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Richard Horton took issue with what he characterized as “the false narrative of ‘tremendous progress’” on maternal and child survival and health. While the immense progress achieved on reducing child mortality by more than half since 1990 is unquestionably worth celebrating, Horton is correct in asserting that this progress remains inadequate and in reflecting on the remaining gross inequities. Certain population groups and regions lag well behind the majority, and 53 countries are unlikely to achieve the Sustainable Development Goal (SDG) 3 targets for maternal and child mortality unless progress is accelerated.