Table 3 Thematic Analysis Framework

Government alone cannot meet all the healthcare needs

Partnership between sectors essential to promote access to medicines and other essential health technologies across the population

Promoting access to medicines vital for progress towards universal health coverage

There are inequalities particularly given the rural population is underserved

Increased insurance coverage in rural areas will attract private sector participation

Increased insurance coverage leads to better access and use of services

Health insurance coverage vital to mobilize resources to promote access towards universal health coverage

Private sector providers could play an important role in advancing access

Public health facilities often experience stock outs of essential medicines

Capacity to pay will translate to increasing demand for medicines

Availability and affordability of some of the essential medicines remains a challenge

There is a gap in access and quality between private and public sectors particularly in terms of access to health technologies

There are inequalities within the health system

Health insurance could lead to wastage if not properly regulated

If not properly regulated expansion of health insurance coverage could lead to wastage

Efficiency and cost effectiveness in resource utilization vital for universal health coverage

Health insurance market fragmented leading to high costs

Better pooling and purchasing could improve access and outcomes

Effective pool and strategic purchasing essential for universal health coverage

Effective and progressive policies and regulation needed to performance of health systems and improve health

Differential health insurance coverage particularly among employed and unemployed could exacerbate equalities

There is need for effective monitoring and accountability systems in place

Accountability essential to ensure progress