The data show that significantly more Moroccan
HCWs are exposed to high strain than Nantes Hospital
HCWs. North Morocco and Casablanca region HCWs
are subjected to higher strain than both South Morocco
and French HCWs. Whereas the French study found
many active jobs: physician, care management, midwife,
the Moroccan study brought to attention a crowded
high-strain quadrant in the JDL-PJD diagram (Fig. 1),
which included all of the above occupations, alongside
nurses and even janitors, which were passive category in
the French survey. On the contrary, none of the Moroccan
HCW jobs qualified as active. There might be a
cultural mark involved, but the main reasons were economic
and organizational: Moroccan physician and
nurse staff appeared to be clearly insufficient in number;
the doctors’ activity was always intense and they complained
of suffering from excessive time pressure and
the technical equipment was often inadequate, outdated
or faulty. Moreover, the staff was poorly paid and had a
low degree of job independence, which led to the fact
that many HCWs had to have a second job because of
low pay.