{"id":17303,"date":"2025-09-20T18:52:27","date_gmt":"2025-09-20T16:52:27","guid":{"rendered":"https:\/\/zawia3.com\/?p=17303"},"modified":"2026-10-24T15:03:59","modified_gmt":"2026-10-24T13:03:59","slug":"ambulance","status":"publish","type":"post","link":"https:\/\/zawia3.com\/en\/ambulance\/","title":{"rendered":"Out of Reach: Egypt\u2019s Ambulance Failures Put the Right to Care at Risk"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">When Amira, twelve years old, fell from the first floor and began fighting for her life, her family did not think of calling an ambulance. Their neighbour quickly carried her and took the nearest &#8220;tuk-tuk&#8221; in an attempt to save her life. But this was not the case years ago, when the Egyptian ambulance was considered the nearest and most reliable option for saving patients, especially in critical cases.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Her mother, Asmaa Youssef (42), from Sohag Governorate, tells Zawia3: &#8220;In the past, the ambulance was a safe haven and a lifeline in crises, but things have changed. Today, we do not dare wait for it, because it may not arrive in time, or it may come with hardly any equipment.&#8221;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">She adds: &#8220;In Amira&#8217;s case, the nearest hospital was only ten minutes away, and yet we did not consider the ambulance an option, because of previous experiences in which the response was delayed by more than an hour and a half. People today act according to the rule: &#8216;save yourself by yourself&#8217;, because relying on the ambulance may mean condemning the patient to a slow death.&#8221;<\/span><\/p>\n<blockquote><p>Over the past years, the Egyptian Ambulance Authority has suffered from chronic structural and material <a href=\"https:\/\/www.almasryalyoum.com\/news\/details\/3114008\">problems<\/a>. A number of drivers, paramedics and employees who spoke to Zawia3 agree on low wages, long working hours, and the absence of the capabilities necessary to provide fair treatment services to patients.<\/p>\n<p>Workers affirm that a large proportion of the ambulances in service have exceeded their lifespan by decades. Many paramedics also work in harsh conditions that lack the minimum of equipment, such as blood pressure or oxygen devices, and sometimes even cardiac resuscitation devices. Some vehicles, as they pointed out, contain nothing but a stretcher, which makes the paramedic&#8217;s work more like a gamble, and turns the patient, as they describe it, into a passenger threatened with death.<\/p>\n<p>The crisis is not limited to the shortage of equipment, but extends to a shortage of human cadres. The number of qualified paramedics is not proportionate to the size of the population or the number of daily calls, at a time when the authority oversees thousands of cases every day.<\/p><\/blockquote>\n<p><span style=\"font-weight: 400;\">According to data from the Egyptian Ambulance Authority, the ambulance fleet<\/span><a href=\"https:\/\/www.dostor.org\/5081146#:~:text=%D9%88%D8%A3%D8%B6%D8%A7%D9%81%20%D8%B1%D8%A6%D9%8A%D8%B3%20%D9%87%D9%8A%D8%A6%D8%A9%20%D8%A7%D9%84%D8%A5%D8%B3%D8%B9%D8%A7%D9%81%20%D8%A7%D9%84%D9%85%D8%B5%D8%B1%D9%8A%D8%A9%D8%8C%20%D8%AE%D9%84%D8%A7%D9%84%20%D8%A7%D8%AD%D8%AA%D9%81%D8%A7%D9%84%D9%8A%D8%A9,%D9%88%D8%AA%D8%B3%D8%A7%D8%A8%D9%82%D9%88%D8%A7%20%D9%84%D8%AA%D9%82%D8%AF%D9%8A%D9%85%20%D9%8A%D8%AF%20%D8%A7%D9%84%D8%B9%D9%88%D9%86%20%D9%84%D9%84%D8%A3%D8%B4%D9%82%D8%A7%D8%A1%20%D8%A7%D9%84%D9%81%D9%84%D8%B3%D8%B7%D9%8A%D9%86%D9%8A%D9%8A%D9%86%20%D9%88%D8%A7%D9%84%D8%B3%D9%88%D8%AF%D8%A7%D9%86%D9%8A%D9%8A%D9%86.\"> <span style=\"font-weight: 400;\">comprises<\/span><\/a><span style=\"font-weight: 400;\"> about 3,300 vehicles as of October 2024, with plans<\/span><a href=\"https:\/\/www.youm7.com\/story\/2024\/12\/9\/%D9%88%D8%B2%D8%A7%D8%B1%D8%A9-%D8%A7%D9%84%D8%B5%D8%AD%D8%A9-%D8%B4%D8%B1%D8%A7%D8%A1-1000-%D8%B3%D9%8A%D8%A7%D8%B1%D8%A9-%D8%A5%D8%B3%D8%B9%D8%A7%D9%81-%D9%84%D9%85%D8%B4%D8%B1%D9%88%D8%B9-%D8%AD%D9%8A%D8%A7%D8%A9-%D9%83%D8%B1%D9%8A%D9%85%D8%A9\/6801195#:~:text=%D9%82%D8%A7%D9%84%D8%AA%20%D9%87%D9%8A%D8%A6%D8%A9%20%D8%A7%D9%84%D8%A5%D8%B3%D8%B9%D8%A7%D9%81%20%D8%A7%D9%84%D9%85%D8%B5%D8%B1%D9%8A%D8%A9%20%D8%A5%D9%86%D9%87%20%D8%AA%D9%85%20%D8%B4%D8%B1%D8%A7%D8%A1,%D9%85%D8%A7%20%D8%A8%D9%8A%D9%86%20%D8%AA%D8%B7%D9%88%D9%8A%D8%B1%20%D9%88%D8%A5%D8%AD%D9%84%D8%A7%D9%84%20%D9%88%D8%AA%D8%AC%D8%AF%D9%8A%D8%AF%20%D9%88%D8%A5%D9%86%D8%B4%D8%A7%D8%A1%20%D8%AC%D8%AF%D9%8A%D8%AF.