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“Assessment of HealthcareWaste Management in Egypt”; Ministry of Health & Population (MOHP) /Egyptian Environmental Affairs Agency (EEAA) / UNDP/GEF. Integrated Development Consultants (IDC). (Ref.1.2014)

The proposedUNDP-GEF project aims to protect human and environmental health by reducingreleases of POPs and other hazardous releases (e.g. mercury, lead, etc.)resulting from the unsound management of waste, in particular the incinerationand open burning of hazardous health care waste and electronic waste bydemonstrating and promoting Best Available Techniques (BAT) and BestEnvironmental Practices (BEP) to soundly manage and dispose of such wastes.

Type of services provided:

·            Review availableliterature and provide estimates for unintentional POPs and mercury emissionfrom the healthcare wastes in Egypt;

·            Perform adetailed review of the existing policy, regulatory and legal framework as wellas institutional arrangements for HCWM on the national level,

·            Conduct sitevisits to potential governorates to be covered under the proposed UNDP-GEFproject and identify two governorates suitable for implementation of the GEFPilot Project based on interest of the government, availability of data,willingness of key stakeholders to cooperate on the pilot projectimplementation, interest of international agencies, etc.,

·            Conduct a rapidsurvey for quantities of HCW, using UNDP methodology, in the selectedgovernorates to verify collected data,

·            Holdconsultation meetings with relevant stakeholders on the national andgovernorate levels.

·            Assist inarranging a consultation workshop on HCWM and mercury management initiative.

·            Support theProject Development Expert in the preparation of the GEF Project Documentationsand respond to comments and inquiries from the UNDP-GEF-Project DevelopmentConsultant, as needed.

Period: March 2014 - July 2014.

Client: Ministry of Health & Population (MOHP)    

"Strengthening the National Procurement and Supply-Chain Management System for HIV/AIDS, TB and Malaria in North Sudan". Sudan Ministry of Health/ UNDP; EuroHealth Group Denmark, and Integrated Development Consultants (IDC). (Ref 1 .2008)

The objective of the project was to obtain technical assistance and capacity building in relation to the supply-chain management that would strengthen the existing systems and also will ensure that sub-recipients have adequate access to health projects required to achieve their targets. The aim is to provide long term technical assistance and advisory services over a period of six months regarding supply chain management for TB, HIV/AIDS and Malaria. Furthermore to provide short term interventions in terms of assessment, training and tools development among other areas of support.

Scope of work included:

  • Provide advisory services and support in terms of Supply Chain Management to the Global Fund Medicines Supply Unit (GFMSU) in relation to TB, HIV/AIDS and Malaria, as regards to forecasting, quantification, distribution, storage, inventory, LIMS(Logistics & information management system), good pharmaceutical procurement, competitive procurement planning and implementation;
  • Provide advisory support in preparing bi-annual forecasts for HIV, TB and Malaria commodities;
  • Provide advisory support for budgeting process for HIV, TB and Malaria;
  • Assess the existing systems available at the central, state and locality levels;
  • Develop guidelines and standard operating procedures
  • Develop and conduct training on forecasting and quantification; logistics and information management system; pharmacovigilance and rational drug use for 40 staff at central level and 750 staff at state level;
  • Development of procurement plans
  • Assist with the development of standard operating procedures for procurement processes
  • Assessment of suitability of logistics (storage, distribution, information management systems)
  • Develop specifications of software requirements for the system identified, and ensure the inventory control systems are adequate;
  • Development of a distribution plan;
  • Provide advice regarding the development/improvement of the pharmacovigilance system to collect, monitor, assess and evaluate information from healthcare providers and patients on the adverse effects of medications.
  • Provide advice regarding the establishment/improvement of system to effectively plan and implement rational medicines use practices in the health system;
  • Identify and recommend relevant international courses conducted by relevant institutions regarding the promotion of rational drug use.

Period: March 2008- August 2008.

