To improve their influence on SRH legislation, policy and spending decisions at all levels, it is necessary to strengthen the capacity of marginalised people and of other civil society organisations concerned with SRH including women’s groups, health and human rights groups and elected representatives so they can better negotiate for their demands. Civil society groups should collect evidence to support these demands, support marginalised people to express their concerns, and form alliances to strengthen their representation. The creation of more opportunities and spaces for people to engage in policymaking processes such as independent courts, media.