"They are after quantity, not quality": health providers' perceptions of fee exemption policies in Morocco

Karen Van der Veken, Fahdi Dkhimi, Bruno Marchal, Peter Decat

Research output: Contribution to journalA1: Web of Science-article

Abstract

Background: A free obstetric care policy (FOCP) has been implemented in Morocco in 2008 in order to further decrease maternal mortality.

Methods: Through in-depth interviews we explored the perceptions of health professionals in public Moroccan hospitals with regard to fee exemption policies. We tried to understand what drives health professionals to ignore, modify or apply a health policy as formulated.

Results: Respondents express significant influences of such policies on their work environment (higher workload and scarcity of resources) and on the patient/provider relationship, both of which may cause a negative effect on health workers' motivation. A mix of motivational determinants incites health workers in their turn to influence policy implementation.

Conclusion: Understanding the motivational determinants of health workers may optimize policy implementation at the point of service delivery.

Original languageEnglish
JournalInternational Journal of Health Policy and Management
Volume7
Issue number12
Pages (from-to)1110-1119
Number of pages10
ISSN2322-5939
DOIs
Publication statusPublished - 2018

Keywords

  • Health Workers' Motivation
  • Morocco
  • Exemption Mechanisms
  • Healthcare Reform
  • Policy Implementation
  • WORKER MOTIVATION
  • IMPLEMENTATION
  • HOSPITALS
  • DISTRICT
  • AFRICAN
  • CARE

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