The WHO Regional Committee for Africa has provided clear guidance on how to take forward the universal health coverage (UHC) agenda in Member States since the adoption of the 2030 Agenda for Sustainable Development in 2015. The Sixty-seventh Regional Committee (RC67) endorsed the Framework for health systems development towards universal health coverage in the context of the Sustainable Development Goals in the African Region,1 hereinafter referred to as ‘the Framework’. The Framework provides Member States with a menu of actions to choose from in developing their health systems to ensure attainment of UHC and the other health-related SDG targets.