Health systems strengthening - UHC2030

Countries and the global health community broadly agree that the cornerstone of achieving universal health coverage is to develop and strengthen all aspects of countries’ health systems.

A main purpose of UHC2030 therefore is to help improve coordination to ensure the most effective approach to health system strengthening.

UHC2030 encourages partners and related initiatives to coordinate their efforts on health systems strengthening, and provides concrete tools and approaches to help improve such coordination. This particularly applies in low- and middle-income countries with weaker health systems, where multiple partners provide development cooperation to support health systems strengthening (HSS).

Action on health systems, for universal health coverage and health security

Read UHC2030’s strategic narrative to guide advocacy and action on strengthening health systems here. Strengthening health systems, with a focus on equity and resilience, is crucial for UHC and health security and contributes to wider socioeconomic progress.

Health systems for universal health coverage: a joint vision for healthy lives

Read about our joint vision for health systems strengthening here. This publication is a key reference document for UHC2030 and a broader resource for the global community to inform collaboration on the health systems strengthening (HSS) and universal health coverage (UHC) agenda. The vision outlines performance and policy entry points to promote UHC through HSS, including critical action for the way forward and principles to guide action.  

In relation to HSS, UHC2030 works to: 

  • Improve coordination of HSS efforts at global level, including synergies with related related initiatives 
  • Strengthen multi-stakeholder policy dialogue and coordination of health systems strengthening efforts in countries, including adherence to principles of effective development cooperation in countries receiving external assistance.
  • Continue to prioritise impact at country level through developing tools and approaches that can improve coordination, including facilitating coordinated technical assistance.
  • Other areas of UHC2030 work such as knowledge exchange and learning, and some of the Technical Working Groups also contribute to facilitating better coordination of health systems strengthening.

Effective development cooperation

For countries that receive external donor assistance to develop health systems, adhering to effective development cooperation principles is still the most important way to ensure coordination around health systems strengthening. 

UHC2030 draws on lessons from the IHP+ experience, about what has worked well and what has not, including how to better promote the principles of effective development cooperation, like the Seven Behaviours. These principles are anchored in country ownership and guide the actions of all partners towards more effective and aligned efforts towards HSS and thereby UHC.

Learn more about "7 behaviours for effective development cooperation"

UHC2030 continues to pay particular attention to country contexts where the alignment and coordination of global partners around country leadership and systems is critical but not a given, particularly in post-conflict and fragile contexts.

Tools and approaches to improve coordination of HSS

UHC2030 continues to update existing tools, such as the Joint Assessment of National Health Strategies and Joint Annual Reviews below. We also consider the development of new tools to assist countries to translate the principles of strengthening health systems for UHC into practice.

Here are the tools associated with coordination of health systems strengthening efforts. 

Coordination of Health System Strengthening News


Integrating universal health coverage in the pandemic treaty...


Eight lessons from the UHC2030 Related Initiatives.


Statement on UCLG Membership of UHC2030


Kyrgyzstan is updating its health sector coordination to reflect...

Action on health systems, for universal health coverage and health security

The ongoing COVID-19 pandemic puts global health and well-being at a pivotal moment. Individually and collectively, countries need to do better on both universal health coverage and health security. Strengthening health systems, with a focus on equity and resilience, is crucial for UHC and health security and contributes to wider socioeconomic progress.

UHC2030’s new paper, Action on health systems, for universal health coverage and health security provides a strategic narrative for strengthening health systems, to guide national, regional and global advocacy and action. It brings together recommendations from recent high-profile initiatives and reports, focusing on priority actions and the roles of different partners and constituencies.

This “shared script” provides the basis for UHC2030’s diverse membership to:

  • Promote political leadership for stronger health systems
  • Mobilize better-aligned resources for health systems, for UHC and for health security
  • Demand and act for solidarity and equity in health systems

As the established multi-stakeholder partnership for health systems and UHC, UHC2030 is well-positioned to mobilize action. This includes advocacy and policy dialogue between UHC2030 partners and governments (especially ministries of health and ministries of finance). Internationally, UHC2030 will help identify key moments and opportunities in relevant regional and global initiatives, political processes and governing bodies. The paper will also inform priorities for the UHC movement ahead of the UN High-Level Meeting on UHC in September 2023.

Download: Action on health systems, for universal health coverage and health security

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