 The Sahat Sahilat Program, SSP, was launched in 2015 as a large-scale health insurance scheme aimed at providing universal health care coverage to the people of Khyber Pakhtunkhwa Province in Pakistan. Over the course of five years, the program has gradually expanded its reach and scope, covering more people and services. While the program has made significant progress towards achieving universal health care coverage, it does not fully align with the national UHC priorities or the Sustainable Development Goals, SDGs. This article was authored by Shiraz Ahmad Khan, Katherine Creswell, and Aziz Sheikh.