The G20 presidency is placing Universal Health Coverage (UHC) and Primary Health Care (PHC) at the centre of the global health agenda, aiming to ensure equitable access to quality health services without financial hardship. As UHC remains underfunded, experts warn that sustainable financing is critical, particularly in politically uncertain times. Dr. Magda Robalo, Co-Chair of UHC2030, emphasises the need for reforming global financial systems and boosting domestic resources to support health systems in low- and middle-income countries.
The international community continues to address fragmentation in global health through initiatives such as UHC2030, which fosters multilateral collaboration, advocacy, and accountability in health system strengthening. However, shrinking development assistance and shifting priorities toward security spending challenge the sustainability of UHC financing. Civil society’s voice in these discussions, represented through the C20 process, is crucial in highlighting marginalised populations and pressing for inclusive policies.
Despite logistical and political hurdles, civil society engagement remains a cornerstone for promoting health equity. As South Africa leads the G20 Health Working Group, innovative financing, strengthened PHC, and multilateral cooperation will be central to ensuring UHC remains a priority in global health governance.
