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CHWs Socio-Demographic and Training Survey, in Selected Governorates, Egypt 2017 www.mcsprogram.org The Maternal and Child Survival Program (MCSP) is a global, $560 million, 5-year cooperative agreement funded by the United States Agency for International Development (USAID) to introduce and support scale-up of high-impact health interventions among USAID’s 25 maternal and child health priority countries, as well as other countries. MCSP is focused on ensuring that all women, newborns and children most in need have equitable access to quality health care services to save lives. MCSP supports programming in maternal, newborn and child health, immunization, family planning and reproductive health, nutrition, health systems strengthening, water/sanitation/hygiene, malaria, prevention of mother-to-child transmission of HIV, and pediatric HIV care and treatment. This study is made possible by the generous support of the American people through the United States Agency for International Development (USAID) under the terms of the Cooperative Agreement AID-OAA-A-14-00028. The contents are the responsibility of the Maternal and Child Survival Program and do not necessarily reflect the views of USAID or the United States Government. Table of contents Introduction........................................................................................................................ 1 Objective ............................................................................................................................. 2 Methodology ....................................................................................................................... 3 Analysis and Interpretation .............................................................................................. 4 Demographic Data ........................................................................................................................................................ 4 Age Structure ................................................................................................................................................................. 5 Marital Status .................................................................................................................................................................. 5 Educational Status ......................................................................................................................................................... 6 Trainings .......................................................................................................................................................................... 6 Aswan Governorate ..................................................................................................................................................... 6 Training ............................................................................................................................................................................ 8 Luxor Governorate .................................................................................................................................................... 11 Qena Governorate ..................................................................................................................................................... 15 Sohag Governorate ..................................................................................................................................................... 20 El Minya Governorate ................................................................................................................................................ 24 Assiut Governorate .................................................................................................................................................... 28 Beni Swef Governorate ............................................................................................................................................. 32 Fayoum Governorate ................................................................................................................................................. 36 Demographic data ....................................................................................................................................................... 36 Giza Governorate ....................................................................................................................................................... 41 Qalyoubia Governorate ............................................................................................................................................. 46 Sharkia Governorate .................................................................................................................................................. 51 El Gharbiya Governorate .......................................................................................................................................... 55 Monafea Governorate ................................................................................................................................................ 60 El Dakhelya Governorate .......................................................................................................................................... 65 Kafr El-Sheikh Governorate ..................................................................................................................................... 69 Damietta Governorate .............................................................................................................................................. 74 Beheira Governorate ................................................................................................................................................. 78 Ismalia Governorate ................................................................................................................................................... 83 RR Training Coverage ..................................................................................................... 87 CHWs Socio-Demographic and Training Survey, in Selected Governorates, Egypt 2017 iii iv CHWs Socio-Demographic and Training Survey, in Selected Governorates, Egypt 2017 Introduction The Raedat Refiat (RR)—or village pioneer—community health worker program was established in 1994 under Egypt’s Ministry of Population to address the country’s high fertility rate by seeking to increase demand for family planning services and to improve health behaviors among key populations. By 2012, RR represented a workforce of 14,280 permanent Ministry of Health and Population (MoHP) staff. Each RR is responsible for an average of 500 families and expected to conduct 160 home visits per month. The RR workforce is now part of Egypt’s integrated family health strategy and, as such, its role has—in principle— expanded to address not only family planning but also maternal and child health and nutrition. The MoHP and the U.S. Agency for International Development (USAID)/Egypt requested the support of USAID’s flagship Maternal and Child Survival Program (MCSP) to review and assess Egypt’s RR program. One of MCSP’s major recommendations was to establish, resource, and implement a training strategy adapted to meet the goals of the RR program. To fulfill this recommendation, and others, a database was created recognize the actual figures and distribution of the RR between primary health care units (PHCU). CHWs Socio-Demographic and Training Survey, in Selected Governorates, Egypt 2017 1 Objective • Create a database of demographic information on RRs to determine their hiring, replacement, and needs • Determine the number and distribution of RRs in each PHCU • Create a database to track RR trainings and gap areas to help the MoHP plan trainings and identify priority areas 2 CHWs Socio-Demographic and Training Survey, in Selected Governorates, Egypt 2017 Methodology • Meet with MoHP to determine their survey needs • Create a form and distribute it to all RR in PHCUs to gather needed data, including the following: • Demographic data • Name of the PHCU she is working in • The district • Coverage area • Training history • Last training and its date • Collect data about RR supervisors and PHCUs within all districts in coordination with MoHP • Use old registries from MoHP as a source of information and verification of some of the survey information • Determine focal points in each district and at the MoHP to ensure accurate delivery of the data Flow of data through the form distribution: RR line RR RR supervisors supervisors Family planning Head of family MoHP family representatives planning at planning sectors at district level directorate level MCSP • Collect forms from all RRs (total 11,394) and 753 line supervisors and enter the data onto Excel sheets • Analyze data using Excel and SPSS CHWs Socio-Demographic and Training Survey, in Selected Governorates, Egypt 2017 3 Analysis and Interpretation Data on RR from the 18 governorates was received and analyzed for age, marital status, education, and training. Demographic Data According to the survey and the database, there were approximately 11,394 RR in the 18 governorates; they are supervised by 753 RR supervisors. The RR are distributed as follows: Governorate Districts RR supervisors RR Total Aswan 6 39 406 451 Luxor 7 21 268 296 Qena 9 35 489 533 Sohag 11 42 542 595 El Minya 9 25 888 922 Assiut 12 33 413 458 Beni Suef
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