We know the interventions that can save most women’s lives. If every woman had access to essential maternal care, 74% of maternal deaths could be prevented4. If all women had access to self–controlled means of HIV/ AIDS protection and were in a position within society to use these methods, millions of HIV/AIDS deaths could be prevented. Thus, we do not so much need new technology, as we need to ensure universal access, utilization and equity. But ensuring universal access, utilization and equity means that our health services cannot continue to function as “business as usual.” Fundamental change is necessary. We must rethink the link between poverty and health and.