LALOICADREN°06-22RELATIVEAUSYSTÈMENATIONALDESANTÉ

Dr. KHALID SALMI

Regional Director of Health and Social Protection Draa Tafilalt
14 Novembre 2022
. Introduction
Plan
. Chapter I: GENERAL PROVISIONS:
. Chapter IIRIGHTS AND DUTIES OF THE POPULATION
. Chapter III:THE CARE OFFER
. Chapter IV:Healthcare establishments
. Chapter v:THE HEALTH MAP AND THE REGIONAL SCHEMES FOR CARE OFFER
. Chapter VI:PARTNERSHIP BETWEEN THE PUBLIC SECTOR AND THE PRIVATE SECTOR
. Chapter VII:HUMAN RESOURCES / TRAINING / RESEARCH AND INNOVATION IN THE FIELD OF
HEALTH
. Chapter III:DIGITIZATION OF HEALTH SYSTEM
. Chapter IX:HEALTH ESTABLISHMENT ACCREDITATION SYSTEM
. Chapter X:MANAGEMENT AND GOVERNANCE BODIES
. Chapter XI:FINAL PROVISIONS

.
Introduction :

The development of the health sector based on a policy of

shared responsibility;
The deep overhaul of the national health system has become a necessity.
urgent and a national priority;
Reference Framework:
Royal speech addressed to members of parliament on the occasion of the opening of the first
session of the first legislative year of the eleventh legislature, its supreme directives to
government to complete the major projects launched, including the generalization of protection
social event sponsored by Her Majesty: the main challenge remains "to carry out successfully a
genuine rehabilitation of the health system" in compliance with the best standards and in
the complementarity between the two public and private sectors;
Provisions of the constitution and especially its chapter 31, which specifically stipulates
that the State, public institutions, and local authorities work for the
mobilization of all available resources to facilitate the benefits for citizens
citizens with equal rights to treatment and healthcare;
In accordance with the provisions of the second paragraph of Article 71 of the Constitution, the right to
Health is part of fundamental human rights.
international conventions,
the International Covenant,
the constitution of the WHO,
the millennium goals,
United Nations Charter for Sustainable Development,
Definitions:

National Health System (NHS): is made up of all the establishments

organizations and actions and resources assigned to it
health, involved in the field of health protection in the sector
public and private, at the national or regional level, and that are organized to
the achievement of fundamental objectives.
Health institutions: the various health establishments, regardless of
their status, organized with a view to participating in the provision of care.
Objective of the framework law:
The framework law aims to establish a legal framework for fundamental objectives.
of the national health system and its reorganization, according to a participatory approach, based on
on the collective and responsible involvement of the State and other concerned actors.

Vision:
Preventive and effective health policy and an equitable and equal healthcare offer at the level of
different regions of Morocco based on data and the orientations of the health map
national and regional health cards adopted and the implementation of the role of ESSP
the adoption of a rational drug policy supporting according to a
approach based on mobilization, participatory management and on solidary partnership between
the different stakeholders in the aim of restructuring the health system.
Components of the governance of the health system subject to revision
Revaluation of human resources working in the health sector,
the improvement of health training systems in this sector,
attraction of medical skills working abroad,
the creation of an integrated national health information system
Creation of an accreditation system for healthcare establishments,
the creation of specialized management and governance bodies:
. the high health authority, which will carry out the technical supervision tasks of the site
the mandatory basic health insurance,
. Creation of territorial health groupings: which will have the role of implementing the
state policy in the field of health at the regional level
. the creation of a public establishment for medicines and health products,
. Creation of a public institution specialized in the availability of blood and its derivatives,
These expected objectives constitute a comprehensive and effective framework for the achievement of the
expected reform of the national health system,
.Chapter I: GENERAL PROVISIONS:

General objectives of the National Health System:

It will work towards achieving health security, preserving the health of the population, and protecting it from diseases.
epidemics and health hazards that threaten their lives and to ensure that they live in a healthy environment.
The specific objectives:
facilitate access for the population to health services and improve their quality;
Ensure an equal and fair distribution of healthcare services across the entire territory;
Territorial anchoring of the healthcare offer in the public sector and improvement of its governance through the
creation of territorial health groups
Ensuring the supremacy of medications and the availability and safety of drugs and products
of health and their quality;
Development of mechanisms and means for detecting and preventing threats to health
its development;
•Réorganiser le parcours des soins et digitaliser le système de santé ;
Strengthening of health supervision with a view to achieving WHO standards;
Valuation of human resources in the healthcare sector and its upgrade through a function
sanitary standards that take into account the specificities of departmental functions and professions;
Operationalization of partnership and complementarity mechanisms between the public and private sectors;
Encouragement of scientific research and innovation in the health sector;
Conditions for achieving the objectives of the National Health System

the legislative and regulatory measures necessary to achieve the objectives

mentioned and to ensure their implementation;
Under the responsibility of the State and local authorities first, and the
public institutions and the private sector with the participation of society
civil and the various professional organizations and the population and the rest of the
actors in the health sector;
Local authorities, public institutions, and the private sector and the
different professional organizations, each according to its field of
skill, contribute to the achievement of objectives and the registration in the
the process of its realization and the contribution of different supports to achieve them
Principles of the National Health System:

