Power comes in many guises. Among them is the power to set the terms of the debate, to structure the patterns of thought and language, the fundamental taken-for-granted assumptions, which shape our approaches to problems and solutions. If, indeed, the current situation is untenable, if the dominant categories no longer address the dominant problems, then these terms must be challenged and opened to new debate and directions. The central argument of this report is that dramatic, meaningful, sustainable progress toward improvements in child health and maternal and reproductive health – toward both the spirit.