Benchmarking of Governance Models for Basic Health Coverage: Research of Good Practices for Morocco

Background: The benchmarking is a concept with multiple aims. The reflection on improving the governance of Basic Health Coverage (BHC) in Morocco leads us to analyze successful solutions that have been implemented in other countries. Objectives: This study aimed to make an international benchmark of BHC’s governance models and look for good practices in other countries in order to study the possibility of their implementation at the Moroccan level. Methods: We benchmarked BHC's governance models by determining the criteria for selecting the benchmark countries. We have selected five countries, namely: Turkey, Malaysia, France, Chile, Rwanda. We analyzed governance models based on the five dimensions of the World Bank study "Governing Mandatory Health Insurance: Learning from Experience", which are: Coherence of the decision-making structure, stakeholder involvement, transparency and access to information, supervision and regulation, coherence and stability. Results: Our analysis based on the five dimensions showed that there are relative common factors with the governance model between the benchmark countries that allowed them to achieve universal health coverage, however, each country has introduced innovative rules and solutions adapted to its context and constraints. There are several good governance practices that we have drawn from this benchmark. Morocco can use these good practices to improve its governance model for BHC. An adaptation effort is necessary, taking into consideration the existing situation. Discussion: There is not a governance model suitable for all countries. Each country is trying to find a formula that will allow it to overcome its challenges. Morocco can draw inspiration from these models to instaure good practices to adopt, but this cannot happen without repositioning the governance of health coverage in the government's strategic vision in relation to the social protection agenda and the objectives of the health system. Conclusion: Improved governance has a direct impact on the performance of the basic health coverage system. In this sense, Morocco must take this aspect into consideration in the process of achieving universal health coverage as many other countries that have made this great step forward.