Moving toward universal health coverage with a national health insurance program: A scoping review and narrative synthesis of experiences in eleven low- and lower-middle income countries.

Overall, for all countries, despite mechanisms to protect the most vulnerable, further strategies are needed to limit the level of catastrophic health expenditures, especially since the latest evidence from the Global Monitoring Report (2023) indicates an increasing trend in both Sub-Saharan Africa and South Asia [ 1 ]. 3.4 Strengths and limitations A few limitations to this review should be acknowledged.

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