Healthcare Situational Analysis For Egypt

QQMD

revenues from the Suez Canal and oil. It has managed to improve its macroeconomic performance throughout most of the past decade in the areas of fiscal policy, monetary and structural reform. Recognizing the role of the private sector in development, the government has made job creation and creating an improved climate for investment and private sector development specific priorities. Gross domestic product (GDP) is estimated to be US$ 89.4 billion (2005). Average growth fell from 4.6% in 1997–1998 to 3.0% in 2001–2002. GDP per capita in 2005 was US$ 1207. Agriculture accounts for 14% of GDP, industry 30% and services 56%. The major export is petroleum and petroleum products (28.7%). Poverty has declined over the past few decades with the Millennium Development Goal Second Country Report for Egypt suggesting that as a national average the MDG commitment to halve poverty by 2015 will be realized. A World Bank-supported Poverty Alleviation Study carried out in 2002 showed that poverty incidence fell from 19.4% in 1995–1996 to 16.7% in 1999–2000. Although poverty in Egypt had been characterized by its rural nature, it recently has become a predominantly Upper Egypt phenomenon, with poverty increasing in rural and urban areas in Upper Egypt governorates. The MDG Second Country Report noted that between 1995 and 2000, poverty in Upper Egypt increased from 29% to 34% in rural areas and from 11% to 19% in urban areas. During the same period Lower Egypt experienced significant reductions in poverty, from 13% to 5% in urban metropolitan centers and from 22% to 12% in rural areas.

3. Health status of the population Egypt has recorded major achievements in improving the health status of its population as reflected in the marked reductions in the 2007 crude death rate (6.2 per 1000 live births in 2007); infant mortality rate (19.2 per 1000 live births); under-5 death rate (23.3 per 1000 live births); and maternal mortality rate (44.6 per 100 000 live births).

4. Socioeconomic and environmental

Education

Since the early 1990s Egypt has demonstrated a strong commitment to education as a key development tool, embarking on an ambitious and comprehensive program of educational reform. Adult literacy rates (age 15 and older) have improved significantly from 44.4% in the period 1985–1995 to 71.4%

in the period 1995–2005. The youth literacy rate (age 15–44), an MDG indicator, has increased over the period 1996 2007, from 73.2% to 86.2%.

Nutrition and food security

Egypt’s national nutrition strategy formulated in the 1990s provided for several initiatives designed to improve nutrition and control micronutrient deficiencies such as iron and vitamin A. Although indicators of child health have improved, malnutrition still constitutes a serious problem, especially in rural areas. The trends in nutritional status during the period 1992 and 2008 as reported in the preliminary 2008 Egyptian Demographic and Health Survey indicate a recent deterioration in the nutritional status of children. Data on height-for-age indicate that approximately 25% of Egyptian children under age five have chronic malnutrition, with rural children slightly more likely to be stunted than their urban counterparts (26% and 23% respectively). The weight-for-height index which provides a measure of wasting or acute malnutrition indicates approximately 7% of Egyptian children under age five suffer from acute malnutrition, with the highest levels of wasting observed in the urban governorates (8%). A third measure of nutritional status, weight-for-age which is a composite of height-for-weight and weight for height, reflects effects of both chronic and short-term malnutrition. 8% of children under the age of five years are underweight for their age. The highest proportion of underweight children is in Upper Egypt.

5. Economic forecast

The dismissal of the liberal members of the Egyptian government will change the direction of economic policy significantly. The new cabinet will focus on emergency stabilisation of the economy at the expense of further reform and liberalisation. We have revised our growth estimates downwards to 4.1% in 2010/11 owing to the effects of the political crisis. We expect the budget deficit to widen to 12% of GDP as the government increases spending on subsidies and infrastructure projects, and tax and customs receipts fall. At the same time, trade revenue, particularly from services exports, will fall by close to a half on the previous year. The Egyptian pound will depreciate sharply, adding to inflationary pressures. The economy will begin to recover slowly from 2011/12

6. Health systems and services

6.1. Health service delivery

The health care system in Egypt is quite complex with a large number of public entities involved in management, financing and the provision of care. The Ministry of Health is responsible for overall health and population policy including the provision of public health services as well as being the major provider of the

Situaltional Analysis For QQMD enterprise

QQMD Quality training &Consultation Enterprise: Introduction:

Science the world health report 2000 – Health systems: improving performance,1

worldwide interest increased in the quality of health systems. One measure of such

interest is that the understanding and application of concepts and terms relevant to health

systems have been continually evolving, even while this report was being prepared.

QQMD is working in Healthcare quality management training, accreditation and business

development solutions and consultancy for the biggest hospital

QQMD is Egyptian enterprise working in Healthcare quality management training,

accreditation and business development solutions and consultancy .QQMD started its

work in healthcare quality since 2009.After 2009, QQMD services expanded to cover

private hospitals rather than hospitals in Cairo as well as providing training and

consultancy services for candidates in different governorates in Egypt..

Now, QQMD is thinking to take a serious strategic decision to expand its business into

additional markets inside Egypt and in Gulf region like Emirates, Bahrain, Saudi Arabia

and Qatar. This decision can be both exciting and daunting. On the one hand, the

enterprise is hoping for sales and profit growth. However, it may face uncertainty about

the effort and cost of expansion.

QQMD team has conducted a situational analysis and assessment of market needs

exercise on healthcare quality accreditation consultation industry. This exercise provide a

baseline situation of healthcare quality consultation in terms to identify trends, forces,

and conditions with the potential to influence the performance of the business and help in

the choice of appropriate strategies to ensure future profitability.

