Until the 1960s, Thailand had maternal mortality rates well above 400 per 100,000 live births” (WHO, 2005). Over the past 50 years that maternal health statistic has been transformed and the number of deaths has dropped significantly. Whilst there has been an immense national effort, this transformation must be contextualised globally in order to properly understand why Thailand’s success in this area is so significant. Against the background of The Safe Motherhood Initiative (1987), UN year for women (1975), International Conference on Population and Development and ICPD, Cairo (1994), Investing in Health (World Bank) includes maternal health as a ‘‘Best buy’’ in global health. After the publication of the now famous article “Where is the M in MCH?” (Rosenfield & Maine, 1985) maternal mortality reduction has garnered more attention than before.