STUDY LABOUR AND SOCIAL JUSTICE TOWARDS UNIVERSAL HEALTH COVERAGE The Cases of Benin, Côte d’Ivoire, Ethiopia, Kenya, Senegal and Zambia Jürgen Schwettmann January 2022 Several African countries have, in recent years, made consider­able progress in extending uni­versal health coverage(UHC) to households in the informal economy. However, the rate ­of UHC coverage varies signi­ficantly from one country to another, and none of the six countries has as yet reached the goal of UHC. The most successful UHC schemes follow standard, country-wide rules and pro­cedures, and combine decentralised financial ma­nagement and health deli­­very systems with centralised oversight and risk-pooling. All successful UHC schemes provide free health coverage for the poorest segments of the population.