\"> <span style=\"font-weight: 400;\">to add<\/span><\/a><span style=\"font-weight: 400;\"> 1,000 new vehicles as part of the &#8220;Decent Life&#8221; initiative. But this number, despite its increase, is still far from meeting international standards, as the World Health Organization<\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8297583\/\"> <span style=\"font-weight: 400;\">recommends<\/span><\/a><span style=\"font-weight: 400;\"> providing one ambulance for every 50,000 people in urban areas, which means that Egypt needs about 2,080 additional vehicles to reach the minimum. In addition, the distribution of ambulances in Egypt faces major geographical challenges that affect the efficiency of emergency services. Most ambulances are concentrated in the major urban areas such as Cairo and Alexandria because of high population density, while remote governorates such as New Valley and North and South Sinai suffer from a noticeable shortage of vehicles.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In addition, ambulances in Egypt face challenges related to the availability of vital equipment such as ventilators and vital-signs monitors, especially in some areas;<\/span><a href=\"https:\/\/www.youm7.com\/story\/2024\/11\/9\/%D8%B1%D8%A6%D9%8A%D8%B3-%D9%87%D9%8A%D8%A6%D8%A9-%D8%A7%D9%84%D8%A5%D8%B3%D8%B9%D8%A7%D9%81-%D9%83%D8%A7%D9%81%D8%A9-%D8%A7%D9%84%D8%AE%D8%AF%D9%85%D8%A7%D8%AA-%D8%A7%D9%84%D8%A5%D8%B3%D8%B9%D8%A7%D9%81%D9%8A%D8%A9-%D8%A7%D9%84%D8%B7%D8%A7%D8%B1%D8%A6%D8%A9-%D9%85%D8%AC%D8%A7%D9%86%D8%A7-%D9%88%D8%AA%D8%B9%D8%AA%D9%85%D8%AF-%D9%81%D9%89\/6770350#:~:text=%D9%88%D8%AA%D8%AA%D8%B1%D8%A7%D9%88%D8%AD%20%D8%AA%D9%83%D9%84%D9%81%D8%A9%20%D9%86%D9%82%D9%84%20%D8%A7%D9%84%D8%AD%D8%A7%D9%84%D8%A7%D8%AA%20%D8%BA%D9%8A%D8%B1,%D8%A5%D9%84%D9%89%209100%20%D8%AC%D9%86%D9%8A%D9%87%D8%8C%20%D8%AD%D8%B3%D8%A8%20%D8%A7%D9%84%D9%85%D8%B3%D8%A7%D9%81%D8%A9.\"> <span style=\"font-weight: 400;\">reports<\/span><\/a><span style=\"font-weight: 400;\"> indicate that part of the ambulance fleet may lack advanced medical equipment, which affects the quality of care while patients are being transported. Despite the efforts made to modernise the fleet, there is still an urgent need to equip all vehicles with the necessary equipment to ensure an effective response in emergencies.<\/span><\/p>\n<p>&nbsp;<\/p>\n<blockquote class=\"wp-embedded-content\" data-secret=\"gymxkyWqMs\"><p><a href=\"https:\/\/zawia3.com\/ambulance-workers\/\">\u0625\u0633\u0639\u0627\u0641 \u0628\u0644\u0627 \u0625\u0646\u0635\u0627\u0641.. \u0643\u064a\u0641 \u062a\u062a\u062c\u0627\u0647\u0644 \u0627\u0644\u062d\u0643\u0648\u0645\u0629 \u0627\u0644\u0645\u0635\u0631\u064a\u0629 \u062d\u0642\u0648\u0642 \u0627\u0644\u0645\u0633\u0639\u0641\u064a\u0646\u061f<\/a><\/p><\/blockquote>\n<p><iframe class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"\u201c\u0625\u0633\u0639\u0627\u0641 \u0628\u0644\u0627 \u0625\u0646\u0635\u0627\u0641.. \u0643\u064a\u0641 \u062a\u062a\u062c\u0627\u0647\u0644 \u0627\u0644\u062d\u0643\u0648\u0645\u0629 \u0627\u0644\u0645\u0635\u0631\u064a\u0629 \u062d\u0642\u0648\u0642 \u0627\u0644\u0645\u0633\u0639\u0641\u064a\u0646\u061f\u201d \u2014 \u0632\u0627\u0648\u064a\u0629 \u062b\u0627\u0644\u062b\u0629\" src=\"https:\/\/zawia3.com\/ambulance-workers\/embed\/#?secret=B4eOyelETu#?secret=gymxkyWqMs\" data-secret=\"gymxkyWqMs\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe><\/p>\n<p>&nbsp;<\/p>\n<h1><b>Delayed Response: Its Price Is Lives<\/b><\/h1>\n<p><span style=\"font-weight: 400;\">The Ambulance Authority announces that the average response time for emergency cases is 8 minutes, but this figure contradicts the reality on the ground; testimonies of citizens speaking to Zawia3 reveal that ambulance delays can reach an hour in congested areas such as downtown Cairo or in remote governorates. On 10 May 2025, the child Sofia<\/span><a href=\"https:\/\/www.almasryalyoum.com\/news\/details\/3458902#google_vignette\"> <span style=\"font-weight: 400;\">died<\/span><\/a><span style=\"font-weight: 400;\"> after a traffic accident on the Wadi El-Natrun\u2013El Alamein road because the ambulance was 25 minutes late and its route was changed to a more distant hospital, which meant it took 50 minutes to reach the hospital.