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Power imbalances are a key driver of avoidable, unfair and unjust differences in health. Devolution shifts the balance of power in health systems. Intersectionality approaches can provide a 'lens' for analysing how power relations contribute to complex and multiple forms of health advantage and disadvantage. These approaches have not to date been widely used to analyse health systems reforms. While the stated objectives of devolution often include improved equity, efficiency and communitydoi:10.1186/s12939-019-0917-2 pmid:30700299 pmcid:PMC6352384 fatcat:ukqct4mjj5g2nkz5q7uwthm4pq