Title:
The Egyptian Health System’s Response to Refugees and Migrants in Post Revolutionary Egypt
Authors:
Kergoat, Yasmine
Year:
2013
PAGE:
xvii, 101
Language:
En
Subject:
Health and Poverty
Keywords:
Refugees, Migrants, Health Systems, Egypt, Arab Spring
Abstract:
Background: Egypt is a hub for one of the five biggest refugee and migrant populations in the developing world. Egypt’s reservations on the 1951 Refugee Convention combined with creation of a “parallel system” under the UNHCR mandate are obscuring the government’s legal requirement for provision of healthcare to a growing refugee and migrant population. Objective and Methodology: Literature review supplemented with key-informants’ interviews was done to determine strengths and weaknesses of the health system dealing with refugee and migrant populations in post-revolutionary Egypt. Findings: Refugee status and access to healthcare are closely interlinked. Security concerns and targeted attacks on specific refugee communities are affecting refugees’ health and access to healthcare. Main challenges in the National Health system are exclusion of refugees and migrants from the MOHP strategy, discriminatory practises, out-of-pocket health expenditure, lack of awareness and skills in addressing migrants’ health. Constraints in parallel health system are limited coverage for chronic diseases, shortfall and inequitable funding distribution, lack of accurate data and structural gaps in health work force, concentration of healthcare services in Cairo, lack of a participatory and people centeredness component. Conclusion and Recommendations: Improving refugees’ and migrants’ access to healthcare requires a “paradigm shift” in their inclusion in future healthcare strategies; a “long-term” strategy in which the public sector becomes a principal partner and a “diversification of responses” in all areas of key-stakeholders’ work. Refugee health needs to be viewed within the particular challenges a post-revolutionary Egyptian context represent.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institue)
Department:
Development Policy & Practice
Country:
Egypt, Arab Republic of
Region:
Middle East
Training:
Master in International Health
Category:
Research
Right:
© 2013 Kergoat
Document type:
Thesis/dissertation
File:
eQsfllPVzv_20161101113256309.pdf