ABSTRACT
The model of medical practice in Tunisia is strongly influenced by the history of its national health system and by reforms that have been implemented since the Alma-Ata Declaration on Primary Health Care (PHC) and the global goal of health for all by the year 2000. Tunisia has a health-care system based on an extensive network of facilities, notably for first-line health care, offering full territorial coverage and care for the whole of the Tunisian population. Improved living conditions, socio-demographic conditions, the rapid change in social values, and the remarkable progress accomplished in medical science have had a deep impact on the health-care services expected and delivered in Tunisia. The Tunisian health-care system also has a number of specific characteristics. Tunisia can draw inspiration from its initiatives launched in the late 1970s and from many models and international examples. Many countries have achieved remarkable results by restructuring their PHC services.
