ArticleLa Tunisie medicale2021
Evaluation of the Primary Health Care policy in the Maghreb. Feedback from Expert-Leaders in Tunisia.
Article in La Tunisie medicale, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Knowledge, Attitudes, and Perceptions of the Physician's Role in Colorectal Cancer Screening Among Primary Care Patients in Msaken, Tunisia, 2026.Preventing chronic disease · 2026Article
- Article
- 40 years of Primary Health Care in Tunisia. Findings and Perspectives.La Tunisie medicale · 2021Article
- 40 years of Basic Health Care in Tunisia Alma Ata in Astana. It's time to revitalize the first line of care.La Tunisie medicale · 2021Article
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Authors and funding
6 authors.
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Abstract
introductionThe Basic Health Care Policy (BHC), the Maghrebian version of WHO's Primary Health Care, is celebrating forty years in Tunisia. The aim of this paper was to contribute to the evaluation of BHCs in Tunisia, by listening to the testimonies of experts / leaders who have led their journey during these four decades.
methodsThe experts / leaders included in this testimony were invited via email and throu gh the use of the Delphi technique to report the acquired lessons and the errors. The collected qualitative data was analyzed through a process of categorization which classified them into: assets (strengths and opportunities) and handicaps (weaknesses and threats).
resultsFour experts / leaders took part in this call for testimonies, including two consultants to international organizations, a trade union doctor and a professor of Preventive Medicine. The main assets of the BHC in Tunisia, according to the participants, were: 1. The medical leadership initiated from the student phase; 2. The political commitment of public authorities ; 3. The academic support from the medical faculties and their Preventive Medicine departments ; 4. The institutionalization of the organizational framework of the Health Unit ; 5. The Academic training of professionals in integrated medicine. As for the handicaps of BHC in Tunisia, the experts / leaders particularly mentioned: 1. The weakness of community participation ; 2. The international attractiveness of accompanying national doctors; 3. The pressures of academic career imperatives ; 4. The lack of a National School of Public Health; 5. The context of privatization and hospital-centrism.
conclusionThis feedback from the experts / leaders concerning BHC policies in Tunisia highlighted the perception of its performance "in tune" with WHO and "three years before Alma Ata". The new generation of BHC leaders have an obligation to safeguard their principles and adapt their practices to population expectations and new managerial approaches.
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33899175PMC8711109What OpenQuestion holds
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