Improvements in health require progress against all MDGs. Progress is mixed; many countries have made significant gains but massive challenges persist in sub-Saharan Africa and South Asia. On current trends, many poor countries will not meet the goals. Without underestimating the challenges, the means to ensure that every country achieves the goals are available. The task is to live up to the commitments made by G8 leaders in 2005 to support countries efforts to ensure access to essential health services. DFID is currently revising its health strategy to meet this challenge.