Social, economic and environmental factors represent the three interlinking pillars of sustainable human development. They also constitute the key determinants of the health status for the world’s population, and contribute to many inequities in health outcomes. The study draws on data from 2017 Regional Roma survey and evidence from ‘micronarratives’, stories related by the Roma themselves, which were collected in a parallel data collection exercise in 2017. The study represent a first attempt to consciously link UNDP’s work on studying the social, economic and environmental determinants (SEEDs) of health in the region (and their influence on health inequities), to UNDP’s long record in measuring and documenting the social exclusion of Roma in the Western Balkan sub-region. The descriptive statistics confirm that marginalised Roma have significantly worse self-rated health status compared to their non-Roma neighbours, and that they also face more barriers to accessing healthcare. A similar picture emerges when we disaggregate the results by gender, i.e. a higher percentage of male and female non-Roma claim that they are in good or very good health, compared to the Roma population. The findings suggest that a policy focus on improving the most immediate living conditions (i.e. addressing housing issues, as well as issues of income poverty etc.) but also community related problems (i.e. improving access to sanitation, improving access to clean and safe drinking water as well as improving the overall conditions of the healthcare centres) could go long way towards improving the health outcomes of the Roma population in the Western Balkans.