Khaled Ait Taleb, Minister of Health and Social Protection, said, “The reform currently underway in the Moroccan health system guarantees a radical transformation in the concepts that we broke up with in Morocco and have become a thing of the past,” stressing the need for patience to see the results: “There is no urgent reform with instantaneous fruits… sowing is The reap will follow in due course,” he declared, “starting in 2025, we will begin to see and feel the fruits, especially with the concept of proximity health (rehabilitation of 1,400 health centers).
The Minister of Health and Social Protection, who was speaking in a “special dialogue” with the electronic newspaper Hespress on the occasion of the passage of half of the government’s term, considered that “health reform is a royal initiative par excellence; It enabled the creation of a revolution in the health sector that the health system in Morocco had not known for fifty years. His Majesty wrote the major milestones of the social and community project through two framework laws for social protection (Framework Law on Social Protection 09.21, within which health coverage is included as a basic part). There are also other social programs that the government has focused on positively, most notably direct social support.”
Royal directives
Ait Taleb continued, presenting the outcome of his sector’s work, saying, “Framework Law No. 09.21 creates a major revolution in the health system; Because it means forgetting the past and starting with a new page, and it relates to four basic pillars, each of which requires a large legal arsenal; We are in the process of finalizing a number of its applied texts, which will be published during the month of June, which means moving to implementation on the ground by the second sixth of this year or the beginning of next year, God willing.”
The minister explained that “50 years of negative accumulations sometimes included efforts, and I do not exclude any of them; But it has reached a degree of saturation,” he said, recalling “global praise for the wise Moroccan management of the Corona pandemic in a way that raised health to the level of its integration into the core of public policies.”
Ait Taleb stated: “Within two years, we have become available on a comprehensive information system for the sector, and at the same time rehabilitating 1,400 health centers, with one billion dirhams for public hospitals, and allocating 1.7 billion dirhams to modern hospital centers and building new hospitals in Tangier, Agadir, then in Laayoune and Guelmim.” ..”, in conclusion: “It is a revolution that requires intellectual support, in addition to sufficient human resources, and here lies the importance.”
The Minister of Health added: “So, the government devoted itself to implementing the royal instructions seriously, and ensured the ability to implement all social protection laws…”, pointing out that “these implementation texts for a number of pillars brought about very positive things, including the sector rehabilitation pillar; These are workshops that we have been working on for a while, and very important funds are spent on them (amounting to 800 million dirhams every year) to reconfigure and rehabilitate 1,400 primary health care centers, which are the gateway to the health system, in a way that ensures a policy of proximity, in accordance with the royal will.”
“Health policy for proximity”
During his video interview with Hespress, the Minister of Health and Social Protection confirmed that “the proximity policy will return us to an old concept that had a very positive result, through a hospital and proximity doctors (neighborhood doctors) who are aware of the social situation of the citizen even before he diagnoses the symptoms of his illness.”
Ait Taleb said: “Sbeitar Al Houma” has all the equipment today, and we wanted it as a gateway to reduce the pressure on emergency patients, as it is known that 80 percent of urgent cases do not need to go to the emergency room and can recover in health centers in the closest residential communities that have sufficient means, including First Aid,” stressing that “what is important in the relationship between the health sector and the citizen is to restore confidence in the public facility… We have turned the old page, and we have made great strides now.”
“A healthy job will ensure attractiveness.”
“Entering into the procedures of the Health Career Law and its implementing texts,” according to the government official, will limit “the migration of medical professionals and personnel, which is not a phenomenon specific to Morocco.” Rather, wherever we go, in developed countries, there is always a shortage (Australia, Canada, France, America…) in nursing as well as medicine.”
“We are working to enhance attractiveness and temptations to reduce frame migration bleeding; But it cannot be eliminated. Rather, it is an honor for Morocco that our doctors are in demand in international hospitals.”