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Sofia&#8217;s case<\/span><a href=\"https:\/\/www.elbalad.news\/6574875\"> <span style=\"font-weight: 400;\">sparked<\/span><\/a><span style=\"font-weight: 400;\"> widespread public anger, with posts on social media demanding justice under the hashtag &#8220;Sofia&#8217;s right must be restored&#8221;. The Minister of Health, Dr. Khaled Abdel Ghaffar, responded by ordering an urgent investigation, and the investigations later confirmed the paramedic&#8217;s negligence.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Reports indicate that ambulance delays in Egypt are linked to several factors, including traffic congestion, a shortage of trained staff, and weak coordination between agencies. For example, the Egyptian Ambulance<\/span><a href=\"https:\/\/www.vetogate.com\/4467530\"> <span style=\"font-weight: 400;\">Authority<\/span><\/a><span style=\"font-weight: 400;\"> stated in 2021 that misuse of the emergency number 123 leads to delays, as the centre receives unnecessary calls that deprive the injured of chances of survival. The unequal distribution of ambulances also makes a rapid response in remote areas more difficult.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"> In the village of &#8220;Mit Rakab&#8221; in Sharqia Governorate, Karim Ali (29) died after suffering a heart attack in the middle of the night. His sister, Naglaa, tells Zawia3: &#8220;We notified the ambulance at three in the morning, and they knew the case was an emergency, yet the vehicle did not arrive until about 40 minutes later. By then, Karim had passed away.&#8221; She adds: &#8220;The vehicle came without a doctor, just a driver and an ill-equipped paramedic who had no medical tools or first aid with him. He said to us: (We are sorry&#8230; the case slipped out of our hands).&#8221; Naglaa affirms her faith in God and in fate and destiny; at the same time, she affirms that had the ambulance been equipped, it would have been able to save her brother, and she asks: do those running the system bear the guilt for his death?<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In the city of Maghagha in Minya Governorate, a girl suffered a deep wound in her thigh after a pane of glass fell on her. Her mother, Siham Ibrahim, recounts the story to Zawia3: &#8220;I called the ambulance more than once, to no avail. No one answered us. So we were forced to take her in our own car. She was bleeding all the way.&#8221; Siham continues: &#8220;There should have been an ambulance point nearby, or at least an effective coordination mechanism. We are not asking for a miracle, just a decent life, and an emergency medical service that respects time and human beings.&#8221;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In Kafr El-Dawar in Beheira Governorate, a serious injury occurred inside a factory. Emad Mahrous, a worker there, says that his colleague suffered severe bleeding from the head after a metal tool fell on him: &#8220;We called the ambulance, and it took half an hour to arrive, and when it came, the vehicle was not equipped with any medical tools. No compresses, no devices, no resuscitation; we were the ones who had to stop the bleeding with our own primitive means.&#8221; Emad asks: &#8220;What is the use of a vehicle that does not carry its tools? How can we call it an &#8216;ambulance&#8217;? What I saw was closer to a private transport vehicle than to an emergency unit.&#8221;<\/span><\/p>\n<h1><b>Inhumane Working Conditions<\/b><\/h1>\n<blockquote><p><span style=\"font-weight: 400;\">Drivers and paramedics suffer too. Ahmed, an ambulance driver who has worked for more than 12 years in Sharqia Governorate, tells Zawia3: &#8220;We work in conditions no human being can bear, and yet no one feels for us. During night shifts, we sometimes go out alone without a paramedic, because of the shortage of medical crews, and we are forced to deal with cases unsafely. On top of that, we are sometimes assaulted by patients&#8217; families because of late arrival or poor equipment, and yet there is no adequate protection for us, neither physical nor legal.&#8221;<\/span><\/p><\/blockquote>\n<p><span style=\"font-weight: 400;\">Ahmed adds: &#8220;The vehicles are old and some of them are not fit to travel long distances. We sometimes spend our own money on the vehicle so that we can move, and work-hazard allowances are not paid regularly. There is no fairness in the distribution of incentives, and no respect for our demands to raise wages or reduce working hours, which can sometimes reach 16 consecutive hours.