I don't think that maternal and child health is a global priority. The health and welfare of mothers and their children received unprecedented international attention in 2010, but not all Governments were involved and other issues subsequently knocked this issue off the top slot. For those Governments who did make specific policy and resource commitments, the role of civil society is to work hard to get them to deliver. However, to see a truly seismic shift in the life chances of mums-to-be and their babies, Governments - rich and poor - must tackle inequality, especially gender but also income.