Rheumatic Diseases in Morocco

Morocco has approximately 400 registered rheumatologists serving a population of 37.7 million, corresponding to a low workforce density of about one rheumatologist per 100,000 inhabitants. This shortage is particularly concerning in the context of population aging and the anticipated increase in the burden of rheumatic diseases. The Moroccan health system includes both public and private sectors, with the private sector expanding rapidly, particularly in regions such as Casablanca-Settat and Rabat-Salé-Kénitra. Rheumatology practice is represented nationally by the Moroccan Society of Rheumatology (SMR), which brings together specialists and practitioners interested in musculoskeletal diseases. The SMR plays a central role in advancing clinical practice, education, research, and advocacy and has progressively strengthened its organizational structure and strategic capacity. Key initiatives include training programs in musculoskeletal ultrasound; the Moroccan Registry of Biological Therapies in Rheumatoid Diseases (RBSMR), one of the earliest registries of its kind in Africa; patient education programs to improve long-term disease management; and national public awareness campaigns. Despite substantial progress over the past two decades, important challenges remain. Priority areas for future development include increasing the rheumatology workforce, establishing centers of excellence, and expanding research programs tailored to the specific epidemiological and health care needs of the Moroccan population.