Give 2000 Egyptian Families Affordable Health Care

by Shamseya for Innovative Community Healthcare Solutions
Give 2000 Egyptian Families Affordable Health Care
Give 2000 Egyptian Families Affordable Health Care
Give 2000 Egyptian Families Affordable Health Care
Give 2000 Egyptian Families Affordable Health Care
Give 2000 Egyptian Families Affordable Health Care
Give 2000 Egyptian Families Affordable Health Care
Give 2000 Egyptian Families Affordable Health Care
Give 2000 Egyptian Families Affordable Health Care
Give 2000 Egyptian Families Affordable Health Care
Give 2000 Egyptian Families Affordable Health Care
Give 2000 Egyptian Families Affordable Health Care
Give 2000 Egyptian Families Affordable Health Care
Give 2000 Egyptian Families Affordable Health Care
Give 2000 Egyptian Families Affordable Health Care
Give 2000 Egyptian Families Affordable Health Care
Give 2000 Egyptian Families Affordable Health Care
Give 2000 Egyptian Families Affordable Health Care
Give 2000 Egyptian Families Affordable Health Care
Give 2000 Egyptian Families Affordable Health Care
Give 2000 Egyptian Families Affordable Health Care
Give 2000 Egyptian Families Affordable Health Care
Give 2000 Egyptian Families Affordable Health Care
Give 2000 Egyptian Families Affordable Health Care
Give 2000 Egyptian Families Affordable Health Care

World Bank statistics indicate that most Egyptians resort to spending on health services directly from their own pocket, amounting to about 61% of the total expenditures, despite the eligibility of about 60% of Egyptians to government health insurance services, but only a quarter of the eligible group benefits from it due to Lack of confidence in the quality of the services provided or lack of awareness of the covered services and the eligible categories!

 

In the context of that, we are happy to achieve a new success story that helped save thousands of pounds on a family that was surprised by the disease a few days before the holidays. The story begins when a woman in her fifties fell into a sudden hepatic coma and her daughter resorted to going to a specialized hospital in the vicinity of the residence. To save the life of the woman, only to find herself after two days, demanding to pay about 2000 pounds per day for the unstable condition, even though the patient has a proven job and therefore the right to the health insurance umbrella!

 

It only took a few minutes to assist the case, during which the necessary steps for the health insurance to bear those costs were reviewed by referring to the steps taken by one of the similar cases. Immediately it was informed of the required paper details and the addresses of the parties to be visited to extract those details and follow up the case after a day to ensure that those procedures are implemented .The case informs us that the health insurance has already issued a decision to bear all expenses for a period of 10 days (renewable) from the date of the case's admission to the hospital, that is, approximately saving about 20,000 pounds on the family because of one piece of information!

 

“Thank you, I, without you, would not have been able to do all this.” This is the sentence that the patient’s daughter sent us, expressing her gratitude for the information that she benefited from the services of el Nase7 project, and we celebrate that and thank you also for the continuous support that always helps us to reach larger groups and protect more families. 

 

The necessary development of case management systems and the information base and data that we access requires us to continuously update it and in the coming period we are allocating larger budgets to access newer technologies that help us document more information and better manage cases. Your continuous support for the project will help us save the future of dozens of families. 

 

We thank you on behalf of every family who participated in protecting their future. 

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We hope your year started as blissfully and wonderfully as ours. We wanted to celebrate with you, our kind supporter,  our highlight of the year so far. 

“The patient shall receive regular treatment sessions at a cost of 10,000 EGP fully covered by the social health insurance according to the court ruling.”

In january 2022, we finally were able to read this sentence on the merits of the ruling for the lawsuit our team took for Haneen. A sum up if you didn’t get the chance to know more about this case:  Haneen, a 9 years old school girl ,suffering from a rare congenital blood vessel disease, is in need of an expensive interventional radiology procedure every 2 months. Since the insurance coverage for school students refused to cover the full cost of this intervention, her family saw its savings dissipate a month after the other, till they had to sell their house furniture. 

After numerous attempts to support her in accessing the services she is entitled to, we decided to file a lawsuit on her behalf, not only to give her access to the medical care she needs, but also to pave the way for many other patients who are denied the services they are in dire need of.

Our team has successfully given her the support and secured her donations for the treatment since March 2021, and the final administrative court verdict for this case was positive in Haneen’s favor. She finally can now have access to the healthcare service she is entitled to.  As her family has no fixed income resource, our team’s efforts, with your kind support, made a big difference in providing the administrative as well as the legal support to the family throughout this case management in various ways ; through establishing successful partnerships and grouping the efforts to guarantee the winning of the case. This is our chance to thank the dedicated team of lawyers at the Egyptian Initiative for Personal Rights for taking on this case and delivering this verdict.

2022 marks Shamseya’s 10th anniversary, we promise to make it one of our most distinguished years full of achievements and support to more families in accessing their entitlements of insurance coverage, affordable healthcare and medical services their families need. 

We will keep you posted with our upcoming achievements very soon.

On behalf of our team, we thank you for your kind support and we wish you and your families the best health and wellbeing. 

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As we welcome a new year full of hope and ambitious plans, we couldn't let the last hours of 2021 pass without celebrating with you our most impactful month yet.

