BACKGROUND:
The performance of health centers is pivotal for the quality of primary health care services. This study assessed the management performance of health centers in the Hay Hassani health prefecture in December 2025 to identify strengths and priority areas for improvement. Six health system pillars were evaluated: governance, human resources, infrastructure, medicines/vaccines, financing, and health information.

METHODS:
Fourteen health professionals from the 14 health centers in the Hay Hassani prefecture participated in the study using a structured assessment tool based on the Moroccan national framework for health center management and the WHO Health Center Management Manual. Data were organized into pillars, criteria, and variables. Each variable was coded binarily (1 = condition met; 0 = not met). Criterion scores were calculated as the sum of their respective variables, and pillar scores as the sum of all related criteria, enabling a synthetic quantification of performance.

RESULTS:
The Financing (92%) and Infrastructure (82%) pillars showed strong performance. Health Information (77%) and Medicines/Vaccines (76%) demonstrated moderate results. In contrast, Governance (54%) and Human Resources (58%) exhibited major weaknesses, including absence of an integrated plan, weak leadership, limited staff performance evaluation, and low community involvement. Data use remained particularly limited (≈51%).

CONCLUSIONS:
Despite strong material and infrastructural foundations, the system faces significant organizational and managerial gaps. Priority actions include strengthening governance structures, enhancing human resource capacities, increasing community engagement, and institutionalizing data analysis for decision-making.