ISSUES AND PROGRESS OF HEALTH SYSTEMS IN THE MAGHREB COUNTRIES

Author(s)

Mahi L1, Kettani A2
1Axelys Sante Affaires Medicales et Recherche Clinique, Paris, France, 2Stratance Health, Agdal - Rabat, Morocco

OBJECTIVES: To draw up an inventory of healthcare systems in the North African region (Algeria, Morocco and Tunisia), highlighting the opportunities and the challenges of these countries, and to provide an overall view of the progresses made and the shortcomings that persist. METHODS: A descriptive comparative approach of healthcare systems in the three countries, based on data from Sherbrooke University (Canada), the World Health Organization and the IPEMEDreport issued in 2012.    RESULTS: The number of physicians per 1000 inhabitants: 1.43 in Tunisia, 1.24 and 0.67 in Algeria and Morocco, respectively. Population is aging and life expectancy exceeds 70 years at birth for men and women. Child mortality per 1000 live births is 16 in Tunisia, 30 and 33 in Morocco and Algeria, respectively. Healthcare yearly expenditure per capita is $ 275 in Tunisia, 245 in Algeria and 195 in Morocco. Public expenditure on healthcare as % of GDP (estimate) 3.64% in Algeria, 6,3% in Tunisia and 6,2 % in Morocco. Access to healthcare is a common problem for all three countries, even if in Tunisia, the offer is the most comprehensive. Rate of hospital beds per 1000 inhabitants is 2.1 in Tunisia, 1.7 and 1.1 in Algeria and Morocco, respectively. Despite substantial progress, maternal mortality rate remains high in Algeria and Morocco: 120 and 110 per 100 000 births, respectively (60/100 000 in Tunisia). Cardiovascular disorders are the most common cause of death followed by cancers and metabolic diseases

Conference/Value in Health Info

2014-05, ISPOR 2014, Palais des Congres de Montreal

Value in Health, Vol. 17, No. 3 (May 2014)

Code

PHS129

Topic

Economic Evaluation, Health Policy & Regulatory, Real World Data & Information Systems

Topic Subcategory

Cost/Cost of Illness/Resource Use Studies, Health & Insurance Records Systems, Health Disparities & Equity

Disease

Multiple Diseases

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