Public Healthcare System
Tunisia's public healthcare system provides universal coverage to residents through the CNAM (Caisse Nationale d'Assurance Maladie). Quality varies significantly between urban and rural facilities.
- Public hospitals are free or very low-cost for enrolled residents and workers
- CNAM social security covers employees and their dependents — funded by employer (16.57%) and employee (9.18%) contributions
- Major public hospitals in Tunis (Charles Nicolle, La Rabta) offer specialist and emergency care
- Quality is strong in urban centers but significantly weaker in rural areas
- Long waiting times in public facilities — many expats prefer private alternatives
