摩洛哥卫生和教育部门的公共支出效率

Public SpendingEfficiency in the Health Asel Isakova SIP/2026/027 IMF Selected Issues Papers are prepared by IMF staff asbackground documentation for periodic consultations withmember countries.It is based on the information available at 2026APR IMF Selected Issues Paper Middle East and Central Asia Department Public Spending Efficiency in the Health and Education Sectors in MoroccoPrepared by Asel Isakova* Authorized for distribution by Laura Jaramillo Mayor IMF Selected Issues Papersare prepared by IMF staff as background documentation for periodicconsultations with member countries.It is based on the information available at the time it was ABSTRACT:Health and education outcomes in Morocco have improved and access has expandedsignificantly in recent years. Nonetheless, long-standing challenges persist—including shortages of medicalpersonnel, weak learning outcomes, regional disparities, and outdated infrastructure. Public spending levels inthese sectors are relatively high compared to peers yet efficiency gaps remain and budget under-execution iscommon, suggesting scope to achieve better results with existing resources. Ambitious reforms to improve RECOMMENDED CITATION:Isakova, Asel, 2026. Public Spending Efficiency in the Health and EducationSectors. IMF Selected Issues Paper (SIP/2026/027). Washington, D.C. International Monetary Fund SELECTED ISSUES PAPERS Public Spending Efficiency inthe Health and Education Morocco Prepared by Asel Isakova MOROCCO SELECTED ISSUES March 5, 2026 ApprovedByMiddle East andCentral Asia Prepared ByAsel Isakova (FAD). CONTENTS PUBLIC SPENDING EFFICIENCY IN THE HEALTH AND EDUCATION SECTORS__2 A. Health ___________________________________________________________________________2B. Education ________________________________________________________________________7 FIGURES 1. Health Outcomes ________________________________________________________________22. Health Sector Capacity Indicators ________________________________________________33. Health Expenditures and Public Spending Efficiency _____________________________54. Access to Education______________________________________________________________85. Education Outcomes_____________________________________________________________96. Education Spending ____________________________________________________________11 References ________________________________________________________________________14 PUBLIC SPENDING EFFICIENCY IN THE HEALTH AND Health and education outcomes in Morocco have improved and access has expanded significantlyin recent years. Nonetheless, long-standing challenges persist—including shortages of medicalpersonnel, weak learning outcomes, regional disparities, and outdated infrastructure. Publicspending levels in these sectors are relatively high compared to peers yet efficiency gaps remainand budget under-execution is common, suggesting scope to achieve better results with existingresources. Ambitious reforms to improve capacity and quality of services in these sectors are A.Health 1.The health outcomes of the Moroccan population have improved over time andcompare well to emerging markets (EM) and regional peers (Figure 1).The health-adjusted lifeexpectancy (HALE) at birth is around 62.34 years, having increased from 60.69 years in 2000, andcomparable to peers among emerging markets and MENA countries. Infant mortality rates have 2.However, the health system in Morocco has been facing significant capacityconstraints (Figure 2).According to the World Health Organization, challenges include insufficient human and logistical resources with inadequate regional distribution, as well as weaknesses inpublic healthcare provision and public-sector hospital infrastructure, noting that available statisticsfor the sector may not reflect more recent improvements.2In 2021 Morocco recorded a nationalaverage density of 16.09 health workers per 10,000 inhabitants, compared to the minimum criticaldensity recommended by the World Health Organization (WHO) of 23 medical professionals per10,000 inhabitants and 45 to achieve Sustainable Development Goals (SDGs). In addition, Morocco Sources: WHO, World Bank Development Indicators, national authorities, IMF staff calculations.Note: Figures on density of medical workers and hospital beds show latest available data which may vary by country (between MOROCCO 3.Health expenditures in Morocco are generally lower than in peer countries with roomto raise spending efficiency (Figure 3) and reduce budget under-execution.Current health spending stands at around 5.7 percent of GDP, of which 2.3 percent of GDP is governmentspending. Government health spending generally remains lower than an average observed in theemerging market peers but slightly higher than in the MENA region. Though it has been increasing,the share of out-of-pocket spending remains high at around 43 percent of total current healthspending, compared to 25 percent recommended by th