World Bank2014-08-012014-08-012007-05https://hdl.handle.net/10986/19229This 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.en-USCC BY 3.0 IGOABILITY TO PAYABORTIONACCESS TO HEALTH CAREACCESS TO PRIMARY HEALTH CAREADOLESCENT FERTILITYADULT MORTALITYADULT POPULATIONAGEDAGINGANTENATAL CAREBABIESBASIC HEALTH CAREBEDSBIG CITIESBIRTH RATEBOTH SEXESBULLETINBURDEN OF DISEASECARDIOVASCULAR DISEASESCERTIFICATIONCHILD CARECHILD HEALTHCHILD MORTALITYCHILDBIRTHCHILDREN PER WOMANCITIESCITIZENSCLINICSCOMMUNICABLE DISEASESCYCLE OF POVERTYDEATH RATEDEATHSDEBTDECISION MAKINGDEMOGRAPHIC TRANSITIONDEPENDENCY RATIODEVELOPMENT POLICYDIABETESDISABILITYDISASTERSDISPARITIES IN HEALTHDISPENSARIESDOCTORSECONOMIC GROWTHECONOMIC OPPORTUNITIESECONOMIC POLICYELDERLYEPIDEMIOLOGICAL TRANSITIONEQUITY IN ACCESSESSENTIAL DRUGSESSENTIAL HEALTH CAREESSENTIAL HEALTH SERVICESEXPANSION OF POPULATIONEXPENDITURESFAMILIESFERTILITYFERTILITY RATEGENERAL PRACTITIONERSGENERIC DRUGSGLUCOSEGOOD GOVERNANCEGOVERNMENT AGENCIESGROSS DOMESTIC PRODUCTHEALTH BEHAVIORHEALTH CAREHEALTH CARE COVERAGEHEALTH CARE DELIVERYHEALTH CARE EXPENDITURESHEALTH CARE FACILITIESHEALTH CARE FINANCINGHEALTH CARE SERVICESHEALTH CARE SYSTEMHEALTH CARE WORKERSHEALTH CENTERSHEALTH EXPENDITUREHEALTH EXPENDITURESHEALTH FACILITIESHEALTH FINANCINGHEALTH INDICATORSHEALTH INFORMATIONHEALTH INSURANCEHEALTH ORGANIZATIONHEALTH OUTCOMESHEALTH POLICIESHEALTH POLICYHEALTH PROFESSIONALSHEALTH PROGRAMSHEALTH PROJECTSHEALTH PROMOTIONHEALTH PROVIDERSHEALTH SECTORHEALTH SECTOR REFORMHEALTH SERVICEHEALTH SERVICESHEALTH SPECIALISTHEALTH STATUSHEALTH SYSTEMHEALTH WORKERSHEALTH WORKFORCEHIGH BLOOD PRESSUREHIVHIV/AIDSHOSPITALHOSPITAL AUTONOMYHOSPITAL BEDSHOSPITALSHOSPITALS PUBLICHRHUMAN DEVELOPMENTHUMAN IMMUNODEFICIENCY VIRUSHUMAN RESOURCESHUMAN RESOURCES DEVELOPMENTHUSBANDSILL-HEALTHILLNESSIMMUNIZATIONIMMUNODEFICIENCYINCIDENCE ANALYSISINCOMEINEQUITIESINFANTINFANT MORTALITYINFANT MORTALITY RATEINFANTSINJURIESINPATIENT CAREINSTITUTIONAL CAPACITYINSTITUTIONALIZATIONINSURANCE SCHEMESINTEGRATED MANAGEMENT OF CHILDHOOD ILLNESSESINTEGRATIONINTERVENTIONLEVELS OF MORBIDITYLIFE EXPECTANCYLIFESTYLESLIMITED RESOURCESLIVE BIRTHSLOW BIRTH WEIGHTMATERNAL DEATHSMATERNAL MORTALITYMATERNAL MORTALITY RATESMATERNAL MORTALITY RATIOMEASLESMILLENNIUM DEVELOPMENT GOALSMINISTRY OF HEALTHMORBIDITYMORTALITYMORTALITY DIFFERENTIALSMOTHERNATURAL DISASTERSNEONATAL MORTALITYNURSESNUTRITIONOBESITYOPPORTUNITIES FOR WOMENOUTPATIENT CAREPATIENTPATIENTSPERI-NATAL CAREPERINATAL CAREPHARMACISTSPHARMACYPHYSICIANPHYSICIANSPOLICY DECISIONSPOLICY MAKERSPOOR HEALTHPOPULATION GROUPSPOPULATION GROWTHPOPULATION GROWTH RATEPREGNANT WOMENPRIMARY CAREPRIMARY HEALTH CAREPROGRESSPUBLIC ADMINISTRATIONPUBLIC HEALTHPUBLIC HEALTH CAREPUBLIC HEALTH EXPENDITURESPUBLIC HOSPITALSPUBLIC INFORMATIONPURCHASING POWERPURCHASING POWER PARITYQUALITY OF CAREQUALITY OF LIFEQUALITY SERVICESREPRODUCTIVE HEALTHREPRODUCTIVE HEALTH POLICIESREPRODUCTIVE HEALTH SERVICESRESOURCE ALLOCATIONRESOURCE USERESPIRATORY DISEASESRISK FACTORSRURAL AREASRURAL COMMUNITIESRURAL DEVELOPMENTRURAL GIRLSRURAL POPULATIONSSANITATIONSERVICE PROVISIONSMOKINGSOCIAL SERVICESSOCIOECONOMIC DEVELOPMENTSOCIOECONOMIC DIFFERENCESSURGERYSUSTAINABLE ACCESSSUSTAINABLE HEALTH CARETEACHING HOSPITALSTECHNICAL ASSISTANCETRADE UNIONSTUBERCULOSISUNDER FIVE MORTALITYUNDER-FIVE MORTALITYUNEMPLOYMENTUNSAFE ABORTIONURBAN AREASURBAN POPULATIONURBANIZATIONUSE OF HEALTH SERVICESUSE OF RESOURCESUSER FEESVICIOUS CYCLEWORKERSWORLD HEALTH ORGANIZATION10.1596/19229