This report by Women in Global Health highlights the stark gender disparity in health leadership roles worldwide. Despite women constituting 70% of the global health workforce and over 80% of nursing and midwifery roles, they hold only 25% of senior leadership positions. This imbalance is attributed to systemic biases and cultural norms that undervalue women’s contributions and hinder their career progression. The report draws on global data and case studies from India, Nigeria, and Kenya, revealing that the COVID-19 pandemic exacerbated these inequalities. It calls for urgent action to implement gender-transformative policies, increase the visibility of women in health, and mobilize men as allies to create a more equitable health sector. The findings emphasize that achieving gender equity in health leadership is not only a matter of justice but also essential for the effectiveness and resilience of health system.