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Health system challenges of NCDs in Tunisia

Lookup NU author(s): Faten Tlili, Dr Shahaduz Zaman, Professor Peter Phillimore

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Abstract

The objective of this study was to present a qualitative 'situation analysis' of the healthcare system in Tunisia, as it applies to management of cardiovascular disease (CVD) and diabetes. A primary concern was the institutional capacity to manage non-communicable diseases (NCDs).Research took place during 2010 (analysis of official documents, semi-structured interviews with key informants, and case studies in four clinics). Walt and Gilson's framework (1994) for policy analysis was used: content, actors, context, and process.Problems of integration and coordination have compounded funding pressures. Despite its importance in Tunisian healthcare, primary health is ill-equipped to manage NCDs. With limited funds, and no referral or health information system, staff morale in the public sector was low. Private healthcare has been the main development filling the void.This study highlights major gaps in the implementation of a comprehensive approach to NCDs, which is an urgent task across the region. In strategic planning, research on the health system is vital; but the capacity within Ministries of Health to use research has first to be built, with a commitment to grounding policy change in evidence.


Publication metadata

Author(s): Ben Romdhane H, Tlili F, Skhiri A, Zaman S, Phillimore P

Publication type: Article

Publication status: Published

Journal: International Journal of Public Health

Year: 2015

Volume: 60

Issue: supplement 1

Pages: S39-S46

Print publication date: 01/01/2015

Online publication date: 16/11/2014

Acceptance date: 03/11/2014

ISSN (print): 1661-8556

ISSN (electronic): 1661-8564

Publisher: Springer

URL: http://dx.doi.org/10.1007/s00038-014-0616-0

DOI: 10.1007/s00038-014-0616-0


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