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Activity Report 123

Cairo Healthy Neighborhood Program:
Situation Analysis with Literature Review
and Stakeholder Meetings
ANE Urban Health Initiative and USAID/Egypt/PHN
by
Carla Rull Boussen with Gamal Zekrie Bisada, Eman Mahmoud
Eltahlawy, Elham Mohamed Fateem, Maha Mohamed Ghobashi,
Magued Helmy Moawad
January 2004
Prepared for the USAID Mission to Egypt
under EHP Project 26568/UH.EGYPT.STAKEHOLDERS

Environmental Health Project
Contract HRN-I-00-99-00011-00
is sponsored by the
Office of Health, Infectious Diseases and Nutrition
Bureau for Global Health
U.S. Agency for International Development
Washington, DC 20523 Contents
Acknowledgements........................................................................................................v
Acronyms and Definitions ............................................................................................ix
About the Authors.........................................................................................................xi
Executive Summary ................................................................................................... xiii
1. Background..............................................................................................................1
2. General Approach to Planning.................................................................................5
3. Situation Analysis....................................................................................................9
A. Approach to Situation Analysis ..........................................................................9
B. Description of Methodology .............................................................................10
4. Stakeholder Meetings.............................................................................................13
A. Approach and Design........................................................................................13
B. Description of Neighborhood Stakeholder Workshop ......................................14
C. Description of Government/Donor Stakeholder Meeting .................................17
5. Key Results............................................................................................................19
A. Basic Sanitation, Clean Water, Clean Air.........................................................19
B. Improved Child Health, Nutrition and Development........................................21
C. Safe Motherhood ...............................................................................................23
6. Analysis of Effectiveness.......................................................................................25
A. What Worked Well ...........................................................................................25
B. What Presented Challenges...............................................................................27
7. Considerations for Next Round of Health Program Development in Cairo
Neighborhoods.......................................................................................................31
Annex A: Situation Analysis Information Collection Framework ..............................33
Annex B: Situation Analysis Findings.........................................................................37
Information from Community Transect Walk .......................................................37 ation From Other Urban Studies.................................................................39
Focus Group and Pairwise Findings ......................................................................42
Annex C: Literature Review........................................................................................47
Child Health Status in Poor Urban Neighborhoods of Egypt ...............................47
Literature Review...................................................................................................47
1. Introduction........................................................................................................49
2. Child Health Status and Indicators in Egypt......................................................51
3. Urbanization and Development of Slum Areas in Egypt...................................59
4. Studies Conducted in Cairo Slum Areas............................................................63
iiiReferences....................................................................................................................71
Annex D: Stakeholder Workshop Agendas .................................................................75
Annex E: Neighborhood Priorities for Action .............................................................77
Basic Sanitation, Clean Water, Clean Air..............................................................77
Improved Child Health, Nutrition and Development ............................................79
Safe Motherhood....................................................................................................82
Annex F: List of Government/ Donor Stakeholder Meeting Participants ...................85
Annex G: List of Actions Carried out Since the Stakeholder Meetings, as of August
15, 2003..................................................................................................................87
ivAcknowledgements
Mr. Ahmad Abdel Hamid, Secretary General of Qalubeya Governorate, for supporting
the situation analysis efforts, participating effectively in the stakeholders meeting and
enabling the relevant governorate officials to participate in both the preparatory work and
the meeting.
Dr. Ahmad El Hennawy, Undersecretary of Ministry of Health and Population, for
his facilitating the participation of concerned MOHP parties in the situation analysis and
the stakeholders meeting, for his own active participation in the stakeholders meeting,
and for his continuous strong support of efforts to improve the health of the urban poor.
v

viiAcronyms and Definitions
ANE Asia and the Near East
ARI Acute respiratory infections
CAPMAS Central Agency for Population Mobilization & Statistics
CDA Community-based Organization
CEOSS Coptic Evangelical Organizatifor Social Services
DHS Demographic and Health Survey
ECRED Experimental Center for Recycling and Environmental
Development
EDHS Egyptian Demographic & Health Survey
EGAT USAID Bureau of Economic Growth Agriculture and Trade
EHP Environmental Health Project
EMICS Egypt’s Multiple Indicator Cluster Survey
ETSA A Village in Minia Governorate
IMR Infant Mortality Rate
INP Institute for National Planning (Egypt)
JSI John Snow, International
MCH Maternal and Child Health
MOHP Ministry of Health and Population (Egypt)
MOLA Ministry of Local Administration
NCCM National Council For Childhood & Motherhood (Egypt)
NGO Non-governmental Organization
NPC National Population Council (Egypt)
ix