The world has agreed that health coverage should be universal. SDG Goal 3.8 sets the following target for 2030: Achieve universal health coverage, including financial risk protection, access to quality essential health care services and access to safe, effective, quality, and affordable essential medicines and vaccines for all.
Africa has witnessed a rapid increase in expenditure over the last two decades with increasing out-of-pocket expenditure for primary healthcare services. Access to health plays a central role in enabling sustainable development, economic growth and prosperity. Integration of UHC as a goal in the national health strategies of African countries in becoming increasingly critical and important as the continent continues to bear the highest disease burden, an increasing population and the lack of a health workforce to meet healthcare demands. Yet, achieving UHC no longer seems distant.