The Egyptian government is currently partnering with the United Nations Population Fund Egypt Country Office in order to introduce effective interventions on the administrative aspect of healthcare in the areas that need it the most. As part of the ongoing efforts, this study was conducted to assess the robustness of both the monitoring and evaluation (M&E) of primary healthcare services, and the health information system (HIS) at the level of health districts of the public healthcare sector. It was conducted in Assiut and Sohag governorates, two of the governorates with poorest villages, and highest mortality rates and ratios. The study was conducted in April and May, 2014, and has included two main sections:

1) Developing a master health facility list; conducting a desk review examining the resources and capacities in a representative sample of 30 primary healthcare facilities (17 in Sohag and 13 in Assiut), and comparing the results of the desk review through actual visits to these facilities.

2) A mixed methods study, at the health directorate, health district levels, examining the perspectives of supervisory teams at the health district level on the health system, particularly the monitoring and evaluation and health information systems, and potential areas for improvement. The study also assessed the capacity of the workforce at the health district level to properly conduct its designed role.