&#8221;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For his part, Hossam, a paramedic working on one of the rapid ambulance lines in Greater Cairo, affirms that the service suffers from a severe shortage of personnel, and says: &#8220;We deal with a daily number of calls that exceeds our capacity, and sometimes we are asked to intervene in simultaneous incidents at distant locations without any support or prior planning. We reach many calls too late, and we are surprised to find the call recorded on the system as &#8216;dealt with&#8217;.&#8221;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">He adds: &#8220;We pay the price as workers, whether through blame from families or by being held responsible for the delayed response, even though the fault lies with the administration and the weak capabilities.&#8221; He adds: &#8220;We do not receive sufficient training courses, and there is no clear plan to develop our skills or improve the work environment. Even the uniform and medical supplies we sometimes buy at our own expense. We are the weakest link in a system suffering from chronic administrative slackness.&#8221;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As for Mona, who works at the central communications centre of the Ambulance Authority in Cairo, she tells us: &#8220;Every day I receive hundreds of calls from citizens screaming for help. We record them and pass them on to the nearest ambulance unit, but often there is no vehicle available. I have to repeat the phrase: &#8216;It will arrive as soon as possible&#8217;, while I know that the wait may stretch for hours, or that the vehicle will never come.&#8221;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Mona continues: &#8220;We feel enormous psychological pressure, not because we are negligent, but because the system is unable to respond with the required speed. Some think the fault is ours, but the truth is that the shortage in the fleet and staff is the real cause.&#8221; She adds: &#8220;There is no direct communication with officials to develop work mechanisms or improve the performance of the digital system; we work with weak tools in the face of huge needs.&#8221;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Likewise, Tarek, a paramedic in Assiut Governorate, describes the nature of his work as &#8220;psychologically and physically exhausting&#8221;, and says, speaking to Zawia3: &#8220;We deal with serious cases in difficult conditions, especially in rural or mountainous areas where the roads are unpaved and the vehicles cannot withstand the hardship of the journey. We sometimes arrive too late, and everyone throws the blame on us, even though we work at full capacity.&#8221;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">He adds: &#8220;The staff shortage crisis is chronic, and most colleagues suffer from exhaustion and psychological pressure, especially with low salaries and the absence of any psychological or social support. We try as much as possible to save lives, but without real capabilities. Some resign and others wait for a better job opportunity, because the situation cannot go on.&#8221;<\/span><\/p>\n<p>&nbsp;<\/p>\n<blockquote class=\"wp-embedded-content\" data-secret=\"Gw23JqIZA5\"><p><a href=\"https:\/\/zawia3.com\/en\/doctors-2\/\">Repercussions of Abolishing Doctors&#8217; Appointments in Egypt<\/a><\/p><\/blockquote>\n<p><iframe class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"\u201cRepercussions of Abolishing Doctors\u2019 Appointments in Egypt\u201d \u2014 \u0632\u0627\u0648\u064a\u0629 \u062b\u0627\u0644\u062b\u0629\" src=\"https:\/\/zawia3.com\/en\/doctors-2\/embed\/#?secret=a4jeUQIQWH#?secret=Gw23JqIZA5\" data-secret=\"Gw23JqIZA5\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe><\/p>\n<h1><b>Negligence and Bureaucracy<\/b><\/h1>\n<p><span style=\"font-weight: 400;\">Mahmoud Fouad, head of the Egyptian Center for the Right to Medicine, says that throughout the world the ambulance is considered &#8220;the first saviour of lives&#8221;, preceding in importance admission to the hospital itself, and it is the first tool for rescuing the injured and the sick, whether in accidents or in emergency cases at home, especially during the night. He adds that ambulance services have developed to include transferring patients between hospitals, or searching for an intensive care bed, and these have become paid services.