He considered that the work is focused on “suiting the environment to the doctor’s social ambitions, not just the financial aspect, and working to improve his situation and work environment.” Because the status of the doctor has declined from the third level to the 28th level in society compared to the 1970s,” he added, adding that “the health job will guarantee contracts to seek the assistance of highly qualified Moroccan medical expertise abroad and entice them to return to Morocco.”
He explained: “It is not possible to work comfortably in health care centers except through incentive mechanisms. Hence the creation of the concept of the “health job,” which is one of the major pillars of the framework law. The motivational model proposes a fixed wage and a variable wage. That is, “whoever serves well will get rid of himself and will be rewarded for his effort,” as he put it.
He concluded that “the health job is an exception to the health sector, emanating from the public job, given the pattern of work, the specificity of the sector, and the occupational risks; But while preserving the gains and adding some privileges while ensuring their deserved promotion, according to Articles 16 and 17 of the framework law, on the horizon that “we reach health insurance that guarantees the financing of the health system.”
“All Moroccans are covered.”
During his interview with Hespress, the minister spoke about “the attractiveness of public health employment, and the attractiveness of the health center, which will enable it to attract all citizens without exception.” Because there is no Moroccan citizen in the social protection system outside of health coverage,” he stressed, “Legally, all Moroccan citizens have health coverage.”
He also detailed the types of beneficiaries, saying: “There are 3 categories: Solidarity for the unemployed and the incapable, then the employees and employees in the public and private sectors, as well as those belonging to certain trades and professions (TNS), who have the ability to pay contributions and a field has been created for them.” “Amo comprehensive”; However, he acknowledged “problems in the involvement of some professional groups in health coverage workshops, which is something that is currently being worked on,” according to him.
“Consequently, this group benefits from direct social support, and can contribute to health coverage (“They can join Amu Comprehensive, easily”),” Ait Taleb explained, considering that “ensuring a direct automatic transfer from “Ramed” to “Amu Tadamon” It required a tremendous effort with a financial envelope of 9.5 billion dirhams, which was pumped in order to cover segments that were actually deserving. In total, we found one million people benefiting from Ramid without any entitlement.”
He also stressed “the possibility of leaving Amu Solidarity and inclusion within the comprehensive Amu system.” Because he was transformed from a person who was unable to participate to a person who is able to participate, because his social index is high (between 9.32 and 9.74), which is a category that qualifies to receive direct social support amounting to a minimum amount of 500 dirhams, of which he pays in “Amo Shamil” between 145 AED 174 to 174 dirhams) to ensure that those with rights along with him, i.e. his family members, benefit.
The state has made a great effort, whether in health coverage or direct social support. There are other upcoming programs with great financial potential that will expand the number of beneficiaries of retirement or those who have lost jobs.”
University hospitals and training of doctors
Regarding the issue of university hospital centers (CHU), Ait Taleb pointed to “advanced work” related to achieving “a university hospital center in every region… We currently have 8 centers, and four remain, which are in the process of construction and their deals procedures.”
He continued in a proud tone: “There is no longer a problem with the availability of the university hospital center in every region; But citizens can move for treatment wherever they want… In parallel, we are working to solve the crisis of frameworks and human resources that remain deficient in the health sector, whether medical or nursing.”
Regarding the duration of the training of doctors, the Minister of Health and Social Protection stressed that “the matter is settled and beyond the point; Because the law came out in 2022, they will be able to undergo their training within the framework of territorial health groups (i.e. adjusting training according to regional specificity), in addition to increasing the number of medical colleges.”
In terms of numbers, the same government official stated: “Morocco is currently graduating 1,500 doctors, with the prospect of doubling the number to reach 3,000 graduate doctors in 2025 before we reach the goals set by the World Health Organization within the framework of the Sustainable Development Goals.”
As for the “artificial intelligence challenge,” Ait Taleb commented that “it has become imposing itself on the professions and specializations of the health sector, just like other professions and sectors,” calling for “the demand of a charter of ethics for the use of artificial intelligence.”
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2024-05-05 23:43:10
