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Piloting a NGO-led signposting intervention to improve access to government welfare in Southern Morocco: a feasibility study

Fadi Baghdadi, Abdellah Soussi Orcid Logo, Christopher Hands Orcid Logo

International Journal for Equity in Health, Volume: 24, Start page: 280

Swansea University Author: Fadi Baghdadi

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DOI (Published version): 10.1186/s12939-025-02605-0

Abstract

Background: Access to healthcare and social protection is a key determinant of health equity. In Morocco illiteracy, low awareness, and complex administrative processes contribute to poor enrolment in state welfare programmes, particularly in rural–urban migrant communities. In response, Morocco is...

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Published in: International Journal for Equity in Health
ISSN: 1475-9276
Published: Springer Nature 2025
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URI: https://cronfa.swan.ac.uk/Record/cronfa70307
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In response, Morocco is transitioning to a consolidated social welfare model &#x2013; Registre Social Unifi&#xE9; (RSU) &#x2013; to promote more equitable access. We assessed the feasibility of a Non-Governmental-Organisation (NGO)-led signposting intervention to increase awareness of and access to government social welfare programmes in Southern Morocco. Methods: We used a participatory approach to design and deliver the study in two communes on the outskirts of Agadir, Southern Morocco. We conducted 18 social programme workshops with 1,087 parents, providing information on government welfare programmes. The intervention involved a four-stage process: community sensitisation, individual intake, referral to relevant programmes, and follow-up. We collected anonymised service data and qualitative feedback to evaluate demand, enrolment outcomes, and barriers to access. Results: Seventy percent (n&#x2009;=&#x2009;785) of participants requested enrolment support. 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spelling 2025-10-24T14:08:24.9661210 v2 70307 2025-09-05 Piloting a NGO-led signposting intervention to improve access to government welfare in Southern Morocco: a feasibility study eba9bb478b589955aa9e749a0f0e7186 Fadi Baghdadi Fadi Baghdadi true false 2025-09-05 MEDS Background: Access to healthcare and social protection is a key determinant of health equity. In Morocco illiteracy, low awareness, and complex administrative processes contribute to poor enrolment in state welfare programmes, particularly in rural–urban migrant communities. In response, Morocco is transitioning to a consolidated social welfare model – Registre Social Unifié (RSU) – to promote more equitable access. We assessed the feasibility of a Non-Governmental-Organisation (NGO)-led signposting intervention to increase awareness of and access to government social welfare programmes in Southern Morocco. Methods: We used a participatory approach to design and deliver the study in two communes on the outskirts of Agadir, Southern Morocco. We conducted 18 social programme workshops with 1,087 parents, providing information on government welfare programmes. The intervention involved a four-stage process: community sensitisation, individual intake, referral to relevant programmes, and follow-up. We collected anonymised service data and qualitative feedback to evaluate demand, enrolment outcomes, and barriers to access. Results: Seventy percent (n = 785) of participants requested enrolment support. We successfully connected 67% to their desired programme, with the highest completion rates for RAMed (81%) and Tayssir (66%). Barriers included lack of civil registration, inconsistent documentation requirements, and limited coordination between agencies. Frontline staff also identified the absence of a formal social work framework as a barrier to sustainable implementation. Conclusions: This feasibility study indicates that an NGO-led signposting model may support improved access to social welfare in vulnerable Moroccan communities. As Morocco implements the RSU, aiming for full coverage by 2030, integrating an NGO-led outreach model and strengthening social work infrastructure could address enrolment barriers. Future research should examine the long-term impact and scalability of community-based interventions to advance health equity in Morocco. Journal Article International Journal for Equity in Health 24 280 Springer Nature 1475-9276 Community-based participatory research; Community health planning; Community health services; Feasibility studies; Health equity; Health services accessibility; Morocco; Pilot projects; Public health systems research; Social welfare 16 10 2025 2025-10-16 10.1186/s12939-025-02605-0 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University External research funder(s) paid the OA fee (includes OA grants disbursed by the Library) This work was funded by UNICEF Maroc and the European Union: MOR/PCA20186/PD202252. Writing this paper was supported by the United Kingdom Research and Innovation Economics & Social Sciences Research Council Impact Acceleration Account at Swansea University: ES/X004961/1. 