Since the recovery by the motherland of the Sahara region, the Moroccan successive Governments have undertaken major health activities at the provincial level in Laayoune, Dakhla, Smara and Boujdour and recently Aousserd.
These actions concern both health infrastructure and human and financial resources through public health programs. They have helped increase health, including those relating to infant mortality whose rate has seen a dramatic decline in relation to national indicators, amounting to 30 per 1000 (40 per 1000 nationally).
Overall, the goals of health policy are threefold:
• Ensure autonomy of health
• Put health services at the disposal of a large number of people by adapting health services to the specific needs of the region by geographical optimal distribution
• Develop curative and preventive medicine
Good results have been achieved thanks to the sustained development of the sector by the government and the private sector, which helped set up a care balanced service, integrated and distributed equitably throughout the entire territory of the region.
However, further efforts are required. For this reason, development, expansion, reconstruction and renovation projects relating to health facilities are being implemented in these provinces, amounting to 17. Among these projects, 14 are entirely funded through the budget of the Ministry of Health against an overall investment of about 17 million dirhams, 3 other projects are carried out within the framework of the National Initiative for Human Development (INDH) .
The following table presents a detailed list of these projects:
|
Provinces
|
Project
|
Investment ( DH)
|
Financing Source
|
|
Boujdour
|
Creation of a paediatric service at the Hassan II Hospital
|
-
|
INDH
|
|
Creation of the Center for Diagnosis and Treatment of Respiratory Diseases
|
500 000
|
Ministry of Health
|
|
Construction of a nursing home at El Ghazi’s headquarters (Lemssid Commune )
|
180 000
|
Ministry of Health
|
|
Smara
|
Creation of the headquarters of the Delegation
|
2 100 000
|
Ministry of Health
|
|
Development of the maintenance workshop
|
250 000
|
Ministry of Health
|
|
Laâyoune
|
Creation of CSU Al Massira in Laâyoune
|
-
|
INDH
|
|
Creation the Agraou fishing village headquarters - Tah Commune
|
-
|
INDH
|
|
Creation of a new IFCS
|
6 600 000
|
Ministry of Health
|
|
Renovation of Foum El Oued headquarters
|
914 000
|
Ministry of Health
|
|
Creation of accomodations for doctors and nurses at Hagounia
|
379 760
|
Ministry of Health
|
|
Extension of CSU AL Qods + Renovation of CSC hagounia and Foum El oued headquarters
|
914 000
|
Ministry of Health
|
|
Creation of a regional deposit for drugs
|
1 650 000
|
Ministry of Health
|
|
Oued Eddahab
|
Creation of maintenance workshop
|
250 000
|
Partnership with the Regional Council
|
|
Creation of LEHM
|
340 000
|
Partnership with the Regional Council
|
|
Creation of a mortuary at Hassan II hospital in Dakhla
|
240 000
|
Ministry of Health
|
|
Creation of regional drugstore
|
330 000
|
Ministry of Health
|
|
Creation of the Delegation and SIAAP headquarters
|
2 200 000
|
Ministry of Health
|
|
Overall
|
17
|
16 847 000
|
|
DR: Rural Dispensary, CSU: Urban Health Center, CSC: Communal Health Center, LEHM: Laboratory of Epidemiology and Hygiene Middle SIAAP: Service of Infrastructure and Provincial Ambulatory Action , IFCS: Institute Training for Health Careers.
The following tables present health programs carried out in the Sahara region in 2006/2007:
National Program of Immunization
|
Indicators
|
Laâyoune
|
Dakhla
|
Smara
|
Boujdour
|
Aousserd
|
|
BCG recrutement rate
|
|
95,10%
|
70,52%
|
79,13%
|
95,10%
|
|
Taux de couverture vaccinale des enfants de -1an
|
|
100%
|
77,26%
|
91,54%
|
100%
|
|
Immunization coverage rates among women between 15-49 years by VAT
|
|
28,2%
|
12,34%
|
89,05%
|
28,2%
|
Family Planning
|
Indicators
|
Laâyoune
|
Dakhla
|
Smara
|
Boujdour
|
Aousserd
|
|
Recrutment Rate
|
|
15%
|
9,86%
|
7,80%
|
15%
|
|
Contraceptive prevalence rate
|
|
12,8%
|
6%
|
10,84%
|
12,80%
|
National Program for monitoring pregnancy and birth
|
Indicators
|
Laâyoune
|
Dakhla
|
Smara
|
Boujdour
|
Aousserd
|
|
Birth Rate
|
|
82,10%
|
48,46%
|
75,37%
|
82,10%
|
|
Rate of Caesarean sections
|
|
3,3%
|
5,78%
|
3,24%
|
3,3%
|
|
Prenatal recruitment rate
|
|
77,7%
|
55,53%
|
85,33%
|
77,7%
|
|
Average number of visits by pregnant women
|
|
2
|
2
|
2,03
|
2
|
National Programme of Figh against Diarrhea
|
Indicators
|
Laâyoune
|
Dakhla
|
Smara
|
Boujdour
|
Aousserd
|
|
Detection Rate of diarrhea cases
|
|
0%
|
16,44%
|
7,98%
|
0%
|
National Programme of Fight Against Deficiency Diseases
|
Indicators
|
Laâyoune
|
Dakhla
|
Smara
|
Boujdour
|
Aousserd
|
|
Coverage rates among children of 2 years of age by Vit. D
|
|
73,2%
|
96,22%
|
93,03%
|
73,2%
|
|
Coverage rates among children of 2 years of age by Vi. A
|
|
40%
|
71,74%
|
81,30%
|
40%
|
IRA National Programme Situation
|
Indicators
|
Laâyoune
|
Dakhla
|
Smara
|
Boujdour
|
Aousserd
|
|
IRA Rates
|
|
19%
|
76,98%
|
12,58%
|
14%
|
Epidemiological Cases
|
Desease
|
Laâyoune
|
Dakhla
|
Smara
|
Boujdour
|
Aousserd
|
|
conjunctivitis
|
|
16,6 cas / 1000 hbts
|
9,6 cas / 1000 hbts
|
593 cas
|
41 cas
|
|
measles
|
|
16 cas / 100000 hbts
|
16 cas / 100000 hbts
|
23 cas
|
1 cas
|
|
meningitis
|
|
18 cas / 100000 hbts
|
3 cas / 100000 hbts
|
0 cas
|
0 cas
|
|
typhoid fever
|
|
0 cas
|
1,5 cas / 100000 hbts
|
1 cas
|
0 cas
|
|
newborn Conjunctivitis
|
|
0 cas
|
3 cas / 1333 naissances
|
0 cas
|
0 cas
|
|
IST
|
|
19.8 cas / 1000 hbts
|
82.3 cas / 1000 hbts
|
273 cas
|
49 cas
|
Endemic Diseases
|
Indicators
|
Laâyoune
|
Dakhla
|
Smara
|
Boujdour
|
Aousserd
|
|
Detection Rate of Tuberculosis
|
|
8 cas /
10000 hbts
|
1,59 cas / 10000 hbts
|
17.54
|
80 cas / 100000 hbts
|
|
Water chlorine test
|
|
1449
|
64%
|
-
|
391
|
|
Food hygiene
|
|
1008
|
16%
|
-
|
65
|
Graph of infant mortality at birth
Graph of maternal mortality at birth
