CHANDA, Ireen2026-07-152026https://research.unilus.ac.zm/handle/123456789/738Bachelor of Laws - Research ReportThis research is on the comparative analysis of the right to universal health care in Zambia. The purpose of this study is to examine the Zambia national health insurance Act, 2018, examining its existing legal and institutional framework with regards to its role to achieve and attain the right to universal health care. The objective of this research was firstly to analyse the legal and institutional framework of Zambia’s National Health Insurance Act of 2018, in terms of its capacity to ensure the right to universal health care. Secondly to conduct a comparative analysis of South Africa’s National Health Insurance Act, No.20 of 2023, with a focus on its legal and institutional mechanisms for ensuring universal care, and lastly to explore lessons that Zambia can learn from South Africa’s national health insurance Act in integrating the right to universal health care within its legal and policy framework. The methodology of this research was a qualitative mode of research in that data came from statutes, internet sources, journals, textbooks, cases and articles. Major findings of this research were that the legal and institutional framework lacks a detailed and effective structure of governance and mechanisms in handling universal health care, further that it lacks clarity in the justiciability of rights to health care. The recommendations emphasized on establishing the clear governance structures and regulations on the State accountability, enforceability of the right to health care within the Zambian constitution as well as the national health insurance act from the lessons learnt from the South African legal and institutional framework. Lastly to amend the Zambian Constitution and the Zambia national health Act, 2018 in order to clearly provide for accountability and enforceability of the right to health care in order to effectively manage the right to universal health care in Zambia.enThesis