This paper examines the realationship between gender and inequities in Koppal district of north-eastern Karnataka. The paper, based on the work of the Gender and Health Equity project in two taluks of the district, among the more backward in the state, finds a gender bias both in health-seeking behaviour in families, especially among the poorer households, and in the healthcare delivery system. Girls' and women's health suffers disproportionately as a result of this bias.