Community-Based Healthcare Systems: A Strategic Lever for Achieving Health Equity and Universal Health Coverage

Background: Health equity and universal health coverage are critical global health priorities, especially with regard to the 2030 Sustainable Development Goals. Yet, systemic obstacles exist, impeding billions from accessing essential healthcare services, particularly in low- and middle-income countries. Purpose of the Study: This study explores the pivotal role of community healthcare systems as the strategy for achieving health equity and universal health coverage, framed within social justice and primary healthcare principles. Methodology: A review and synthesis of global, regional and country specific evidences, along with policy frameworks and best practices was conducted using databases such as PubMed, Google Scholar, CINAHL, PsycINFO, Scopus, WHO and UNAIDS websites. The results were analyzed and only relevant and evidence-based studies were included in the study. Findings: Evidence from high-income, low-and middle-income countries underscore the crucial role community-based health systems play in providing accessible, culturally appropriate, and cost-efficient healthcare to communities around the world. Key barriers were identified. However, evidenced-based and innovative solutions exist. Policy recommendations emphasize recruitment, training and integration of community health workers into national health systems, inclusive financing, investment in digital infrastructure, and cross-sectoral collaborations. Conclusion: Effective community healthcare systems have resulted in significant increase in service use, and has bridged the health disparity gaps in local communities. This positions community healthcare as a strategic pivot to achieving health equity and sustainable health for all.