Consolidation and Transparency : Transforming Tunisia’s Health Care for the Poor

Vista sencilla de ítem
dc.creatorArfa, Chokri
dc.creatorElgazzar, Heba
dc.date2013-05-06T17:01:27Z
dc.date2013-05-06T17:01:27Z
dc.date2013-01
dc.date.accessioned2026-07-01T01:00:50Z
dc.descriptionSince the 2011 popular revolution in Tunisia, calls for a new social contract have been made to improve social inclusion, including addressing gaps in health care coverage for the vulnerable households. This paper evaluates Tunisia's Free Medical Assistance for the Poor (FMAP) and seeks to identify opportunities to improve universal coverage in Tunisia. The study focuses on the structural and institutional framework of health care coverage for the poor in Tunisia in terms of strengths, weaknesses, and recommendations for achieving universal coverage. The paper reviews Tunisia's health financing and delivery system with a special emphasis on FMAP, and analyzes the main structural and targeting challenges the program faces. The distinctive characteristic of this paper is the focus on institutional design and organizational practice of FMAP. The legal and regulatory framework is assessed in terms of management, beneficiary targeting methods, benefits package, and the information environment. Section 2 provides an overview of health financing and service delivery in Tunisia, including the relationship between the FMAP and the main financing schemes. Section 3 describes key supply-side issues in terms of primary health care provision for the poor. Section 4 assesses the institutional framework of the FMAP in greater detail and its linkages to the health care delivery system. Section 5 focuses on beneficiary selection and targeting methods under the FMAP. Section 6 examines public financial management under the FMAP, which is followed by a discussion in Section 7 of the benefits package. Sections 8 and 9 describe the information environment of the FMAP and how this links to the special focus of future financing reforms. The concluding section discusses the pending agenda and priorities for the FMAP moving forward.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttps://hdl.handle.net/10986/13313
dc.identifierhttps://doi.org/10.1596/13312
dc.identifier.urihttp://hdl.handle.net/123456789/414222
dc.languageen_US
dc.publisherWorld Bank, Washington DC
dc.relationUNICO Studies Series;No. 4
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo
dc.rightsWorld Bank
dc.subjectaccess to health services
dc.subjectaccess to services
dc.subjectaccountability mechanisms
dc.subjectadministrative efficiency
dc.subjectAdult mortality
dc.subjectAdult mortality rate
dc.subjectaffordable health care
dc.subjectaged
dc.subjectambulatory care
dc.subjectbeds
dc.subjectBeneficiaries
dc.subjectcapital investments
dc.subjectcentral government
dc.subjectcities
dc.subjectCitizen
dc.subjectcitizens
dc.subjectCivil Society Organizations
dc.subjectclinics
dc.subjectcommunicable diseases
dc.subjectcontraception
dc.subjectContraceptive prevalence
dc.subjectcosts of health care
dc.subjectdeaths
dc.subjectdelivery mechanisms
dc.subjectdelivery system
dc.subjectdemand for health
dc.subjectdemand for health care
dc.subjectdemand for services
dc.subjectDental care
dc.subjectDependency ratio
dc.subjectdependent children
dc.subjectdeveloping countries
dc.subjectdisability
dc.subjectdisparities in health
dc.subjectdissemination
dc.subjectDoctors
dc.subjecteconomic transition
dc.subjectepidemic
dc.subjectExpenditures
dc.subjectFamilies
dc.subjectfee-for-service
dc.subjectfertility
dc.subjectfertility rate
dc.subjectfinancial management
dc.subjectfinancial protection
dc.subjectfinancial risks
dc.subjectGeneral Health System
dc.subjectgross domestic product
dc.subjectHealth Care
dc.subjecthealth care consumption
dc.subjecthealth care coverage
dc.subjecthealth care delivery
dc.subjecthealth care providers
dc.subjecthealth care provision
dc.subjecthealth care services
dc.subjecthealth care system
dc.subjecthealth centers
dc.subjecthealth conditions
dc.subjectHealth Coverage
dc.subjectHealth Economics
dc.subjecthealth expenditure
dc.subjecthealth facilities
