Organizational reforms and healthcare system performance : The case of the Ministry of Health and Social Protection in Morocco

Résumé

Abstract:

This study analyzes the organizational reforms implemented by the Ministry of Health and Social Protection in Morocco between 2005 and 2023 and their impact on healthcare system performance. Using a systematic literature review combined with comparative analysis of regional health reform cases, the paper evaluates the effects of key initiatives such as the Compulsory Health Insurance (AMO) and the Medical Assistance Scheme (RAMED) on service accessibility, governance efficiency, and financial sustainability. Data were drawn from official national health reports, academic studies, and policy evaluations covering the period 2005–2023. The findings reveal that while reforms have significantly expanded healthcare coverage and improved access for vulnerable populations, persistent disparities remain between urban and rural regions, driven by inefficient resource allocation and workforce shortages. The study concludes that achieving Universal Health Coverage (UHC) in Morocco requires strengthening governance at the regional level, investing in rural health infrastructure, and adopting performance-based financing models to ensure long-term sustainability.

Keywords : Healthcare reforms, Universal Health Coverage (UHC), service accessibility, governance.