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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

 

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 life expectancy



Graph of infant mortality at birth


 

 

Graph of maternal mortality at birth

 

 

 

 

   

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