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Tunisian Health Care System: Organization and Resources - Coggle Diagram
Tunisian Health Care System: Organization and Resources
1-The administrative organization of the Tunisian health care system
The Regional Level:
regional directorates
The Local Level:
Delegation or health district, base of the pyramid
The National level:
Ministry of Health + Directorates at the top of the pyramid
2-The technical organization of the Tunisian health care system
Parapublic Sector:
Hospitals and structures of the Ministry of Defense, Ministry of the Interior, Groups of occupational medicine
Private sector:
Private clinics, practices, laboratories...
Public Sector:
Second level: (2nd line) Regional hospitals.
Third level: (3rd line= University Hospital Centers UHC): Top of the pyramid
First level: (1st line) Base of the pyramid: Basic health centers (BHC) + district hospital.
3-The main characteristics of the service delivery structures in Tunisia
A public sector organized in three levels:
The second level: regional hospitals
The third level: the reference level. The public health institutions with a university vocation
(PHI)
Public front-line structures: The Basic Health Center (BHC), The district hospital (DH)
Front-line services offered in schools, work sites and a range of providers (NFPO, etc.)
for better coverage
A private sector in strong growth
4-The main characteristics of pharmaceutical specialties and medical devices in
Tunisia
A pharmaceutical system organized around three poles:
The supply system
The distribution system
The National Authority for Pharmaceutical Regulation (NAPR)
Supply: a central purchasing office with a monopoly on import
Local production in strong development
Two parallel circuits for the distribution of medicines: the public and private sectors
5-The main characteristics of human resources in Tunisia
Human resources for health (HRH) are qualitatively and quantitatively important but
poorly distributed:
Distribution of health personnel
Training
Density of health personnel: Physicians, Dentists, Pharmacists, Senior technicians.