International family planning assistance received a boost on June 26, when donor nations at the G8 Summit in Canada released the details of the Muskoka Initiative for Maternal and Child Health, which included a pledge of $5 billion of “new money” from the G8 over the next five years for maternal, newborn, and child health. The official communiqué indicates that the new commitments will expand access to modern methods of family planning to an additional 12 million couples. While the pledges may help to increase the overall level of international support for family planning and reproductive health services, reviews from the family planning and maternal health communities were mixed. Advocates were hoping for a larger commitment, as it looks increasingly likely that the MDG 5 goals, including the goal of providing universal access to reproductive health services, will not be met.