-
review of the Statutes governing public healthcare establishments;
-
establishment of new healthcare institutions;
-
introduction of cost accounting;
- innovative financing mechanisms through the sharing of health-care expenses by
means of public and private partnerships;
-
accreditation to private hospitals.
274. The issue consists of meeting both the most urgent health needs characterized by the
epidemiological and demographic needs of the country and ensuring balance between the
quality of services and expenses made based on the inalienable principle of guaranteeing equity
and legality in healthcare access.
275. Mechanisms were put in place for the integration of the private sector to complement the
provision of care by the public sector. For this reason, the introduction of the new
nomenclature of actions and the fixing of new prices should assist in consolidating the
principle of equality as the provision of services by the liberal professions will create better
access for the socially insured.
276. In addition, the health-care system is expected to be adapted to the new requirements
of the preventive and curative plan dealing with the burden of morbidities regarding
emerging pathologies (such as heart and cardiovascular diseases, combating cancer and
other diseases). Towards this end, the concern to ensure equitable access to highly
specialized health-care will be translated into the 2014 sector plan development
framework, through the establishment of regional specialized centres and national referral
centres in the above-mentioned specialities. For instance, the Anti-Cancer Centres (CAC),
seven (7) of which are currently operational, should reach 22 by the end of the period and
should cover all parts of the country.
-
Health coverage
277. Infrastructure: 282 public hospitals with a total of: 63,680 beds (93.46 %)
- comprising 68 specialized hospital establishments (EHS) out of which 9 are for the
mother and child and 9 are being constructed.
- 15 mental and psychiatric hospitals (with 14 being constructed, comprising a total
of 68,136 beds (out of which (93.46 %) is covered by the public sector while 6.54%
(4,456 beds is covered by the private sector)
- Representing one bed/500 inhabitants (2009) (as against 1.3 beds per 1,000
i nhabitants in 1963.
- 1,419 Polyclinics (1/ 25,580 inhabitants)
- 5,376 treatment rooms (1/ 6,300 inhabitants)
Human resources (Year 2010: public and private sector)
Personnel
Specialist doctors
General med. practitioners
Paediatricians
Pharmacists
Specialist doctors and
general practitioners
Surgeons-Dentists
Para medics
Including midwives
Number
14,622
25,794
1,300
8,505
Ratios/ overall pop
l /2,4 l 2
1/1,367
1/10,600*
¼,147
40,416
1/873
12,174
97,746
10,000
1/2,897
1/361*
1/1,000**
* Estimated ratio for the target population below the age of 18 years
**Estimated ratio of midwives per married women within the reproductive age group
45