In an era of unprecedented global wealth, millions of children across the world are facing a health crisis. Although the international community has set challenging targets for reducing child mortality and childhood diseases, in many of the world's countries the situation is getting worse not better. This report examines the global policy context behind the child health crisis. In particular, it looks at the General Agreement on Trade in Services (GATS) and the World Trade Organisation's drive to increase international trade in services such as water and health care.