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Fouad explains, speaking to us, that Egypt currently has about 3,300 ambulances, according to what the Minister of Health announced, a figure that is &#8220;very small&#8221; compared with a population of more than 110 million, stressing that this figure should at least double. He talks about the unique history of how the ambulance service came into being in Egypt, which began with an idea from an Italian doctor named &#8220;Fideo&#8221; who was living in Cairo in 1902, when a cholera epidemic was spreading in Alexandria; the idea of transporting patients to sanatoriums began, and from there ambulances appeared, which later developed to become an essential part of the Egyptian health system.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Fouad points out that the Ambulance Authority became official in 2009, after it was based on a law prepared in the era of former President Hosni Mubarak, and it was then rolled out nationwide through more than 3,000 points. Over time, ambulances resembling mobile clinics appeared, equipped to transport the patient quickly to the nearest hospital.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Despite this development, the system faces several challenges, most notably weak human resources, as nursing school graduates are not keen to work in the ambulance service, in addition to the acute shortage of specialised doctors, especially since an ambulance doctor must be trained to provide first aid such as cardiac resuscitation or dissolving clots as quickly as possible, because time is the decisive factor in saving lives.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Fouad also draws attention to the most important obstacle facing ambulances, which is traffic, saying: &#8220;Sometimes the ambulance stays screaming in the street and no one makes way for it. This happened to me personally when my mother was in an ambulance and we were stuck on top of the Mazallat Bridge; an altercation broke out between me and a police checkpoint that was obstructing traffic, and when the vehicle moved I could no longer catch up with it.&#8221;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">He adds that the state has begun trialling an ambulance service linked automatically, via computers, to the nearest ambulance point, which reduces response time, but he explains that the application still needs development. He mentions an incident that recently happened to a doctor on the Wadi El-Natrun road, when it took him a long time to reach the hospital, and his daughter died because of the delay in returning the ambulance to Wadi El-Natrun Hospital after the injured were diverted to scattered hospitals, in clear violation of the emergency protocol, which led to the matter being referred to the prosecution.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Fouad points out that there are also societal behaviours that represent a burden on the ambulance system, such as false reports or using the number without a real emergency, but these have declined since lines were linked to phone numbers registered in their owners&#8217; names. Speaking about the current geographical distribution of ambulances, he explains that there are points spread across the governorates and cities, which can serve other cities depending on the nature of the calls. But he stresses the need to develop these vehicles and equip them with a complete medical crew, not merely a driver and an assistant.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">He says that the crisis also extends inside hospitals, where ambulances are sometimes forced to wait a long time until a bed is found or instructions are issued by doctors, even though the hospital is supposed to be prepared in advance on the basis of the medical call, so that the patient receives immediate care upon arrival.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Fouad criticises what he describes as the &#8220;medical vacuum&#8221; inside public hospitals, which should have doctors specialised in emergency medicine, a speciality that exists in countries around the world but is almost absent in Egypt because of the shortage of doctors.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Fouad points to the pioneering role played by the founder of the official ambulance service in Egypt, and then to the efforts made by Dr. Hany Gemeia, the current governor of Fayoum, during his previous work in the Delta to develop ambulance services, drawing on his being one of the graduates of the Presidential Leadership Programme.