استجابة النظام الصحي الجزائري لمؤشرات الحكامة الصحية العالمية ، دراسة في المؤشرات والمعالم من 1998 الى ما بعد جائحة كورونا Response of the Algerian Health System to Global Health Governance Indicators: A Study of Indicators and Features from 1998 to Post-COVID- 19 Pandemic

Abstract

Health policies in Algeria have been a chronic challenge for decision-makers in Algeria since independence. Many shortcomings have emerged in this system due to its inability to respond to the growing needs of the population in the field of health care, as a result of the demographic and epidemiological transition that has accelerated significantly, as many imbalances have emerged, the most important of which is the inequality in the distribution of human and material resources between regions and within regions, and the severe shortage of human resources, which has negatively affected the functioning of many interests, and the quality of services provided to patients. In addition to other imbalances at the level of financing that have prevented the advancement of the health system, the most important of which are the poor distribution of available financial resources, and the lack of control over expenses, and what made matters worse is the spread of corruption at most levels of health decision-making. One of the most important lessons learned from the Corona crisis that affected Algeria, like the rest of the world, is the discovery of the flaws of the Algerian health system, which was characterized by extreme centralization and the absence of an effective information system. In contrast, there was a strong mobilization of medical and paramedical cadres in various health institutions despite the difficult working conditions, and a large recruitment of civil society associations. Among the most important pillars of governance that many researchers see for the success of the health system in confronting health risks, is relying on a set of pillars, the most important of which are strengthening early warning systems, involving civil society, and working on the social determinants of health instead of focusing on treating cases only. Also, the need to provide evidence and information about the health status of the population, and establishing a data system to support the decision-making process and digitizing management, as well as developing positive interaction between research and practice, and ensuring sustainable financing for the health system capable of adapting to internal and external crises