According to World Health Organization (WHO) equity is the absence of avoidable or remediable social, economic, geographic or demographic differences among groups of people. Highly decentralized health care systems across Latin America play a major role on inequity and are an important unresolved issue in the health policy debate. Universal health care coverage were proposed to fight inequity, understanding their challenge in the low to middle income countries and knowing that interventions to face health inequity must typically go beyond remedying a particular health inequality. This forum will explore how to face it and what kind of strategies to be implemented in the short term to guarantee population access to quality health care.