“Most of the people living here are helpless,” said a woman in Jaffna, a district of northern Sri Lanka, nearly ten years after the country’s civil war ended. It was 2017, and I was conducting research with women in two villages in Jaffna. This woman’s sentiment reflected the challenges many in her community are still facing, including the ability to access health services. Through this research, my colleagues and I found that women’s access to healthcare was influenced by both their gender—particularly gender norms and gender roles—and household income. Better understanding of how gender and gender dynamics impact healthcare access will be essential to improving their lives.