Public Spending Efficiency in the Health and Education Sectors in Morocco

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challenges persist—including shortages of medical personnel, weak learning outcomes, regional disparities, and outdated infrastructure. 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 currently underway, and need to be accelerated and underpinned by stronger governance, accountability, and execution capacity to ensure durable gains in quality, equity, and sustainability. This will require fully operationalizing key governance institutions, strengthening data and financial management systems, streamlining decentralization arrangements, improving human-resource and infrastructure management, and linking greater autonomy to clearer accountability to ensure that rising spending translates into better service delivery and outcomes.