Equal access to healthcare and health services;

The continuity in the provision of health services;
Equity in the spatial distribution of resources and infrastructure
health services throughout the Kingdom;
Good Governance
Adopting a gender approach in the development of policies, programs and
health strategies;
Results-based management and accountability;
The synergy of resources;
The Mobilization of all citizens, institutions, and organizations in the
public and private sectors and civil society organizations, and their involvement in
the implementation of the State's policy concerning epidemic prevention and
of diseases, and other health hazards, and programs aimed at
the improvement of the health status of the population and the availability of protection
basic sanitation,
.Chapter IIRIGHTS AND DUTIES OF THE POPULATION
•the information of the population about health-related risks and about
behaviors and precautionary measures to adopt to prevent them;
the promotion of health and access to appropriate healthcare services available;
Respect for the person, their physical integrity, dignity, and privacy;
Respect for the patient's right to information regarding their illness and modes
of its management;
•Actions to be taken in the fight, with the support of organizations
professionals and associations working in the field of health,
against all forms of discrimination or stigma towards a
person due to their illness, disability, or characteristics
genetics.
Pharmaceutical policy and the availability of blood and labile blood products:
The State ensures the development of a pharmaceutical policy aimed at ensuring
the availability of the medication, to improve its quality and to reduce its price,
as well as to ensure the availability of pharmaceutical products and devices
necessary medications to preserve the health of individuals and ensure their
security.
To this end, the State is working notably to:
Strengthen the development of a local pharmaceutical industry and
the encouragement of the development of generic drugs;
It defines the safety and quality rules related to manufacturing.
importation, exportation, distribution and dispensation of
medications;
Encourage and develop scientific research in the field of
medications and medical and health sciences;
The State ensures the availability of blood and labile blood products, by
all available means. it ensures safety and quality.
Prevention of health-threatening hazards:

The state is conducting a complementary and integrated intersectoral policy of

prevention of health-threatening dangers, in coordination with all stakeholders
concerned.
she undertakes, whenever people's lives and their safety are threatened, because of
the spread of contagious or epidemic diseases, all measures
urgent measures necessary for their protection against these diseases and the limitation of their
propagation, in order to avoid the dangers that may result from it.
Everyone is required to comply with health protection rules and measures.
public determined by public health services in accordance with
provisions of this framework law;
Public health services must, in case of harm to a person by a
communicable disease, posing an epidemic threat to the community in it
submitting, according to the regulatory and organizational provisions in effect, to
treatment and preventive measures applicable for health protection, It is
It is possible to take, in case of necessity, the same measures with regard to individuals.
contacts.
.Chapter III :THE CARE OFFER
The healthcare offer includes, in addition to human resources, all healthcare infrastructures.
relevant du secteur public ou privé et toutes autres installations de santé, fixes ou mobiles ainsi que
the means implemented to provide care and service benefits.
The State takes the necessary measures to ensure that the provision of care is distributed across the entire
national territory in a balanced and fair manner, according to the specificities of each region and its
needs.
The public sector and the private sector, whether for profit or not, must be organized in a way
synergistic in order to efficiently respond to health needs through a care provision and
complementary, integrated, and coordinated services.
The organization of healthcare services at the level of each region is carried out in accordance with the map.
regional health and to the regional health service plans provided for in Chapter IV of this document
framework law, based on respect for the care pathway that begins with passing through the ESSP for the
public sector or by the general practitioner for the private sector according to the terms that will be
determined by regulatory text.
In order to ensure the improvement of healthcare services in the public sector, the State undertakes in particular the
rehabilitation of health infrastructure continued.
In order to develop the healthcare offer, the State undertakes the necessary measures to attract talent.
Moroccans and foreigners are attracting foreign investments, which contributes to the transfer and the
sharing experiences and improving the quality of health services.
.Chapter IV:HEALTH ESTABLISHMENTS
Public and private health facilities provide services according to their respective purposes.
prevention, diagnosis, care, or rehabilitation requiring or not a
hospitalization.
Depending on its purpose, each healthcare facility organizes itself to ensure, in accordance with
the legislative and regulatory provisions that are specific to it, the best security
possible for patients and to welcome them in conditions suitable for their health status,
eventually in case of emergency or to refer them, if necessary, to the healthcare facility
appropriate.
Healthcare facilities are organized and managed under conditions that ensure the
respect of:
Fundamental rights of the human person:
Patient safety standards;
Safety standards for people working in healthcare facilities;
Safety standards for installations and equipment;
Ethical and deontological rules applicable to each profession;
Quality standards and norms
Hygiene and safety rules;
Clinical good practice guidelines.
Health facilities contribute, according to regulatory provisions.
and organizational:
. To training actions in the field of health as well as to training
continue and on the recycling of healthcare professionals in coordination, the case
if applicable, with training institutions, professional organizations and
the learned societies concerned responding to specific specifications
. To research actions in the field of health.
They will be able to develop partnership relations with organizations
professionnelles, les associations ainsi que toute autre composante de la société
civil to encourage their contribution to achieving system objectives
health, particularly those related to information, health education and to the
awareness.
.Chapter v:THE HEALTH CHART AND REGIONAL SCHEMES
FROM THE OFFER OF CARE
The State will establish a national health card specifying the general guidelines for the distribution of healthcare services based on
the global analysis of the available healthcare supply and the geographical, demographic, and epidemiological data at the national level.

