Evaluation Summary - Social protection policy-based loan, Egypt

The objective of AFD’s intervention was to improve the equity and financial sustainability of the social protection system. It was structured around two pillars: 

• supporting the implementation of the Universal Health Insurance Law (UHIL);
• strengthening the capacity of the EJU to monitor social protection policies and improve spending efficiency. 

PBL was aligned not only with health strategies as outlined in the 2030 strategy but also with the objective to contribute to decreasing poverty which is caused by sickness and cost of treatment. It also promoted aspects of gender equity.

Policy matrix indicators / triggers were found to be realistic and performance, based disbursement provided the UHIL reform with the required pace. Achievement of two triggers were delayed due to Covid-19 and other required procedures in Egypt.