Health Systems Strengthening Practice Spotlight: Promoting Inclusivity in Health System Decision Making

This brief explores how promoting inclusivity in health system decision-making can enhance health equity and support the achievement of universal health coverage. By engaging underrepresented groups, particularly those at subnational levels of health and political systems, the brief demonstrates how inclusive, co-creative processes in planning and resource allocation lead to more equitable outcomes. Case studies from Guinea and Mali illustrate how these approaches influence health policies and programs, showcasing the impact of collaboration, governance reforms, and context-specific solutions. Through practical lessons, this brief emphasizes the value of local leadership, sustained engagement, and diverse perspectives in achieving equitable, sustainable health systems. The brief offers actionable guidance for policymakers seeking to integrate inclusive approaches throughout the policy and program cycle.