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Prevalence of disability in Morocco increases as one moves away from the Atlantic coast (the more economically developed regions), towards the Eastern and Southern frontiers (characterized by lower economic productivity and lower coverage of medical care provision). Disability has a bidirectional link with poverty and is associated with poor socio- economic conditions in both developed and develo- ping countries (32–36). There was insufficient data collected in the present study to assess the income of surveyed individuals or deduce the economic level of the household, in order to investigate the relationship between disability and poverty on an individual level. However, on a regional level, a statistically significant disparity of disability prevalence was observed among different administrative Moroccan regions. Moreover, the prevalence of disability rate curve evolved in the opposite direction to the gross domestic product (GDP) among different administrative Moroccan regions (Fig. 3), highlighting the need for a comprehensive national strategy to improve the living conditions of PWD, which would take into consideration geographical disparities and priorities. The present study is the first large survey on disa- bility in Morocco to be conducted using standardized measuring tools, and to yield reliable and comparable data on disability and its aspects. The results are critical to guide national disability policies and programmes, to focus on removing disabling barriers and improving the access of PWD to healthcare and participation. ACKNOWLEDGEMENTS The study was conducted and funded by the Moroccan govern- ment as part of a National Action Plan on Disability. The authors have no conflicts of interest to declare. REFERENCES 1. UN World Health Organization (WHO),  World Report on Disability: Summary, 2011, WHO/NMH/VIP/11.01 [acces- sed 2017 Aug 8]. Available from: http://www.refworld. org/docid/50854a322.html. 2. Hajjioui A, Fourtassi M, Nejjari C. Prevalence of disabi- lity and rehabilitation needs amongst adult hospitalized patients in a Moroccan university hospital. J Rehabil Med 2015; 47: 593–598. 3. UN General Assembly, Convention on the Rights of Persons with Disabilities: resolution/ adopted by the General As- sembly, 24 January 2007, A/RES/61/106. Available from: http://www.refworld.org/docid/45f973632.html. 4. Hajjioui A, Fourtassi M, Nejjari C. Le handicap au Maroc: etude d’adequation entre l’offre de soins et le besoin en reeducation. J Réadapt Méd 2015, 35: 33–37. 5. Jroundi I. Epidemiological transition in Morocco in the past 50 years. Epidemiology 2007; 18: S12. 6. Rahim HF, Sibai A, Khader Y, Hwalla N, Fadhil I, Alsiyabi H, Husseini A. Non-communicable diseases in the Arab world. Lancet 2014; 383: 356–367. 7. Mathers C, Fat DM, Boerma JT. The global burden of di- 811 sease: 2004 update. Geneva, Switzerland: World Health Organization; 2008. 8. Ministry of Health. The national survey on population and family health. Rabat, Morocco: Ministry of Health; 2011. 9. Secretary of State for Social Protection, Family and Child- ren. The National Disability Survey. Rabat, Morocco: 2004. Available from: http://www.social.gov.ma/sites/default/ files/ENH%20francais.pdf. 10. Madans JH, Loeb ME, Altman BM. Measuring disability and monitoring the UN Convention on the Rights of Persons with Disabilities: the work of the Washington Group on Disability Statistics. BMC Public Health 2011; 11: S4. 11. Miller K, Mont D, Maitland A, Altman B, Madans J. Results of a cross-national structured cognitive interviewing pro- tocol to test measures of disability. Qual Quantity 2011; 45: 801–815. 12. High Commission for Planning. The National Census of the Population and Housing, 2014. Morocco [accessed 2017 Aug 8]. Available from: http://rgph2014.hcp.ma/downloads/ Publications-RGPH-2014_t18649.html. 13. Eide AH, Loeb ME. Data and statistics on disability in developing countries. 2005, Disability Knowledge and Research Program Executive Summary. Availible from: http://dhatregional.org/docs/Disability%20Statistics.pdf. 14. Üstün, T. B., Chatterji, S., Mechbal, A., & Murray, C. J. The World Health Surveys. In: Murray CJL, Evans DB, eds. Health systems performance assessment: debates, methods and empiricism. Geneva, World Health Organi- zation, 2003. 15. Tanzania Disability Survey 2008. The National Bureau of Statistics. Ministry of Social Welfare [accessed 2017 Aug 8]. Available from: http://www.washingtongroup-disability. com/wp- content/uploads/2016/03/TANZANIA-2008-DISABI- LITY-SURVEY-10-JUNE-2010.pdf. 16. Disability Survey 2011 in Palestine. Palestine Central Bureau of Statistics. Ministry of Social Affaires [acces- sed 2017 Aug 8]. Available from: http://www.washing- tongroup-disability.com/wp-content/uploads/2016/03/ disability_e2011.pdf. 17. Jordan National disability survey 2010. Higher Council for Affairs of Persons with Disabilities [accessed 2017 Aug 8]. Available from: http://www.washingtongroup-disability.com/ wp-content/uploads/2016/03/Jordan.pdf. 18. Eide AH, Hem KG. Living conditions among people with activity limitations in Zimbabwe. A representative regio- nal study. Oslo: SINTEF, 2003 [accessed 2017 Aug 8]. Available from: http://www.washingtongroup-disability. com/wp-content/uploads/2016/03/SINFET_zim_report.pdf. 19. Cambodia Socio-Economic Survey 2013. National institute of statistics. Ministry of planning [accessed 2017 Aug 8]. Av- ailable from: http://www.washingtongroup-disability.com/wp- content/uploads/2016/03/2013-Socio-Economic-Survey.pdf. 20. The Myanmar Population and Housing Census 2014. The Union Report. Department of Population. Ministry of Immigration and Population [accessed 2017 Aug 8]. Available from: http://www.washingtongroup-disability. com/wp-content/uploads/2016/03/2014-myanmar-PHS.pdf. 21. South Africa General Household Survey 2014. Statistics South Africa [accessed 2017 Aug 8]. Available from: http://www.washingtongroup-disability.com/wp-content/ uploads/2016/03/2014_GHS_report.pdf. 22. Eide AH, Hem KG. Living conditions among people with activity limitations in Mozambique. A National Represen- tative Study. Oslo, SINTEF, 2009 [accessed 2017 Aug 8]. Available from: http://www.washingtongroup-disability. com/wp-content/uploads/2016/03/SINTEF_moz_report.pdf. 23. Report of the Household income and expenditure survey 2010. Bangladesh bureau of statistics division. Ministry of planning [accessed 2017 Aug 8]. Available from: http://www.washingtongroup-disability.com/wp-content/ uploads/2016/03/2010-Household-Income-and-Expenditure- Survey-HIES.pdf. J Rehabil Med 51, 2019