Tracking universal health coverage: 2025 global monitoring report ISBN (WHO) 978-92-4-011780-8 (electronic version)ISBN (WHO) 978-92-4-011781-5 (print version) © World Health Organization and the International Bank for Reconstruction and Development / The World Bank, 2025 Some rights reserved.This work is available under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 IGOlicence (CC BY-NC-SA 3.0 IGO; https://creativecommons.org/licenses/by-nc-sa/3.0/igo). Under the terms of this licence, you may copy, redistribute and adapt the work for non-commercial purposes, provided thework is appropriately cited, as indicated below. In any use of this work, there should be no suggestion that the World HealthOrganization (WHO) and/or the International Bank for Reconstruction and Development / The World Bank (The World Bank)endorses any specific organization, products or services. The use of the WHO or The World Bank logo is not permitted. Ifyou adapt the work, then you must license your work under the same or equivalent Creative Commons licence, and youshould add the following disclaimer along with the suggested citation: This is an adaptation of an original work by the WorldHealth Organization and The World Bank. WHO and the World Bank are not responsible for the content or accuracy of thisadaptation. Responsibility for the views and opinions expressed in the adaptation rests solely with the author or authorsof the adaptation and are not endorsed by the World Health Organization and The World Bank. If you create a translationof this work, you should add the following disclaimer along with the suggested citation: “This translation was not createdby the World Health Organization (WHO) or the International Bank for Reconstruction and Development / The World Bank(The World Bank). WHO and The World Bank are not responsible for the content or accuracy of this translation. The originalEnglish edition shall be the binding and authentic edition”. Any mediation relating to disputes arising under the licence shall be conducted in accordance with the mediation rules ofthe World Intellectual Property Organization (http://www.wipo.int/amc/en/mediation/rules). Suggested citation.Tracking universal health coverage: 2025 global monitoring report. Geneva: World Health Organizationand the International Bank for Reconstruction and Development / The World Bank; 2025. Licence: CC BY-NC-SA 3.0 IGO. Cataloguing-in-Publication (CIP) data.CIP data are available at http://apps.who.int/iris. Sales, rights and licensing.To purchase WHO publications, see https://www.who.int/publications/book-orders. To submitrequests for commercial use and queries on rights and licensing, see http://www.who.int/about/licensing. Third-party materials.If you wish to reuse material from this work that is attributed to a third party, such as tables, figuresor images, it is your responsibility to determine whether permission is needed for that reuse and to obtain permissionfrom the copyright holder. The risk of claims resulting from infringement of any third-party owned component in the workrests solely with the user. General disclaimers.The designations employed, colors, denominations, links/footnotes and the presentation of thematerial in this publication do not imply the expression of any opinion whatsoever on the part of WHO and/or The WorldBank concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitationof its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet befull agreement. Terminology used in this publication follows the institutional style and practice of the WHO as lead publishing organization,and may be at variance with those used by The World Bank. The citation of works authored by others does not mean the WHO and the World Bank endorses the views expressed bythose authors or the content of their works. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed orrecommended by WHO and The World Bank in preference to others of a similar nature that are not mentioned. Errors andomissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by WHO and/or The World Bank to verify the information contained in thispublication. However, the published material is being distributed without warranty of any kind, either expressed or implied.The responsibility for the interpretation and use of the material lies with the reader.In no event shall WHO and/or TheWorld Bank be liable for damages arising from its use. Contents Forewordvi Executive Summaryxiv Introduction: A revised and improved monitoring frameworkfor universal health coverage1 Chapter 1: Progress towards UHC11 1.1. The world progressed on both UHC pillars, but progress has slowed in the SDG era121.2. Progress on indicator comp