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Tunisia’s healthcare system, like its politics, neglects the poorest in society

Recruiting patients from disadvantaged areas to regulate services would put power into the hands of ordinary people and help address stubborn inequality

Tunisia’s healthcare system, like its politics, neglects the poorest in society
Health worker at a field hospital in Menzah district in Tunis, Tunisia. 21 April 2021 | ZUMA Press Inc / Alamy Stock Photo. All rights reserved
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Ten years after the revolution in Tunisia that ended the rule of Zine El Abidine Ben Ali, it is clear from the resurgence of street protests that while Tunisia has been praised for its progress on personal liberties and freedom of speech, the fulfilment of much-needed socio-economic rights still lags behind.

The right to health, affirmed in the constitution of 2014, is a prime example of this. The pandemic demonstrated the deepening inequalities in access to healthcare and social security services in the country.

There is an absence of strategy and resources, marked by the sparse funding provided to the ministry of health, which constitutes less than 6% of the state’s budget.