Évolution et Défis de la Gouvernance des Ressources Humaines en Santé au Maroc : Analyse des Réformes, des Performances et des Perspectives

INTRODUCTION: The reform of health workforce governance in Morocco (2021-2025) aims to address the shortage and territorial maldistribution of health personnel. This study assesses the reform's performance at mid-term. METHODS: The analysis is based on a review of official documents and the legal framework governing the health workforce reform. RESULTS: The findings show notable quantitative and administrative achievements, including an increase in training capacity and public sector staffing, as well as the modernization of human resource management processes. However, major structural challenges persist, particularly territorial maldistribution, the concentration of personnel in hospitals at the expense of primary health care, and an overall workforce density below the threshold recommended by the World Health Organization. CONCLUSION: The new governance architecture, based on regionalization and the establishment of the "Health Function," provides a promising legal framework. Nevertheless, the impact of financial incentives for underserved areas and performance-based remuneration remains to be fully assessed. While the reform has increased the volume of the health workforce and modernized its management, the main challenge remains achieving a more equitable distribution.