SOCIOECONOMIC INEQUALITIES IN HEALTH SYSTEM : An empirical study to diabetes in Morocco


  • Jabrane AMAGHOUSS Université Cadi Ayyad
  • Salaheddine ASSEMLALI



Inequalities, health, diabetes, effectiveness, reduction of disparities


Today, preventive care is currently the subject of a political and social debate, particularly concerning reducing socioeconomic inequalities in health. The majority of preventive health programs found in the health care baskets provided by the Ministry of Health in Morocco can mitigate and exacerbate socioeconomic inequalities in health, depending on their effectiveness in the communities, depending on social status or socioeconomic status.

The objective of this paper is to study the socioeconomic health inequalities related to diabetes in Morocco and to show that the effectiveness of the national program to combat diabetes disease within communities would be greater among disadvantaged groups than in other groups since the disadvantaged group has higher risk factors.

This was done using data from a sample of 240 individuals (Diabetics) living in Azilal province, and using the simple modeling model (SMM) to estimate the effectiveness of diabetes prevention in the group by socioeconomic status of individuals (socio-professional category, income and education).

Given that the coverage of the National Program for the Protection and Fight against Diabetes (NPPFD) is not perfect (35%), the prevalence of diabetes risk factors varies by 4.32% (in absolute terms) between the low-income and high-income groups, and the risk of diabetes varies by 3.96% between the non-graduated and university-educated groups. As expected, the disparity increases when the effectiveness of preventive actions falls among groups with the lowest socio-economic status.

As for the tipping point, we estimated it as the efficiency gap; it is achieved with an efficiency of 80% in low-income individuals and an efficiency of 90% in the group with the lowest level of education.

In short, inequalities related to the risk factor of diabetes in Morocco could be reduced if the program’s coverage (preventive actions) of socioeconomic lifestyle is 100% generalized and equitably translated into all social groups regardless of socioeconomic status.