Egypt is ranked 113 out of 187 countries on the UNDP human development index, with about 40% of population living below the international poverty line. This research is intended to assess how the state is providing a social protection policies/ systems in order to protect disadvantage citizens in healthcare service provision sector. Measuring healthcare coverage and protection against financial risks answers the main research question which is “To what extent does the legal-institutional framework of the Egyptian governmental healthcare system(s) protect the poor from the health-related financial burden? The interventions that are subject to the study are Health Insurance (HIO), Payment on the Expense of the State (PTES) and Family Health Fund (FHF). The draft Social Health Insurance Law was also subject to the study. The researcher found that the draft Social Health Insurance Law provides good protection against financial risks associated with catastrophic health expenditures and Out-Of-Pocket (OOP) health expenditures. On the other hand, FHF offers the best program providing universal health coverage for both Millennium Development Goals (MDGs) related diseases and Critical Conditions and Injuries (CCIs) related illness comparing to other programs. Formularization of unified framework of those systems in order to integrate together along with clearly determining the roles of each system are the main policy recommendations of this study.


Public Policy & Administration Department

Degree Name

MA in Public Policy

Graduation Date


Submission Date

May 2014

First Advisor

Amin, Khalid Zakaria

Committee Member 1

Anwar, Wagida

Committee Member 2

El-Wardani, Nile


84 p.

Document Type

Master's Thesis

Library of Congress Subject Heading 1

Health care reform -- Egypt.

Library of Congress Subject Heading 2

Health insurance -- Egypt.


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Institutional Review Board (IRB) Approval

Not necessary for this item


I am profoundly grateful to my supervisors Prof. Khalid Amin, Associate Professor, PPAD, School of Global Affairs and Public Policy, AUC. I also thank my readers, Prof. Nile El-Wardani, Adjunct Professor, PPAD, School of Global Affairs and Public Policy, AUC and Prof. Wagida A. Anwar, Professor, Community, Environmental and Occupatiol Medicine, School of Medicine, Ain Shams University, for helping me in developing this research and for their precious support. I would also like to thank Prof. Laila El Baradei, Dean for the School of Global Affairs and Public Policy and Prof. Hamid Ali, Chair of the Public Policy and Administration Department, for their continuous encouragement. My thanks to Jamil Fellowship Program for supporting my study at the American University in Cairo. Filly yet importantly, I would like to thank Dr. Mohsen Azzam, Former Chairman of Health Insurance Organization and Member of Higher Committee for Drafting the Social Health Insurance Law, Dr. Magdi Bakr, Senior WHO expert, Dr. Osama El-Hady, General Director for Specialized Medical Councils Administration – Ministry of Health and Population, Dr. Mostafa Radwan – General Director for Primary Healthcare Administration – Ministry of Health and Population, Dr. ira Niazy – Project Coorditor for “Poorest Thousand Villages” Project – Ministry of Health and Population and Mrs. Mai Farid, Economic Justice Unit – Ministry of Fince for their permanent assistance in developing this research.