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Regarding private ambulance services, Fouad says that there are about seven companies affiliated with the ministry that provide paid ambulance services to citizens, and these services are priced per kilometre, whether for transporting a child to an incubator or transporting a patient from one governorate to another because the required speciality is not available in their own governorate, which he describes as &#8220;unfair&#8221;, affirming that health care is the right of every citizen, and stressing that these problems combined require urgent intervention to develop the system comprehensively, in a way that ensures the ambulance arrives on time and that full medical care is provided from the moment the vehicle sets out until the patient enters the hospital.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">During the celebration marking 123 years since the founding of the ambulance service, on 24 May 2025, Prime Minister Dr. Mostafa Madbouly<\/span><a href=\"https:\/\/www.youm7.com\/story\/2025\/5\/24\/%D8%B1%D8%A6%D9%8A%D8%B3-%D8%A7%D9%84%D9%88%D8%B2%D8%B1%D8%A7%D8%A1-%D8%AE%D9%84%D8%A7%D9%84-%D8%A7%D8%AD%D8%AA%D9%81%D8%A7%D9%84%D9%8A%D8%A9-%D9%85%D8%B1%D9%88%D8%B1-123-%D8%B9%D8%A7%D9%85%D8%A7%D9%8B-%D8%B9%D9%84%D9%89-%D8%AA%D8%A3%D8%B3%D9%8A%D8%B3-%D9%85%D8%B1%D9%81%D9%82\/6997916\"> <span style=\"font-weight: 400;\">affirmed<\/span><\/a><span style=\"font-weight: 400;\"> that &#8220;the state has paid great attention to supporting the Ambulance Authority so that it becomes more efficient and modern&#8221;, noting that the ambulance is &#8220;a symbol of sacrifice and humanity&#8221;. He also announced the opening of the authority&#8217;s new headquarters, which includes a centre for receiving calls that operates around the clock with modern technologies, and the &#8220;Esaafny&#8221; application to make requesting the service easier.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Despite the optimistic official statements, the data show a clear gap between promises and reality on the ground. The new control centre and the &#8220;Esaafny&#8221; application are positive steps, but they do not address the acute shortage of vehicles or the unequal distribution. Investigations into incidents also often end without public results, which reinforces an impression that accountability is absent. On the parliamentary side, the MPs&#8217; focus on laws such as health insurance or the management of health facilities, without discussions dedicated to the ambulance service, shows divergent priorities that do not reflect the seriousness of the crisis.<\/span><\/p>\n<blockquote class=\"wp-embedded-content\" data-secret=\"HoWHw9BVOW\"><p><a href=\"https:\/\/zawia3.com\/en\/health\/\">Egyptian Government Restricts Healthcare Access with New Regulations<\/a><\/p><\/blockquote>\n<p><iframe class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"\u201cEgyptian Government Restricts Healthcare Access with New Regulations\u201d \u2014 \u0632\u0627\u0648\u064a\u0629 \u062b\u0627\u0644\u062b\u0629\" src=\"https:\/\/zawia3.com\/en\/health\/embed\/#?secret=itUfkzpQEp#?secret=HoWHw9BVOW\" data-secret=\"HoWHw9BVOW\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe><\/p>\n<p>&nbsp;<\/p>\n<h1><b>A Miniature Reflection of the Collapse of the Health Sector<\/b><\/h1>\n<p><span style=\"font-weight: 400;\">For his part, public health researcher Karim Tarek believes that the crisis of ambulance services in Egypt cannot be separated from the broader context of the collapse of the country&#8217;s healthcare system, stressing that the problem is not merely a matter of delayed response or a shortage in the number of vehicles, but a compound crisis in which social, economic and administrative dimensions overlap.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In an exclusive interview with Zawia3, Tarek notes that many research papers and health policies do not focus in detail on the ambulance file specifically, but rather deal with emergency medicine as a whole, which is a broad branch that includes the ambulance service as one of its components. He explains: &#8220;The main problem is that demand for ambulance services is increasing significantly as a result of population growth and urban expansion, while the state&#8217;s capacity to provide resources and services is not keeping pace with this demand, which creates a gap that widens over time. This gap constitutes a direct breach of the text of<\/span><a href=\"https:\/\/www.constituteproject.org\/constitution\/Egypt_2019?lang=ar\"> <span style=\"font-weight: 400;\">Article<\/span><\/a><span style=\"font-weight: 400;\"> (18) of the Egyptian Constitution, which guarantees the right to healthcare for all citizens, including emergency services.