This note offers insights on how Egypt can move forward to achieve automatic UHIS coverage for vulnerable groups. Automatic enrollment would help eliminate barriers to UHIS coverage, get rid of long queues for applicants, decrease the administrative burden on...

Multidisciplinary group works to strengthen Paraguay’s health system
Summary: In March 2025, a multi-ministerial group met in Paraguay, including, among others, the ministries of health and finance, to work on strengthening the healthcare system. Within 60 days, they are to propose specific measures for intensive care units. At the...

Nigeria seeks deeper health ties with Brazil, unveils bold agenda for Universal Health Coverage
The Federal Government of Nigeria has reaffirmed its commitment to Universal Health Coverage by deepening strategic health sector cooperation with Brazil, focusing on local pharmaceutical production, digital health, and workforce development, while drawing lessons...

Botswana commissions health financing study amid aid cuts
Botswana has launched a comprehensive health financing study to track healthcare and HIV and AIDS funding and improve resource allocation and policy planning amid declining international donor support. The findings are expected to guide sustainable financing...

South Korea Faces Fiscal Crisis in National Health Insurance
South Korea’s national health insurance system is facing a financial crisis, with rising premiums unlikely to ensure long-term fiscal stability, prompting the government to propose abolishing the subsidy sunset system and increasing state funding. However, experts...

Time for Africa to Replace the Curative Consumption Trap with Health Production Model
Africa’s health systems remain trapped in a costly, hospital-centered model focused on treating illness rather than preventing it, which is unsustainable given limited resources and a growing burden of non-communicable diseases. To achieve universal health coverage,...

Egypt steps up health reform with Japan-backed universal coverage initiative
The Egypt Healthcare Authority, in partnership with JICA, has launched the E-PaCC project to expand patient-centred care by 2027, as part of Egypt’s broader healthcare reform. This initiative, which includes international partnerships and advanced quality tools,...
Health financing progress matrix assessment: Kazakhstan 2023
The report assesses Kazakhstan's health financing system using the WHO Health Financing Progress Matrix, highlighting significant improvements in coverage and reliance on public funding over the past two decades. However, it identifies challenges such as low public...

Financing Sustainable Development: How ADB’s Theme Bonds are Transforming the Region
Since 2010, the Asian Development Bank (ADB) has raised over $18 billion through specialized theme bonds to address critical challenges in water, education, and healthcare across the Asia-Pacific region, significantly improving access to clean water, educational...

How Sri Lanka’s immunisation system is weathering an economic crisis
M. P. Nirmala, a 26-year-old woman who is a few weeks pregnant with her first child, embodies the confidence many Sri Lankan mothers feel about the country’s healthcare system. At the Divisional Hospital Thalangama, located about 9 kilometers from Colombo, Nirmala...
Reconfiguring health purchasing for universal health coverage: insights from Nepal with relevance to low- and middle-income countries
Nepal's shift to federalism and the National Health Insurance Program (NHIP) aimed for universal health coverage, but persistent structural flaws undermine strategic purchasing and system efficiency. The Ministry of Health and Population’s conflicting roles as...

Transforming Health Care Access in the Pacific Islands
The COVID-19 pandemic revealed the need to invest in the service capability and resilience of the health systems of Pacific Island countries. Responding to this need, the World Bank launched three Health System Strengthening operations in Samoa (2020), Kiribati...

Nepal’s health insurance program: challenges and early impacts
Nepal’s National Health Insurance Program (NHIP), launched in 2016 to improve healthcare access and reduce costs, has faced low enrollment and high dropout rates due to concerns about service quality, lack of awareness, administrative delays, and affordability issues....

Jordan launches 2020–2022 health accounts and unveils reform roadmap
Jordan’s Health Ministry launches National Health Accounts and COVID-19 spending review, setting the stage for a new reform plan to strengthen health financing and expand universal health coverage.The Jordanian Ministry of Health has officially launched the National...

Irish Government publishes Path to UHC Programme 2025+
The new government administration in Ireland, elected at the end of 2024 recently published their plan for continuing on the path to UHC. In 2017, the ten-year Sláintecare health plan was launched. This plan update builds on findings from previous progress...