摘要:An essential component of quality of reproductive health (RH) care, which has often been overlooked in the Egyptian literature, is the physicians’ knowledge. This study attempts to assess the RH knowledge of physicians working under two different primary health care (PHC) settings and compare them with a control group of RH physicians working in the regular primary health care units. The first setting belonged to the health sector reform (HSR) program that Egypt attempts to scale-up while the second came from a special RH intervention initiative conducted by an NGO (ESPSRH) in Egypt. Two tools were developed to test physicians’ RH knowledge in the three groups of PHC clinics. A questionnaire was designed to test several aspects of RH knowledge and an in-depth interview schedule was used to collect detailed information from the physicians. Despite the fact that the three groups received training courses but with varying degrees of content and frequency, their learning level was low. None of the training settings had a significant influence on the physicians learning levels of RH knowledge unlike the situations in other countries. Findings clearly indicated that the training of the HSR group of physicians was lagging in various components of RH. However, since HSR program in Egypt is an irreversible route and to guarantee technical RH quality of care, all its theoretical training components of RH should be revised very carefully. It is expected that the amount of training time given to RH needs to be expanded. It is recommended that officials continuously conduct pre and post assessment of knowledge and analyze results to identify weak points in its training programs. Physicians need more frequent training as well as to attend weekly seminars to keep them up to date. HSR needs to be more aware of RH goals and becomes an effective advocate for these goals. It is recommended that HSR RH training programs be more area specific to emphasize local challenges in addition to general challenges facing Egypt. HSR needs to have a demographic eye and emphasizes family planning efforts within its other instruments.