&#8221;<\/span><\/p>\n<blockquote><p>In terms of numbers, Tarek explains the size of the gap, saying: &#8220;At present, there is one ambulance for approximately every 43,000 citizens, whereas the official target is one vehicle for every 25,000. This means there is a shortfall of about 18,000 citizens per ambulance unit, which is a dangerous figure by any measure, especially if we take into account that population density is concentrated in an unbalanced way in some governorates.&#8221; The researcher points out that &#8220;increasing the number of vehicles is not enough on its own&#8221;, adding: &#8220;As the fleet expands, we also need to increase the numbers of paramedics and drivers, and this requires new budgets, whether to cover salaries or to provide training and professional development. Some Spanish reports, and other local ones from inside Egypt, have spoken of cases in which citizens lost their lives as a result of ambulance delays, and the direct cause was poor crew training or the absence of the necessary equipment.&#8221;<\/p><\/blockquote>\n<p><span style=\"font-weight: 400;\">Tarek explains that one of the important dimensions of this crisis is the class and geographical dimension, as the quality of service differs from one area to another: &#8220;In upscale areas such as New Cairo, Sheikh Zayed or October, we find a faster response and relatively better service, for several reasons, including ease of access, clear addresses and good infrastructure, as well as the density of vehicle distribution there. In working-class or informal areas, however, the situation is completely different.&#8221;<\/span><span style=\"font-weight: 400;\"> <\/span><\/p>\n<p><span style=\"font-weight: 400;\">He continues: &#8220;This disparity opens the door to a wider debate on the fairness of the distribution of ambulance services: does it really depend on population density, or on other, unclear considerations? Most of the media reports that documented failures in response came from areas representing the middle class and below, which entrenches a class gap in access to a fundamental right such as emergency care.&#8221; Stressing the need for the state to abide by what the Constitution requires, he says: &#8220;The absence of transparency and weak governance are among the most prominent obstacles to improving the service. We do not know exactly who is held accountable, and when, and official reactions often appear only after a case has circulated in the media. Only then do we hear of promises and investigations, and then things soon return to how they were before. Real reform begins with the realisation that ambulance services are not a luxury, but the first line of defence of the citizen&#8217;s life.&#8221;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">According to a report issued by the Egyptian Ministry of Finance, the health sector<\/span><a href=\"https:\/\/www.ajnet.me\/ebusiness\/2024\/3\/27\/%25D8%25A7%25D9%2584%25D8%25AD%25D9%2583%25D9%2588%25D9%2585%25D8%25A9-%25D8%25A7%25D9%2584%25D9%2585%25D8%25B5%25D8%25B1%25D9%258A%25D8%25A9-%25D8%25AA%25D9%2582%25D8%25B1-%25D9%2585%25D9%2588%25D8%25A7%25D8%25B2%25D9%2586%25D8%25A9-%25D8%25A8%25D9%2582%25D9%258A%25D9%2585%25D8%25A9-135\"> <span style=\"font-weight: 400;\">was allocated<\/span><\/a><span style=\"font-weight: 400;\"> EGP 496 billion in the state&#8217;s general budget for 2024\/2025, an increase of EGP 99 billion over the previous year, to support health services, including ambulance services. Despite this large allocation, the Egyptian Ambulance Authority faces continuing challenges in meeting the needs of a fleet of about 3,000 vehicles, including high maintenance and operating costs, a shortage of vital equipment in some vehicles, and weak coverage in remote areas. Dr. Amr Rashid, head of the Ambulance Authority,<\/span><a href=\"https:\/\/arabic.cnn.com\/middle-east\/article\/2024\/10\/17\/egypt-prices-non-emergency-ambulance-services-parliamentarian\"> <span style=\"font-weight: 400;\">pointed out<\/span><\/a><span style=\"font-weight: 400;\"> that the increase in the prices of non-emergency services in October 2024, by up to 40%, aims to regulate demand and reduce pressure on the fleet, but that these services represent only 2% of its resources, which reflects the need for additional funding to modernise the medical and technical fleet and improve the efficiency of services.