AGENDA Egyptian Society Demographics Major Problems in Egypt NURSING IN EGYPT Egyptian System facilities Human resources for health Prof. Dr. Effat El-Karmalawy 2010 Egyptian Education System Education University Education Age 0-14 : 33% 15-64 : 62.7% 65 and over: 4.3% Male 13,308,407 25,138,546 1,546,774 Female 12,711,900 24,342,230 1,818,778 Population is almost 78,866,635 (July 2009 est.) Population growth rate: 2.033% Net migration rate: -0.21 migrant(s)/1,000 population (2009 est.) Urbanization: Birth rate: 25.43 births/1,000 population Death rate: 4.88 deaths/1,000 population Urban population: 43% of total population (2008) Rate of urbanization: 1.8% annual rate of change (2005-10 est.) (2009 est.) 1
Male Female Infant mortality rate Age Male Female Total Live birth 1,000 1,000 1,000 Deaths 28.93 25.51 27.26 24.4 25.2 7 Egyptian Median age : 24.8 Male Female MAJOR HEALTH PROBLEMS IN EGYPT Hepatitis C virus Hypertensive heart diseases Cancer 69.56 74.81 Osteoporosis Food poisoning Tuberculosis Kidney Diseases Parasitic diseases Prenatal conditions Life expectancy at birth: 72.12 Diarrheal diseases Endocrine disorders Obesity TOP TEN CAUSES OF DEATH, ALL AGES EGYPT, 2009 Causes Deaths (000) (%) Years of Life Lost (%) All causes 495 100 100 Ischemic heart disease 103 21 13 Cerebrovascular disease 35 7 5 Hypertensive heart disease 28 6 3 Lower respiratory infections 24 5 9 Nephritis and nephrosis 20 4 3 Prenatal conditions 19 4 9 Cirrhosis of the liver 18 4 3 Diarrheal diseases 13 3 6 Chronic obstructive pulmonary disease 13 3 1 Endocrine disorders 9 2 2 12 2
OVERVIEW OF HEALTH CARE SYSTEM IN EGYPT OVERVIEW OF HEALTH CARE SYSTEM IN EGYPT Preventive services The services related to different ministries for their employees (Ministry of education, agriculture and transportation) The army medical health services Teaching Hospitals & Institutions. Integrative services Curative services University hospitals. Insurance Organization. MOH facilities (Hospitals, Centers and specialized Hospital). 14 TYPES OF PREVENTIVE SERVICES IN EGYPT Rural units Rural Family Centers Rural hospitals Family centers Primary Care centers 15 EGYPTIAN HEALTH FACILITIES Hospitals under MOH Authority Number General Hospitals 60 Central Hospitals 213 Specialized Hospitals 132 Total Curative Hospitals 405 Specialized Hospitals Number Fever 43 Chest 32 Ophthalmology 29 Maternal 10 Child 5 Specialized 2 Kidney 1 Dermatology 3 Neurology 1 Geriatric centers 6 EGYPTIAN PRIVATE HEALTH FACILITIES UNIVERSITY HEALTH FACILITIES Number of private hospitals is 1490 Number of private clinic is 35973 17 18 3
HEALTH MAN POWER IN EGYPT MOH Man Power Actual On job Registered Population No./ Physician 934 1362 Population No./ Dentist 6008 7848 Population No./ Pharmacist 4151 6120 Population No. / Nurse 626 707 Physician for each 10,000 person 10.7 7.3 Dentist for each 10,000 person 1.7 1.3 Number of Nurses per Physician 1.5 1.9 Pharmacist for each 10,000 person 2.4 1.6 Nurse for each 10,000 person 16.0 14.2 number of Beds per Physician 0.7 1.0 Population Number per bed 1307 Beds Bed per 1000 person 0.8 Overall Egypt Bed per 10,000 person 17.3 NURSE MAN POWER IN EGYPT Description Total number of nurses of health care sector at ministry of health Total number of nurses at primary health care sector at ministry of health Number of Nurse Aid: o Care Sector of Ministry of o Universities o Teaching Hospitals o Insurance o Curative Organization Number of Midwives: o Care Sector of Ministry of o Universities o Teaching Hospitals o Insurance o Curative Organization Number 101349 55043 952 121 NURSE MAN POWER IN EGYPT LIST OF TOTAL FUNCTIONING NURSING MANPOWER OF THE THREE MAJOR CATEGORIES IN SELECTED GOVERNORATE The total numbers of Nurses registered in the Syndicate in 2009-2010 is approximately 238000 nurses. Nurses Distribution according to Qualification 1.10% 0.50% 98.40% BSc graduates Institute branch Secondary Qena 4 4 1281 Diploma school (Residual) Red Sea 13 2 306 22 21 Governorate Nurse Specialist Nurse Secondary Tech. School Nurse Cairo 72 44 4003 Alexandria 711 324 3146 Sharkia 321 35 5555 Kafr El-Sheikh 157 216 3840 Menofia 209 65 4911 Behera 452 356 7420 Bani-Sweif 8 9 2727 South Sinia 3 0 288 Education Programmes in Egypt University Program Program 4
THE TECHNICAL NURSING EDUCATION Educational System in Egypt Educational system Under Supervision of MOH Institutes under Military & Police Force Institutes under supervision of Universities Institute of - Supplemental Stage (4 th and 5 th year) Institute of - Preparatory Stage THE TECHNICAL NURSING EDUCATION The graduates awarded technical nursing diploma after (2) period of education. The number of technical institutes of nursing supplemental stage affiliated to the ministry of health are 230 institute while 3 are affiliated to police forces, 4 affiliated to the military forces and 17 affiliated to the university. THE TECHNICAL NURSING EDUCATION THE UNIVERSITY NURSING EDUCATION The entrance requirements is the secondary school certificate (12 of general education). The number of technical institutes of nursing preparatory stage affiliated to the ministry of health are 30 institute. There are 18 colleges attached to different governmental universities and 5 private colleges. The period of Study is (4) and one year as internship. The graduates rewarded the bachelor degree in nursing services THE UNIVERSITY NURSING EDUCATION THE UNIVERSITY NURSING EDUCATION POST EDUCATION PROGRAMS IN EGYPT These programs are designed to prepare practitioners who have managerial, supervision, Doctorate Degree in Science Master Degree in Specialties Specialty Diploma in and teaching skills Graduate program are available in some nursing Faculties (Master & Doctorate degree in different specialties). Specialty Diplomas are also provided by 3 Faculties. 4-6 Years Graduates work mostly in Education Institutions as faculty members or in management position in service areas Minimum 2 Years Graduates work in both education or service institutions. They are required to work in specialized areas of practices One Year Only 2 Specialized Diplomas (midwifery and physiotherapy) are re-licensed to work in theses specialty areas 5
APPROACHES AND EFFORTS TO IMPROVE NURSING EDUCATION Great attention is directed toward improving nursing educational system, crucial efforts were directed to: The prerequisite of admission to be 12 of general education 31 6