Abstract EN:

The health system in Syria is considered as an observatory of social change. This work takes place within a global topic that deals with the links between state and society in Syria. Considering that public health can be seen as a political challenge for the state, this work has particularly focused on the various ways the Syrian state is adapting to the social and economic change of the country. The setting of new functions and the re-definition of tye role of the state is playing within the health system constitute the main hypothesis of this work. For decades, the Syrian state has been playing a central role in the health system. The health system that can be seen in Syria nowadays can be considered as the result of the public health policies that the Syrian state has set up since the Independence. The setting of health policies led to a process known as "epidemiological transition". Nevertheless, the problem of access to the care structures has never been totally solved. In a context characterised by an important economic crisis, the financing of the health system becomes a very critical issue for the Syrian government. In regard to this, the government has set up medical strategies, and one of them deals with the Primary Health Cares programs. The evolutions of the health system can also be seen trough the evolutions of the links existing between the public and the private health sector. These links can be seen trough the new pharmaceutical industry. This work also pays a particular attention to the medical profession and the role it plays within the setting up of public health policies. And last, the association sector has been analysed in regard of the role it played in some localised health policies.