Dr Møgedal reminded the Consultation participants that the challenges of maternal and child mortality were not new, and alluded to the ups and downs of Village Health Workers, the universal child immunization and various approaches to management of childhood diseases. She also the obstacles through which some of the health services had to struggle to ensure access, in terms of quantity, continuity, reach and service quality. The struggle, Dr Møgedal emphasised, was where the health worker was often not available where needed, and if available had too heavy a workload, with hardly any tools of the trade
