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

  • Egypt
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
Bank Risk Rating
Risk rating varies among banks and may refer only to the particular investment and not to the risk for the project as a whole. Projects marked 'U' have an 'Unknown' risk rating at the time of disclosure.
Voting Date
Mar 31, 2020
The estimate day the bank will vote on a proposed investment. The decision dates may change, so review updated project documents or contact the EWS team.
Government of Egypt
The holder of the loan, grant, or other investment.
  • 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, etc.
Investment Amount (USD)
$ 510.00 million
Value listed on project documents at time of disclosure. If necessary, converted to USD$. 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, converted to USD$. Please see updated project documentation 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

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
  • World Bank (WB)
Contact Information

World Bank:
Amr Elshalakani, Elizabeth Mziray
Senior Health Specialist

Ministry of Finance

Implementing Agency:
Ministry of Finance
Mohamed Maait


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