Each territorial health group establishes, within the framework of the general guidelines of the national health map, a health map.
regional health care supply, containing a comprehensive census of health care supply in both public and private sectors and sets for
the public sector the measures capable of ensuring the following:

•Response, suitable, to the needs of the population in terms of healthcare and health services at the Regional level, by stopping the
Expected forecasts mainly concerning human resources and healthcare facilities, beds, and locations, and the
specialties and fixed and mobile facilities, heavy equipment and its territorial distribution;

Ensure consistency and fairness in the distribution of human and financial resources at the regional level;

Reduction of intra-regional inequalities in the context of healthcare provision.

The regional healthcare provision plan will be established for a given period. It may be revised in case of
change in the general guidelines mentioned in the national health map.
.Chapter VI:PARTNERSHIP BETWEEN THE PUBLIC SECTOR AND THE SECTOR
PRIVATE
Taking into account the specificities of the healthcare sector and which requires the
complementarity, mutual assistance in the use of resources, equipment and
existing infrastructures at the level of health facilities under
public and private sector, the State takes the necessary measures to establish a
partnership between these two sectors taking into account their particularities.
Public sector health establishments can request assistance.
Whenever the need arises, according to the conditions and terms
specified in a regulatory text, services of professionals of
private sector for the execution of specific missions.
.Chapter VII:HUMAN RESOURCES / TRAINING / THE
RESEARCH AND INNOVATION IN THE FIELD OF HEALTH
Establishment of a health function aimed at enhancing the Human Resources working in
le secteur publique et sa mise à niveau , ces ressources humaines sont régies par un statut , prispour
application of a law, it particularly specifies the main guarantees provided, the rights and the
obligations and a wage system where part is linked to the achievement of professional activities
The state oversees the establishment of a training system for health professions and ensures quality.
training provided and the enhancement of its performance.
Le système de formationa pour but la réponse aux besoins de pays en matière des cadres de santé à travers :
. Availability of an evolving basic training and specialized vocational training in various fields.
health fields, It is based on quality standards, effectiveness, and professionalism and the
competence
. Continuous recycling of health frameworks according to their different types and categories.
Training institutions in the health sector, both public and private, provide
basic training dismissals, specialized, and master's in different specialties, according to the
regulatory and organizational provisions in force,
The State and other public and private bodies are striving to take all necessary measures to
encourage the stakeholders to develop innovative research projects and the realization of
specialized scientific programs in health-related fields with national priority
.Chapter III :DIGITALISATION OF HEALTH SYSTEM

In order to monitor and evaluate the performance of the health system, it will be
established a national integrated health information system that collects,
process and utilize the essential information related to the establishments of
public and private health, their activities, their resources.
In compliance with the legislation related to the protection of individuals
physical aspects concerning the processing of personal data, it will be
create in the computer system, an integrated computer system titled
"shared medical file" allowing the definition of care pathways
of each patient, their follow-up and evaluation
.Chapter IX:HEALTH FACILITY ACCREDITATION SYSTEM

A procedure for evaluating healthcare institutions, referred to as 'accreditation.'

will be established to ensure the continuous improvement of quality and
safety of care.
The accreditation procedure aims to provide an independent assessment of the
quality of healthcare institutions or, if applicable, one or more of
their services based on indicators, criteria, and national standards
developed by a body called "High Health Authority",
.Chapter X:MANAGEMENT AND GOVERNANCE BODIES
Institution by the state of:
The High Health Authority, which particularly has the role of supervision.
technique of mandatory health insurance, the assessment of quality of
healthcare facility services provide feedback on public policies
in the field of health;
The Territorial Health Group in the form of a public establishment, which
is responsible at the Regional level for the implementation of the state's policy in the
health domain
Each grouping will consist of all healthcare establishments concerned
of the public sector located in its service area;
Two public establishments: one responsible for medicines and products
medicinal and the other blood and its derivatives
.Chapter XI:FINAL PROVISIONS

The loicadre will be implemented in accordance with the legislative and regulatory texts taken for
his application
Repeal of Law Framework 09-34 relating to the health system and the provision of care.
I thank you.