Stories have the power to shape policies and drive action. But it is crucial to ask: whose narratives are amplified, and whose remain unheard? This plenary delves into health equity, focusing on power dynamics and representation of voices. By examining research and case studies from COVID-19 and childhood immunization programs, we will critically assess our efforts toward achieving equitable health outcomes. Together, we will reflect on how systems and structures can perpetuate disparities within and across nations, often despite well-meaning intentions. Looking forward, we will explore pathways to a more fair future by prioritizing equity, fostering meaningful partnerships, valuing community and cultural insights, and driving transformative change.

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For too long Indigenous Australians have been a priority population for sexually transmissible infections, and other infectious diseases. This plenary explores the approach taken by two NHMRC-funded studies — the Eliminate (Synergy) and IMPACT (Ideas) projects — in implementing a precision public health approach that has led to the genuine co-design of multilevel interventions aimed at reducing the incidence of STIs in Aboriginal and Torres Strait Islander communities. The plenary will contribute to national conversations on the ethical and effective design of research for infectious diseases grounded in Indigenous leadership, responsive to social and cultural determinants of health, and embedded within existing health service and community governance structures.