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Economic & Sector Work :: Policy Note

Kingdom of Morocco : Health Policy Note Towards a More Equitable and Sustainable Health Care System - Policy Challenges and Opportunities

ABILITY TO PAY ABORTION ACCESS TO HEALTH CARE ACCESS TO PRIMARY HEALTH CARE ADOLESCENT FERTILITY ADULT MORTALITY ADULT POPULATION AGED AGING ANTENATAL CARE BABIES BASIC HEALTH CARE BEDS BIG CITIES BIRTH RATE BOTH SEXES BULLETIN BURDEN OF DISEASE CARDIOVASCULAR DISEASES CERTIFICATION CHILD CARE CHILD HEALTH CHILD MORTALITY CHILDBIRTH CHILDREN PER WOMAN CITIES CITIZENS CLINICS COMMUNICABLE DISEASES CYCLE OF POVERTY DEATH RATE DEATHS DEBT DECISION MAKING DEMOGRAPHIC TRANSITION DEPENDENCY RATIO DEVELOPMENT POLICY DIABETES DISABILITY DISASTERS DISPARITIES IN HEALTH DISPENSARIES DOCTORS ECONOMIC GROWTH ECONOMIC OPPORTUNITIES ECONOMIC POLICY ELDERLY EPIDEMIOLOGICAL TRANSITION EQUITY IN ACCESS ESSENTIAL DRUGS ESSENTIAL HEALTH CARE ESSENTIAL HEALTH SERVICES EXPANSION OF POPULATION EXPENDITURES FAMILIES FERTILITY FERTILITY RATE GENERAL PRACTITIONERS GENERIC DRUGS GLUCOSE GOOD GOVERNANCE GOVERNMENT AGENCIES GROSS DOMESTIC PRODUCT HEALTH BEHAVIOR HEALTH CARE HEALTH CARE COVERAGE HEALTH CARE DELIVERY HEALTH CARE EXPENDITURES HEALTH CARE FACILITIES HEALTH CARE FINANCING HEALTH CARE SERVICES HEALTH CARE SYSTEM HEALTH CARE WORKERS HEALTH CENTERS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH INDICATORS HEALTH INFORMATION HEALTH INSURANCE HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH POLICIES HEALTH POLICY HEALTH PROFESSIONALS HEALTH PROGRAMS HEALTH PROJECTS HEALTH PROMOTION HEALTH PROVIDERS HEALTH SECTOR HEALTH SECTOR REFORM HEALTH SERVICE HEALTH SERVICES HEALTH SPECIALIST HEALTH STATUS HEALTH SYSTEM HEALTH WORKERS HEALTH WORKFORCE HIGH BLOOD PRESSURE HIV HIV/AIDS HOSPITAL HOSPITAL AUTONOMY HOSPITAL BEDS HOSPITALS HOSPITALS PUBLIC HR HUMAN DEVELOPMENT HUMAN IMMUNODEFICIENCY VIRUS HUMAN RESOURCES HUMAN RESOURCES DEVELOPMENT HUSBANDS ILL-HEALTH ILLNESS IMMUNIZATION IMMUNODEFICIENCY INCIDENCE ANALYSIS INCOME INEQUITIES INFANT INFANT MORTALITY INFANT MORTALITY RATE INFANTS INJURIES INPATIENT CARE INSTITUTIONAL CAPACITY INSTITUTIONALIZATION INSURANCE SCHEMES INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESSES INTEGRATION INTERVENTION LEVELS OF MORBIDITY LIFE EXPECTANCY LIFESTYLES LIMITED RESOURCES LIVE BIRTHS LOW BIRTH WEIGHT MATERNAL DEATHS MATERNAL MORTALITY MATERNAL MORTALITY RATES MATERNAL MORTALITY RATIO MEASLES MILLENNIUM DEVELOPMENT GOALS MINISTRY OF HEALTH MORBIDITY MORTALITY MORTALITY DIFFERENTIALS MOTHER NATURAL DISASTERS NEONATAL MORTALITY NURSES NUTRITION OBESITY OPPORTUNITIES FOR WOMEN OUTPATIENT CARE PATIENT PATIENTS PERI-NATAL CARE PERINATAL CARE PHARMACISTS PHARMACY PHYSICIAN PHYSICIANS POLICY DECISIONS POLICY MAKERS POOR HEALTH POPULATION GROUPS POPULATION GROWTH POPULATION GROWTH RATE PREGNANT WOMEN PRIMARY CARE PRIMARY HEALTH CARE PROGRESS PUBLIC ADMINISTRATION PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC HEALTH EXPENDITURES PUBLIC HOSPITALS PUBLIC INFORMATION PURCHASING POWER PURCHASING POWER PARITY QUALITY OF CARE QUALITY OF LIFE QUALITY SERVICES REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH POLICIES REPRODUCTIVE HEALTH SERVICES RESOURCE ALLOCATION RESOURCE USE RESPIRATORY DISEASES RISK FACTORS RURAL AREAS RURAL COMMUNITIES RURAL DEVELOPMENT RURAL GIRLS RURAL POPULATIONS SANITATION SERVICE PROVISION SMOKING SOCIAL SERVICES SOCIOECONOMIC DEVELOPMENT SOCIOECONOMIC DIFFERENCES SURGERY SUSTAINABLE ACCESS SUSTAINABLE HEALTH CARE TEACHING HOSPITALS TECHNICAL ASSISTANCE TRADE UNIONS TUBERCULOSIS UNDER FIVE MORTALITY UNDER-FIVE MORTALITY UNEMPLOYMENT UNSAFE ABORTION URBAN AREAS URBAN POPULATION URBANIZATION USE OF HEALTH SERVICES USE OF RESOURCES USER FEES VICIOUS CYCLE WORKERS WORLD HEALTH ORGANIZATION
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Washington, DC
Middle East and North Africa | Morocco
2014-08-01T20:04:16Z | 2014-08-01T20:04:16Z | 2007-05

This note identifies three main issues and proposes a set of short- and longer-term policy measures for each. The publicly financed and run health care system does not meet healthcare needs of the majority of the Moroccans. Only half of the population uses health services when experiencing an illness, indicating that people who live outside big cities either cannot or will not pay for poorer quality services in rural health facilities. While in the short term limited use of healthcare services because of inability or unwillingness to pay may not significantly affect levels of morbidity and mortality resulting from non-communicable diseases, the impact is likely to grow exponentially in the next two decades. Despite recent attempts by the government to expand population coverage, improve system governance, and increase the quality of care, Morocco's health care system remains predominantly state owned and managed, yet highly fragmented. On one hand, the system is not truly pluralistic because of negligible participation of providers and consumers in system governance. On the other hand, the execution of all main healthcare functions are segmented across several government agencies, or applicable to different population segments. In addition, low and poorly allocated public outlays for health care result in inefficiencies in the allocation and use of public resources, as well as in high private out-of-pocket expenditures. If a publicly funded health insurance scheme is intended to provide universal coverage for an essential package of services, a significant restructuring of the existing institutional architecture and of the legislative and regulatory framework will be needed to make it a reality.

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