Barriers and Facilitators to International Universal Health Coverage Reforms: A Realist Review.

ABSTRACT:

Background

The journey towards universal health coverage (UHC) began decades ago but has recently moved to centre stage in global health discourses with its inclusion in the Sustainable Development Goals (SDGs). As part of this renewed interest, 193 countries have committed to introducing UHC by 2030. However, its implementation often necessitates far-reaching health system reforms. This, coupled with the struggles countries face in relation to health financing, as well as distinct political, social and cultural contexts, means there are significant challenges to UHC implementation. This article contributes new knowledge to these discourses by identifying key contexts and mechanisms that facilitate the successful implementation of UHC reforms, as well as barriers that can impede pr

SUBMITTER: Farsaci L 

PROVIDER: S-EPMC12257192 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature