Predictors and Challenges to Universal Health Systems Utilization in Sub-Saharan Africa. A systematic review
1
Health Sciences, Cavendish University Uganda, Kampala, Uganda
Popul. Med. 2026;8(Supplement Supplement 1):
ABSTRACT
ABSTRACT:
Predictors and Challenges to Universal Health Systems Utilization in Sub-Saharan Africa. A systematic review Shallon Atuhaire, Ayub Twaha 1. Department of Health Sciences, Cavendish University Uganda, Kampala *Correspondence: S. Atuhaire Email: satuhaire@cavendish.ac.ug Tel: +256774636127
BACKGROUND:
Universal Health Systems utilizations signifies that people ought to use preventative, promotive, curative, rehabilitative and palliative quality services where and when they need them in a sufficient and effective way.
METHODS:
This systematic study reviewed 100 studies on universal health coverage utilization with intent to assess if the predictors and challenges of health systems utilization in sub-Saharan Africa had been widely studies and addressed through recommendations. The time scope of the review covered a period between 2015 to date in consideration of keywords such as universal health coverage, universal health systems utilization, predictors or determinants of health systems utilization, and challenges to health systems utilization. These were searched in various online databases including Medline, Google Scholar, Web of Science, Embase, Dimensions, Scopus, Psych-INFO and those that were cross-referenced.
RESULTS:
Findings indicated that universal health systems utilization should not be a privilege to only those who have the potential to pay for them but everyone obtains the health services they desire without any financial hardship. However, up till now, this is still a delusion because by 2021, about 4.5 billion people globally were covered in a disproportionate way more so in low- and middle-income.
CONCLUSIONS:
Universal health systems utilization is more predicted by governance, health systems, social and economic factors among others. These pose a great hinderance to the would-be seamless access to health services. The study therefore suggests political commitment and stability, health workforce synergies and socioeconomic empowerment of citizen if countries should realize target 4 of SDG 3 by 2030.
Predictors and Challenges to Universal Health Systems Utilization in Sub-Saharan Africa. A systematic review Shallon Atuhaire, Ayub Twaha 1. Department of Health Sciences, Cavendish University Uganda, Kampala *Correspondence: S. Atuhaire Email: satuhaire@cavendish.ac.ug Tel: +256774636127
BACKGROUND:
Universal Health Systems utilizations signifies that people ought to use preventative, promotive, curative, rehabilitative and palliative quality services where and when they need them in a sufficient and effective way.
METHODS:
This systematic study reviewed 100 studies on universal health coverage utilization with intent to assess if the predictors and challenges of health systems utilization in sub-Saharan Africa had been widely studies and addressed through recommendations. The time scope of the review covered a period between 2015 to date in consideration of keywords such as universal health coverage, universal health systems utilization, predictors or determinants of health systems utilization, and challenges to health systems utilization. These were searched in various online databases including Medline, Google Scholar, Web of Science, Embase, Dimensions, Scopus, Psych-INFO and those that were cross-referenced.
RESULTS:
Findings indicated that universal health systems utilization should not be a privilege to only those who have the potential to pay for them but everyone obtains the health services they desire without any financial hardship. However, up till now, this is still a delusion because by 2021, about 4.5 billion people globally were covered in a disproportionate way more so in low- and middle-income.
CONCLUSIONS:
Universal health systems utilization is more predicted by governance, health systems, social and economic factors among others. These pose a great hinderance to the would-be seamless access to health services. The study therefore suggests political commitment and stability, health workforce synergies and socioeconomic empowerment of citizen if countries should realize target 4 of SDG 3 by 2030.
| eISSN: | 2654-1459 |
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