Wendy Harcourt maps out some concerns about the impact of globalization on poor women’s health. She argues that in a pro-poor health strategy it is crucial to understand the different realities of poor women and men’s lives and the complex economic and social factors determining their health and well-being. She focuses on how women’s reproductive rights and health groups have responded and propelled forward the potential globalization offers for greater participation of poor women in deciding their own health needs.