We recognize that the creative, effective solutions that positively transform societies and their health ultimately grow from processes that take place within those societies. In both child health and maternal health there are powerful stories of true success, which tell us that change is possible, that the MDGs need not be pie-in-the-sky, and that leaders of change speak many languages. At the same time, we are keenly aware that global forces both constrain and facilitate the ability of local and national actors to think and act boldly. The global community, and the wealthy nations that strongly.
