 Vulnerable women in Tororo District, Uganda face multiple barriers when it comes to participating in health system priority setting. These include financial, biomedical, knowledge-based, motivational, sociocultural and structural barriers. Decision makers and vulnerable women alike believe that these barriers prevent vulnerable women from consistently participating in priority setting. To address these barriers, decision makers suggested short-term solutions such as providing transportation and incentives for vulnerable women to attend meetings, while vulnerable women proposed more systemic changes such as increasing awareness of the importance of participation and creating opportunities for vulnerable women to provide input on decisions. This article was authored by Estanya Razavi, Lydia Capriri, Julia Abelson and others.