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Table 3 SWOT organizational decentralization

From: The experience of Tunisian public healthcare system toward decentralization to the reduction of health inequalities in low-, middle- income countries

ORGANIZATIONAL DECENTRALIZATION

Strengths

Weaknesses

Opportunity

Threats

Total correspondence between the needs of the territory and the resources

84%

Lack of a dedicated structure

84%

Implementation of management control

92%

Inability to provide the service

84%

Greater management skills

72%

Centralized financing system

80%

Full achievement of budgetary objectives

72%

Politicization of health

72%

Separation between politics and leadership

72%

Lack of autonomy in personnel management

72%

Management of the health system

64%

Scarcity of resources

68%

Management autonomy

64%

Lack of autonomy in investment management Lack of a dedicated structure

64%

Strong local authorities

52%

Absence of evaluation/control mechanisms

64%