
| Mar 1, 2022 | IBRD-91320 | Int Charges | 485,317.50 |
| Mar 1, 2022 | IBRD-91320 | Int Charges | 6,938.32 |
| Sep 1, 2022 | IBRD-91320 | Int Charges | 377,728.78 |
| Sep 1, 2022 | IBRD-91320 | Int Charges | 1,077,565.10 |
| Sep 1, 2022 | IBRD-91320 | Int Charges | 9,333.19 |
| Sep 1, 2022 | IBRD-91320 | Int Charges | 42,901.56 |
| Aug 4, 2023 | IBRD-91320 | Loan Disb | 43,434,144.00 |
| Mar 1, 2023 | IBRD-91320 | Int Charges | 146,627.45 |
| Mar 1, 2023 | IBRD-91320 | Int Charges | 371,570.16 |
| Mar 1, 2023 | IBRD-91320 | Int Charges | 2,665,130.00 |
| Sep 1, 2023 | IBRD-91320 | Int Charges | 65,257.30 |
| Sep 1, 2023 | IBRD-91320 | Int Charges | 369,398.94 |
| Sep 1, 2023 | IBRD-91320 | Int Charges | 3,162,287.00 |
| Sep 1, 2023 | IBRD-91320 | Int Charges | 2.75 |
| Mar 1, 2024 | IBRD-91320 | Int Charges | 253,545.02 |
| Mar 1, 2024 | IBRD-91320 | Int Charges | 319,191.34 |
| Mar 1, 2024 | IBRD-91320 | Int Charges | 5,020,953.50 |
| Mar 1, 2024 | IBRD-91320 | Int Charges | 8,329.84 |
Ratings
IMPLEMENTATION RATINGS
| Name | Review | Date |
|---|---|---|
| Procurement | Moderately Satisfactory | 2024-12-24 |
| Overall Implementation Progress (IP) | Moderately Satisfactory | 2024-12-24 |
| Progress towards achievement of PDO | Moderately Satisfactory | 2024-12-24 |
| Project Management | Moderately Satisfactory | 2024-12-24 |
| Financial Management | Moderately Satisfactory | 2024-12-24 |
| Monitoring and Evaluation | Moderately Satisfactory | 2024-12-24 |
COMPLETION RATINGS
No data available.
INDEPENDENT EVALUATION RATINGS
No data available.
Results Framework
PROJECT DEVELOPMENT OBJECTIVE INDICATORS
| INDICATOR | BASELINE | CURRENT | TARGET |
|---|
Number of people enrolled with UHIA and empanelled with a GP in Phase I Governorates (excluding Targeted Vulnerable People) Value 0.00 2396567.00 3107065.00 Date February 27, 2020 June 30, 2023 June 28, 2024 Comment Percentage of contracted public provider entities that have been accredited by GAHAR Value 0.00 59.00 100.00 Date February 24, 2020 June 30, 2023 June 28, 2024 Comment Number of Other Vulnerable People benefiting from PTES in Other Governorates Value 0.00 868640.00 1000000.00 Date May 8, 2020 June 30, 2023 June 28, 2024 Comment Percentage of people enrolled with UHIA and empanelled with a GP in Phase I Governorates (excluding Targeted Vulnerable People) whoare female Value 0.00 48.60 50.00 Date March 2, 2020 June 30, 2023 June 28, 2024 Comment Female share of the number of Other Vulnerable People benefiting from PTES in other Governorates Value 0.00 0.00 45.00 Date Comment Per capita annual PHC visits by UHIS enrollees in Phase I Governorates Value 1.10 1.90 2.50 Date February 24, 2020 June 30, 2023 June 28, 2024 Comment Annual percentage of payments by UHIA that are made to contracted providers in Phase I Governorates within 60 days from the date ofclaim submission Value 0.00 0.00 80.00 Date February 24, 2020 June 30, 2023 January 26, 2024 Comment Per capita annual PHC visits by male UHIS enrollees in Phase I Governorates Value 0.98 0.98 1.70 Date Comment
INTERMEDIATE RESULTS INDICATORS
| INDICATOR | BASELINE | CURRENT | TARGET |
|---|
