This article examines a case of rapid national health reform in a low-resource setting, highlighting how effective problem recognition, technical policy preparation, and political alignment enabled comprehensive expansion of health coverage. Key success factors included the long-term efforts of health reformers, civil society mobilization, and strategic political engagement. Broader lessons emphasize the importance of early technical groundwork, multisector coalition-building, leveraging policy windows, and balancing quick implementation with system capacity for sustainable reform.
