This World Health Organization publication provides strategic guidance for achieving universal access to sexual and reproductive health (SRH) within the framework of universal health coverage (UHC) through a primary health care (PHC) approach. It outlines key policy actions and strategies to integrate comprehensive SRH services into national health systems and health benefit packages. The document emphasizes the importance of political commitment and coherent strategies for the effective integration of SRH services. It serves as a tool for program managers, civil society, researchers, and health system communities, offering innovative examples and lessons from various countries. The guidance underscores the necessity of involving intended beneficiaries in planning, monitoring, and evaluation processes to ensure equitable access to SRH services.