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Priorities for sexual and reproductive health in Morocco as part of universal health coverage: maternal health as a national priority.
Assarag, Bouchra; Sanae, El Omrani; Rachid, Bezad.
Afiliação
  • Assarag B; Researcher in Sexual and Reproductive Health, President of the Association Together for Reproductive Health (ESR), Rabat, Morocco. Correspondence: bassarag1@gmail.com.
  • Sanae EO; Midwife, PhD Student of Maternal and Neonatal Health, Volunteer at the Association Together for Reproductive Health (ESR), Rabat, Morocco.
  • Rachid B; Professor of Obstetrics and Gynecology, Faculty of Medicine and Pharmacy, Mohammed V Rabat University, Rabat, Morocco.
Sex Reprod Health Matters ; 28(2): 1845426, 2020 Dec.
Article em En | MEDLINE | ID: mdl-33213263
ABSTRACT
Maternal health (MH) is a national priority of Morocco. Factors influencing the agenda set by the reproductive and maternal health policy process at the national level were evaluated using the Shiffman and Smith framework. This framework included the influence of the actors, the power of the ideas used, the nature of the political context, and the characteristics of the issue itself. Factors were evaluated by a review of documents and interviews with policy-makers, partners and individuals in the private sector, civil society and non-governmental organisations (NGOs) involved in MH, and decision-makers responsible for implementing health-financing strategies in Morocco. Evaluations showed that maternal mortality in Morocco was considered human rights and social development as well as a public health problem. The actors responsible for MH, including members of the government, researchers, national technical experts, members of the private sector, United Nations partners and NGOs, agreed on progress made in MH and universal health care (UHC). Stakeholders also agreed on the prioritisation process for MH and its inclusion in the health benefits package. Prioritisation of MH was found to depend on national health priorities set by the government and its close partners, as well as on the availability of human and financial resources. Interventions at the operational level were based on evidence, best practices, allocation of adequate financial and human resources, and rigorous monitoring and accountability. However, MH and health financing are experiencing difficulties in many areas, related to social and economic and health disparities, and gender inequality, and quality of care.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Cobertura Universal do Seguro de Saúde / Saúde Materna / Política de Saúde / Prioridades em Saúde Tipo de estudo: Guideline / Prognostic_studies / Qualitative_research Limite: Humans País como assunto: Africa Idioma: En Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Cobertura Universal do Seguro de Saúde / Saúde Materna / Política de Saúde / Prioridades em Saúde Tipo de estudo: Guideline / Prognostic_studies / Qualitative_research Limite: Humans País como assunto: Africa Idioma: En Ano de publicação: 2020 Tipo de documento: Article