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Table 4 SWOT financial decentralization

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

FINANCIAL DECENTRALIZATION

Strengths

Weaknesses

Opportunity

Threats

Greater efficiency

100%

Poor computerization of hospitals

100%

Allocation of resources according to real needs

96%

Weakness of the local tax system

100%

Possibility of activating accounting and management control models

84%

Lack of skills

84%

Development of territorial excellence

72%

Lack of funds for the needy

72%

Autonomy in resource management

72%

Insufficient monitoring system for expenses incurred

72%

International models to inspire

64%

Centralization of the national administrative system

56%

Diversification of the offer

36%

Lack of spending control culture

36%

Incompleteness of the insurance mechanism

44%

Basic services not guaranteed

36%