CARE for Women:Investing in Care Delivery toImprove Women’s Lives andLivelihoods I N S I G H TR E P O R TM A Y2 0 2 6 Contents ForewordExecutive summaryIntroduction1 Understanding gaps through three pathways2 The challenges and chance to act: Key gaps in care pathways3 The economic case for strengthening care pathways3.1 BAC and cardiovascular disease3.2 Pregnancy and cardiovascular disease risk3.3 Perinatal depression4 Solutions4.1 Solutions for healthcare systems and practitioners4.2 Implementing CARE in action5 How the broader ecosystem can act to enable effective caredelivery for women5.1 Payers5.2 Governments5.3 Private sector (biopharma, medtech and healthtech)5.4 Patients and patient advocacy groups5.5 Academia and researchConclusionContributorsEndnotes34671518191919212229303031313232343537 Disclaimer This document is published by the World EconomicForum as a contribution to a project, insight areaor interaction. The findings, interpretations andconclusions expressed herein are a result of acollaborative process facilitated and endorsed bythe World Economic Forum but whose results donot necessarily represent the views of the WorldEconomic Forum, nor the entirety of its Members,Partners or other stakeholders. Foreword Shyam Bishen Head, Centre for Healthand Healthcare; Member ofthe Executive Committee,World Economic Forum Lucy PérezSenior Partner, McKinsey &Company; Global Coleader,McKinsey Health Institute Over the years of working to close the women’shealth gap, it has become clear that healthstakeholders often have knowledge, but face barriersin translating that knowledge into care. Across healthsystems, too many women still encounter missedscreenings, delayed diagnoses and fragmentedpathways that fall short of what is alreadyachievable. The consequences are significant:worse outcomes for women, rising medical costs,reduced economic productivity and broader negativeeffects on women and communities. coordinated and more patient-centred care cangenerate 3–6x return on investment for preventivecare over costly avoidable events and improvequality of life at scale. While there is a robust needfor continuing innovation, what the care deliverysystem is also lacking is consistency – embeddingthese practices into everyday care for every woman. This roadmap offers a practical path forward.We focus on three illustrative examples: breastarterial calcification and cardiovascular diseaserisk (using mammography as a heart healthindicator); pregnancy and cardiovascular diseaserisk; and perinatal depression. Through the CAREframework – conduct, align, report and engage – weoutline how stakeholders throughout the ecosystemcan translate knowledge into action that improveshealth outcomes and builds stronger economies. Improving care delivery is where intention meetsimpact. Today, it represents one of the mostactionable – and addressable – opportunities toimprove women’s health. This roadmap, basedon work from the World Economic Forum, theMcKinsey Health Institute and a consortium of morethan 20 experts from different health institutions,shows that nearly one-third of the women’s healthgap is driven by inequities in care delivery alone.This offers profound implications not only for healthoutcomes but for trust in health systems andeconomic participation. No actor can close these gaps alone. Providers,payers, regulators, governments, innovators andpatients all have a role to play in redesigning care thatreflects women’s needs throughout the life course. Improving care delivery requires moving to the nextphase of women’s health – shifting from knowingwhat to do to consistently doing it at scale andsustaining that progress over time. The encouraging news is that many of the solutionsalready exist. In screening, diagnosis, treatment andfollow-up, we see clear evidence that earlier, more Executive summary This report outlines an actionable roadmapand the investment case to close criticalgaps in women’s care delivery. On average, women spend 25% more of theirlives in poor health than men, according topioneering research from the World EconomicForum and the McKinsey Health Institute (MHI).1This disparity reflects not only differences in theeffectiveness of therapies but also untappedeconomic opportunity and systemic failures incare delivery. Roughly one-third of this health gap(34%) arises from care delivery inequities, notablypreventable underscreening, underdiagnosis andundertreatment. These failures lead to avoidableillness and disability and erode trust in healthsystems, leading each woman to lose the equivalentof around 2.5 days of healthy life each year.2 The World Economic Forum and MHI analysis,modelling the impact at national and system levels,shows that closing these gaps could avert around70,000 adverse events annually in the US alone(such as heart attack, heart failure, stroke andmore). Investing in preventive care could createhealthcare system savings, delivering a 3–6x returnon investment by