Ensuring equitable access to universal health coverage has many dimensions. New models are emerging around the world which ensure inclusiveness by strengthening social participation. These include new mechanisms like people’s health assemblies and other forms of participation that ensure citizens and patients voices in the setting of priorities. The recognition of social participation is also reflected in the strong engagement of civil society in the new global Alliance for UHC 2030. Strengthening accountability and advocacy are central to accelerate progress towards universal health coverage.