This article explores the impact of the establishment of Territorial Health Groups (GST) on ongoing health reform in Morocco. The legislative framework, in particular Law 08-22, emphasizes the importance of these Territorial Health Groups in the offer of treatments and quality of services. The dialectical connection between the establishment of Territorial Health Groups on the one hand and the expansion of social protection on the other hand for different segments of the population is very practical and interconnected. The role of Territorial Health Groups is important in evaluating the health map, redistributing resources, and playing a vital role in regional health programs. Law 08-22 defines the tasks and administrative structure of Territorial Health Groups within their territorial jurisdictions. The article highlights the shift from a centralized to a decentralized approach in health decision-making, noting the role of Territorial Health Groups in health management. The establishment of district Territorial Health Groups is a key element in theoretical and practical efforts to strengthen the health system in Morocco. However, the analysis underscores challenges related to legislative complexities, politicization and technocratic hegemony. The article referred to the National Health Program, which emphasized the development of human resources in the health sector, by increasing the number of doctors and nurses, establishing new university centers, and employing thousands of new supervisors. The program also aims to improve the financial situation of health personnel and enhance national competencies. In conclusion, the article stresses the importance of Territorial Health Groups in strengthening the health system, improving regional health services, and promoting effective partnerships with the private sector.

Territorial Health Groups, Health System, Health Policy, Social Protection, Morocco.

[1] Download the Royal Workshops on the Reform of the National Health System Unites the Ministry of Health and Social Protection and its Social Partners.. On the Internet: https://www.sante.gov.ma/sites/Ar/Pages/communiqu%C3%A9s.aspx?communiqueID=807; Last updated: 11.12.2023
[2] Framework Law No. 09.21 on social protection.
[3] Framework Law No. 06.22 relating to the national health system.
[4] Khider AE, Imichoui H. Regionalization, a new mode of governance of the health system: an overview of the situation in the case of Morocco. Eur Sci J ESJ 2020; 16. doi:10.19044/esj.2020.v16n16p154
[5] Prime Minister chairs meeting to track implementation of health reform workshops. 2023; Internet mother: https://www.cg.gov.ma/ar/node/11111; Stand: 11.12.2023
[6] His Majesty King Mohammed VI chairs Council of Ministers. Kingdom of Morocco Ministry of Foreign Affairs, African Cooperation and Moroccan Expatriates. um Internet: https://diplomatie.ma/ar; Stand : 11.12.2023
[7] Ministry of Health, National Plan for Monitoring and Responding to Infection by Coronavirus 2019-n Cov.
[8] Social protection in Morocco, the reality of the situation, the outcome and ways to strengthen the security and social assistance systems, Report of the Economic, Social and Environmental Council, self-referral No. 34/2018, p. 15.
[9] Dagorn C, Giorgi D, Meunier A. Territorial Hospital Groups and Hospital Integrations: Trib Santé 2021; No. 69: 77–87. doi :10.3917/SEVE1.069.0077
[10] El mahdaoui s. The new development model facing the challenges of the reform of the Moroccan health system: an analysis on the place of health in the NMD. 2022 ;
[11] Aboussad A. Advocating for a reform of the health system in Morocco. Prescription for Health Policy 2.0 by Youssef Elfakir (review). Maghreb Rev 2023; 48 : 331–332
[12] Badr Eddine A. Laasri ,Mohamed A. Aneflouss(2022), Disparities And Socio-Territorial Imbalances in The Regulation of The Regional Territory of The Health Sector Regional Experience 16 Regions. IUSRJ International Uni-Scientific Research Journal (3) (12) , 79-86. https://doi.org/10.59271/s44737.022.1718.12
[13] Jaa M. Mustapha (2022), Legal and judicial protection of the principle of Continuity of public health service. IUSRJ International Uni-Scientific Research Journal (3) (17) , 109-116 https://doi.org/10.59271/s44847.022.1708.17
[14] Draft Law No. 08-22 on the creation of territorial health groups.
[15] Health Security and National Sovereignty Requirements Report of the House of Councillors 2021.