How to Achieve Universal Health Coverage: A Case Study of Uganda Using the Political Process Model Comment on "Health Coverage and Financial Protection in Uganda: A Political Economy Perspective"

Abstract

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.

Universal Health Coverage – Exploring the What, How, and Why Using Realistic Review

“…Private sector: Private sector and community engagement alongside the public health sector creates and fosters efforts and mobilizes resources towards UHC, health security, and sustainable development goals (105,106).…”

“…The political attention garnered by UHC has led to a constitutional amendment in Mexico (119). The global movement towards UHC (120), the adoption of UHC as a policy reflecting legislative or executive commitment (121), and political motivation or commitment (106,(122)(123)(124) are among the motives for implementing UHC.…”

Comparative Insights to Advance Political Economy Analysis: A Response to Recent Commentaries

“…Eusebio and colleagues 12 build upon our political economy analysis to delve into the pro-UHC forces that can expedite the political discourse and implementation of structural reforms in the healthcare sector. Firstly, the authors argue for the potential of reframing the UHC debate in order to catalyse effective change.…”