Evolution and Challenges of Human Resources Governance in Health in Morocco: Analysis of Reforms, Performances, and Future Perspectives
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Abstract
Introduction : The reform of healthworkforcegovernance in Morocco (2021–2025) aims to address the shortage and territorial maldistribution of health personnel. This studyassesses the reform’s performance at mid-term.
Methods:The analysis is based on a review of official documents and the legal framework governing the health work forcereform.
Results:The findings show notable quantitative and administrative achievements, including an increase in training capacity and public sectorstaffing, as well as the modernization of humanresource management processes. However, major structural challenges persist, particularly territorial maldistribution, the concentration of personnel in hospitals at the expense of primaryhealth care, and an over all work force density below the threshold recommended by the World Health Organization.
Conclusion : The new governance architecture, based on regionalization and the establishment of the “HealthFunction,” provides a promising legal framework. Nevertheless, the impact of financialincentives for underserved areas and performance-based remuneration remains to be fullyassessed. While the reform has increased the volume of the healthworkforce and modernizedits management, the main challenge remainsachieving a more equitable distribution.
Keywords:
Health work force, Governance, Regionalization, Human resources for health, Morocco, Health system reform##plugins.themes.academic_pro.article.details##
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
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