The African Health Markets for Equity (AHME) project, jointly funded by the Bill & Melinda Gates Foundation (BMGF) and the UK Department for International Development (DFID) and implemented by a partnership of organizations led by Marie Stopes International (MSI), worked to address these challenges in Kenya, Ghana and Nigeria for the past seven years (see box 1 for a description of the project). The purpose of this brief is to reflect on the project’s implementation to highlight the top lessons as it draws to a close.