{"id":987502070,"date":"2023-02-03T08:20:20","date_gmt":"2023-02-03T07:20:20","guid":{"rendered":"https:\/\/p4h.world\/country\/tunisia\/"},"modified":"2025-03-26T10:00:43","modified_gmt":"2025-03-26T09:00:43","slug":"tunisia","status":"publish","type":"country","link":"https:\/\/p4h.world\/en\/countries\/tunisia\/","title":{"rendered":"Tunisia"},"content":{"rendered":"

[et_pb_section fb_built=”1″ admin_label=”!! PLEASE DO NOT EDIT !!!” _builder_version=”4.19.5″ _module_preset=”default” global_colors_info=”{}”][et_pb_row use_custom_gutter=”on” gutter_width=”1″ admin_label=”!!! PLEASE DO NOT EDIT !!!” _builder_version=”4.20.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.19.5″ _module_preset=”default” global_colors_info=”{}”][et_pb_text admin_label=”TEXT – BLOCK 1″ _builder_version=”4.21.0″ _module_preset=”default” custom_padding=”||1em||false|false” global_colors_info=”{}”]In Tunisia, the universal health coverage (UHC) service coverage index (Sustainable Development Goals target 3.8.1) reached 67 in 2021<\/a>.<\/p>\n

More than 80% of the population has access to health insurance through two schemes:<\/p>\n

    \n
  1. A mandatory individual contribution scheme (National Health Insurance Fund (CNAM)), covering workers in the formal sector and their beneficiaries through three schemes (public, private, reimbursements).<\/li>\n
  2. A noncontributive programme, covering households in poverty at two rates, one for people in poverty (AMG1 rate) and one for people living in vulnerable situations (AMG2, which is reduced rate) who are treated in public health facilities.<\/li>\n<\/ol>\n

    [\/et_pb_text][et_pb_text admin_label=”TEXT – BLOCK 2 ” _builder_version=”4.21.0″ _module_preset=”default” custom_padding=”||1em||false|false” global_colors_info=”{}”]<\/p>\n

    However, although government health expenditure as a share of total government expenditure is rather high (12% in 2021)), out-of-pocket (OOP) expenses by households was relatively high (33,7% of current health expenditures<\/a> in 2021), leading to significant inequities<\/a> and, in some cases, risking people falling into poverty (in 2015: catastrophic OOP health spending incidence was 10% and impoverishing OOP health spending at the relative poverty line of 60% of median consumption or income was 14.8 %).[1]<\/a><\/sup><\/p>\n

    [\/et_pb_text][ba_gradient_heading title=”A sustained vision to achieve universal health coverage” html_tag=”h3″ primary_color=”#455A64″ secondary_color=”#455A64″ admin_label=” HEADING (50-60 characters)” _builder_version=”4.21.0″ _module_preset=”default” title_font=”||||||||” title_font_size=”26px” title_line_height=”1em” custom_padding=”||10px||false|false” global_colors_info=”{}”][\/ba_gradient_heading][et_pb_text admin_label=”TEXT – BLOCK 3″ _builder_version=”4.21.0″ _module_preset=”default” custom_padding=”||1em||false|false” global_colors_info=”{}”]<\/p>\n

    The Tunisian national health policy (PNS)<\/a>, adopted by the government in 2021, is based on a 2030 vision for UHC. The PNS was developed as part of the second phase of a dialogue on national health policies, strategies and plans, following a participatory and inclusive process. The PNS aims to improve access for equitable health services through the development of an available package of essential services adapted to the needs of each person during a lifetime in addition to the creation of a unified basic coverage scheme.<\/p>\n

    [\/et_pb_text][ba_gradient_heading title=”Addressing universal health coverage and health financing challenges” html_tag=”h3″ primary_color=”#455A64″ secondary_color=”#455A64″ admin_label=” HEADING (50-60 characters)” _builder_version=”4.21.0″ _module_preset=”default” title_font=”||||||||” title_font_size=”26px” title_line_height=”1em” custom_padding=”||10px||false|false” global_colors_info=”{}”][\/ba_gradient_heading][et_pb_text admin_label=”TEXT – BLOCK 4 ” _builder_version=”4.21.0″ _module_preset=”default” custom_padding=”||1em||false|false” global_colors_info=”{}”]<\/p>\n

    The World Health Organization (WHO) is working closely with other partners<\/a> to address UHC and health financing (HF) under the umbrella of the Health Partners Group (HPG), which WHO chairs. HPG\u2019s Health Financing and Social Protection Working Group was created to improve coordination and information sharing and to explore the development of a strategic program with joint activities between partners that are supporting the government of Tunisia in designing, implementing and monitoring HF and social protection policies and mechanisms. The planned and current activities focus on the revision of the benefit package (Agence fran\u00e7aise de d\u00e9veloppement), analysis of efficiency in health facilities (European Union), child benefits (United Nations Children\u2019s Fund) and medicine financing (WHO and the World Bank Group).<\/p>\n

    [\/et_pb_text][ba_gradient_heading title=”Strategic options to move forward for Tunisia” html_tag=”h3″ primary_color=”#455A64″ secondary_color=”#455A64″ admin_label=” HEADING (50-60 characters)” _builder_version=”4.21.0″ _module_preset=”default” title_font=”||||||||” title_font_size=”26px” title_line_height=”1em” custom_padding=”||10px||false|false” global_colors_info=”{}”][\/ba_gradient_heading][et_pb_text admin_label=”TEXT – BLOCK 5″ _builder_version=”4.21.0″ _module_preset=”default” custom_padding=”||1em||false|false” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n

    The Politique Nationale de Sant\u00e9 (PNS)<\/a>\u00a0states that to progress towards UHC (see page 6) the aim is to strategically place the citizen at the centre of concern of institutions and health professionals.
    \u201cTo achieve this,\u201d the PNS continues on page 15, \u201cwe must make the local family health system the health system\u2019s linchpin and ensure all have access to an affordable package of quality, person-centred essential services\u201d.<\/p>\n

    [\/et_pb_text][et_pb_text admin_label=”TEXT – BLOCK 9 – Footnotes” _builder_version=”4.21.0″ _module_preset=”default” text_font_size=”13px” custom_margin=”20px||||false|false” custom_padding=”||||false|false” custom_css_main_element=”a{color:#4c7e96 }” global_colors_info=”{}”]References<\/strong><\/p>\n

    [1]<\/span> World Health Organization, Tracking Universal Health Coverage: 2023 Global monitoring report<\/a><\/span>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"

    In Tunisia, the universal health coverage (UHC) service coverage index (Sustainable Development Goals target 3.8.1) reached 67 in 2021. More than 80% of the population has access to health insurance through two schemes: A mandatory individual contribution scheme (National Health Insurance Fund (CNAM)), covering workers in the formal sector and their beneficiaries through three schemes…<\/p>\n","protected":false},"author":1,"featured_media":987718284,"template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":""},"acf":[],"_links":{"self":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/country\/987502070"}],"collection":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/country"}],"about":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/types\/country"}],"author":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/users\/1"}],"version-history":[{"count":8,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/country\/987502070\/revisions"}],"predecessor-version":[{"id":987764533,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/country\/987502070\/revisions\/987764533"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/media\/987718284"}],"wp:attachment":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/media?parent=987502070"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}