Country Reform

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Country Compacts

To accelerate progress towards quality affordable health services for all, countries are partnering with the World Bank Group to prepare National Health Compacts -- comprehensive, five-year roadmaps designed to expand access to quality, affordable health care and create millions of jobs. These are high-level, government-led agreements that define shared priorities, reforms, and investment needs in health.

Compacts serve as a strategic roadmap to align resources across domestic and external sources, including the private sector, galvanize political leadership, and promote accountability for delivering results.

Compacts prioritize high-impact health sector solutions and policy reforms needed to unlock challenges in the health sector. While compacts are country specific, the focus will be on key reforms building digitally-enabled primary care platforms using five proven solutions:

Connecting and equipping facilities – because quality care requires functional infrastructure, from reliable energy to essential equipment.
Redesigning care delivery with digital tools – using telehealth, AI diagnostics, and digital health records to extend reach and improve quality.
Designing service packages that balance curative and preventive care – moving beyond just treating illness to preventing disease and managing chronic conditions.
Expanding and upskilling the health workforce – training community health workers, nurses, and doctors to deliver comprehensive primary care.
Increasing financing through insurance programs – reducing out-of-pocket costs that push families into poverty.

The first National Health Compacts were announced at the UHC High-level Forum in Tokyo in December 2025:

Bangladesh

Bangladesh aims to expand access to quality affordable health services by investing in and advancing policy reform commitments across the health system. VIEW/DOWNLOAD

Egypt

Egypt aims to expand access to quality affordable health services by investing in and advancing policy reform commitments across the health system.

Compact coming soon

Ethiopia

Ethiopia will strengthen its health workforce by deploying digital tools—including e-learning platforms, AI-enabled diagnostics, and telehealth network to at least 40% of primary health centers. Through partnerships with private telecoms and digital health start-ups, this will create skilled employment opportunities for health professionals and digital workers while expanding access to quality care. VIEW/DOWNLOAD

Fiji

Fiji’s National Health Compact sets out an ambitious vision to expand access to essential health services by 2030, with a strong focus on improving screening and management of noncommunicable diseases (NCDs). VIEW/DOWNLOAD

Indonesia

Indonesia is scaling digital health linking 600 health facilities through telemedicine and enabling mid-level providers especially in remote and hard-to-reach regions to deliver needed health services. VIEW/DOWNLOAD

Mexico

Mexico is embarking on a structural health sector reform that will place health at the center of the country’s development agenda, guarantee the right to health and financial protection to all people, and to consolidate a modern, integrated, and equitable health system. VIEW/DOWNLOAD

Morocco

Morocco’s Compact focuses on strengthening financial protection, modernizing primary care and hospital infrastructure, investing in the health workforce, and mobilizing private-sector investment and innovation. Morocco will extend mandatory health insurance to an extra 22 million Moroccans while maintaining program sustainability via ongoing tariff review, cost control, fraud reduction, and increased use of generic medicines. VIEW/DOWNLOAD

Nigeria

Nigeria commits to strengthening primary healthcare, improving access to essential services and financial protection, investing in the health workforce, expanding digital transformation, and unlocking domestic manufacturing for health products. Nigeria will boost local production of vaccines, medicines, diagnostics, and health technologies by training 10,000 pharmaceutical and biotech professionals, establishing Centers of Excellence, and offering tax incentives. It will strengthen regulatory agencies through digital systems and global alignment, promote mRNA research, expand clinical trial sites, and streamline approvals and biobank funding – advancing affordable primary care while building a more resilient, self-reliant health system. VIEW/DOWNLOAD

Philippines

The Philippines’s Compact sets out system-wide reforms across infrastructure, service delivery, human resources, prevention, and financial protection with the aim to increase life expectancy and access to quality affordable health services. The country is also modernizing its primary health care infrastructure ensuring all health facilities are digitally connected. VIEW/DOWNLOAD

Sierra Leone

Sierra Leone aims for every citizen to access quality primary health care within five kilometers of home. The country will build 300 new facilities, equip 1,800 with solar power and digital connectivity, recruit 8,000 health workers, and place 18,500 community health workers and volunteers on the national payroll—creating thousands of jobs and cutting out-of-pocket spending by one third. VIEW/DOWNLOAD

Syria

Syria is committing to rebuild a resilient, equitable, and people-centered health system as the country transitions from humanitarian response toward early recovery and long-term reconstruction. VIEW/DOWNLOAD

Tajikistan

Tajikistan’s focus is on providing its population with accessible and quality health care through better governance, long-term reliable financing, strengthening its workforce, and developing its information and digital services. VIEW/DOWNLOAD

Uganda

Uganda commits to a comprehensive set of reforms anchored in strengthened primary health care, sustainable financing, and whole-of-government action with aim to increase its UHC Service Coverage Index from 49% to 58% and expand health insurance coverage from 1.1% to 10%. VIEW/DOWNLOAD

Uzbekistan

Uzbekistan is undertaking an ambitious transformation of its health system to build a patient-centered, efficient, and transparent model of care. The country is digitizing clinical and administrative processes in all its healthcare facilities, reducing workloads by 30%. By 2027, the Government aims to raise the UHC Service Coverage Index from 75% to 85% and reduce out-of-pocket spending from 65% to 47% of current health expenditure. VIEW/DOWNLOAD

Zambia

Zambia’s Compact presents system wide policy commitments that aim to scale quality health services and improve health, including reducing maternal and neonatal mortality and reducing stunting among children by half. VIEW/DOWNLOAD