Kingdom of Morocco : Health Policy Note Towards a More Equitable and Sustainable Health Care System - Policy Challenges and Opportunities
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 populat...
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| Format: | Policy Note |
| Language: | English en_US |
| Published: |
Washington, DC
2014
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| Online Access: | http://documents.worldbank.org/curated/en/2007/05/16376780/morocco-health-policy-note-towards-more-equitable-sustainable-health-care-system-policy-challenges-opportunities http://hdl.handle.net/10986/19229 |
| Summary: | 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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