Determinants of health in a population are related to numerous factors beyond health services. Ability to benefit from these services is essential in order to foster sustainable development. Universal health coverage (UHC), embedded within the United Nations Sustainable Development Goals, is defined by the World Health Organization as all individuals and communities having access to any health services they need, of sufficient quality to be effective, without suffering financial hardship. Effective strategies for financing healthcare are critical in achieving this goal yet remain a challenge in Sub-Saharan Africa (SSA). The aim of this systematic review is to examine health financing approaches for UHC in SSA.