- Most countries have agreed on strong national commitments and targets for UHC, and an increasing number are reviewing their progress. To achieve UHC by 2030, governments must act on their commitments.
- Country commitments and reporting on UHC are often not linked to a clear strategy to achieve UHC. Governments should develop and communicate clear pathways to achieve UHC in national health strategies based on resilient and equitable health systems.
- Government plans and reporting on UHC often focus on specific diseases or services in a fragmented manner. UHC is an opportunity to accelerate outcomes across health priorities, based on a comprehensive approach to strengthening health systems.
- Non-state actors lack opportunities to participate in government-led planning, progress reviews or implementation towards UHC. Governments alone will not achieve UHC, and they must create space for non-state actors to participate meaningfully in relevant government processes.
- The importance of equity is strongly acknowledged in governments’ UHC initiatives, but it needs to be operationalized comprehensively. Governments must identify and reach all groups in society that are at risk of neglect, including groups at the intersection of multiple vulnerabilities.
- Governments have committed to multisectoral action to address factors outside the health sector. Collaboration with non-health sectors could be significantly improved to ensure systematic, collective action to address the social, economic, environmental and commercial determinants of health.
Tracking the state of commitment to universal health coverage around the world
The State of Commitment to Universal Health Coverage (UHC) brings a unique multi-stakeholder view to a simple question: Are countries acting on their commitments to UHC?
A combination of country profiles and a synthesis report, The State of Commitment to UHC is a political, country-focused and action-oriented tool that complements the more technical and global WHO UHC monitoring report focusing on UHC indicators on service coverage and financial protection.
It follows the UHC Political Declaration’s Key Targets, Commitments and Follow-up Actions and supports national accountability and advocacy processes to ensure political leaders are held accountable for their UHC commitments.
Available on the UHC Data Portal, the online country profiles provide a snapshot of the state of UHC commitments in individual countries, centred around the key commitment areas of the Political Declaration on UHC. There are currently only 45 country profiles as a pilot review in 2021, but additional country profiles and a new dashboard template will be added by the end of 2022.
The synthesis report summarizes the state of UHC commitment at both the country and global level. It draws on many sources, from online surveys and policy reviews to media monitoring and consultations with non-state actors, and shares short stories from people’s lived experiences, demonstrating the reality of UHC on the ground.
We hope that those who use the report go beyond health experts and governments, and include civil society organisations, academia, parliamentarians, private sector and media, who can use this information to contribute to the formal accountability processes in their countries.
Key findings from the 2021 Synthesis
Video of 2020 Synthesis
Download: State of commitment to universal health coverage: 2021 synthesis
Download: State of commitment to universal health coverage: 2020 synthesis