The old strategies are failing in another sense as well. They no longer describe reality. The field suffers from a terrible disconnect between the dominant models and prescriptions that flow from them, on the one hand, and the reality that people are coping with, on the other. This is a warning sign. We need to re-think. The Millennium Development Goals (MDGs) and the Millennium Project provide a strategic setting in which to do just that. The focus of this Task Force is on Goals 4 and 5 on child mortality and maternal health.