Highlights
In this SOCIEUX+ report, we synthesise the knowledge and insights generated during the side event "How to design equitable social protection in health?", held at the EU-AFD conference "Bridging Divides". The document draws on technical cooperation experiences and expert dialogues to examine the pathways towards universal health protection in sub-Saharan Africa, focusing on the practical application of equity within national systems. The aim is to inform and inspire policymakers and stakeholders as they design inclusive and sustainable health reforms.
This report examines the critical interplay between institutional design, financing, and equity in the pursuit of Universal Health Coverage (UHC). Key insights include the necessity of "progressive universalism"—a strategy that combines equal treatment with targeted support for the most disadvantaged to ensure that no one is left behind. Additionally, the integration of health equity funds and needs-based accreditation models, as demonstrated in the Zambian context, proves particularly effective in reducing financial barriers for vulnerable populations. Beyond financing, the report highlights the central role of the state as a coordinator and regulator in harmonising fragmented systems and fostering solidarity between the formal and informal sectors. Community engagement and social dialogue also emerge as vital contributors to building trust and ensuring that health protection remains responsive to local socio-economic realities. Overall, the report underscores the relevance of peer-to-peer collaboration and continuous capacity development—supported by innovative tools such as the SOCIEUX+ e-learning platform—in translating high-level policy goals into equitable and effective health outcomes.
