The document discusses the impact of the global financial crisis on progress toward achieving the Millennium Development Goals. It finds that while some goals saw early progress, most countries are now off track. The financial crisis threatens to slow or reverse gains by reducing economic growth, tax revenues, remittances, trade, and foreign aid. It could push tens of millions more into poverty and negatively impact health, education, and other development indicators. Responses are needed, including increased foreign aid, fiscal stimulus in developing countries, and protecting social spending.