Tunisia
Tunisia is a country in the Maghreb region of North Africa with a population of 11 million people and a life expectancy at birth of 74 years (males) and 78 years (females). Tunisia’s government was traditionally centralized and autocratic; a palpable will to work in a collaborative and participatory manner has followed the 2011 revolution. WHO is working closely with the MoH to re-orient the health sector towards primary health care objectives, taking into accounts the needs of vulnerable population sub-groups, and trying to improve both quality of care and efficiency of the health system. This has also led to the ‘dialogue sociétal’ in health, a large scale consultation to better capture population views, needs and expectations. The second phase was launched in 2017; a key output will be the development of a new national health strategy aiming towards 2030 and the attainment of UHC. You can access important planning documents for the country by clicking here.
Technical Areas
Completed/Cancelled
| Product/Service | Deliverables | Status |
|---|---|---|
| National Health Accounts development and institutionalization | Accurate, up-to-date evidence on what works and what does not work regarding health financing reforms for universal coverage is available and shared across countries | Completed |
| Phase II of the societal dialogue in Health: development of the national health sector strategy | Countries will have prepared/developed/updated/adapted their NHPSP through an inclusive policy dialogue process leading to better coverage with essential health services, financial risk protection and health equity | Completed |
| Promoting south/south and inter-sectoral exchanges on citizens participation | Countries will have prepared/developed/updated/adapted their NHPSP through an inclusive policy dialogue process leading to better coverage with essential health services, financial risk protection and health equity | Completed |
| Building the capacity of the National Accreditation Agency (INASante, also in charge of clinical guidelines and Health Technology Assessment) | Countries will have put in place expertise, monitoring and evaluation systems and annual health sector reviews | Completed |
| Analysis and dissemination of the Tunisian Health Examination Survey 2016 | Countries will have put in place expertise, monitoring and evaluation systems and annual health sector reviews | Completed |
| Embedding work on the health financing policy in the dialogue societal process | Countries requesting health financing (HF) support will have modified their financing strategies and systems to move more rapidly towards universal coverage (UC), with a particular focus on the poor and vulnerable | Completed |
| Capacity building in health financing policy of a critical number of decision makers and practitioners | Countries receiving HF support will have implemented financing reforms to facilitate UC | Completed |
| strategic purchasing report | Accurate, up-to-date evidence on what works and what does not work regarding health financing reforms for universal coverage is available and shared across countries | Completed |
| Capacity building of Tunisian colleagues in relation to health financing | Accurate, up-to-date evidence on what works and what does not work regarding health financing reforms for universal coverage is available and shared across countries | Completed |
| Generation of health financing evidence and national capacity building in this area | Accurate, up-to-date evidence on what works and what does not work regarding health financing reforms for universal coverage is available and shared across countries | Completed |
| Capacity building in the area of regulation of pharmceuticals and medical devices | Countries will have further capacity to regulate and monitor the market for pharmaceuticals and medical devices | Completed |
| Capacity building for improved health data collection and analytics, including through survey instruments | Countries will have improved expertise for monitoring and evaluation | Completed |
Details
| Product/Service | Deliverables | Status |
|---|---|---|
| Technical assistance for making architecture choices for digital health | Support the adoption of national standards for digital health (UHC-P) (EMTUN2018165 4.1) Support the development of an institutional framework for digital health (UHC-P) (EMTUN2018165 4.2) | Issues exist |
| Technical assistance related to the creation of a unified medicines regulatory agency and a more efficient medicines pricing regime | Advocacy and evidence generation for reform of pricing and a single regulatory agency for medicines (UHC-P) (EMTUN2018486 Task 18.4) | Ongoing |
| Technical assistance related to the development of an evidence-based benefit package to be covered by public financing | Development of standards to strengthen the first line and support for the implementation of standards (EMTUN2018486 Task 1.2) Development of methodological instruments to promote evidence-based adjustment of the benefit package (UHC-P) (EMTUN2018486 Task 17.1) Review of legal and regulatory barriers, at institutional and national level to expanding the existing benefit package and its coverage (UHC-P) (EMTUN2018486 Task 17.2) | Ongoing |
| Capacity building of staff from key technical agencies in Tunisia | Strengthening competence of MoH staff in technical themes related to medicines and medical products (EMTUN2018486 Task 19.1) | Ongoing |
| Support to Phase 3 Sociétal Dialogue process | Support Phase 3 of the Societal Dialogue for health policy, including institutionalization of the process and policy dialogue to monitor implementation (EMTUN2016890 13.1-13.3) | Ongoing |
| Support for building analytical capacity for HRH planning and strategy development | Development of a human resources for health strategy, including review of legal and regulatory texts (UHC-P) (EMTUN2016890 14.1) Advocacy and evidence generation for modernising the use of nursing, midwivery and other non-Doctor staff in the health system, including through the World Health Day 2020 (UHC-P) (EMTUN2016890 14.2) | Ongoing |
