Countries and partners have reported continued progress toward the World Bank Group’s goal—set in April 2024—to help deliver affordable, quality health services to 1.5 billion people by 2030. Building on that momentum, 15 countries introduced National Health Compacts, outlining practical, five-year reforms that aim to expand primary health care, improve affordability, and support job-rich economic growth.
The World Bank Group says since the goal was announced, it has along with partners have helped countries reach 375 million people with quality, affordable care. Work is now underway with roughly 45 countries to scale proven primary care approaches that strengthen health outcomes while generating employment across health work forces, local supply chains, and supporting industries.
This progress comes as governments confront aging populations, rising chronic disease, and financial pressures. The 2025 Global Monitoring Report—released today at the Tokyo Universal Health Coverage High-Level Forum—shows that 4.6 billion people lack access to essential health services and 2.1 billion people face financial hardship due to health expenses. These challenges underscore the need for long-term, coordinated reforms that help countries build more resilient and equitable health systems.
“Strong primary health systems do more than safeguard health—they support jobs and economic opportunity,” said Ajay Banga, World Bank Group President. “Countries are stepping forward with clear priorities, and we are working alongside them to deliver practical solutions at scale. When efforts align behind what works, impact grows.”
The countries that launched National Health Compacts are Bangladesh, Egypt, Ethiopia, Fiji, Indonesia, Mexico, Morocco, Nigeria, Philippines, Sierra Leone, Syria, Tajikistan, Uganda, Uzbekistan, Zambia.
These Compacts align Health and Finance Ministries behind measurable targets, provide a roadmap for coordinated action, and guide support from development partners around country-led priorities. The reforms focus on three main areas: expanding the reach and quality of primary care, improving financial protection, and strengthening the health workforce.
Nigeria will train 10,000 pharmaceutical and biotech professionals, create Centers of Excellence, and offer tax incentives to expand local production of vaccines, medicines, diagnostics, and health technologies as the country signed up to remove financial barriers to care.
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