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INTRODUCTION

Diabetes represents a growing public health challenge in Morocco, particularly among socially vulnerable populations who face significant barriers to healthcare within an overstretched public system. In this context, patient associations play a decisive role in care and support.

METHODS

This study examines the action of the El Amel association, based in Fez, to assess its contribution to reducing social health inequalities related to diabetes. A qualitative, exploratory design was conducted between January and April 2021, involving nineteen semi-structured interviews with patients, association leaders and healthcare providers. Thematic analysis identified six major dimensions of the association’s action.

FINDINGS: Findings highlight El Amel as a central community actor, perceived as more effective and credible than public services due to its responsiveness and patient-centered approach. Its activities have expanded to functions traditionally carried out by the state, including glycemic monitoring, medicine distribution, and specialized consultations). Its quasi-free service policy enhances access to care and reduces inequalities, although the financial sustainability of the model remains fragile. The association is also solicited for needs beyond the medical field, positioning itself as a crucial social anchor, at times operating on the margins of legality to meet patients’ needs.

DISCUSSION: Ultimately, the experience of El Amel demonstrates the capacity of patient associations to transform diabetes care in contexts of vulnerability by strengthening patient autonomy and creating new forms of solidarity. Institutional recognition and integration into public health policies appear essential to ensure equitable and sustainable care for people living with diabetes in Morocco.