This report addresses the fourth Millennium Development Goal, which aims for a two-thirds reduction of under-five mortality rates between 1990 and 2015. It reveals global gains in child survival since 1990, but also significant discrepancies within and across countries and regions. The document is divided into the following regions:

- Sub-Saharian Africa
- South Asia
- Middle East and North Africa
- East Asia and Pacific
- CEE/CIS Baltic states
- Latin America and the Caribbean
- Industrialized countries.

The aim of this report, released periodically, is to ensure that children are at the centre of the global development agenda.