Egypt's health systems have faced significant challenges during various epidemics, necessitating a deeper understanding of their resilience. An ethnographic study was conducted through participant observation, interviews, and document analysis among key stakeholders in Egypt's healthcare sector. Egyptian healthcare workers reported a significant increase of 20% in the proportion of resources dedicated to epidemic preparedness compared to non-epidemic periods. The study underscores the critical role of community engagement and resource allocation in enhancing health systems' resilience during epidemics. Health policymakers should prioritise continuous investment in community-based healthcare infrastructure and training programmes for rapid response teams.