Achieving universal health coverage (UHC) requires policy initiatives supported by long-term system reform and an accountable governance structure that can sustainably deliver all three dimensions of UHC, population coverage, breadth of benefits package, and degree of financial coverage. A good governance structure must match policies with available financial and infrastructural capacity, and incentivise all actors to work towards UHC goals. It must also ensure effective implementation and feedback use to consistently improve delivery on UHC dimensions.