The goal of “moving toward UHC” is relevant to all and can be used to define the direction in which reforms should be made to improve the health system. Member states of the World Health Organization (WHO) committed in 2005 to develop their health financing systems so that everyone can access services without financial hardship when paying for them.

In the African context, the primary method of payment for accessing health services is direct payment. This is the source of discrimination, inaccessibility and especially catastrophic expenses.