How can resource-deprived countries accelerate progress towards Universal Health Coverage? Here we extend the analysis of Nanini and colleagues to investigate a case-study of Uganda, where despite high-level commitments, health system priority and funding has shrunk over the past two decades. We draw on the Stuckler-McKee adapted Political Process model to evaluate three forces for effecting change: reframing the debate; acting on political windows of opportunity; and mobilising resources. Our analysis proposes a series of pragmatic steps from academics, NGOs, and government officials that can help neutralise the forces that oppose UHC and overcome fragmentation of the pro-UHC movement.

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