CHWs Socio-Demographic and Training Survey, in Selected Governorates, 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 Governorate ...... 6 Training ...... 8 Governorate ...... 11 Governorate ...... 15 Governorate ...... 20 El ...... 24 Assiut Governorate ...... 28 Beni Swef Governorate ...... 32 Fayoum Governorate ...... 36 Demographic data ...... 36 Governorate ...... 41 Qalyoubia Governorate ...... 46 Sharkia Governorate ...... 51 El Gharbiya Governorate ...... 55 Monafea Governorate ...... 60 El Dakhelya Governorate ...... 65 Kafr El-Sheikh Governorate ...... 69 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 hirin