Primary health care services in Morocco Hayate Koubri¹ ,2 , Hind Hami², Abdelmajid Sulaymani², Nazih El Kouartey 3 ¹Directorate of Population, Ministry of Health and Social Protection, Rabat, Morocco. ²Laboratory of Biology and Health, Faculty of Science, Ibn Tofail University, Kenitra, Morocco. 3 National Health Insurance Agency, Morocco. Abstract Nowadays, the best practices in health services design, in terms of organization and quality, are based on the principles of good attention to the health needs of users and their satisfaction. Greater emphasis is being placed on the personalization of care, the differentiation of benefits and the consideration of the satisfaction of public services beneficiaries. The objective of this article is to document the current state of the primary health care services organization in Morocco and highlight its prospects for improvement through the adoption of a person- centered approach as a lever for the health system performance, which would bring significant benefits to effectively meet the health care needs of each citizen. Descriptive exploratory study, based on literature review, questionnaires and interviews, conducted in 2021 among 272 health professionals following a proportional stratified sampling. More than 70% of providers are unsatisfied or even dissatisfied with the current organization of services at the level of primary health care facilities. More than 50% of participants declare that this organization is rarely person-centered and offers little physical comfort and emotional support to individuals. As the resources of primary health care institutions are limited, difficulties ensue to ensure the mission of proper care for users, both by the lack of material and human resources. As a result, more than 60% of respondents say that some services are not available at their health centers, and 78% agree on the necessary reform of primary health care facilities reorganization according to the model of person-centered health services. Keywords: primary health care, reform, person-centered health services, Morocco. Introduction Since the adoption of the Alma-Ata Declaration in 1978, primary health care has continued to occupy the forefront of the international health scene as one of the World Health Organization's key global health policies, along with the fight against health inequalities and the strengthening of global solidarity to ensure health security among others.Indeed, WHO has always worked as a priorityto further orientate health systems towards primary health care as a renewed commitment, taking into account the social determinants of health, in order to fulfil their missions of promoting health, preventing and treating diseases, improving the quality of life, rehabilitation, palliative care management, integration and continuity of care, and encouraging patient participation in decision- making about their health [1,2]. Thus, over the years, WHO has strengthened its advocacy for primary health care as a cornerstone of sustainable health systems and a needed conditionality to achieve universal health coverage and other health-related targets of the Sustainable Development Goals [3,4 and 5]. At the same time, the international community has continued to make significant investments in primary health care services. Indeed, several experiences bear witness to this, including that of 18 OECD countries that have developed their primary health care networks, and demonstrate that the best outcomes are achieved by health systems with person-centered primary health care services, responsive to their needs, well organized, well integrated, effective and well-coordinated within the sector and with other stakeholders in order to address all social determinantsof health [6,7]. In this direction, a positive relationship has been confirmed between the strengthening of person-centered PHC and the resolve of several health problems, particularly through the combined analysis of 36 primary health care impact studies on health outcomes, especially since it is recognized that high-quality primary health care is a crucial element in improving the patient experience and making health services more personal, reduce costs and improve general population’s health [8,9]. In Morocco, the establishment of a health system based on primary health care has been a structuring political choice for the health sector since independence. This orientation has been reflected in all sectoral strategies for decades, through several initiatives aimed at consolidating the national primary health care policy. Yet, despite significant progress, the health system has been significantly challenged, and still faces substantial problems of public dissatisfaction with primary health care services and the way they are planned, organized and delivered by primary health care facilities. There are still people who don’t have full access to primary health care and receive only fragmented or low- quality care. These people also suffer from unequal access to health services, problems of continuity of services due to isolation, lack of human resources or weak reference and counter-reference systems [10, 11]. Recent data show that health services are not currently being delivered effectively, resulting in citizens still encountering problems in coordinating their care between primary health care facilities and other levels of care system. Thus, to overcome these constraints and honor its renewed commitment to achieving the objectives of sustainable development, Morocco, through its consecutivepublic policies convergence strategies, has constantly Journal of Xi'an University of Architecture & Technology Volume XIV, Issue 8, 2022 ISSN No : 1006-7930 Page No: 135