Table 1 SWOT decentralization

Establishment of an evaluation and control system

80%

Lack of training of primary managers

80%

Development of the Tunisian healthcare system

92%

Loss of synergy between the parties

88%

Specialization of the regions for maximum satisfaction of needs

80%

Poor understanding of the objectives of the intervention

80%

Institutional, organizational and financial autonomy

76%

Widespread lack of primary services

80%

Extended responsibilities and powers

76%

Substantial differences between the different regions/health districts

76%

Networking of the various subjects involved

76%

Poor governance of resources

80%

Full satisfaction of the specific needs of the territory

52%

Bureaucracy

56%

Renegotiation of quality and performance criteria

52%

Excessive specialization

76%