2025-10-24T14:08:24.9661210 2025-09-05T10:13:03.7058542 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Health Data Science Fadi Baghdadi 1 Abdellah Soussi 0000-0001-5013-8575 2 Christopher Hands 0000-0002-3171-4191 3 70307__35473__d51a32394df44a3c953d10971de467a3.pdf 70307.VOR.pdf 2025-10-24T14:02:30.6918281 Output 1629917 application/pdf Version of Record true © The Author(s) 2025. This article is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). true eng http://creativecommons.org/licenses/by/4.0/
title Piloting a NGO-led signposting intervention to improve access to government welfare in Southern Morocco: a feasibility study
spellingShingle Piloting a NGO-led signposting intervention to improve access to government welfare in Southern Morocco: a feasibility study
Fadi Baghdadi
title_short Piloting a NGO-led signposting intervention to improve access to government welfare in Southern Morocco: a feasibility study
title_full Piloting a NGO-led signposting intervention to improve access to government welfare in Southern Morocco: a feasibility study
title_fullStr Piloting a NGO-led signposting intervention to improve access to government welfare in Southern Morocco: a feasibility study
title_full_unstemmed Piloting a NGO-led signposting intervention to improve access to government welfare in Southern Morocco: a feasibility study
title_sort Piloting a NGO-led signposting intervention to improve access to government welfare in Southern Morocco: a feasibility study
author_id_str_mv eba9bb478b589955aa9e749a0f0e7186
author_id_fullname_str_mv eba9bb478b589955aa9e749a0f0e7186_***_Fadi Baghdadi
author Fadi Baghdadi
author2 Fadi Baghdadi
Abdellah Soussi
Christopher Hands
format Journal article
container_title International Journal for Equity in Health
container_volume 24
container_start_page 280
publishDate 2025
institution Swansea University
issn 1475-9276
doi_str_mv 10.1186/s12939-025-02605-0
publisher Springer Nature
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Health Data Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Health Data Science
document_store_str 1
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description Background: Access to healthcare and social protection is a key determinant of health equity. In Morocco illiteracy, low awareness, and complex administrative processes contribute to poor enrolment in state welfare programmes, particularly in rural–urban migrant communities. In response, Morocco is transitioning to a consolidated social welfare model – Registre Social Unifié (RSU) – to promote more equitable access. We assessed the feasibility of a Non-Governmental-Organisation (NGO)-led signposting intervention to increase awareness of and access to government social welfare programmes in Southern Morocco. Methods: We used a participatory approach to design and deliver the study in two communes on the outskirts of Agadir, Southern Morocco. We conducted 18 social programme workshops with 1,087 parents, providing information on government welfare programmes. The intervention involved a four-stage process: community sensitisation, individual intake, referral to relevant programmes, and follow-up. We collected anonymised service data and qualitative feedback to evaluate demand, enrolment outcomes, and barriers to access. Results: Seventy percent (n = 785) of participants requested enrolment support. We successfully connected 67% to their desired programme, with the highest completion rates for RAMed (81%) and Tayssir (66%). Barriers included lack of civil registration, inconsistent documentation requirements, and limited coordination between agencies. Frontline staff also identified the absence of a formal social work framework as a barrier to sustainable implementation. Conclusions: This feasibility study indicates that an NGO-led signposting model may support improved access to social welfare in vulnerable Moroccan communities. As Morocco implements the RSU, aiming for full coverage by 2030, integrating an NGO-led outreach model and strengthening social work infrastructure could address enrolment barriers. Future research should examine the long-term impact and scalability of community-based interventions to advance health equity in Morocco.
published_date 2025-10-16T05:31:06Z
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