UN member states have committed to achieving universal health coverage (UHC) to ensure everyone can access essential health services without financial hardship. However, UHC is often viewed as a standalone health sector initiative, missing the broader determinants of health such as poverty, gender inequality, discriminatory policies, environment, housing, education, sanitation, and employment.
This research paper emphasises the need for a comprehensive approach to UHC, advocating for a UHC+ lens that integrates multisectoral investments and actions. The authors call for intersectoral co-financing mechanisms to advance health for all, addressing the social, political, commercial, and economic determinants that significantly impact health outcomes. Studies indicate that social determinants account for 40-60% of overall health outcomes, compared to just 10-25% from clinical medicine.
Achieving the health-related Sustainable Development Goals (SDGs) requires a whole-of-government approach that prioritises these broader determinants. By aligning UHC efforts with multisectoral strategies, countries can better address the complex factors influencing health and ensure sustainable progress towards health equity and well-being for all.
