This research delves into the multifaceted dimensions of healthcare access through the lens of stakeholders in Port Said, Egypt, following the implementation of Universal Health Insurance (UHI) policies. The central research question explores the impact of UHI policies on healthcare access in Port Said. A set of investigative questions guides this exploration, focusing on beneficiary experiences, healthcare staff perspectives, and the alignment of UHI system implementation with beneficiaries’ healthcare needs. This study seeks to comprehend the institutional and policy context of UHI in Egypt, providing insights from policymakers, healthcare workers, and beneficiaries. Port Said serves as a case study, given its status as the pioneering governorate in UHI implementation within Egypt. Framed around "accessibility," this research assesses how the implementation environment influences access experiences from the viewpoints of these stakeholders. This research generates stakeholder-informed policy recommendations for the continued expansion of the UHI system and contributes to the broader literature on Universal Health Coverage (UHC) and healthcare access in Low- and Middle-Income Countries (LMICs), offering a unique framework rooted in stakeholders' perspectives. The research findings underscore several key recommendations including restructuring incentives to encourage private sector and community-based provider participation is crucial for expanding service availability. Secondly, a revision of enrolment criteria and channels is warranted to ensure inclusivity. Lastly, the introduction of independent performance monitoring mechanisms is recommended to enhance accountability and performance within the UHI system.


School of Global Affairs and Public Policy


Public Policy & Administration Department

Degree Name

MA in Public Policy

Graduation Date

Winter 1-31-2024

Submission Date


First Advisor

Noura Wahby

Committee Member 1

Ghada Barsoum

Committee Member 2

Michael P. Fisher


138 p.

Document Type

Master's Thesis

Institutional Review Board (IRB) Approval

Approval has been obtained for this item