{
  "title": "Public Spending Efficiency in the Health and Education Sectors in Morocco",
  "publication": "Selected Issues Papers, April 7, 2026",
  "sourceUrl": "https://www.imf.org/en/publications/selected-issues-papers/issues/2026/04/06/public-spending-efficiency-in-the-health-and-education-sectors-in-morocco-575245",
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  "summary": "Health and education outcomes in Morocco have improved and access has expanded significantly in recent years. Nonetheless, long-standing challenges persist—including shortages of medical personnel, weak learning outcomes, regional disparities, and outdated infrastructure.",
  "sections": [
    {
      "heading": "Summary",
      "content": "- Health and education outcomes in Morocco have improved and access has expanded significantly in recent years.\n- Long-standing challenges persist, including shortages of medical personnel, weak learning outcomes, regional disparities, and outdated infrastructure.\n- Public spending levels in these sectors are relatively high compared to peers, yet efficiency gaps remain and budget under-execution is common, suggesting scope to achieve better results with existing resources.\n- Ambitious reforms to improve capacity and quality of services in these sectors are underway and need to be accelerated and underpinned by stronger governance, accountability, and execution capacity to ensure durable gains in quality, equity, and sustainability."
    },
    {
      "heading": "Key findings and statistics",
      "content": "- Public spending levels in health and education: described as \"relatively high compared to peers.\"\n- Common fiscal and operational issues: efficiency gaps and budget under-execution.\n- Sectoral constraints highlighted: shortages of medical personnel; weak learning outcomes; regional disparities; outdated infrastructure.\n- Document specifications:\n  - Pages: 17\n  - Volume: 2026\n  - Issue: 027\n  - Series: Selected Issues Paper No. 2026/027\n  - DOI: https://doi.org/10.5089/9798229043861.018\n  - Stock No: SIPEA2026027\n  - ISBN: 9798229043861\n  - ISSN: 2958-7875\n- Authorship and date:\n  - By Asel Isakova\n  - April 7, 2026\n  - Citation (as provided): Asel Isakova. \"Public Spending Efficiency in the Health and Education Sectors in Morocco\", Selected Issues Papers 2026, 027 (2026), accessed 9/14/2026, https://doi.org/10.5089/9798229043861.018"
    },
    {
      "heading": "Policy recommendations and reform priorities",
      "content": "- Fully operationalize key governance institutions to strengthen oversight and accountability.\n- Strengthen data and financial management systems to improve monitoring and execution.\n- Streamline decentralization arrangements to clarify roles and improve service delivery.\n- Improve human-resource management to address shortages of medical personnel and enhance teacher quality.\n- Improve infrastructure management to modernize outdated facilities and ensure efficient investment.\n- Link greater autonomy to clearer accountability so that rising spending translates into better service delivery and outcomes.\n\nSelected Issues Paper No. 2026/027; DOI: https://doi.org/10.5089/9798229043861.018\n\n---\n\n Content in this bundle\n\n- Public Spending Efficiency in the Health and Education Sectors in Morocco\n  - Public Spending Efficiency in the Health and Education Sectors in Morocco (Markdown version){rel=\"alternate\" type=\"text/markdown\"}\n  - Public Spending Efficiency in the Health and Education Sectors in Morocco (PDF){rel=\"external\" type=\"application/pdf\"}\n\n---\n\nSource: https://www.imf.org/en/publications/selected-issues-papers/issues/2026/04/06/public-spending-efficiency-in-the-health-and-education-sectors-in-morocco-575245"
    }
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    "Authors: Asel Isakova",
    "Published: April 7, 2026",
    "Series: Selected Issues Papers",
    "DOI: https://doi.org/10.5089/9798229043861.018",
    "Health and education outcomes in Morocco have improved and access has expanded significantly in recent years.",
    "Long-standing challenges persist, including shortages of medical personnel, weak learning outcomes, regional disparities, and outdated infrastructure.",
    "Public spending levels in these sectors are relatively high compared to peers, yet efficiency gaps remain and budget under-execution is common, suggesting scope to achieve better results with existing resources.",
    "Ambitious reforms to improve capacity and quality of services in these sectors are underway and need to be accelerated and underpinned by stronger governance, accountability, and execution capacity to ensure durable gains in quality, equity, and sustainability.",
    "Public spending levels in health and education: described as \"relatively high compared to peers.\"",
    "Common fiscal and operational issues: efficiency gaps and budget under-execution.",
    "Sectoral constraints highlighted: shortages of medical personnel; weak learning outcomes; regional disparities; outdated infrastructure.",
    "Document specifications:",
    "Authorship and date:",
    "Fully operationalize key governance institutions to strengthen oversight and accountability.",
    "Strengthen data and financial management systems to improve monitoring and execution.",
    "Streamline decentralization arrangements to clarify roles and improve service delivery.",
    "Improve human-resource management to address shortages of medical personnel and enhance teacher quality.",
    "Improve infrastructure management to modernize outdated facilities and ensure efficient investment.",
    "Link greater autonomy to clearer accountability so that rising spending translates into better service delivery and outcomes.",
    "**Public Spending Efficiency in the Health and Education Sectors in Morocco**"
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