Assessing Morocco’s UHC Project: Ambitions, Challenges, and Health Inequities

Executive Summary

This report analyzes the Universal Health Coverage (UHC) project in Morocco. It highlights the project’s objectives and its impact on the Moroccan medical system, economic structure, and social conditions.

The assessment reveals several limitations within the UHC program. Key issues include unclear results and expectations for the target groups. This situation will affect a significant portion of Morocco’s population, particularly the two-thirds who face poverty, low wages, and inadequate assistance. These individuals will transition from the Medical Assistance System (RAMED) to a mandatory sickness coverage system, which emphasizes program targeting.

While the UHC project aims to improve health assistance and reduce socioeconomic disparities in access to treatment, it has technical challenges. Problems like ambiguity in targeting and taxation, alongside deep-seated structural issues, threaten its effectiveness. There is a risk that existing inequalities and health injustices will continue or worsen under this new system.

Ultimately, this raises questions about the sustainability of health risk protection for all Moroccans, particularly for those in vulnerable positions.