Client: The Egyptian Environmental Affairs Agency (EEAA)/ DANIDA.

"Helwan Governorate Environmental Action Plan"

Public Health Issues Project

Project objectives:
Within the framework of the Health Sector Reform Programme (HSRP), this assignment focuses on the development of district-level health care delivery system in Kous and Naga Hammady Districts, Qena Governorate; and El Ganaien District in Suez Governorate. The ultimate objective of the assignment is to expand and improve the quality of basic preventive, curative and public health services in the 3 districts through: monitoring and evaluation (M&E) of HSRP activities at all levels; improvement of Human Resources (HR); improvement of Information, Education and Communication (IEC); and improvement of environmental indoor and health care waste management.

Scope of work:

  • develop, discuss & test tools for the M&E of the HSRP activities
  • train selected personnel representing the counterparts on M&E skills;
  • prepare and establish detailed training plans;
  • prepare training courses for the different categories of health personnel in the different topics of public health;
  • prepare & discuss job description & selection criteria for the jobs described in the ToR, as well as preparing Guidelines for the job categories & functions/ purposes;
  • ensure availability of the health promotion materials;
  • prepare community awareness campaigns for orientation with the CHW as well as various community leaders;
  • prepare a list of social activities and events for the clients in the health unit to be implemented by the CHW;
  • define and develop technical specifications and tender dossiers for needed equipment, and transfer of knowledge to the counterparts.


Period: July 2006- December 2006

Client: Ministry of Health and Population/ African Development Bank

Association: High Institute of Public Health (HIPH) and National Institute of Planning (NIP)

Technical Assistance for Training in the Pharmaceutical Sector; Managerial Training

Project objectives:
The assignment eventually aims to improve work relations and professional role emphasis within the health reform policy in Egypt, support the new upgrading and restructuring of the pharmaceutical sector, and help in the implementation of clear drug policies covering such fields as research, quality assurance, registration, and pricing.

Scope of work includes:

  • Develop training materials including curricula, case studies and exercises, power point presentations for the training curricula, trainer and trainee guides, etc.
  • Provide total training solutions including the preparation, coordination, organization and delivery of 17 training programmes for a total of 375 pharmacists within the pharmaceutical sector including both the Central Administration of the Pharmaceutical Affairs (CAPA) and the National Organization for Drug Control and Research (NODCAR). as a fundamental component of the Health Sector Reform Programme.


Period: June 2006- December 2006

Client: Ministry of Health and Population

Association: Euro Health Group (EHG)

Family Medicine Training Programmes at Alexandria, Menoufia, Qena and Sohag Governorates

Project objectives:
The project aims to provide physicians within family health units and centres (FHU & FHC) with necessary knowledge and skills enabling them to deliver the Basic Benefit Package of Health Services as designated in the Health Sector Reform Programme, and achieve necessary accreditation standards. By the end of the training program, the trainees should be able to: differentiate between the health services provided through Primary Health Care units and/or centres and hospitals; anticipate health hazards at different stages of the family life cycle; understand the concept of team work and the leader role of family physician; understand common health care problems; recognise the importance of health education, acquire knowledge about using family health record systems, and acquire efficient clinical skills.

Scope of work:

includes the delivery 50 courses of Family Medicine training programmes for a total number of 1,250 trainees in four governorates: Alexandria (24 courses), Menoufia (14 courses), Sohag (6 courses) and Qena (6 courses). The courses are based on the curriculum provided by the Ministry of Health & Population. Integrated Development Consultants (IDC) is leading the consortium throughout the project. It provides the necessary technical, administrative and logistical backstopping for the management and training teams; participate in the recruitment of the trainers; maintain high-level coordination with the STSP/MOHP; and maintain and oversee all project's accounts and finance.

