Review of Trends, Policies and Programmes Affecting Nutrition and Health in Egypt (1970-1990)













Table of Contents


by

Heba Nassar, Wafaa Moussa, Amin Kamel, and Ahmed Miniawi

Consultants: Mamdouh Gabr & Mohamed Amr Hussein

January 1992

UN ACC/SCN country case study for the XV Congress of the
International Union of Nutritional Sciences,
September 26 to October 1, 1993, Adelaide.

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Table of Contents


UNITED NATIONS ADMINISTRATIVE COMMITTEE ON COORDINATION - SUBCOMMITTEE ON NUTRITION (ACC/SCN)

FOREWORD

ACKNOWLEDGMENT

I. INTRODUCTION

Objectives of the Study
Background of the Study
Theoretical Framework

II. MAIN HEALTH AND NUTRITION PROBLEMS: A TREND ANALYSIS OF THE SITUATION

Neo-Natal, Post-Neonatal, Infant Child Mortality Rates and Maternal Mortality Rates
Protein Energy Malnutrition (PEM) and Growth Pattern
Anemia (Iron Status)
Over Nutrition
Other Problems
Functional Consequences of Malnutrition

III. BASIC SOCIO-ECONOMIC CHARACTERISTICS OF EGYPT

Main Political Trends in Egypt
Demographic Characteristics
Development Strategy and Policies

IV. DETERMINANTS OF HEALTH AND NUTRITION STATUS IN EGYPT

Section One: Dietary Practices
Supply of Food: (Household Food Security)
Government Policies in Egyptian Agriculture
Agricultural Policy Instruments
Investment Allocation Pattern in Agriculture
Impact of the Agricultural Policy and Investment Allocation Pattern on the Nutrition Status of Egyptians
The Contribution of Selected Food Groups to Dietary Energy Supply "DES"
Egyptian Rationing and Food Subsidy
Agricultural Policy Reforms 1986-1988
Major Agricultural Policy Reform Objectives in the Period 1990-1993
Expected Impact of Agricultural Policy Reform on Agricultural Production
Demand on Food and Health Services
Incomes
Income Effects of the Reform in the Agricultural Policy
Income Effects for Urban Households
Prices of Food and the Egyptian Ration System and Subsidies
Food Consumption and Intake
Nutrient Intake and Variation with Different Factors
Infection in Egypt
Health System in Egypt
Health Policies and Priorities in the Seventies and Eighties
Effects of the Changes in the Health Policies Over the Seventies and Eighties on the Health Sector
Main Health Interventions
Impact on Cases of Severe Dehydration Among Children
Impact on Infant and 1-4 Year Child Mortality Due to Diarrhea
Child Survival Project (CSP)
Family Health History (Caring Capacity)
Caring Capacity
Caring Capacity Within the Society
Environment
Infant and Child Feeding
Family Planning Policies and Child Spacing
Nutritional and Health Interventions Affecting Family Health

V. ASSESSMENT OF HEALTH AND NUTRITION STATUS IN EGYPT OVER THE 1970s AND 1980s

Main Findings of the Study
Major Trends in the Health and Nutrition Status
Socio-Economic Characteristics
Trends in the Determinants of Health and Nutrition Status in Egypt
Demand of Food and Consumption Pattern
Infection and Accessibility of Health Services
Family Health History and Caring Capacity
Trend Analysis
Summary of Trends in Nutritional and Health Status Over the 1970s and 1980s (Incidence-Impact Analysis)
Functional Consequences of Malnutrition in Egypt
Basic Socio Economic Characteristics Impact
Assessment of the Main Findings
Relative Importance of the Different Components: Food Security, Accessibility to Health Services and Caring Capacity
Nutritional Aspects in the Socio-economic Plans in Egypt
Policy Recommendations (Futuristic Approach)
Flexibility in Policy Making
Prioritization of Policies and Interventions in Egypt
Inter-sectoral Policy Action
Community Oriented Policies

REFERENCES