Background Maternal morbidity refers to any health problems or complications experienced by a woman during pregnancy, childbirth, or the postpartum period. Many studies have documented the, mostly negative, effects of maternal ill-health on functioning. Although, measurement of maternel morbidity remains underdeveloped. We aimed to evaluate the prevalence of non-severe maternal morbidities (including overall health, domestic and sexual violence, functionality, and mental health) in women during postpartum care and further analyze factors associated with compromised mental functioning and clinical health by administration of the WHO’s WOICE 2.0 instrument. Methods A cross-sectional study was conducted at 10 Health centers in Marrakech, Morocco with WOICE questionnaire included three sections: the first with maternal and obstetric history, sociodemographic data, risk and environment factors, violence and sexual health; the second considers functionality and disability, general symptoms and mental health; and the third includes data on physical and laboratory tests. This paper presents descriptive data on the distribution of functioning status among postpartum women. Results A total of 253 women averaging 30 years of age participated. For self-reported health status of women, more than 40% reported good health, and just 9.09% of women had a health condition reported by the attending physician. Among postpartum women with clinical diagnoses, 16.34% had direct (obstetric) conditions and 15.56% indirect (medical) problems. When screening for factors in the expanded morbidity definition, about 20.95% reported exposure to violence. Anxiety was identified in 29.24% of cases, and depression in 17.78%. Looking into gestational results, just 14.6% delivered by cesarean section and 15.02% had preterm birth. We found also that 97% reported “good baby health” in the postpartum evaluation, with 92% of exclusive breastfeeding. Conclusion Considering these results, improving the quality of care for women requires a multi-faceted approach, including increased research, better access to care, and improved education and resources for women and healthcare providers.

Introduction The objective of this study is to evaluate the prevalence of nonsevere maternal morbidities (including overall health, domestic and sexual violence, functionality, and mental health) in women during antenatal care in rural versus urban areas. This study aimed to describe the factors that affect women’s health during pregnancy by administration of the WHO’s WOICE 2.0 instrument. Methods This was a cross sectional study conducted at perinatal care health centers in Morocco (5 in rural and 5 in urban). We recruited n = 257 women in the third trimester of their pregnancy using a questionnaire developed by the WHO to assess maternal morbidity, which includes various instruments that measure different aspects of maternal health. This tool evaluates the functionality and ability to perform daily tasks includes a tool that evaluates mental health, the General Anxiety Disorder 7-item test (GAD-7), and the 9-item Patient Health Questionnaire (PHQ-9), to assess depression. Data on health conditions and socio-demographic characteristics were collected through structured interview, medical record review, and clinical examination. This paper presents descriptive data on the distribution of functioning status among antepartum women. Results In all, 257 women at a mean age of 30 years were included, and the majority had a partner (98%) and primary education (68.48%). Over one third of the population cannot read. Exposure to violence occurred in 12.23%. Sexual dissatisfaction was reported by 28.20% of antepartum women. Overall, women reported very good and good health (39.69%), and more than third had a medical condition (39.69%). There was an overall rate of anxiety in 83.65%, depression in 43.57%. Based on the χ2 test, Fisher exact test, or Kruskal-Wallis test, there was a significant relationship between the distribution of depression (p<0.001) and sexual satisfaction (p<0.01) between urban and rural women. Conclusion Considering these results, antepartum depression and anxiety were highly prevalent in our sample and contributed substantially to perceived disability. These serious threats to health must be further investigated and more data are needed to comprehensively quantify the problem in Morocco.

Noncommunicable diseases remain important public health problems worldwide, accounting for significant mortality and morbidity. Noncommunicable diseases (NCDs) are the leading causes of death and disability worldwide. According to WHO (2018), Non-communicable diseases (NCDs) kill 41 million people each year, accounting for 71% of deaths worldwide. It predicts that the rapid growth of NCDs will impede poverty reduction initiatives in low-income countries, particularly due to rising out-of-pocket health expenditures.In Morocco, the situation is also problematic. The epidemiological and demographic transition is reflected in an increase in the burden of disease and mortality of NCDs in children 0- 18 years, particularly cancers, diabetes, cardiovascular diseases, chronic respiratory diseases and chronic renal failure. At the level of the Marrakech-Safi Region, the total number of diabetic children reached 1519 cases in 2019 of which 162 new cases and 1357 old cases, with a predominance (55%) at the level of the city of Marrakech. For children with hypertension, they represent 749 cases in 2019 including 25 new cases and 724 old cases. As for respiratory infections, the number of cases of acute viral bronchiolitis declared at the level of the region during the autumn-winter period 2019-2020 has reached 8404 cases. Finally, for children suffering from chronic renal failure a total number of 35 children are currently under care at the level of public hemodialysis centers, including 21 children hemodialysis, 12 under peritoneal dialysis and 02 kidney transplanted. The objective of this article is to describe the burden of morbidity and mortality related to non-communicable diseases in the Marrakech-Safi region.

Objectives: The measurement of less severe maternal morbidity represents many challenges for women during pregnancy and postpartum, and for the organization of health services. This article aims to test the tools for measuring maternal morbidity less severe proposed by the WHO and describe the state of play of this morbidity at the level of the prefecture of Marrakech. The second phase is to study the feasibility and acceptability of integrating these tools into the Pregnancy and Childbirth Surveillance Program. Methods: The analysis focused on the maternal morbidities declared and diagnosed in the test, and related the feasibility and acceptability as well as the relevance of the tools tested. Results: Most of the women who participated in the study (55.95% antenatal and 52.17% postpartum care) were not in good health (A medical or obstetric condition is diagnosed). Of these women, 35.79% had direct (obstetric) complications and 33.85% indirect (medical) complications. In terms of feasibility, the results suggest that the implementation of the tools presents challenges in terms of time, resources and coordination. Regarding the acceptability of the WMOs, the women surveyed perceive it as a useful information tool that promotes communication with health professionals and makes it possible to assess their state of health and ensure their holistic care. Conclusion: Considering these results, the approach supports the relevance of implementing the MM measure in antenatal and postpartum care to improve the quality of care for women, to promote communication and continuity of care. However, constraints of time, resources and coordination must be taken into account for its implementation at primary health care.