Some approaches to reach rural areas are health worker rotations, new uses of mobile technologies, and rural-urban links in the health system and related areas such as transport. Health services also improve when ordinary people are consulted about their needs and about how they experience the health-care system. Universal sexual and reproductive health services, for example, would build momentum towards a demographic transition, which in turn could accelerate economic growth in countries with large and growing youth populations. Making these choices can start in public budget processes modelled on the gender-budgeting exercises that have been applied in a number of countries, at both the national and subnational levels.