Universal health coverage (UHC) means that all people receive the health services they need, including curative, preventive, and promotive services, rehabilitation, and palliative care of sufficient quality to be effective, while ensuring that the use of these services does not expose the user to financial hardship (WHO, 2015). Equity and gender seem inherent in the pursuit of UHC. The 2008 World Health Report defined universal coverage reforms as those “that ensure that health systems contribute to equity, social justice, and an end to exclusion, primarily by moving toward universal access to care and social security.” But is it  always like that ?