Supporting Egypt's Universal Health Insurance System (WB-P172426)

  • Egypt
Geographic location where the impacts of the investment may be experienced.
Financial Institutions
  • World Bank (WB)
International, regional and national development finance institutions. Many of these banks have a public interest mission, such as poverty reduction.
Project Status
Stage of the project cycle. Stages vary by development bank and can include: pending, approval, implementation, and closed or completed.
Bank Risk Rating
Environmental and social categorization assessed by the development bank as a measure of the planned project’s environmental and social impacts. A higher risk rating may require more due diligence to limit or avoid harm to people and the environment. For example, "A" or "B" are risk categories where "A" represents the highest amount of risk. Results will include projects that specifically recorded a rating, all other projects are marked ‘U’ for "Undisclosed."
Voting Date
Mar 31, 2020
Date when project documentation and funding is reviewed by the Board for consideration and approval. Some development banks will state a "board date" or "decision date." When funding approval is obtained, the legal documents are accepted and signed, the implementation phase begins.
Government of Egypt
A public entity (government or state-owned) provided with funds or financial support to manage and/or implement a project.
  • Education and Health
The service or industry focus of the investment. A project can have several sectors.
Investment Type(s)
The categories of the bank investment: loan, grant, guarantee, technical assistance, advisory services, equity and fund.
Investment Amount (USD)
$ 510.00 million
Value listed on project documents at time of disclosure. If necessary, this amount is converted to USD ($) on the date of disclosure. Please review updated project documents for more information.
Project Cost (USD)
$ 511.27 million
Value listed on project documents at time of disclosure. If necessary, this amount is converted to USD ($) on the date of disclosure. Please review updated project documents for more information.
Primary Source

Original disclosure @ WB website

Updated in EWS Mar 2, 2020

Disclosed by Bank Dec 13, 2019

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Project Description
If provided by the financial institution, the Early Warning System Team writes a short summary describing the purported development objective of the project and project components. Review the complete project documentation for a detailed description.

According ti bank documents, the Project Objective is to increase the coverage of Egypt’s Universal Health Insurance System (UHIS) in Phase 1 Governorates and to strengthen UHIS-related governance and institutions. The project has three components:

  1. Enrollment and empanelment of the population into UHIS (US$300 million). This component will support the enrollment of the population in UHIS as well as the empanelment of enrollees with General Practitioners (GPs). This will be achieved by supporting, inter alia (i) the enrollment and empanelment for the entire population in Phase I governorates, (ii) IEC campaigns to raise awareness about UHIS among the population, (iii)
    identification of the vulnerable who are eligible for premium subsidies, (iv) premium subsidies for the vulnerable, and (v) government contribution to UHIS for civil servants.
  2. Strengthening capacity of UHIS-related agencies, UHIS governance and creating an enabling environment (US$200 million). This component will support:
    • Capacity building for UHIS-related agencies, with a focus on the UHIA and GAHAR to better help them carry
      out their mandates.
    • Institutional arrangements and governance for UHIS: this includes support for UHIS oversight and coordination platform. 
    • Creating an enabling environment for UHIS, including the policy environment for private sector participation, citizen engagement mechanisms at both the central and Governorate level such as 24X7 Call Center, and Local and National Health Assemblies/Forums.
  3. Technical assistance, project management and monitoring and evaluation (US$10 million). This component will support TA including capacity building and analytical activities for the establishment of the new UHIS. It will include support for UHIA, GAHAR, and the Social Justice Unit of the MOF. In addition, TA will be provided to EASPMTM including on the development of procurement guidelines. Project management and project monitoring and evaluation (M&E) will also be supported through this component.
Investment Description
Here you can find a list of individual development financial institutions that finance the project.

Contact Information
This section aims to support the local communities and local CSO to get to know which stakeholders are involved in a project with their roles and responsibilities. If available, there may be a complaint office for the respective bank which operates independently to receive and determine violations in policy and practice. Independent Accountability Mechanisms receive and respond to complaints. Most Independent Accountability Mechanisms offer two functions for addressing complaints: dispute resolution and compliance review.

World Bank:
Amr Elshalakani, Elizabeth Mziray
Senior Health Specialist

Ministry of Finance

Implementing Agency:
Ministry of Finance
Mohamed Maait


The World Bank Inspection Panel is the independent complaint mechanism and fact-finding body for people who believe they are likely to be, or have been, adversely affected by a World Bank-financed project. If you submit a complaint to the Inspection Panel, they may investigate to assess whether the World Bank is following its own policies and procedures for preventing harm to people or the environment. You can contact the Inspection Panel or submit a complaint by emailing You can learn more about the Inspection Panel and how to file a complaint at:

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How it works