This document discusses factors that contribute to child mortality rates in developing countries. It examines whether child mortality is due to chance, government failings, or issues with global governance. The document presents statistics showing that millions of children under five die each year, primarily from preventable infectious diseases and malnutrition. While underdevelopment, poverty, and limited infrastructure play roles, the document suggests that global governance priorities around privatization and liberal markets also contribute by failing to adequately protect basic social and economic rights for the world's poorest people.