The impact of service provision contracts on the quality of healthcare in rural areas of Morocco: a case study of the province of Khouribga

L’impact des contrats de prestation de services sur la qualité des soins dans les zones rurales marocaines: étude de cas de la province de Khouribga

Anas Lyamani and Mohamed Atik
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Anas Lyamani: USMS - Université Sultan Moulay Slimane
Mohamed Atik: USMS - Université Sultan Moulay Slimane

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Abstract: The structural shortage of human resources in Morocco's public health sector has led to an increasing reliance on service delivery contracts, particularly in rural areas where medical and paramedical staff are most needed. This study examines the impact ofthese contractual arrangements on healthcare quality in the province of Khouribga, focusing on three key dimensions: accessibility, continuity, and quality of care. Using an in-depth case study approach, this research adopts a mixed-method design that combines semi-structured interviews with healthcare actors (physicians, nurses, and provincial managers) and quantitative analysis of local health reports. Preliminary findings reveal that such contracts have temporarily improved geographic access to healthcare services, yet raise critical challenges regarding staff stability, service continuity, and professional motivation. The study ultimately aims to inform policymakers on how to better integrate contractual personnel into the national health strategy, ensuring greater efficiency, equity, and sustainability in public health human resource management.

Keywords: Accessibility; Contrats de prestation de services Ressources humaines en santé Zones rurales Qualité des soins Accessibilité Maroc Gouvernance sanitaire Service delivery contracts Health human resources Rural areas Quality of care Accessibility Morocco Health governance; Health governance; Morocco; Contrats de prestation de services; Quality of care; Rural areas; Health human resources; Gouvernance sanitaire Service delivery contracts; Maroc; Accessibilité; Qualité des soins; Zones rurales; Ressources humaines en santé (search for similar items in EconPapers)
Date: 2026
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Published in International Journal of Research in Economics and Finance, 2026, 3, pp.108 - 119. ⟨10.5281/zenodo.19411060⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-05588460

DOI: 10.5281/zenodo.19411060

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