dc.subjecthealth financing
dc.subjecthealth information
dc.subjecthealth information system
dc.subjecthealth infrastructure
dc.subjecthealth insurance
dc.subjecthealth insurance coverage
dc.subjectHealth Ministry
dc.subjectHealth Organization
dc.subjecthealth outcomes
dc.subjecthealth professionals
dc.subjecthealth sector
dc.subjecthealth service
dc.subjecthealth service delivery
dc.subjecthealth services
dc.subjecthealth status
dc.subjectHealth System
dc.subjecthealth system performance
dc.subjecthealth systems
dc.subjecthealth workers
dc.subjecthealth-system
dc.subjecthealthcare services
dc.subjectHome care
dc.subjectHospital beds
dc.subjectHospital budgets
dc.subjecthospital pharmacies
dc.subjecthospital services
dc.subjecthospitalization
dc.subjecthospitals
dc.subjectHousehold Expenditure
dc.subjecthousehold size
dc.subjecthousehold surveys
dc.subjecthuman capital
dc.subjectill health
dc.subjectimmunization
dc.subjectimmunizations
dc.subjectincome
dc.subjectincome countries
dc.subjectincome groups
dc.subjectinequities
dc.subjectinfant
dc.subjectinfant health
dc.subjectinfant mortality
dc.subjectInfant mortality rate
dc.subjectinformal payments
dc.subjectinformation systems
dc.subjectinsurance coverage
dc.subjectinsurance premiums
dc.subjectlab tests
dc.subjectLabor Force
dc.subjectLife expectancy
dc.subjectLife expectancy at birth
dc.subjectlive births
dc.subjectliving conditions
dc.subjectlocal authorities
dc.subjectmandates
dc.subjectmaternal mortality
dc.subjectMaternal mortality rate
dc.subjectmaternal mortality ratio
dc.subjectmedical services
dc.subjectmedicines
dc.subjectmidwives
dc.subjectMinistry of Health
dc.subjectmorbidity
dc.subjectmortality
dc.subjectnational health
dc.subjectnational health insurance
dc.subjectnational health insurance fund
dc.subjectNeonatal mortality
dc.subjectNurses
dc.subjectnursing
dc.subjectnursing care
dc.subjectoutpatient services
dc.subjectpatient
dc.subjectpatients
dc.subjectpensions
dc.subjectpharmacists
dc.subjectPhysician
dc.subjectPhysicians
dc.subjectpocket payments
dc.subjectpostnatal care
dc.subjectpregnant women
dc.subjectprenatal care
dc.subjectpreventive health services
dc.subjectprimary care
dc.subjectprimary health care
dc.subjectprivate care
dc.subjectprivate clinics
dc.subjectprivate insurance
dc.subjectPrivate Insurers
dc.subjectPrivate Pharmacies
dc.subjectprivate sector
dc.subjectprivate services
dc.subjectprivate spending
dc.subjectprograms
dc.subjectprovision of care
dc.subjectpublic expenditure
dc.subjectPublic Funds
dc.subjectPublic Health
dc.subjectpublic health care
dc.subjectpublic health care services
dc.subjectPublic health expenditure
dc.subjectpublic health expenditures
dc.subjectPublic health services
dc.subjectpublic health spending
dc.subjectPublic Health Surveillance
dc.subjectpublic hospital
dc.subjectpublic hospital services
dc.subjectpublic hospitals
dc.subjectpublic perceptions
dc.subjectPublic Providers
dc.subjectpublic provision
dc.subjectpublic service
dc.subjectpublic services
dc.subjectPublic spending
dc.subjectQuality assurance
dc.subjectquality of health
dc.subjectquality of services
dc.subjectquality services
dc.subjectrate of growth
dc.subjectreferral system
dc.subjectregulatory framework
dc.subjectrespect
dc.subjectrural areas
dc.subjectsafety net
dc.subjectsafety nets
dc.subjectsanitation
dc.subjectsanitation facilities
dc.subjectSkilled birth attendance
dc.subjectskilled personnel
dc.subjectskills development
dc.subjectSocial Affairs
dc.subjectSocial exclusion
dc.subjectsocial health insurance
dc.subjectsocial safety nets
dc.subjectSocial Security
dc.subjectsocial workers
dc.subjectsocioeconomic status
dc.subjectspecific incentives
dc.subjectspouse
dc.subjectspouses
dc.subjecttechnical capacity
dc.subjectTransparency
dc.subjectTuberculosis
dc.subjectunemployment
dc.subjectuniversal access
dc.subjecturban areas
dc.subjecturban development
dc.subjectuser fees
dc.subjectVulnerability
dc.subjectwoman
dc.subjectworking-age population
dc.subjectWorld Health Organization
dc.titleConsolidation and Transparency : Transforming Tunisia’s Health Care for the Poor

Archivos

Colecciones

AgroKnow