The Progression Pathway responds to two significant and prevalent trends:

First, efforts to achieve UHC and the other SDG goals and targets are failing. Health service coverage has stagnated, and the proportion of the population facing catastrophic out-of pocket health spending has dramatically increased.

Second, private sector involvement in health care delivery and financing is significant and growing. However, the private sector is often under-governed, with flow-on consequences for health equity, access, quality, and efficiency.