馃嚬馃嚦TunisiaNorth Africa
Young doctors warn of public hospital funding crisis in Tunisia
via Business News2 min read
The Tunisian Organization of Young Doctors OTJM has highlighted a deep financial crisis affecting public hospitals, with delayed payments to young doctors being a symptom of this larger issue. The OTJM reports that public hospitals are owed significant amounts by the National Health Insurance Fund Cnam, estimated at nearly 1,500 million dinars in 2024 and approximately 1,950 million dinars in 2025. Cnam itself faces cash flow difficulties due to outstanding debts from social security funds, including CNSS and CNRPS, creating a vicious cycle within the health sector. Many young doctors have been waiting for their payments for months or even years. OTJM President Wajih Dhakkar noted that hospital directors acknowledge these legitimate claims but lack the necessary liquidity. One director in Tunis reportedly prioritizes essential medical supplies over doctor payments. The OTJM emphasizes that this financial crisis impacts not only young doctors but also health personnel, who work under increasingly difficult conditions, and patients, who face medication shortages, delayed equipment maintenance, deteriorating hospitalization conditions, extended appointment wait times, and a decline in service quality. The organization believes that some hospitals are awaiting over 100 million dinars from Cnam, and settling these debts would quickly improve medication supply, equipment maintenance, staff payments, and overall hospital operations. The OTJM views one-off liquidity injections from t
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