Gender gaps in access to, and use of health and long-term care services affect both women and men, albeit differently. While male mortality due to key non-communicable diseases (NCDs), particularly in the middle-ages is high, women live longer with these diseases. This has implications for universal health coverage (UHC) and social protection systems. Social and financial barriers that accumulate across the life course impede women’s access to care and solutions need to be cross-cutting. Health and long-term care systems need to be gender-responsive, ensuring that services are available and accessible, with adequate quality of care. Investment in sex disaggregated data and gender specific indicators to monitor key indicators for healthy longevity (e.g., on NCD prevalence, UHC) is needed for policy and planning.