Period: March 2006- December 2006

Client: Ministry of Health and Population

Association: Zagazig University and Northern Ireland Centre for Health Care (Nicare)

Development of District-level Health Plans in Qena and Suez Governorates

Project objectives:
To prepare district health plans for two districts (Nagaa Hammady and Quos) in Qena and one district (El Ganaien) in Suez. The Master Plan of the districts is developed in a way that reflects how integration would be done maximizing use of existing facilities and providing comprehensive decentralized provision of health services.

Scope of work included inter-alia:

  • developing a facilities/equipment rationalization plan;
  • developing a human resources rationalization plan including development, retraining and distribution of health staff;
  • developing a waste management plan;
  • developing population enrolment guidelines, GIS & decision-support maps;
  • providing training through workshops, seminars and on-the-job training for relevant & selected government counterparts at both central, governorate and district levels;
  • developing an integrated action plan for implementation.

IDC provided twelve (12) senior consultants covering the following fields: institution development, public health, community medicine, training, health information system, GIS, solid waste, health economics, internal medicine, drug logistics, civil engineering and bio-medical engineering.

Period: February 2003 – November 2003

Client: Ministry of Health and Population/the African Development Bank

Association: International Health Development Group (IHDG)

Consultancy Services for Health Care Management at Cairo University Hospitals and Preparation of a National Program for Health Care Waste Management in Egypt

Project objectives:
To evaluate and develop a national strategy for Health Care Waste Management (HCWM) which is applicable and adaptable at health care institutions within the different regions of Egypt. The proposed system will not only be financially and technically sustainable but also environmentally sound and occupationally safe.

Scope of work included:

  • development of a Health Care Waste Management (HCWM) system for Egypt;
  • carrying out a HCWM pilot project at Cairo University Hospitals (CUH) with the aim to: resolve the HCWM problem at CUH and establish efficient and suitable sorting, collection, storage and transfer routines at all departments of CUH, in a manner that is potentially replicable at other health care institutions in Egypt; and,. It is anticipated that by the end of the project a unified HCWM system will be operating at all units belonging to CUH.


Period: May 1999 – July 2000

Client: Egyptian Environmental Affairs Agency/Ministry of Health & Population/ Cairo University/DANIDA

Association: Ramboll

Family Planning Clinics Project in Qena Governorate

Project objective:
Establishing twenty (20) outpatient clinics to deliver family planning and reproductive health services in Qena.

Scope of work included:

  • providing technical assistance to the MoHP and Qena Governorate in the selection of locations;
  • design and construction of clinics, procurement of equipment;
  • recruitment of clinics' staff;
  • design of training curriculum for the staff;
  • design of community education programs;
  • budget planning for operation and formulation of cost recovery plans for the clinics;
  • Supervision of clinics' operation.


Period: January 1996 – June 2000

Client: Ministry of Health and Population (MoHP)/The Commission of the European Communities (EC).

Egypt Cost Recovery for Health Project

The study was undertaken as part of the Egypt Cost Recovery for Health Project, sponsored by the Egyptian Ministry of Health with support from USAID.

Project objective:
To strengthen Health care in Egypt by bringing an appropriate balance among quality of services, adequate revenue base, and ensuring the access of all citizens to health care. Component one of the project was designed to establish or enhance cost recovery systems and to improve health care services in 50 GOE/MoH health facilities. The first of these hospitals was Imbaba General Hospital in metropolitan Cairo. IDC was responsible for conducting the groundwork for planning for financial and service upgrading of this hospital.

Scope of work included:

  • developing appropriate methodologies to measure and identify: the demographic, socioeconomic, and health characteristics of individuals and households,
  • highlighting health experience and patterns of health care service utilization,
  • identifying reasons for provider selection and degree of satisfaction with health services at Imbaba Hospital, the size of the clientele that providers serve, the services offered and prices charged, referral practices, contractual arrangements with insurance companies and employers, and potential demand under improved conditions,
  • Implementing the surveys and conducting the initial analyses.


Period: September 1991 - April 1992

Client: ABT Associates Inc. for USAID/Ministry of Health


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