In 2016, the United Nations Secretary-General mandated the Independent Accountability Panel for Every Woman Every Child (IAP) to review accountability and progress in women’s, children’s and adolescents’ health towards the 2030 Sustainable Development Goals (SDGs).1,1a Work for this report began before COVID-19, however, impacts of the pandemic (in both real time and in the projected implications) have been considered throughout this report. In this report, the IAP highlights what is working and what is not. It recommends how countries, development partners and stakeholders can strengthen accountability to accelerate progress.