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">On 20 May 2024, Parliament passed a law allowing private-sector partnerships to manage public health facilities, and<\/span><a href=\"https:\/\/www.almasryalyoum.com\/news\/details\/3431337\"> <span style=\"font-weight: 400;\">it was ratified<\/span><\/a><span style=\"font-weight: 400;\"> by President Abdel Fattah El-Sisi on 23 June. The law exempts ambulance and emergency services from privatisation, but it raised concerns at Amnesty International that it could lead to higher costs for poor citizens, which may indirectly affect access to emergency services. The Doctors&#8217; Syndicate opposed the law because of the absence of adequate consultation, which reflects weak parliamentary oversight of the health sector. The executive regulations of the law were issued in 2024.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Amid the growing pressure on the health sector in Egypt, the ambulance system stands out as a vital component that reflects the state&#8217;s ability to protect its citizens in moments of emergency. But repeated incidents of delay and poor performance have raised questions about the effectiveness of government policies. This report sheds light on the parliamentary moves and official statements that have addressed this crisis, while assessing how serious these efforts are in confronting the system&#8217;s challenges.<\/span><\/p>\n<p><em>Editorial correction: The first version of the report stated that the celebration marking 123 years since the founding of the ambulance service was held &#8220;a week ago&#8221;; the correct information is that it was held on 24 May 2025.<\/em><\/p>\n<p><em>Editorial correction: The first version of the report stated that the executive regulations of the Law Regulating the Granting of Public Utility Concessions for the Establishment, Management, Operation and Development of Health Facilities had not yet been issued; the correct information is that they were issued in 2024, after the Cabinet approved them in August of the same year.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Amid the growing pressure on the health sector in Egypt, the ambulance system stands out as a vital component that reflects the state&#8217;s ability to protect its citizens in moments of emergency. But repeated incidents of delay and poor performance have raised questions about the effectiveness of government policies. This report sheds light on the parliamentary moves and official statements that have addressed this crisis, while assessing how serious these efforts are in confronting the system&#8217;s challenges.<\/p>\n","protected":false},"author":4,"featured_media":13976,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"footnotes":""},"categories":[390],"tags":[],"kateb":[6247],"class_list":["post-17303","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-human-rights","kateb-rasha-ammar"],"jetpack_featured_media_url":"https:\/\/zawia3.com\/wp-content\/uploads\/2025\/09\/\u0627\u0633\u0639\u0627\u0641-2.png","_links":{"self":[{"href":"https:\/\/zawia3.com\/en\/wp-json\/wp\/v2\/posts\/17303","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zawia3.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zawia3.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zawia3.com\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/zawia3.com\/en\/wp-json\/wp\/v2\/comments?post=17303"}],"version-history":[{"count":6,"href":"https:\/\/zawia3.com\/en\/wp-json\/wp\/v2\/posts\/17303\/revisions"}],"predecessor-version":[{"id":24068,"href":"https:\/\/zawia3.com\/en\/wp-json\/wp\/v2\/posts\/17303\/revisions\/24068"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zawia3.com\/en\/wp-json\/wp\/v2\/media\/13976"}],"wp:attachment":[{"href":"https:\/\/zawia3.com\/en\/wp-json\/wp\/v2\/media?parent=17303"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zawia3.com\/en\/wp-json\/wp\/v2\/categories?post=17303"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zawia3.com\/en\/wp-json\/wp\/v2\/tags?post=17303"},{"taxonomy":"kateb","embeddable":true,"href":"https:\/\/zawia3.com\/en\/wp-json\/wp\/v2\/kateb?post=17303"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}