["Reforms of the Tunisian health system and health insurance"].

This article introduces on-going reforms and the perspectives of evolution of the tunisian health system. After a review of how Tunisia is redefining its health system in two directions: management system and funding procedures, the authors focussed on the analysis of perspectives of health insurance and a unified health coverage system. The solution of health system problems cannot be found before undertaking a precise reformulation of health system objectives, such a reformulation needs to imply all contributing persons and institutions in order to preserve accessibility, equity, quality and performance. In fact, it is a requested to split from the current diverse and pluralistic system to unified and homogenous new system.