OBJECTIVES: 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). METHODS: 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. RESULTS: 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. CONCLUSION: 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.
OBJECTIVES: 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). METHODS: 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. RESULTS: 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. CONCLUSION: 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.
Authors: Mohammad Abu-Zaineh; Chokri Arfa; Bruno Ventelou; Habiba Ben Romdhane; Jean-Paul Moatti Journal: Health Policy Plan Date: 2013-05-24 Impact factor: 3.344
Authors: R Bouguerra; H Alberti; L B Salem; C B Rayana; J E Atti; S Gaigi; C B Slama; B Zouari; K Alberti Journal: Eur J Clin Nutr Date: 2006-08-09 Impact factor: 4.016
Authors: M Elasmi; M Feki; H Sanhaji; R Jemaa; S Haj Taeib; S Omar; A Mebazaa; J El Ati; M Hsairi; N Kaabachi Journal: Rev Epidemiol Sante Publique Date: 2009-04-03 Impact factor: 1.019
Authors: Olfa Saidi; Nadia Ben Mansour; Martin O'Flaherty; Simon Capewell; Julia A Critchley; Habiba Ben Romdhane Journal: PLoS One Date: 2013-05-03 Impact factor: 3.240
Authors: Obinna O Oleribe; Jenny Momoh; Benjamin Sc Uzochukwu; Francisco Mbofana; Akin Adebiyi; Thomas Barbera; Roger Williams; Simon D Taylor-Robinson Journal: Int J Gen Med Date: 2019-11-06