March 2022 – This article published in The Lancet Global Health and authored by the Global Research on Developmental Disabilities Collaborators highlights what is required to redress the present inequalities among children with disabilities under five by 2030. Available data show that globally the likelihood of a child having a disability before their fifth birthday was ten times higher than the likelihood of dying in 2019. However, disability funding declined by 11.4% between 2007 and 2016, and only 2% of the estimated US$79.1 billion invested in early childhood development during this period was spent on disabilities. This funding pattern has not improved since 2016. This paper highlights the urgent need to prioritize early childhood development for the beneficiaries of global child survival initiatives who have lifelong disabilities, especially in low-income and middle-income countries, as envisioned by the Sustainable Development Goals agenda.