Abhatoo - Centre Nationale de Documentation

Public health in Morocco is faced with several challenges and constraints that dissipate the efforts deployed by decision-makers and managers, thus impacting the achievement of national and international objectives in terms of medical coverage, performance, the satisfaction of citizens' needs, and, above all, the attainment of universal health coverage by 2030. Today, faced with the new projects undertaken by the Department of Health, namely the overhaul of the national health system, embodied in Framework Law n°06-22, the creation of health groups, and the introduction of the health function, the State and the Ministry of Health and Social Protection must imperatively overcome these obstacles, especially in terms of human resources, which is one of the key pillars linked to this overhaul. One of the challenges to be overcome in human resources management is undoubtedly that of the premature voluntary departure of health professionals, particularly nurses, midwives, and health technicians - the cornerstone of any healthcare system. With this in mind, and to shed more light on the subject, we have attempted, based on a rich review of the literature, to propose a conceptual model that could form the basis of any subsequent empirical research. To this end, the breach of the psychological contract and trust seem to be key concepts to be grasped and studied to propose tangible solutions for decision-makers to limit the voluntary departure of the said individuals, through the study of the intention to leave, to anticipate this behavior, which is detrimental to the smooth running of care structures. The methodology adopted for this article is based on a narrative literature review.