Tunisia benefits from a healthcare system better than many countries with similar income levels. In 2013, total healthcare expenditure amounted to 7.1% of GDP –or 493 TND ($246) per capita and 90% of the population has access to a form of universal insurance. Yet, Moncef Boussannouga Zammouri, head of KPMG Tunisia, says the country suffers from a poorly performing public healthcare sector.