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Despite the fundamental importance of health, both intrinsically and in contributing to achievements in other dimensions of well-being, access to good quality basic healthcare is sorely lacking. Meanwile, the current Covid pandemic is drawing into relief the risks posed by a lack of universal coverage, to people who are excluded and the societies within which they reside, and amplifies the need for universal health coverage. This paper provides a selective review of the academic and grey literature on impediments to accessing quality healthcare for at-risk groups and and addresses ways that they can be tackled. Five groups that are often left behind by healthcare systems for different reasons are considered in this research: lesbian, gay, bisexual and transgender LGBT individuals; sex workers; forced migrants and displaced people; people with disabilities; and people living in rural areas.

Director: Henri Dieuzeide Editor: Zaghloul Morsy Assistant to the Editor: Alexandra Draxler Articles appearing in Prospects express the views of their authors and not necessarily those of Unesco or the editorial board. Requests for permission to reproduce articles published in the review should be addressed to the Editor. T h e Editor welcomes contributions and correspondence motivated—favourably or unfavourably—by articles in Prospects. Filippo M. De Sanctis The village polytechnic movement in Kenya E.