Healthcare Ecosystem Management in Morocco: Towards Integrated Territorial Governance

Abstract

The COVID-19 pandemic exposed deep structural vulnerabilities within health systems and accelerated major transformations in Morocco’s health ecosystem. This article aims to analyze how the creation of Territorial Health Groups (Groupements Sanitaires Territoriaux, GST), the generalization of social protection, and the expansion of digital health are reshaping territorial governance in Morocco’s post-COVID health system.

Drawing on a theoretical approach based on documentary analysis of Moroccan reform texts and post-COVID international literature, the study proposes an analytical framework to interpret this transformation.

At the core of this dynamic, the creation of GST marks a decisive shift toward territorially integrated governance and improved coordination of care pathways. The analysis highlights a reconfiguration of health system steering grounded in population responsibility, care integration, and the articulation between organizational reform and social protection. The generalization of health coverage and the expansion of digital health thus reinforce systemic coherence and equity of access.

Morocco’s reform therefore appears not merely as an administrative reorganization, but as a broader structural transformation. In this respect, it offers a relevant case study for middle-income countries seeking to advance territorially integrated and sustainable health governance models.

Classification JEL: I180

Paper type: Theoretical Research