Please enable JavaScript.
Coggle requires JavaScript to display documents.
Tunisian Health Care System: Financing Mechanisms / Major Problems -…
Tunisian Health Care System: Financing
Mechanisms / Major Problems
Health accounts in Tunisia
Health care expenditure and financing in Tunisia:
7.1% of the Gross Domestic Product (GDP), i.e., an average consumption of about 500 Tunisian Dinars per capita and per year.
Public spending on health care (taxes and social security contributions) did not exceed 57% of
total health care spending, which is only 4% of the country's national wealth (GDP)
Strategic Directions
Direction 2:
Increase public spending on health (5% of GDP by 2020, 5.5% by 2025 and 6% by 2030) in the context of expanding coverage and reducing direct household payments.
Direction 3:
Improving the efficiency of the system in the context of accessibility to
quality care and respect for patient safety
Direction 1:
Definition and implementation of the strategy for the UHC through a
consultative process and implementation steps
Major problems:
Chronic deficit of public health structures
A brake on performance through the capping of CNAM's packages.
Constraints on public service missions without a corresponding counterpart
Overdue financing with increased needs and development of the public sector
dependent on political demand
Underutilized human and technical resources
Lack of a system efficiency strategy
Marginalized health promotion policy
Lack of safeguards to avoid overmedicalization
A weakened and discredited first line
Importance of direct household payments:
aggravate regional inequalities and increase the incidence of
poverty.
A phenomenon of foregoing care for financial reasons.
Fragmentation of the 3 streams:
Increased inequity of access among the socially insured
Development of a two-speed medicine. T
Different modalities of care depending on the channel to which they belong.
Breach of solidarity.