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Tunisia – The phenomenon of migration of medical skills has embarrbaded the Tunisian government, which has been criticized for the decline of the health system and the poor services provided to citizens. While trying to restore public confidence in public hospitals after the death of a baby in March, the flight from migration has compounded its problems and posed an additional challenge over the next few years: providing doctors to patients in case of shortage.
In recent years, Tunisia has experienced a mbadive migration of doctors and medical personnel to the countries of Europe and the Gulf in search of better working conditions. In 2017, about 300 doctors had emigrated, according to official statistics. The Association of Physicians and Pharmacists in Public Health revealed that there were at least 1,500 doctors missing in the emergency departments of public hospitals.
The Tunisian Ministry of Physicians warned of the alarming increase in the migration of doctors. She predicted that about 900 doctors will leave the country by the end of this year and could reach three years after 2020, the number of doctors leaving 1,700 doctors.
According to the deanship, targeted medical skills fall into three categories: young doctors, experienced doctors and department heads.
Experts question the ability of the government and the Ministry of Health to address this phenomenon in light of the weaknesses in the health system and the deteriorating situation of many public hospitals.
The death of 12 infants in a government-generated power plant as a result of bacterial rot shocked public opinion and shed light on the magnitude of the health sector's problems, the latest in health care. A series of errors and corruption that have plagued the public health sector for years.
Among the causes of internal migration, from public hospitals to private hospitals, there is an increase in attacks on medical staff because of the lack of security in hospitals, modest financial means and the glaring lack of human resources. techniques
In addition to declining services and aging infrastructure, the departments of several public hospitals in inner states are suffering from a shortage of doctors, surgeons and surgeons due to increasing migratory waves, posing new challenges for the government. , unable to recruit new graduates from medical schools due to lack of public funds due to the crisis. Economic and public budget deficits that led to the freezing of the mandate in the public sector, including public health.
"Thousands of doctors are leaving the country to work abroad because of deteriorating working conditions in the Gaza Strip," said former medical services chief Sami Swihli. "The migration also comes from the public sector to the private sector because of low wages and difficult working conditions," Suhaili told the Arabs, warning of a plan to privatize the sector.
One of the causes of internal migration, from public hospitals to private hospitals, is an increase in the number of attacks on medical staff due to lack of security in hospitals, lack of financial resources, and lack of human and technical resources, especially in the internal governorates far from the capital, which suffer from marginalization and difficult social conditions.
"Our doctors are successful in Europe and around the world and have proven to be among the best health professionals, but in their country they often suffer from marginalization and abuse," said Suhaili.
He is responsible for the fact that the health sector has faced the mistakes of successive governments after the revolution of January 2011. He thinks that he could have developed public health and improved the conditions of detention of patients, but he Today, there is a lack of basic necessities.
Experts point out that the migration of doctors can alleviate the problem of unemployment of medical graduates, who according to official statistics for 2016 (1,500 doctors) would deprive the country of its skills and its young energy, which was necessary in all areas , Especially opportunities for its economy.
They believe that the government should review its policies and try to address the expected losses in light of the alarming increase in the emigration of doctors, making use of their expertise and encouraging them to transfer their experiences into their country of origin.
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