Africa is the world’s second largest and second most-populous continent . With 1.2 billion people as of 2016, it accounts for about 16% of the world’s human population. Africa’s average population is the youngest among all the continents; the median age in 2012 was 19.7, when the worldwide median age was 30 (6).
The continent is still straggling to create sustainable and inclusive social and economic development. In Africa many countries are facing high levels of child mortality, maternal mortality, malnutrition, and most health systems are not able to deal effectively with epidemics and the growing burden of chronic diseases, such as diabetes. These challenges forced African leaders to renewed their commitments and to accelerate progress toward Universal Health Coverage (UHC) with initiative of everyone receives needed health services without financial hardship(8).
Beside the pressure from High prevalence of disease in Africa the second reason for investing in UHC is a moral one: it is not acceptable that some members of society should face death, disability, ill health or impoverishment for reasons that could be addressed at limited cost. However, UHC is also a good investment. Prevention of malnutrition and ill health is likely to have enormous benefits in terms of longer and more productive lives, educational productivity, and reducing health care cost. Effectively meeting demand for family planning will accelerate the fertility transition, which in turn will result in higher rates of economic growth and more rapid poverty reduction. And strong health and disease surveillance systems halt epidemics that take lives and disrupt economies. The challenge in Africa is multi-dimensional require multi-directional solution (7).
Achieving UHC in Africa is still promising concept but still need much more in terms of good governance, leadership and commitment.
Most African countries have accepted UHC they also included as the part of their national sustainable development plane. If Africa able to achieve UHC by 2030 they could remove the pain of Africa from maternal and child death, outbreak, epidemics and poverty. Not only that, Africa could establish strong foundation for sustainable economic and social development. but, acceptance and integration UHC in the national police level is not enough, the national polices should translated in to the ground. still Africa is facing challenge in despite of the national UHC police, with regard to health insurance and financial protection, mobilizing internal resource and quality health service delivery.
There is no single rod that leads to the achievement of UHC in Africa, all policies and strategies should consider each country local condition.
This UHC temple includes a set of strategic action to achieve UHC in Africa. Even though the great diversity in African, many are facing common challenges. This temple has a proposed set of actions for countries and stakeholders involved in the UHC process.