Cidalia Eusebio
1 
, Maria Bakola
2 , David Stuckler
3,4,5* 1 Independent Researcher, London, UK.
2 Research Unit for General Medicine and Primary Health Care, Faculty of Medicine, School of Health Science, University of Ioannina, Ioannina, Greece.
3 Dondena Centre for Research on Social and Population Dynamics, Milan, Italy.
4 Cergas Centre for Research on Health and Social Care Management, Milan, Italy.
5 Department of Social & Political Sciences, Bocconi University, Milan, Italy.
Abstract
How can resource-deprived countries accelerate progress towards universal health coverage (UHC)? Here we extend the analysis of Nanini and colleagues to investigate a case-study of Uganda, where despite high-level commitments, health system priority and funding has shrunk over the past two decades. We draw on the Stuckler-McKee adapted Political Process model to evaluate three forces for effecting change: reframing the debate; acting on political windows of opportunity; and mobilising resources. Our analysis proposes a series of pragmatic steps from academics, non-governmental organisations, and government officials that can help neutralise the forces that oppose UHC and overcome fragmentation of the pro-UHC movement.