Influence of Educational Intervention on Nurses’ Knowledge Regarding the Fundamental Requirements of the Universal Health Insurance System in Primary Health Care Settings

Background: Nurses serve as frontline healthcare professionals and play a crucial role in the successful implementation of the Universal Health Insurance System (UHIS) in Primary Health Care (PHC) centers. Objectives: This research aimed to implement an educational program for nurses in PHC facilities regarding prerequisites of UHIS. Methods: A quasi-experimental design was conducted at PHC centers in the El-Badari health district, Assiut Governorate, Egypt, on a convenient sample of 40 nurses receiving the educational program. Data was collected using three tools: Tool (1): A structured questionnaire, including Part (1): personal data sheet, and Part (2): self-assessment of the PHC provisional accreditation requirement. Tool (II) consisted of a service availability and readiness assessment questionnaire, while Tool (III) was a program evaluation sheet that included Part (1) for assessing nurses' knowledge and Part (2) for gathering nurses' opinions. Results: Pre-intervention findings showed that nurses had an unsatisfactory knowledge level about prerequisites of UHIS, but they had a satisfactory knowledge level in the post- and follow-up phases (90% and 77.5%), respectively. There were statistically significant differences in nurses’ knowledge regarding the self-assessment of PHC provisional accreditation requirements (p ≤ 0.05) across the different phases of the program. Over 50% of PHC centers are ready for implementation of UHIS. Conclusions: The educational program improved nurses’ knowledge about prerequisites for implementation of UHIS. Recommendation: Continuous professional development and structured training should be integrated into national health reform strategies to sustain improvements in knowledge and readiness for UHIS implementation.