PHM-Exch> Morocco: new report about crisis of Human Resources for Health

[zohair maazi]

The Moroccan Association of Nursing and Health Techniques presents:
A new report entitled monitoring of human resources for health policy in
Morocco.
10 alternatives are proposed to unlock the crisis situation.


Today, the Moroccan Association of Nursing and Health Techniques publishes
its report entitled « Policies for Human Resources for Health HRH:
Contexts, References and Results». This fruit of a project that lasted four
years, involved all health workers from different regions. We want to help
clarify decision-making processes, describe the gap between HRH planning
and realization, and propose creative recommendations to enrich our
national HRH policy.

The report confirmed the diagnosis of the low production of health care
staff (less than 1,000 doctors and 3,000 nurses and health technicians
annually). It also highlighted the imbalance in the distribution, which
indicates inequity between regions (40% of public professionals and 60% of
professionals in both sectors are concentrated in two Casablanca-Settat and
Rabat-Salé-kénitra regions where live 34% of the population).



The report challenges the different actors to overcome the challenges for
the retention and loyalty of staff in the civil service and in remote
areas. The same is true for matching training to the real needs of the
health-care population, thereby correcting the gap that has been widening
over the years.

In this report, we noted several findings, including:



First, the fulfillment of the government's obligations is partial; the
government still hesitates to carry out HRH measures, especially those
related to the care professions, all profiles combined (referential of
Employment and Skills, Scholarships abroad, Professional Orders,
Generalization of the performance bonus...).



Secondly, the measures taken, in particular the revision of the status of
the nursing, midwifery, health care and re-education professions, have
created more protests and dissatisfaction. This situation has disrupted the
social peace within the sector, instead of responding to relevant and real
needs, a necessary factor to achieve results and the reconciliation of
citizens with the public health service.



Thirdly, the report raised some discrepancies between the proposals for
measures that are not included in the government program or the ministerial
strategy such as the National Health Service.


Our Association, concerned with the situation prevailing in the health
sector, and in accordance with its mission and its objectives, submits to
the appreciation of the various actors, in particular, those involved in
decision-making, ten recommendations considered more relevant for
contribute to improving the quality and performance of human resources:

1.  Development of a multisectoral and concerted national HRH plan;

2.  Organization of a national HRH conference;

3.  Establishment of a National HHR Day;

4.  Creation of a National Observatory of HRH by the government;

5. Increase in the number of HRH staff and equitable distribution
throughout the country, especially health care workers (doctors and
nurses). Creative measures to tackle the shortage and loyalty measures such
as a premium for remote areas and housing insurance will be desirable;

6. With regard to HRH training, we recall the content of our position
statement regarding investing more in basic nursing education, we encourage
a learning approach throughout the career of our professional life and a
generalization and democratization of continuing education, especially
through modern technological means;

7.  The motivation of health personnel by salary revision, risk premium
equity and equalization of opportunities between the categories in the
Examination of Professional Skills, the exemption of user fees, the
promotion of social services alternation and democratization of positions
of responsibility ...

8. Ensure the listening of all HRH channels by revitalizing the sectoral
social dialogue at the national, regional and provincial levels, and by
creating the other professional orders of nurses, midwives, and other
specialties;

9.  Establishment of a coalition of civil society organizations to support
HRH;

10. Encouragement of exchange programs and international cooperation of
health professionals, especially South-South cooperation with African
countries, and support to African coalitions of health professionals of
which Morocco is a member.

The Association is always willing and continues its work to develop its
expertise in the monitoring/evaluation of public policies in the field of
health. Any partnership is welcome.

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About AMSITS

The Moroccan Association of Nursing and Health Techniques (AMSITS), founded
in 1978, is a member of the International Council of Nurses and the People's
Health Movement. It works for a strong, resilient, equitable and
sustainable health system, and to ensure the availability, accessibility,
acceptability, quality of nursing care through training, communication and
advocacy actions.

Among these latest achievements, the association presented a memorandum for
the reform of the health system, a monitoring report of the human resources
for health policies, and a memorandum with amendments concerning the draft
law on the practice of nurses and the bill of the university hospitals.

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For more information or to reserve your copy of the report, please contact:

Mr. ZOHEIR MAAZI
Vice President - Head of the Advocacy and Communication Unit

Such: 00 212 6 64 38 36 13

E-mail: zohair.maazi at gmail.com
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