Number of Targeted Vulnerable People enrolled with UHIA and empanelled with a GP (number) Value 0.00 374221.00 2620584.00 Date February 24, 2020 June 30, 2023 June 28, 2024 Comment Development and adoption by UHIA of a benefit package for the continuum of care (primary care, secondary and tertiary hospital care) Value No No Yes Date February 24, 2020 June 30, 2023 June 28, 2024 Comment Number of Targeted Vulnerable People enrolled with UHIA and empanelled with a GP (number) and share of females among them (percentage) Value 0 0 1,320,000 / 75% Date Comment Supporting modular UHIS information system roll-out Value No modular UHIS Information System Partial Supply chain procurement module within EASPMTM Date January 29, 2020 June 30, 2023 June 28, 2024 Comment People who have received essential health, nutrition, and population (HNP) services Value 0.00 2275753.00 6727649.00 Date February 27, 2020 June 30, 2023 June 28, 2024 Comment Creation of official coordinating body for UHIS at national and Governorate levels Value 0.00 1.00 7.00 Date February 24, 2020 June 30, 2023 June 28, 2024 Comment People who have received essential health, nutrition, and population (HNP) services - Female (RMS requirement) Value 0.00 0.00 4872000.00 Date Comment Establishment of a one- stop shop for licensing of private primary healthcare services Value No No Yes Date January 29, 2020 June 30, 2023 December 29, 2023 Comment Development and adoption of a process guide for hospital accreditation standards by GAHAR Value No Yes Yes Date February 24, 2020 June 30, 2023 December 29, 2023 Comment Operationalization of a Big Data Analytics unit within UHIA Value No No Yes Date February 24, 2020 June 30, 2023 June 28, 2024 Comment Development of quality of care monitoring frameworks for PHC & hospitals Value No yes Yes for hospitals Date February 26, 2020 June 30, 2023 December 29, 2023 Comment Share of case-based payment in total UHIA’s annual payment to hospitals Value 0.00 0.00 20.00 Date February 26, 2020 June 30, 2023 June 28, 2024 Comment Introduction of the risk adjusted capitation (at least for sex and age) in PHC payment Value No No Yes Date January 29, 2020 June 30, 2023 June 28, 2024 Comment Development of National Strategy for Quality of Care and Patient Safety Value No No Yes Date January 29, 2020 June 30, 2023 December 30, 2022 Comment Annual UHIA performance and expenditure review report published Value 0.00 0.00 2.00 Date February 24, 2020 June 30, 2023 June 28, 2024 Comment Annual report on patient satisfaction, grievances and utilization published Value 0.00 1.00 4.00 Date February 24, 2020 June 30, 2023 June 28, 2024 Comment Annual UHIS Health Forum held at Governorate and national levels Value No forums conducted at Governorate or national lev 0 All enrolled Governorates and national level Date February 24, 2020 June 30, 2023 June 28, 2024 Comment Strengthening accreditation and provider contracting Value 0 Targets are not met??????? 15 public and 5 private ambulatory service provide Date February 27, 2020 June 30, 2023 June 28, 2024 Comment Client user satisfaction and utilization surveys conducted in project target areas Value 0.00 1.00 4.00 Date April 28, 2020 June 30, 2023 June 28, 2024 Comment Development of guidelines and protocols on data privacy and management of health records, to mitigate risk of data breaches Value No Yes Yes Date April 28, 2020 June 30, 2023 June 28, 2024 Comment Development and formal adoption of the organizational structure and a multi-year Human Resource Plan for each of UHIA, GAHAR and HCO Value No Yes Yes Date May 8, 2020 June 30, 2023 June 28, 2024 Comment Reduction of the staffing gap for each of UHIA, GAHAR and HCO Value 0.00 0.00 100.00 Date May 8, 2020 June 30, 2023 June 28, 2024 Comment Level of satisfaction of citizens and patients in their participation in coordination committees (disaggregated for national and regional levels Value 0.00 0.00 90.00 Date May 21, 2020 June 30, 2023 June 28, 2024 Comment Revision of the strategy to target vulnerable people for UHIS subsidies Value No No Yes Date May 25, 2020 June 30, 2023 June 28, 2024 Comment