Development of a new economic and financial governance model to improve migrants' access to healthcare services in Morocco

Abstract Objectives The financial cost of healthcare services remains a significant barrier for migrants seeking adequate medical care. This finding was underscored in the initial phase of a global project aimed at studying and addressing healthcare access issues for migrants in Morocco. The primary...

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Main Authors: Hicham E. Bouri, Gonzalo Fanjul, Sara A. Lázaro, Clara Marín, Aasmaa C. Elyousfi, Adil Najdi
Format: Article
Language:English
Published: Springer 2025-04-01
Series:Discover Public Health
Online Access:https://doi.org/10.1186/s12982-025-00527-4
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author Hicham E. Bouri
Gonzalo Fanjul
Sara A. Lázaro
Clara Marín
Aasmaa C. Elyousfi
Adil Najdi
author_facet Hicham E. Bouri
Gonzalo Fanjul
Sara A. Lázaro
Clara Marín
Aasmaa C. Elyousfi
Adil Najdi
author_sort Hicham E. Bouri
collection DOAJ
description Abstract Objectives The financial cost of healthcare services remains a significant barrier for migrants seeking adequate medical care. This finding was underscored in the initial phase of a global project aimed at studying and addressing healthcare access issues for migrants in Morocco. The primary objective of the project's second phase was to develop a new model of economic and financial governance for migrant health. Methods To achieve this goal, we proceeded through two successive steps. The first involved a rapid literature review to identify innovative financing practices that have successfully promoted healthcare access for migrant populations in other countries. The second step focused on constructing a new economic and financial governance model, drawing on Contandriopoulos' conceptual framework for health governance. Results Our review examined articles that identified financial obstacles as major barriers to healthcare access for migrants while proposing innovative solutions. These included the establishment of a dedicated fund, the creation of a public financial support organization, the introduction of medical aid schemes, and the development of free healthcare facilities for migrants. Subsequently, we developed three financing models by integrating various feasible mechanisms for healthcare financing in Morocco. These models encompassed integrating migrants into the Moroccan health insurance system, establishing a solidarity fund for migrant health, and fostering public–private partnerships. One of these models was validated during a stakeholder workshop convened for this purpose. Conclusions This validated model represents a significant strategic advancement deserving careful consideration by decision-makers to address financial barriers to healthcare access for migrants in Morocco.
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spelling doaj-art-e8eaa11fc74c44a0982a2e9c29c35ea32025-08-20T03:06:48ZengSpringerDiscover Public Health3005-07742025-04-0122111110.1186/s12982-025-00527-4Development of a new economic and financial governance model to improve migrants' access to healthcare services in MoroccoHicham E. Bouri0Gonzalo Fanjul1Sara A. Lázaro2Clara Marín3Aasmaa C. Elyousfi4Adil Najdi5Laboratory of Epidemiology and Public Health, Faculty of Medicine and Pharmacy of Tangier, Abdelmalek Essadi UniversityBarcelona Institute for Global Health, Hospital Clínic, Universitat de BarcelonaBarcelona Institute for Global Health, Hospital Clínic, Universitat de BarcelonaBarcelona Institute for Global Health, Hospital Clínic, Universitat de BarcelonaEpidemiology and Disease Control Directorate, Ministry of HealthLaboratory of Epidemiology and Public Health, Faculty of Medicine and Pharmacy of Tangier, Abdelmalek Essadi UniversityAbstract Objectives The financial cost of healthcare services remains a significant barrier for migrants seeking adequate medical care. This finding was underscored in the initial phase of a global project aimed at studying and addressing healthcare access issues for migrants in Morocco. The primary objective of the project's second phase was to develop a new model of economic and financial governance for migrant health. Methods To achieve this goal, we proceeded through two successive steps. The first involved a rapid literature review to identify innovative financing practices that have successfully promoted healthcare access for migrant populations in other countries. The second step focused on constructing a new economic and financial governance model, drawing on Contandriopoulos' conceptual framework for health governance. Results Our review examined articles that identified financial obstacles as major barriers to healthcare access for migrants while proposing innovative solutions. These included the establishment of a dedicated fund, the creation of a public financial support organization, the introduction of medical aid schemes, and the development of free healthcare facilities for migrants. Subsequently, we developed three financing models by integrating various feasible mechanisms for healthcare financing in Morocco. These models encompassed integrating migrants into the Moroccan health insurance system, establishing a solidarity fund for migrant health, and fostering public–private partnerships. One of these models was validated during a stakeholder workshop convened for this purpose. Conclusions This validated model represents a significant strategic advancement deserving careful consideration by decision-makers to address financial barriers to healthcare access for migrants in Morocco.https://doi.org/10.1186/s12982-025-00527-4
spellingShingle Hicham E. Bouri
Gonzalo Fanjul
Sara A. Lázaro
Clara Marín
Aasmaa C. Elyousfi
Adil Najdi
Development of a new economic and financial governance model to improve migrants' access to healthcare services in Morocco
Discover Public Health
title Development of a new economic and financial governance model to improve migrants' access to healthcare services in Morocco
title_full Development of a new economic and financial governance model to improve migrants' access to healthcare services in Morocco
title_fullStr Development of a new economic and financial governance model to improve migrants' access to healthcare services in Morocco
title_full_unstemmed Development of a new economic and financial governance model to improve migrants' access to healthcare services in Morocco
title_short Development of a new economic and financial governance model to improve migrants' access to healthcare services in Morocco
title_sort development of a new economic and financial governance model to improve migrants access to healthcare services in morocco
url https://doi.org/10.1186/s12982-025-00527-4
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