This situational analysis is considered an important step in the strategic planning of

healthcare quality training and consultation business to develop a strong Quality

Accreditation Consultation Company that offers various accreditation and Specialized

Consulting Services to clients involved in any stage of hospital development in Egypt and

Gulf countries. These advisory and consulting services are personalized to meet the

unique needs of international clients. QMD team is leader in the international healthcare

industry and consistently delivers practical solutions which are tailored to the diverse

cultural and developmental needs of clients.

1 World health report 2000: This report examines and compares aspects of health systems around the world. It provides conceptual insights into the complex factors that explain how health systems perform, and offers practical advice on how to assess performance and achieve improvements with available resources. http://www.who.int/whr/2000/en/whr00_en.pdf

Although the census of the physician’s fresh graduates in Egypt is very high in Egypt.

The economic analysis of the GDP in Gulf countries indicates that the GDP per capita of

Qatar, Emirates, Kuwait and Saudi Arabia have the highest values. That indicates healthy

economy and higher opportunities for investment in these countries.

Also, the low GDP per capita of Egypt directed QMD to obtain their human resources

from Egypt as their salary average is lower than Gulf.

0

10

20

30

40

50

60

70

80

90

100

SaudiArabia

Emirates Egypt Kuwait Qatar Bahrain

24.4

47.7

6.5

41.7

98.9

27.7

GDP per capita (US dollars)

2011

2010

2009

customer relationship) will play an important role to grow QMD business as internet

services is the latest and advanced way of communication

SWOT analysis of QMD enterprise:

Strengths:

1. The health sector reform program initiated in 2010 reflects guiding principles

including Quality system in the hospital.

2. There are limited number of competitors in Gulf countries.

3. Distance between Egypt and the other Gulf countries is short (from 2-3 hrs by

airplane)

4. QQMD has developed complementary innovative services and models to

implement quality management in healthcare e.g. high technology in IT solutions

and consultancy.

5. QQMD provides the first and the only healthcare quality program provided

practical training in the MENA region, designed and specifically to train

healthcare quality professional with quality credentials as TQM AUC diploma

(not fresh field candidates); it’s a custom tailored training program based on real

hospital needs, cover all hospital functions; it's main aim to turn quality into

reality

6. QQMD training program is the only certified program from one of most trusted

and granted educational institutes in Egypt and MENA region “Arab Academy

which considered a unique competitive edge in healthcare quality training market.

7. Highly professional young age consulting team with diversified backgrounds that

include Physicians, pharmacists, nurses and administrative healthcare

professionals as well as their unique pool of qualifications and experience

includes:

a. Certified Professional in Healthcare Quality

b. Hospital Management Diploma

c. The Egyptian Fellowship of Hospital Management

d. Master in Quality Management

e. Total Quality Management Diploma

f. Quality Management Diploma

g. ISO 9001:2008 Internal Auditing Certification

h. Lean Six Sigma Green Belt Certification

i. OSHA – general industry safety and health

j. Infection Control Diploma

k. Access professional Certification

Situational Analysis

Situational Analysis

QMD Quality training &Consultation Enterprise

Situational Analysis

Quality management training

• The MENA region has made remarkable progress over the past three decades in expanding ……….. services in term of improving the ……. status of its population.

• Most of MENA countries specially in Gulf & Egypt are now on track to meet the …….. international standards like ….., …… and …….. standards…etc.

Situational Analysis

PESTAL Analysis

• Political:

In Egypt;

Although the political situation in Egypt is still fluctuating and unstable which give negative sign for starting a new enterprise, the spirit of reform and change in ……… after 25 Jan revolution is spread which may involve structural changes in the ………….system in Egypt.

Situational Analysis

• Although the census of the physician’s fresh graduates in Egypt is very high in Egypt. The economic analysis of the GDP in Gulf countries indicates that the GDP per capita of Qatar, Emirates, Kuwait and Saudi Arabia have the highest values. That indicates healthy economy and higher opportunities for investment in these countries.

0

10

20

30

40

50

60

70

80

90

100

SaudiArabia

Emirates Egypt Kuwait Qatar Bahrain

24.4

47.7

6.5

41.7

98.9

27.7

GDP per capita (US dollars)

2011

2010

2009

Also, the low GDP per capita of Egypt directed QMD to obtain their human resources from

Egypt as their salary average is lower than Gulf.

PESTAL Analysis

Situational Analysis

• Legal:

• To start a new business in Gulf countries The foreigner investor has to have one or more partners from the country whose share is not less than 50% “approximately” of the capital.

• Taxes for foreign investor: ranging from 0% to 20%.

PESTAL Analysis

Situational Analysis

• Weaknesses :

• The strict restrictions of the foreign investment in Gulf countries (foreign capital investment license & minimum subscription amounts )

• Quality training industry is still unknown for many of its customers.• The current market share of QMD is ……%.• The number of QMD staff is small to cover the expected demand • Gulf area in summer specially July and August is suffering from very

high temperature and humidity which may cause decline in some business activities

• QMD competitors instructors has long academic experience in the training field while QMD instructors has long practical experience as QMD team has experience in different Egyptian ………… (private and governmental Sectors)

SWOT Analysis

Situational Analysis

• Threats:

– High taxes of the Gulf countries

(10% in Qatar and 20% in Saudi Arabia)

– The political situation in Egypt is still fluctuating and unstable after the presidential elections which may negatively affects the economic growth of new enterprises

– QMD team members are already committed to many tasks in different fields which may cause a conflict during organizing the enterprise tasks

SWOT Analysis