Official websites use. Share sensitive information only on official, secure websites. Arcadio A. Cerda orcid. Leidy Y. Mihajlo Jakovljevic orcid. The use, distribution or reproduction in other forums is permitted, provided the original author s and the copyright owner s are credited and that the original publication in this journal is cited, in accordance with accepted academic practice.
No use, distribution or reproduction is permitted which does not comply with these terms. Countries in the Middle East and North Africa MENA region have been investing in the development of their health systems through implementing reforms to improve health care delivery for their nations.
However, these countries are still facing challenges in providing equitable, high quality healthcare services. There is limited published literature supporting the previous and ongoing attempts that have been made to improve health system performance in MENA countries.
This review aims to describe experiences of health system development efforts in the MENA region, highlight progress, identify challenges that need be addressed and future opportunities to achieve responsive and efficient health systems. It also aimed to provide recommendations to further support these health systems toward evolution and performance improvement.
A literature review was conducted by searching different databases including PubMed, Scopus, Google Scholar and other electronic resources to identify articles and publications describing health systems development in the MENA region from to It also included grey literature, reports and policy and planning documents by international organizations. The identified references were reviewed to extract, analyze, organize and report the findings. The review revealed emerging evidence describing governmental initiatives to introduce health system reforms at different levels in the MENA countries.