Thanks to your heart-warming support and generosity, the outreach campaign we launched on December 12th has been keeping our team busy, blessed and bustling. In just 2 weeks, we have supported over 450 families in accessing their entitlements of insurance coverage, affordable healthcare and medical services their families needed: Breadwinning women, school children, retired workers and new-borns to name a few. 

In addition, our team has gone one step further in our quest to ensure Egyptians are accessing the healthcare services they are entitled to: Haneen, a 9 years old school girl suffering from a rare congenital blood vessels disease, is in need of an expensive interventional radiology procedure every month. Since the insurance coverage for school students refused to cover the full cost of this intervention, her family saw its savings dissipate a month after the other, till they had to sell their house furniture. After numerous attempts to support her in accessing the services she is entitled to, we decided to file a law suit on her behalf, not only to give her access to the medical care she needs, but also to pave the way for many other patients who are denied the services they are in dire need of.

As we await the final administrative court verdict for this case, we wanted to share with you this excerpt from the state commissioner's report, recommending the court to rule in favor of Haneen: 

"...it is established that any denial of the needed medical services to the plaintif constitutes a clear violation of constitutional and legal rights, specially as the medical condition of the patient cannot bear procedural or bureaucratic delays, which the authority seems to be taking a way to renounce from its obligations towards its constituents..."

We will keep you informed with the outcome of the case of Haneen which is expected to unveil in the upcoming months.

2022 comes with new milestones for our project, promising to take our impact to communities and families beyond our current reach. We can't wait to be sharing with you, our kind supporter, what we're planning for throughout 2022.

With that, we wish you a fulfilling and blessed new year, full of health and wellbeing to you and your loved ones.

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Today, the world is celebrating Universal Healthcare Coverage Day. As a global pandemic is persistently redefining every aspect of our future; as key healthcare players and right to health advocates are reminding governments of their pledges for #HealthForAll; our team at Shamseya is taking this work to new grounds of implementation.

We’re enrolling families in health insurances, supporting communities in restructuring their relationships with their local healthcare providers; we’re giving people access to treatment, enabling others to have a voice that shapes how healthcare policies are made; we’re tabling complaints, filing law suits, providing information, raising awareness; we’re handling bureaucracy and supporting families in their quest for healthcare services that are appropriate, affordable and effective.

Today we are expanding our reach, partnering with local NGOs to support more families and planning for a new year of grand work that will taking our impact to the a new depth.

As we send you this last update during 2021, this is chance for us to thank you for your incredible support that makes our work possible.

We also invite you for the first time to help us spread the word: We made this 1 minute video to explain in simple terms what we do. Spread it out, share it around and do let people know how they can support by referring to the project's donations page on GlobalGiving.

 

We also invite you to send the arabic version of this video to Egyptian individuals and families you believe can benefit from our help. 

We wish you the merriest holidays and we hope the new year brings you and your family the best health and wellbeing.

Links:

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On Saturday, as we celebrate Universal Children’s Day, we’re here to tell you how your continuous support made it possible to provide healthcare to Mazen, the baby boy our project just helped.

“When I heard the words “Mazen needs to perform nuclear scanning”, I was in a state of shock: This is a procedure that I can’t possibly afford! What will I do? I contacted Shamseya and their project El Naseh. It was the first time for me to know that a one year old boy can be covered by governmental health insurance. They guided me through the paperwork till he performed the procedure. I am very happy that I managed to fulfil my son’s right of receiving proper healthcare, and I am very grateful to El Naseh. They illuminated my life in the moment I was really in the dark, with no hope.”

Many Egyptians are unaware of their entitlements in healthcare. This is especially true for low income families working in the informal sector. As most insurance schemes are directly related to having a formal employment, most families do not know that their children are insured by the government, even before entering schools.

Mona was one of those single parents with limited income, who was putting her family in dire financial restraints in order to treat her baby. Mazen has just passed his first birthday, but he suffers from congenital kidney problems. His mother, in addition to supporting her family, had to pay exorbitant costs to attend to her son’s medical needs. 

After collecting the needed data and analysis of the case, our team informed Mona that her boy is entitled to a state sponsored healthcare coverage from the social health insurance scheme. We took care of her paperwork and succeeded in enrolling her son to benefit from services provided to preschoolers by the Health Insurance Organization.

Immediately after his registration, Mazen underwent a specialized medical examination, carried out a full renal nuclear scan and was guided into the evidence-based treatment plan suitable to his condition.

We are still following-up with Mazen and his mother, to make sure they get all the medical services he needs. He is most likely to undergo a much needed surgery and our role is to make sure this is done in the best possible way, without having to borrow, or to spend all of their limited income to receive the healthcare they need. 

Through your support and the reletently work of our team, we are helping Mazen and hundreds of families in accessing the healthcare services they need while saving their limited income. Making information accessible to them is a necessity that paves the way to empowered families, capable of accessing the services they need in an affordable way that doesn’t affect their livelihood.

 

(Names have been intentionally changed to maintain the privacy of our patients. Photos used are generic, taken with the consent of its subjects)

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Organization Information

Shamseya for Innovative Community Healthcare Solutions

Location: Cairo - Egypt
Website:
Facebook: Facebook Page
Twitter: @ShamseyaEG
Project Leader:
Ayman Sabae
Cairo, Egypt
$39,386 raised of $50,000 goal
 
297 donations
$10,614 to go
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