foreWord The state of the world's children inequity imperils millions of children and threatens the future of the world as we look around the world today, we’re confronted with an uncomfortable but undeniable truth: Millions of children’s lives are blighted, for no other reason than the country, the community, the gender or the circumstances into which they are born. and, as the data in this report show, unless we accelerate the pace of our progress in reaching them, the futures of millions of disadvantaged and vulnerable children – and therefore the future of their societies – will be imperilled. Before they draw their first breath, the life chances of poor and excluded children are often being shaped by inequities. disadvantage and discrimination against their communities and families will help determine whether they live or die, whether they have a chance to learn and later earn a decent living. Conflicts, crises and climate-related disasters deepen their deprivation and diminish their potential. But it need not be so. as this report also illustrates, the world has made tremendous progress in reducing child deaths, getting children into school and lifting millions out of poverty. Many of the interventions behind this progress – such as vaccines, oral rehydration salts and better nutrition – have been practical and cost-effective. The rise of digital and mobile technology, and other innovations have made it easier and more cost-effective to deliver critical services in hard-to- reach communities and to expand opportunities for the children and families at Pupils play at an early childhood greatest risk. development (ECD) centre in Gulu District, Uganda. for the most part, the constraints on reaching these children are not technical. They are a matter of political commitment. They are a matter of resources. and © UNICEF/UN03308/Ose they are a matter of collective will – joining forces to tackle inequity and inequality head-on by focusing greater investment and effort on reaching the children who are being left behind. The time to act is now. for unless we accelerate our progress, by 2030: • almost 70 million children may die before reaching their fifth birthdays – 3.6 million in 2030 alone, the deadline year for the Sustainable development Goals. • Children in sub-Saharan africa will be 10 times more likely to die before their fifth birthdays than children in high-income countries. The STaTe of The World’S Children 2016 vi