The brain develops faster in the first two to three years of life than at any later time, and what happens in these years shapes health, learning and earnings decades later. Children need what the Lancet series on early childhood development calls nurturing care: good health and nutrition, security and safety, responsive caregiving and opportunities to learn, at home and later in pre-primary education. Based on two proxies, stunting and extreme poverty, researchers estimated that 249 million children under five in low- and middle-income countries, 43% of the age group, were at risk of not reaching their developmental potential in 2010. Organised learning before school is one part of the answer: in 2024, 75% of children worldwide took part in organised learning one year before the official age for starting primary school, a share that has barely moved since 2015 (74%).
The gaps follow region, income and disadvantage. Participation is consistently above 90% in Europe, Northern America and Latin America and the Caribbean, but around 52% in sub-Saharan Africa and in Northern Africa and Western Asia. Across 97 countries with data, only 4% of the poorest children live in a household with children's books, and children with disabilities are 25% less likely to attend early childhood education. Many families also depend on childcare to work, yet the World Bank estimates that nearly 350 million children lack adequate childcare. Missing out is costly. The Lancet series estimates that people who start life with poor development lose about a quarter of average adult income per year, and that the losses to some countries can reach twice what they spend on health or education.