11/12/2025
National Health Compact Commits to 74,000 New Health Workers to Drive Universal Health Coverage in Zambia
Lusaka, Zambia 11th Dec 2025: Zambia has taken a major step toward accelerating Universal Health Coverage (UHC) with the launch of its National Health Compact (2026–2030), unveiled on Saturday, 6 December at the 2025 UHC Forum in Tokyo. Endorsed by President Hakainde Hichilema, the Compact outlines a bold and costed national plan to recruit 74,000 new health workers and strengthen specialist care across the country.
The Compact is based on a one plan, one budget approach that aligns all development partners, including the World Bank and WHO, behind a unified national framework. This alignment is designed to address persistent health sector gaps including the shortage of specialist doctors, midwives, and nurses, brain drain, and the growing burden of non-communicable diseases (NCDs) alongside HIV/AIDs sustainability needs.
At the launch of the compact in Japan, President Hichilema said:
“The health compact provides an analysis of issues and gaps. It offers a true picture of where the country is, where we are going, and what we want to achieve by 2030.”
While presenting the compact to the President, the Minister of Health, Elijah Julaki Muchima, said:
“The health compact outlines our shared priorities, aligns our roles and responsibilities, and sets out mechanisms for coordination, accountability, and resource mobilization to ensure that every Zambian has access to quality, affordable health services.”
The National Health Compact outlines measurable goals and targets for health system transformation by 2030, including:
• Increasing health financing from 10.3% to at least 15% of national budget
• Reducing maternal mortality from 187 to under 100 per 100,000 live births
• Expanding specialist training to improve access to advanced care countrywide
• Ensuring equitable service delivery from community to tertiary levels
Seed Global Health’s role
Seed Global Health (Seed) served as a key technical partner in the development of the Compact, supporting national consultations, strengthening the workforce strategy, and ensuring specialist training and retention were included and properly costed.
“As Zambia moves into implementation, we will continue to support the government as it works toward meeting its workforce target”, said Chikusela Sikazwe, Country Director, Seed Global Health, Zambia.
Seed’s commitments include:
• Training highly skilled midwives and family medicine specialists to strengthen primary and district-level care.
• Supporting recruitment and development of priority cadres toward the 74,000-worker goal by training
• Strengthening pre-service training through partnerships with health professional institutions.
Chikusela added, "The Compact’s work aligns with Seed’s mission to support country-led efforts that advance and sustain UHC through long-term health workforce development."
President Hakainde Hichilema emphasized that achieving these ambitious targets, estimated at US$3.832 billion (approximately 88.63 billion Zambian Kwacha) by 2030, will require strong collaboration across government, civil society, development partners, the private sector, communities, and academic institutions.
Seed is committed to continuing to support the government, ensuring that the training and retention of highly skilled health workers help turn this national vision into reality.
ENDS.
About Seed Global Health:
Seed Global Health partners with governments, health professional schools, and health facilities to educate health workers, strengthen the quality of health services, and support policies that enable health professionals to deliver high-quality services.
For more information, please contact:
Brenda Asiimwe, Communications and Advocacy Coordinator
[email protected]
More resources:
Zambia National Health Compact
World Bank press statement
UHC High Level Forum event recording