Le Régime d’assistance médicale (RAMed) au Maroc : les mécomptes du volontarisme et de l’opportunisme

Ferrié, Jean-Noël; Omary, Zineb; Serhan, Othmane

doi:10.3917/rfas.181.0125

Cited by 15 publications

(6 citation statements)

References 16 publications

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“…Following the examples of Algeria, 4 Tunisia, 5 or Morocco, 6 Mali is one of the rare West African countries to have a public policy designed to provide free access to health services for indigents. 7 For operational purposes, Malian officials decided that indigents would represent the poorest 5% of the general population in Mali.…”

Section: Discussionmentioning

confidence: 99%

Defining an action-research’s content to improve a policy supporting indigents’ health in Mali: a concept mapping

Seppey

Touré

Ridde

2021

Journal of Global Health Reports

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BackgroundConcept mapping (CM) is a method used to create consensus around a concept within a group of actors, which enables an empowering process for the participants through dialogues and shared information. We performed a CM, aiming to improve the operationalisation of a health policy, the RAMED, to promote healthcare access to the indigent population in Mali. MethodsThe CM followed five steps leading to the conceptual map development: 1) brainstorming, 2) statements' scoring, 3) clustering, 4) statistical (hierarchical clustering and multi-dimensional scaling) and qualitative analysis, and 5) validating the map. Twenty-seven participants took place in the CM, representing eighteen organisations linked to the implementation of the policy.

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Section: Discussionmentioning

confidence: 99%

Defining an action-research’s content to improve a policy supporting indigents’ health in Mali: a concept mapping

Seppey

Touré

Ridde

2021

Journal of Global Health Reports

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“…As a result, RAMED mainly works by relying on the normal state subsidies that hospitals receive. 20 The generalisation of RAMED in 2012 led to an explosion in overall healthcare demand and put considerable pressure on public hospitals, unable to absorb it. According to RAMED operating procedures, 21 the patientto-be shall first go to the nearest public health centre, the name of which is written on his/her beneficiary card.…”

Section: Realising the Right To Health In Morocco: Access And Barriersmentioning

confidence: 99%

Securing Essential Rights in Times of Pandemic: Healthcare Access in Morocco during the Covid-19 Crisis

Cimini¹,

Hicham²

2020

Rowaq Arabi

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The Covid-19 pandemic has put the Moroccan healthcare system to the test. Although the government of Morocco has successfully contained an exponential spread of cases thus far in comparison to neighbouring Europe, the health emergency highlighted the country’s own ‘pandemic’: a crumbling public sector, poor human resources, regional and class-based inequalities, poor governance and corruption. Based on the analysis of press articles, key documents, policy measures, and royal discourses, this paper aims to provide a timely review of healthcare in Morocco and assess Covid-19’s impact on it. Moving from the opportunities and barriers to the right to health, we explore the social and political implications of the pandemic. We find that the Palace strengthened its role by capitalising on its credibility and well-established networks, while other political actors appear increasingly detached from people’s everyday challenges. Furthermore, by securitising the health threat, the regime abdicates its responsibilities and further infringes on other rights, like press freedom.

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“…Whilst the compulsory health insurance scheme (Assurance Maladie Obligatoire) financing presents fewer challenges [24], the scheme for the poor (RAMED) is still struggling to achieve its objectives. The RAMED was generalised since 2012 and always strives to ensure equity of access to health services, reducing financial hardship and providing sustainable financing for the scheme [25,26]. Another study using longitudinal data from 2013 to 2015 showed an increase in household expenditure associated with the generalisation of RAMED [27].…”

Section: Introductionmentioning

confidence: 99%

Policy dialogue and participation: a new way of crafting a national health financing strategy in Morocco

Akhnif

Hachri

Belmadani³

et al. 2020

Health Res Policy Sys

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Background Policy dialogue for health policies has started to gain importance in recent years, especially for complex issues such as health financing. Moroccan health financing has faced several challenges during the last years. This study aims to document the Moroccan experience in developing a consolidated health financing strategy according to the policy dialogue approach. It especially considers the importance of conceptualising this process in the Moroccan context. Method We documented the process of developing a health financing strategy in Morocco. It concerned four steps, as follows: (1) summarising health financing evidence in preparation of the policy dialogue; (2) organising the health policy dialogue process with 250 participants (government, private sector, NGOs, civil society, parliamentarians, technical and financial partners); (3) a technical workshop to formulate the strategy actions; and (4) an ultimate workshop for validation with decision-makers. The process lasted 1 year from March 2019 to February 2020. We have reviewed all documents related to the four steps of the process through our active participation in the policy debate and the documentation of two technical workshops to produce the strategy document. Results The policy dialogue approach showed its usefulness in creating convergence among all health actors to define a national shared vision on health financing in Morocco. There was a high political commitment in the process and all actors officially adopted recommendations on health financing actions. A strategy document produced within a collaborative approach was the final output. This experience also marked a shift from previous top-down approaches in designing health policies for more participation and inclusion. The evidence synthesis played a crucial role in facilitating the debate. The collaborative approach seems to work in favouring national consensus on practical health financing actions. Conclusion The policy dialogue process adopted for health financing in Morocco helped to create collective ownership of health financing actions. Despite the positive results in terms of national mobilisation around the health financing vision in Morocco, there is a need to institutionalise the policy dialogue with a more decentralised approach to consider subnational specificities.

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Le Régime d’assistance médicale (RAMed) au Maroc : les mécomptes du volontarisme et de l’opportunisme

Cited by 15 publications

References 16 publications

Defining an action-research’s content to improve a policy supporting indigents’ health in Mali: a concept mapping

Defining an action-research’s content to improve a policy supporting indigents’ health in Mali: a concept mapping

Securing Essential Rights in Times of Pandemic: Healthcare Access in Morocco during the Covid-19 Crisis

Policy dialogue and participation: a new way of crafting a national health financing strategy in Morocco

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