This publication presents the process of and lessons learned from the review and reorientation of a program for active health protection of mothers and children for greater health equity, with an explicit but not exclusive focus on the Roma population, carried out in the former Yugoslav Republic of Macedonia. Using the methodological guide on integrating equity into health strategies, programs and activities developed by the Ministry of Health, Social Services and Equality of Spain, the analysis of selected services within the program shows that Roma and rural women benefit less than women from urban areas and with more education. Barriers and facilitating factors for using the services were related to their availability, accessibility and acceptability, contact with services and effectiveness of coverage.

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